Early Life
Keen is the daughter of steelworker John Lloyd Fox and Ruby Hughes. She went to Elfed Secondary Modern School in Buckley, Clwyd, then gained a PGCEA (Postgraduate Certificate in the Education of Adults) from the University of Surrey. She worked in the National Health Service (NHS) before training as a registered nurse at Ashford General Hospital in Ashford, Middlesex, and won prizes as Nurse of the Year and Children's Nurse of the Year. She later became a district nurse. From 1989–1993, she was Head of the Faculty of Advanced Nursing at Queen Charlotte's College in Hammersmith (now part of Thames Valley University) and she also served as General Secretary of the Community and District Nursing Association.
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