With 14 years of specialty experience working within the Older Adult area of practice in education, leadership, and advanced clinical practice, Rosie has focused on in improving acute care of the older person through her clinical practice work and is committed to service improvement initiatives at local, regional and national levels. Rosie has a keen interest in both frailty and in developing and promoting inter-disciplinary team (IDT) functioning. Over the past year, Rosie has been instrumental in developing and continually improving a process for early identification and IDT assessment of Patients At Risk of Increased Stay (aka PARIS) in Tauranga Hospital as part of the DHB’s Acute Flow Improvement Programme, resulting in a 20%+ decrease of stranded patients aged 75 or more.