Carole is a Consultant ACCP/Nurse at the Royal Devon & Exeter NHS Foundation Trust . She has been involved in the development of the ACCP role since inception as one of the original pilot trainees for New Ways of Working for Critical Care. Alongside practicing as an ACCP in her ICU she has had active involvement in the developing the role . Currently she is Co Chair of the FICM ACCP Advisory group responsible for development of the FICM ACCP programme including the curriculum and represents ACCPs on the Faculty Board. Carole was awarded honorary Fellowship of FICM in 2017. Carole is also the elected chair of the National Association of Advanced Critical Care Practitioners[ NaACCP]. Still a practicing ACCP Carole is also the Chair of the Nursing & AHP Committee representing the interests of nurses and AHPs at European Society for Intensive Care Medicine.