Paula Swain Team Leader, Acute Responce Team, St David's Hospital.

I qualified as an SRN (yes old style) in 1982 in Bristol and have had a varied and interesting nursing career travelling to work in Australia and the middle East. I have post general training in, Psychiatric Nursing, Oncology, BSc in specialist practise, Clinical Patient Assessment and more recently obtained Independent prescribing qualification with scope of practise in Antic- coagulation I have spent the majority of my nursing life in the community the last 20 of these being based in Cardiff. I am passionate about providing care in the most appropriate setting and advocating for patient /carer self care. Although it has taken many years, this month we are finally moving into Clinical space and are excited about the development of our OPAT service.