 The RCN won awards under his leadership as an exemplar employer - obtaining a Gold award from Investors in People and, since 2010, being in the Sunday Times Best 100 Not for Profit Organisations.At the time of his leaving the RCN in 2015, the RCN membership had reached its highest ever membership of over 430,000.On 9 November 2016, the Medway NHS Foundation Trust announced Carter had been appointed Interim Chair, whilst a new Chair was appointed on a permanent basis.