I have been working as a senior medical secretary for the NHS Highly Specialised Service for almost two years. I provide secretarial support for the Rare Mitochondrial Disorders Service in London and I am involved in service development and improvement. My role is to provide administrative support to Dr Ros Quinlivan, Dr Enrico Bugiardini and Dr Olivia Poole as well as the CNS, Natalie James and physiotherapist Sarah Holmes. Jackie and I are the first port of call for patients, their relatives and clinicians throughout the UK from diagnosis through to the first outpatient appointment and beyond. We provide a confidential administrative service and are happy to help in any way that we can.