Carmel has worked as a clinical dietitian for 25 years, and currently specialises in the nutritional management of ICU patients and nutrition support. She was a co-ordinator of the Irish Nutrition and Dietetic Institute’s (INDI) Nutrition Support Reference Guide for dietitians published in 2015, and is a Therapy Professions lead on the Critical Care Programme of the National Clinical Strategy and Programmes Directorate. She is a Board member of the Irish Society for Clinical Nutrition and Metabolism (IrSPEN) and Chairs IrSPEN’s Policy and Practice Committee. Carmel is an Honorary Member of the INDI. She has recently taken on a role for the HSE to co-ordinate the development of NCEC (National Clinical Effectiveness Committee) National Clinical Guidelines for the ‘Prevention and treatment of undernutrition: use of nutrition support in adults in the acute care setting.’