My professional background is that of nursing. Since 1979 I have been involved with the use of information and communications technology to support healthcare practice (implemented Exeter Nursing System 1979-81), administration (Head of Information, Sheffield and North Trent College of Nursing and Midwifery 1991-1995) and education (Director, England Computer Assisted Learning Project (1988-1991/ Director Computers in Teaching Initiative first Centre for Nursing 1995-2000).

If asked, I would say that I was an 'informatics futurist' my research and publications confirm an innovative approach to my work. In recognition of my local, national and international work I was promoted to Professor in August 2018 and Emeritus Professor in August 2021.