I qualified as a nurse in 1981. I worked in renal medicine and Intensive/high dependency nursing before joining the school of nursing as a nurse tutor.
I left nursing for a while to run my own business.
On my return to nursing, I commissioned and worked in a number of services for older people within the independent sector.
I joined the Registration and Inspection Team at Liverpool Health Authority in1996 lead a joint Registration and inspection Team for Liverpool Health Authority and Liverpool City Council. I then joined the National Care Standards Commission in 2001 as an area manager responsible for regulating health and social care services on Merseyside.
Since then I have always worked in the regulation of health and social care services, joining the Care Quality Commission in 2009.
I was appointed Head of Hospital Inspection in November 2013 and head of Local System review in April 2017. In July 2019 I was appointed Deputy Chief Inspector of Hospitals.