On completing her PhD at Oxford, in 1994, Kathy established the Intensive Care National Audit & Research Centre (ICNARC) in the UK to facilitate improvements in the structure, process, outcomes and experiences of intensive/critical care for patients and for those who care for them. ICNARC undertakes a broad programme of clinical audit and research, both nationally and internationally. From 1994 to 2013, Kathy led and directed ICNARC and, in 2004, was awarded the Humphry Davy Medal by the UK Royal College of Anaesthetists as a mark of distinction for her significant contribution to critical care. Kathy now jointly leads ICNARC with ICNARC’s Managing Director and remains the Director of its’ Clinical Trials Unit. Kathy is an Honorary Professor in the Department of Health Services Research and Policy at the London School of Hygiene & Tropical Medicine and in the Division of Research Strategy at University College London, both within the University of London.