Miriam runs one of the UK's first integrated palliative medicine/heart failure services at her clinical base in the Scarborough area. In conjunction with researchers in academic cardiology at Castle Hill Hospital, Hull she continues her study into the use of opioids (morphine-like medicines) for the relief of breathlessness in people with advanced heart failure. She also directs the Hull Breathlessness research group which investigates the use of non-drug techniques to help breathlessness in lung cancer patients. She is a co-director of the Thrombosis Research in Advanced Disease Alliance.