With a robust background in addressing adult acquired communication and swallowing difficulties, my journey has been rooted in enhancing patient outcomes across acute, community, and rehabilitation settings. At States of Jersey Health and Social Services, my focus has been on delivering face-to-face interventions, elevating the standards of care for those with neurological conditions like stroke and Parkinson's disease.Our team's commitment led to the successful implementation of the EDAR decision-making tool and establishment of a specialized communication service for stroke units. Contributing to the development of a Parkinson’s voice pathway, including LSVT, reflects our dedication to innovation and comprehensive care. Leading teams, managing budgets, and driving recruitment efforts underscore my dedication to advancing both patient care and the field of speech therapy.As an independent practitioner embracing new ways of working, Telehealth including LSVT has been an important addition to the way I work, incorporating flexibility both within NHS posts and privately.