Dr Elizabeth MacPhie is a Consultant Rheumatologist in Preston and Clinical Lead for the Integrated Musculoskeletal Service.  She is also the Associate Medical Director for physical health services.  She works in a community-based service and has been involved with the tender and then mobilisation of a new integrated MSK service.  This has provided a unique opportunity to be involved with service redesign. She is involved with various working groups at both a local and regional level focusing on out-patient transformation.  Dr MacPhie has been a trustee and previous Chair of the Clinical Affairs Committee at the British Society for Rheumatology.