Rosa is the Nottingham and Nottinghamshire ICB Chief Nurse and Executive lead for People working in a forward leaning integrated care system. In this role she chairs the Local Maternity and Neonatal System and various safeguarding boards, is the SRO for system transformation programmes around learning disabilities and with her team works to ensure that the people of Nottingham and Nottinghamshire have safe, effective and high quality care. Rosa has had a varied career and worked in a variety of settings and in a 3rd sector charity working with the military across the world. Following a return to the UK in 2015 she has had held a number of roles within the Nottinghamshire system with a focus on achieving quality through partnerships, developing and embedding person centred care approaches and system leadership. Rosa is chair of the Florence Nightingale Foundations Membership advisory board, and a member of the NHS Professionals strategic advisory board. Rosa also led the development of personalised care through the Nottingham and Nottinghamshire early adopter programme, putting people at the heart of the system supporting link workers, community development and embedding of personal health budgets, with a focus on the survivors of sexual violence. Rosa is also a passionate supporter of equality and equity, and an advocate for professional shared decision making, supporting that approach in system professional cabinets across health and social care. She also supports a number of mentoring programmes, has established and championed ICB staff networks and works to support and empower young women as the leader of a number of units in Girl Guiding UK.