As a British Society of Echocardiography accredited member in transthoracic echocardiography, I regularly undertake outpatient clinical echocardiography clinics for patients at Surrey and Sussex Healthcare NHS Trust. In addition, I lead the critical care echocardiography service that provides urgent assessments for patients admitted to critical care and our high dependency unit. I also lead our very successful critical care ultrasound fellowship that supports trainees of all grades to achieve accreditation in echocardiography. Thank you for your review.