Building sustainable healthcare communities by developing sustainable infrastructures in health and social care provision underpinned by human rights, sustainable development and occupational science perspectives. The key is to develop sustainable support service strategies the meet peoples needs now and in the future, through community engagement and decision making.I utilise mixed methods,  organisational ethnography,  soft systems methodology, participatory and inclusive methodologies, engaging key stakeholders for example  in surveys, participant observation, interviews and workshops.  I have developed a Sustainable Community of Practice Model (SCOP). a framework which can be utilised when developing sustainable infrastructures. My specialist research interest in the development of sustainable wheelchair and seating assistive technology provision nationally and internationally to ensure appropriate access to services, assessments, wheelchairs,  maintenance and repair, education and research. A wheelchair is a primary need and a basic human right.       

       Bringing the lived experience into the class room through the use of video narratives, in addition to inviting people to share their experiences face to face with students. Field trip introduced in 2004 to the occupational therapy programme, which I established with the Centre for Environmental Living and Training CELT, students spend a day in Bealkelly Woods, Tuamgraney, Co. Clare, to engage in traditional crafts.  It has become a unique and essential component of the programme, encapsulating team building, skills development, reflective practice and adapting to new environments are all essential components of professional development. This experience is positively evaluated year on year and has been highly commended by programme accrediting bodies.