In 2003 Karen Littleton began work with The Royal College of Nursing as a Regional Officer for a period of ten years.  She gained further skills in professional development, governmental lobbying and liaison, leadership, Human Resources and employment law. She worked closely with the NMC and service managers on Fitness to Practice cases. During these years Karen Littleton also undertook secondments for local hospices and PCTs in developing policies and undertaking investigatory and disciplinary work across the NMC, GMC and GDC disciplines.

Following her work with the RCN Karen Littleton undertook a period of work with The Department of Work & Pensions for disability assessment for benefits.

In 2012 Karen Littleton began working in aesthetic medicine, gradually developing and consolidating her skills. She undertook various courses to supplement her knowledge base and was able to transfer her career skills into this clinical speciality. She now has her own clinic based in Nottinghamshire. Having taught Independent and Supplementary Nurse Prescribing at The University of Nottingham, Karen Littleton was able to use these skills in the aesthetic field. After a long career with clear clinical pathways where professional knowledge, skills and professionalism were at the heart of patient care and safety it is clear that aesthetic medicine needs to be recognised as a clinical speciality.

Karen Littleton is highly delighted to be part of British Association For Medical Aesthetic Complications (BAMAC) by providing 24-hour advice and access for any medical aesthetics complication for all aesthetic practitioners across the UK which will promote and enhance patient safety thus preventing or reducing harm.