Dr Francesca Heard is a Speciality trainee in Infectious Diseases and Medical Microbiology in the East Midlands. She has a specialist interest in antimicrobial stewardship, therapeutic drug monitoring and OPAT. She lead a project to optimise vancomycin TDM at Nottingham University Hospitals Trust (NUH) and is currently involved in an ongoing project evaluating the impact of daptomycin TDM in OPAT patients at NUH. She is also passionate about antimicrobial stewardship and how this can be improved particularly in the OPAT setting.