Sarah Rae is a long-term mental health service user. After a negative experience of acute care in 2005 Sarah became determined to influence the decision-making processes in her local mental health Trust. She currently works with the Cambridgeshire and Peterborough Foundation Trust (CPFT) as a researcher and Patient Leader. She joined the CLAHRC EoE, as a lay PPI Advisor to the Board, in 2011. Sarah is also a trustee of national Mind and a trustee of National Voices. In addition, she works closely with the Eastern Academic Health Science Network and is a member of the East of England Citizens’ Senate. Sarah is co-founder of PROMISE (Proactive Management of Integrated Services and Environments). The impact of this three-year initiative was to reduce the use of physical interventions within CPFT and prone restraint has almost been eliminated. Two years ago, Sarah was selected to join the Q community. This is a national initiative, led by the Health Foundation, to connect people with improvement expertise in health and care across the UK. Sarah is an Associate Lecturer at Anglia Ruskin University and a Community Research Adviser for the East of England Research Design Service.