Sam Prigmore has specialised in cardio respiratory nursing in since qualifying over 25 years ago, and was one of the first respiratory nurse specialist to be appointed In the UK. She is passionate about providing holistic care for people with respiratory disease and has been instrumental in developing respiratory nursing teams in the both the acute and community setting. She has extensive experience in nursing patients with asthma (in particular, severe and difficult asthma, transitional services and asthma in pregnancy), COPD and patients requiring ventilatory support. She has worked closely with CCGs to develop and redesign respiratory services and nationally, representing nursing in the development of the National Clinical Strategy for COPD and asthma. Following this, she was seconded to NHS London, as a member of the London Respiratory Team. She is actively involved in the British Thoracic Society, representing nursing on several committees, Primary Care Respiratory Society UK and Association of Respiratory Nurse Specialists. She has previously been a Trustee for the British Lung Foundation. She has held an honorary lecturer role with Imperial College and the Royal Brompton Hospital, and is a Trainer for Education for Health. She is currently studying for a PhD in Nursing at the University of Manchester. She is developing a respiratory nurse sensitive outcome indicator tool to measure the impact that respiratory nurse specialists have on patients experience of living with COPD.