I am a consultant paediatric cardiac intensivist working in a team of cardiac intensivists responsible for the care of children on the cardiac intensive care unit at Great Ormond Street Hospital in London, which is a tertiary referral centre for children with congenital heart disease (before and after cardiac surgery including heart and heart-lung transplantation), severe cardiac failure due to acquired causes, primary pulmonary hypertension, large airway disease as well as a nationally commissioned centre for infants and children with intractable respiratory or cardio-respiratory failure needing ECMO or bridge to heart transplantation on mechanical assist devices. I lead on a theme of neuromonitoring, neuroprotection and neurological outcome in children with congenital heart defects and those supported on mechanical circulatory support including ECMO and VAD with the aim to improve service delivery and ultimate quality of life. My current research focus is to establish measures to identify neurological impairment and neurodisability pre and post major cardiac surgery, to study the effects of neuroprotective interventions and outcome, and to study tissue oxygen saturation by NIRS as an early marker of brain ischaemia and low cardiac output state. I am committed to clinical governance, patient safety in the cardiothoracic division at Great Ormond Street Hospital, and have led on various quality improvement initiatives to develop and foster a sustainable safety focussed culture. I am a member of the Euro ELSO Scientific Committee and the chair of the Euro ELSO Working Group on Neurological Monitoring and Outcome, and the Deputy Chair of the Cardiac ICU & Mechanical Circulatory Support section in ESPNIC.