Alison is an Associate Specialist in Renal Medicine in Dumfries where she has worked for 22 years. As lead for Kidney Care Planning services communication plays a huge roll in her work- explaining treatment options to patients in a way they can understand, so they can make decisions that are right for them. This includes explaining when treatment options are failing so having discussions about end of life care is a large part of this. She has also recently taken on a role as Clinical supervisor to some of the Juniors Doctors in Dumfries and views communication skills as an on going learning curve for us all,something that can always be improved and adapted to all aspects of life in general as well as work. She trained as an EC4H tutor in 2017.