She is active in clinical general practice with a particular interest in chronic disease and illness, patient centered care and complex systems. Carmel has a large volume of publications around this area and she also edits a journal section on Complexity in the Health Sciences for the Journal of Evaluation in Clinical Practice, UK. Carmel is a lead Clinical Principal Investigator on the Patient Journey Record Program in user driven healthcare at the National Digital Research Center NDRC, an independent organization formed by a consortium of members comprising different academic institutes in Dublin.