Eleanor supported development of the PPV process as first chair in its current format, gaining a Chartered Manager award. She represented the PPV group in a review of new primary care standards, participated in Kingston Healthwatch as chair of the community care action group and at the CCG. Eleanor led development of Surrey Independent Mental Health Network and represented as an STP stakeholder. Eleanor is trained as a patient leader and lay partner and in Evidencing Need for Change in HSC (ENCHSCE) which resulted in a report on relationship of concentrations of health issues with a deprivation index adopted by Public Health. Eleanor’s concerns reflect experience working with excluded minorities in criminal justice, homelessness, substance use and mental health, and lived experience of disability and minority social identity.