Having worked in National Health Service (NHS) hospitals within Oxford and London, Karen went on to accept the position of Associate Medical Director to Bupa Group Medical (Oct 2008 - Oct 2009). Her role included being the lead for Clinical Governance, working on Hospital Accreditation projects, applying her research regarding the World Health Organisation Surgical Checklist and Telemedicine. She consulted for Bupa International and provided medical business and hospital inspection consultancy on an international basis.
However, humanitarian interests led her to become involved as a Member of the Afghanaid Fundraising Committee and she began working with Bridge Afghanistan, a not-for-profit collective of medics, filmmakers and journalists. This work involved a number of ongoing activities in Afghanistan including airlifting donated medical equipment from the UK to Afghanistan for distribution to government hospitals, development of a health clinic for Badambagh Women’s Prison, and journalism workshops.