She has researched and implemented models of care into general practice that case managed infants, children and young people. She leads the school based collaboration between Greenstone Family Clinic and Counties Manukau DHB, which works with school nurses in Manurewa. Karen trained as a children’s nurse at Great Ormond Street hospital, London, and then as a Health Visitor, before immigrating to New Zealand. She has lived and worked in South and West Africa and in Peru.