Joan undertook her nurse training at the Royal Free Hospital in London and her Midwifery training at the John Radcliff Hospital in Oxford. She returned to London as a surgical ward sister, predominately caring for breast cancer patients. She spent time working in the community and as a research nurse in the University of Chicago and the University of Bristol before moving to Devon in 1988. Joan undertook her counselling training at the University of Exeter and was trained as a cancer nurse specialist at the Royal Marsden Hospital in London. She was appointed as the first cancer nurse specialist in the Trust in 1990 with the commencement of the National Breast Screening Service. Joan developed and led the Breast Care Nursing service that comprised four nurse specialists by the time she retired in 2010. She was the lead Nurse for Quality Assurance for the South West Regional Breast Screening Programme from 2003 until 2008. Joan has worked closely with FORCE throughout her time in Exeter and has, at first hand, recognised the support it has provided to all cancer patients and their families over many years. She has been a trustee since 2000 and continues to work as a volunteer with the oncology support specialists.