Dr Tom Keating commenced his professional career working with young people in Broadmeadows and Brunswick before establishing and managing Victoria's youth refuge and emergency accommodation Program for homeless young people. He managed disaster recovery efforts following the Ash Wednesday bushfires and was responsible, with others, for establishing Victoria's child protection services. At the age of 27, I took up a Regional Director position in a rural region and progressively became responsible for all health, welfare, disability, aged care and public housing in the Northeast of Victoria and the Goulburn Valley. He was responsible for integrating intellectual disability services into the Department of Community Services regional operations and contributed to the major reforms of intellectual disability services that took place in the 1980s including the closure of one of Victoria's largest disability institutions. He was responsible for defining the roles of nurse practitioners and midwives in Victoria and led the process of merging the acute health services of Albury and Wodonga. More recently, he has worked extensively with hospitals and primary care services to develop models of integrated care.Alongside his professional work, Dr Keating has had a parallel academic career, holding appointments as Pro Vice-Chancellor and Associate Professor at La Trobe University, Associate Professor (Research) at the University of New South Wales, Marie Curie Visiting Research Fellow at Trinity College Dublin, and Honorary Principal Fellow at the University of Melbourne.