Trained initially as a nurse, I subsequently qualified as a social worker and counsellor working in the early days of HIV services. I then moved to work in community palliative care services from a hospice base and, more recently, co-ordinated a cross-site, hospice bereavement service. In 2003 I was awarded a part-time Macmillan Research Fellowship and completed a PhD at the University of Manchester in 2010. This project used a qualitative case study approach to examine continuity of care for people living with advanced cancer from the points of view of all stakeholders. In particular, it was concerned with coordination of palliative care services and the experiences of those living with progressive cancer but subject to engagement with large numbers of professional care givers from a range of different agencies. The PhD sparked my enduring interest in research that can influence and change practice and the organisation of health and social care delivery for the better of service users. I am currently working with a team at the International Observatory on End of Life Care at Lancaster University on a 4 year pan European study (InSup-C) which aims to establish recommendations on best practice in integrated palliative care pathways in advanced cancer and chronic disease.