Her role is to lead on the psychological input for the Heart Manual department, NHS Lothian to support psychological wellbeing and long term self management for those with coronary heart disease. She is responsible for the alignment of training programmes to relevant competencies in cardiac rehabilitation, health behaviour change and psychological practice in physical health in the UK and internationally. She collaborates with external partners in the update, design, development and evaluation of existing and new interventions based on the Heart Manual. These include: HeartCycle a large scale EU commission funded study using telehealth and remote technology to improve the quality of life of those with heart failure or after myocardial infarction and REACH-HF, a NIHR funded project to develop and evaluate a Heart Failure Manual.