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Karen has an extensive career which has included time in hospitals, health, and local authorities, including Director of Prevention at NHS England and NHS Improvement; Director of Mental Health, at NHS England, and Director of Mental Health, Disability, and Equalities, in the Department of Health.

She currently holds non-executive roles at the Royal College of Psychiatrists, Evelina Women and Children’s Services, Guys and St Thomas’s Trust, and Strength and Learning through Horses.