I am a commission manager with Oxfordshire County Council with responsibility for redeveloping existing services for adult client groups to better meet and to serve the needs, aspirations and future demands of the population in the county. I am also a founding Trustee Director of the national charity Research in Specialist and Elderly Care (RESEC), formed by a group of professionals (clinicians, commissioners, regulators, managers, academics, politicians) in 2005 and linked to Green Templeton College, University of Oxford. The aim of the charity is to explore how best to improve social care by research and teaching and to create a bridge between research and practice. More recently, I led a Countywide programme, using Department of Health funding and Kings Fund advice, to conduct research into (and improve) the impact of the physical environment on people with dementia in social care and NHS settings. I also have a seat on one of the Department of Health many advisory groups for the Implementation of the National Dementia Strategy and for the Development of Integrated Care.