Amanda started her career as a nurse and midwife, moving into clinical academic roles, acute hospital nursing leadership and then commissioning. Amanda is a proponent of integrated care, co-leading the mid-Nottinghamshire Vanguard programme. This developed integrated neighbourhood teams and an alliance across health and local government - the foundation of place-based partnership working in the area. Amanda's career spans a range of provider and commissioner roles and she is now the Chief Executive of Nottingham and Nottinghamshire ICB.