In January 2012, Viv was appointed as the Department of Health’s Director of Nursing and the Government’s Principal Advisor on Public Health Nursing, providing high quality and independent nursing advice to ministers and officials on policy issues and public health nursing. She leads the national Health Visiting Programme and School Nurse Development Programme. As of September 2012, Viv was also appointed Director of Nursing for Public Health England.

She trained as a nurse in Oxford in 1976 and worked in children’s nursing before training as a health visitor in Oxford in the early 1980s. She worked as a health visitor and research health visitor in Oxford whilst studying for a BA and then Masters degree in health and social policy.