Kay has been managing in schools for 20 years of her 30 year career. She has a focus on school improvement and has led to major structural changes in individual schools and most recently across a whole service. She is most proud of the difference that the service made to the most disadvantaged pupils in the county. Her background is in secondary History and English teaching in Inner London and she has maintained contact with the subjects throughout her career. Since 1999 she has focused on Special Educational Needs provisions, in particular, Social, Emotional and Mental Health needs. She currently tutors adults in courses on SEN.