Julie worked as a District Nurse before moving into improvement. She led the Productive Care Programme for NHS South of England SHA – teaching lean skills to clinicians and improving patient care. At the NHS Institute for Innovation and Improvement, Julie worked on various improvement programmes, including Productive Community Services. More recently, at NHS Improving Quality in the Patient Experience team, Julie ran patient and clinician events and did research for the Department of Health on the experience of women who suffer from loss in pregnancy.