Helen Irving is the Clinical Lead of the Centre for Children’s Health Ethics and Law (CCHEL) Children’s Health Queensland Hospital and Health Service and a member of the Metro South Hospitals and Health Service Clinical Ethics Service, Brisbane. Her clinical role is that of Specialist Paediatric and Adolescent Oncologist and Medical Lead for the State-wide paediatric haematology, oncology and palliative care network (QPPHON). She was instrumental in establishing the State-wide Paediatric Palliative Care Service and continues in the service in supportive and mentor roles. Dr Irving’s interest in bioethics stems from the challenges of care and decision making in paediatric medicine, particularly around the extent of and conflict around direction of care, staff distress, and innovations in care. She is Associate Professor, University of Queensland Faculty of Medicine and involved in undergraduate and postgraduate medical and inter-disciplinary teaching.