Amanda is the Chief Executive for the Nottingham and Nottinghamshire Integrated Care Board. Amanda has been a proponent of integrated care, being Joint SRO of the Mid-Nottinghamshire Better Together programme between 2014 and 2018. This was a Vanguard Primary and Acute Care System (PACS) site, with an Alliance across health and local government. 

Amanda has a clinical background, working as a nurse and a midwife before moving into senior management in both acute and commissioning roles. In 2001 Amanda was awarded a PhD for research investigating decision-making during pregnancy.  

In her capacity as a consultant midwife, Amanda worked at regional and national levels. She chaired a working group on behalf of the National Screening Committee, which developed national standards for ultrasound consent in pregnancy. She has also edited midwifery text books.