Steve Callaghan has been dedicated to improving health and care for over 30 years. His clinical background is in A&E and respiratory nursing. He was also, a commissioner for respiratory disease, a health outcomes manager and respiratory lead for Liverpool. He taught the MSc in clinical nursing at the University of Liverpool and is now a full-time carer, an independent consultant and visiting lecturer. Steve has won two awards for nursing, three awards for commissioning and one award from the National Institute for Health and Care Excellence for his outcome-based commissioning model. He is widely published and presents nationally and internationally.