I started off my nursing career as a RGN/RSCN after qualifying at Great Ormond Street Hospital for Children in 1988. After a year working as a staff nurse at Queen Elizabeth Hospital for Children in Hackney Road on a paediatric medical ward I moved back home to Hertfordshire and trained as a midwife at Watford hospital. I continued to work as a midwife at Hemel Hempstead General Hospital for the next 10 years until I left to pursue a career as a health visitor by completing the BA (Hons) Specialist Community Practice degree at the University of Bedfordshire. In 2008 I started studying for the MSc Children’s Advanced Practice degree at South Bank University. This gave me a taste to return to a clinical role, so in 2009 I returned to my roots and joined the Children’s Community Nursing Team. At the same time I became involved in the NHS Institute’s Rapid Improvement programme in Luton and became the Community Clinical Lead for the Paediatric Urgent Care Working Group. Since the commencement of the programme it was always my goal to set up a Children’s Rapid Response team locally to care for children with acute health needs closer to home. Following a successful business case by the Children’s Commissioner this was made possible. The team has now been running for over 8 years. The service has recently been reviewed and we have changed to a clinic-based model, extended the service to be able to receive referrals from other sources such as NHS111 and increase our geographical area to include the whole of Bedfordshire.