Pat has been working in the public sector for more than 25 years, first in the NHS and now in FE for nearly 20 years. Her specialist background is in IT and she has led e-learning strategies in two Colleges in that time, that attempt to address issues around accessibility, student and staff support and the use of information learning technologies inside and outside College to enhance student outcomes and teaching and learning. Working with Nisai Virtual Academy has given Harrow College a unique opportunity to support medically ill students achieve their goals and has also given them an insight into the technologies used and how they might benefit students in other contexts.