The executive leadership of the National Health Service comprises:
Amanda Pritchard is Chief Executive Officer (CEO) of NHS England, which leads the NHS’ work nationally to improve health and ensure high quality care for all. She is also accountable to Parliament for the NHS’ £130 billion of annual funding.
Her prior role was NHS England and NHS Improvement’s Chief Operating Officer (COO) and NHS Improvement’s Chief Executive. As COO, Amanda oversaw NHS operational performance and delivery, as well as implementation of the service transformation and patient care improvements set out in the NHS Long Term Plan.
Amanda was previously Chief Executive of Guy’s and St Thomas’ NHS Foundation Trust from January 2016 to July 2019, having been Acting Chief Executive since October 2015. Prior to that she served as Chief Operating Officer at the trust for three and a half years.
Amanda joined Guy’s and St Thomas’ from Chelsea and Westminster NHS Foundation Trust where she spent six years as Deputy Chief Executive, having previously held a variety of senior strategic and operational management roles there, including Director of Strategy and Service Development. Amanda joined the NHS through its graduate management training scheme in 1997 and has held a variety of other NHS management positions since then. She has also served as health team leader in the Prime Minister’s Delivery Unit .
Chief Financial Officer
Prior to joining the NHS Executive Group, Julian was Director General Nuclear, leading the Defence Nuclear Organisation at the Ministry of Defence.
Previously he was Director General of Public Spending and Finance at HM Treasury, and has held a number of other senior roles including with the UK Border Agency, and in the private sector with HSBC.
He is a qualified chartered accountant and member of Chartered Institute of Management Accountants (CIMA).
Sir David was appointed to Chief Operating Officer on 14 December 2021. He was previously London Regional Director, and Group Chief Executive of the Royal Free London NHS Foundation Trust, having joined the Royal Free Hampstead Trust in 2009. He was formerly Chief Executive of the Whittington Hospital NHS Trust and before that he was Chief Executive of NHS Haringey.
He has spent his career in healthcare management, most of it in the NHS, although he worked for a number of years in the private healthcare sector. Sir David is a board member of UCL Partners and is a member of the London Health and Care Strategic Partnership Board.
Sir David was awarded a knighthood in the 2017 New Year’s honours list in recognition of his services to the NHS.
Mark was appointed as Chief Delivery Officer on 14 December 2021. He was previously, Interim Chief Operating Officer, Director for Long Term Plan Delivery and Deputy Chief Operating Officer.
Mark has worked in the NHS for his entire career and was the Chief Executive of Portsmouth Hospitals University NHS Trust immediately prior to joining NHS England.
He qualified as a nurse before moving into general and senior management roles within the NHS. He has worked at senior director level at a number of high profile London Hospital Trusts, including as Deputy Chief Executive Officer at Moorfields Eye Hospital. He also held the role of Managing Director at Whipps Cross, and in the newly merged Barts Health NHS Trust he became their Executive Director for Delivery. Before taking up the post at Portsmouth Hospitals University NHS Trust, Mark held the role of Regional Chief Operating Officer for the Midlands and East at NHS Improvement.
Jacqui was previously Chief Commercial Officer, Head of Corporate Services and Transition Director at the UK Health Security Agency. As a member of the NHS Test and Trace Executive Team, she was a driving force behind dynamic and rapid innovation and technology development in the supply chain.
Jacqui was formerly director for the Defence Infrastructure Organisation at the Ministry of Defence, and is a member of the Cabinet Office Commercial Function. She joined the UK government after 30 years in the financial services industry where she held multiple executive positions in companies including Credit Suisse, JP Morgan, Barclays and Bank of America Merrill Lynch.
Sir Stephen Powis
National Medical Director
Since the start of 2018 Stephen has been National Medical Director of NHS England. He is also Professor of Renal Medicine at University College London. Stephen was appointed Interim NHS Improvement Chief Executive Officer on 3 August 2021.
Previously he was Medical Director (and latterly Group Chief Medical Officer) of the Royal Free London NHS Foundation Trust from 2006 to 2018. Professor Powis was also a member of the governing body of Merton Clinical Commissioning Group for five years and a Director of Healthcare Services Laboratories LLP.
He is a past chairman of the Joint Royal Colleges of Physicians Training Board Specialty Advisory Committee for Renal Medicine and a former board member of Medical Education England. He was Director of Postgraduate Medical and Dental Education for UCLPartners from 2010-13.
He is a past treasurer and trustee of the British Transplantation Society and a former member of the UK Transplant Kidney Pancreas Advisory Group.
Dame Ruth May
Chief Nursing Officer, England
Ruth is the Chief Nursing Officer for England and an Executive/National Director at NHS England. She is also the National Director responsible for infection prevention and control.
Ruth was appointed following her roles as Executive Director of Nursing at NHS Improvement, which commenced in April 2016, and Director of Nursing at Monitor, the healthcare sector regulator.
Prior to joining Monitor, she was Regional Chief Nurse and Nurse Director for the Midlands and East region in NHS England, where she championed the ‘Stop the Pressure’ campaign, which nearly halved the number of pressure ulcers in the region, improving care for patients, as well as delivering cost savings to the NHS.
Ruth is passionate about nurturing the next generation of NHS nursing, midwifery and allied health professions (AHP) leaders, encouraging professional development opportunities and working across the health system to put in place the optimal cultural conditions for all NHS employees to thrive. This includes advocating for improved mental health awareness in the workplace, championing volunteer activity to support the frontline workforce and being a vocal supporter of the NHS Workforce Race Equality Standard agenda and increased diversity across the NHS.
Ruth began her career with a variety of nursing roles before becoming a theatre sister at Frimley Park Hospital. She was Acting Director of Nursing at Barnet Hospital before being appointed the substantive Director of Nursing and Deputy Chief Executive with Havering Primary Care Trust.
In October 2005, she became Chief Executive of The Queen Elizabeth Hospital, King’s Lynn, a post she held for two years. She has also been Chief Executive of Mid-Essex Hospital Services NHS Trust.
Chris joined NHS England in June 2022 as the newly created Chief Strategy Officer, responsible for NHS England’s strategy; policy; communications; stakeholder management including NHS England’s formal relationship with Government; health inequalities and a greener NHS.
Between 2012 and 2022 Chris was Chief Executive of NHS Providers, the membership organisation for the 220 NHS hospital, mental health, community and ambulance services trusts that collectively account for £105 billion of annual spend and employ 1.2 million staff.
Prior to this Chris was a Board Director at HM Revenue and Customs (HMRC) and at Granada Media, subsequently ITV plc, mostly in communications and strategy roles. He was also the first political adviser at the Department of Culture, Media and Sport and chief executive of the Social Democratic Party (SDP).
Chris is a graduate of the civil service High Potential Development Scheme, designed to identify and develop the next generation of top civil service leaders. He holds an MBA and honorary Doctorate from Cranfield Business School. He has held a range of non-executive roles including membership of the British Standards Institute (BSI) Standards Policy and Strategy Committee, overseeing BSI’s role as the UK’s national standards body, and chair of Foyer Federation, a UK national youth charity supporting homeless 16-25 year olds.
Dr Navina Evans MBBS DCH MRCPsych CBE
Chief Executive of Health Education England and Chief Workforce Officer of NHS England
Dr Navina Evans joined HEE on 1 October 2020 from East London NHS Foundation Trust (ELFT) where she had been Chief Executive since 2016.
She has over twenty years of clinical experience in psychiatry, medicine and paediatrics and previously held the positions of Deputy Chief Executive and Director of Operations.
Navina has worked as the Clinical Director for Child and Adolescent Mental Health Services at ELFT. She has also been involved in medical education and provided pastoral care to medical students.
Navina acts as a trustee for Think Ahead Organisation which develops training programmes for mental health social work. She was awarded an honorary fellowship by the Royal College of Psychiatrists in 2020. She is a senior fellow at the Institute of Healthcare Improvement.
Navina uses her voice in support of staff wellbeing and coproduction with patients, advocating for the best possible quality of life and creating a culture of enjoying work for staff. She was awarded the Commander of the British Empire in the 2020 New Year’s Honours List for services to NHS Leadership and the Black, Asian and Minority Ethnic community.
Dr Timothy Ferris
National Director of Transformation
Dr Timothy Ferris took up the post as the National Director of Transformation on 10 May 2021.
Dr Ferris served as a non-executive director of NHS Improvement and is internationally renowned for his pioneering work on improving health and care in both hospital and community settings.
He will lead the Transformation Directorate, bringing together the organisation’s operational improvement team and NHSX, the digital arm, to maintain the pace of innovation seen during the pandemic.
Dr Ferris joins the NHS full-time from the not-for-profit Massachusetts General Physicians Organization, where he is chief executive, and a Professor of Medicine at Harvard Medical School. He founded the Center for Population Health, which champions the use of prevention and data to improve health, reduce inequalities, and save lives.
Dr Amanda Doyle OBE
National Director for Primary Care and Community Services
Dr Amanda Doyle OBE took up the post of National Director for Primary Care and Community Services on 13 June 2022. Amanda joined NHS England as North West Regional Director on 2 August 2021. Previously she was the Chief Clinical Officer for West Lancashire Clinical Commissioning Group (CCG), Blackpool CCG and Fylde and Wyre CCG. Amanda was also the Integrated Care System Lead for Lancashire and South Cumbria, leading a large health and care transformation programme across the patch.
Amanda has been a GP for more than 20 years, practising in a large practice in a deprived area of Blackpool, which, in addition to primary medical services, provides a range of urgent care services for patients across the Fylde Coast.
Amanda was the Co-Chair of NHS Clinical Commissioners from 2013 to 2018.
She was Senior Responsible Officer for the primary care component of the Long Term Plan and was involved in the leadership of the health inequalities, prevention and personalisation elements.
She was part of the national General Medical Services (GMS) Negotiation team in 2018 which delivered the reformed GMS Contract. Amanda maintains an interest in urgent care. She was for 10 years a Medical Director of the local GP out-of-hours service.
Amanda was awarded an OBE for services to primary care and commissioning in 2014.
Sir James Mackey
National Director of Elective Recovery
Sir James is National Director of Elective Recovery for NHS England. Since 2017 he has also been Chief Executive of Northumbria Healthcare NHS Foundation Trust, and is Chair of the NHS Customer Board for Procurement and Supply. Sir James was previously Chief Executive of NHS Improvement.
He was knighted in 2018 for services to healthcare.
Em Wilkinson-Brice is the National Director for People at NHS England. Em qualified as a nurse in 1992 in Exeter. She was appointed to NHS England in September 2019 following roles sparing over 30 years in the NHS bringing clinical operational experience, working at executive level as Director of Nursing and Facilities at Derby Hospitals NHS Foundation Trust.
Em returned to Exeter in July 2010 where she undertook various executive roles alongside the Chief Nurse role, including Chief Operating Officer, Deputy Chief Executive and lead for integration across Devon. In recognition of the close working partnership between the Trust and two local universities, Em was awarded Associate Professor Faculty of Health and Human Sciences at both Exeter and Plymouth Universities.
Em has a keen interest in people and workforce, health and wellbeing, staff experience and organisational culture. She led on responding to the national workforce challenges of COVID-19. Em remains a practicing nurse and has a master’s in healthcare management and became a Chartered Fellow of the Chartered Institute of Personnel Development (CIPD) in 2022.
National Director for Emergency and Elective Care
Pauline has been the National Director of Urgent and Emergency Care since December 2015.
Prior to this she was Chief Executive of Luton and Dunstable University Hospital Foundation Trust.
A nurse by background, Pauline has previously also worked for the World Health Organisation, has an international track record in patient safety, and has led the successful performance of Luton’s hospital services for a number of years.
Steve Russell joined NHS England in February 2022 to lead the NHS COVID-19 vaccination and flu programmes. Before that Steve was Chief Executive of Harrogate and District NHS Foundation Trust and he has a decade’s worth of board level experience in NHS organisations.
Before joining Harrogate and District NHS Foundation Trust he was NHS Improvement’s Regional Director for London. He started in the NHS as a graduate trainee in Northumbria Healthcare NHS Foundation Trust where he worked for fourteen years before moving to London where he was Chief Operating Officer at South London Healthcare and Deputy Chief Executive at Barking Havering and Redbridge NHS Trust.
London Regional Director
Andrew joined NHS England as interim London Regional Director on secondment from Central London Community Healthcare (CLCH) NHS Trust in December 2021. Andrew is a passionate believer in developing NHS services outside of hospitals as an essential part of the future NHS. Prior to joining CLCH NHS Trust, Andrew was Regional Director for NHS England’s South of England area. He has worked in the NHS for over 20 years across community, hospital and primary care and also has experience in social care and charity organisations.
South East Regional Director
Anne has been Regional Director of the South East region for NHS England since October 2017. She was Regional Director for the South region for NHS Improvement when the organisation was created in April 2016 and prior to that, she served as Director of Delivery and Development at one of its predecessor organisations, the NHS Trust Development Authority, since 2015.
She is lead for all regions on the national performance and delivery group for mental health.
Anne has more than 30 years’ experience in the NHS, starting her career as an NHS management trainee and has experience in acute and teaching hospitals, mental health, community and specialist services.
She joined Buckinghamshire Healthcare NHS Trust as Chief Executive in December 2006, and led the integration of the county’s acute and community services in 2010.
In 2012 she became a visiting professor at Buckinghamshire New University and adviser to the faculty of society and health, supporting the Institute of Applied Leadership’s MA in Leadership and Management programme.
As a former nurse who has spent over 30 years working in the NHS, Clare joins East of England from Mid and South Essex NHS Foundation Trust, where she has been Chief Executive since the Trust formed in April 2020.
Clare’s frontline and leadership experience will be key to supporting NHS colleagues to provide better and more joined up patient care. She will lead the region’s work with integrated care boards and focus on improvements in the provision of healthcare and outcomes for the East of England, as well as shape future policy and strategy as part of the national executive team.
Midlands Regional Director
Dale is Regional Director of the Midlands and East region and prior to this he served as the Director of Delivery and Development at the NHS Trust Development Authority, since 2012.
Before that, Dale was the National Director of Provider Delivery at the Department of Health, the Director of Provider Development for the Midlands and East Strategic Health Authority (SHA) Cluster, and Director of Performance & Operations within NHS East Midlands.
He spent the first 10 years of his career working in a variety of senior operational roles within NHS acute hospitals.
South West Regional Director
Elizabeth O’Mahony was appointed in 2019 as the NHS Regional Director for the South West. As Regional Director her responsibilities include providing strategic and operational oversight of healthcare for the 6 million people and 125,000 NHS staff that live and work in the South West region. She leads the NHS work regionally to improve the health of the population and ensure high quality care for all. Elizabeth is also highly committed to ensuring that the region is a great place to work within the NHS.
With more than 25 years’ experience in the NHS, Elizabeth started her career in NHS finance and has worked across a number of provider organisations and the intermediate tier at a regional and national level. Elizabeth’s previous role was Chief Financial Officer at NHS Improvement, having previously been the Director of Finance at the NHS Trust Development Authority. Before that Elizabeth was Director of Finance of the South West Strategic Health Authority and throughout her career she has developed financial and workforce frameworks that contributed to the success of the organisations she has worked in.
Elizabeth’s portfolio of experience is wide-ranging and includes financial turnaround, provider development, service reconfiguration and mergers and acquisitions. She has been actively involved in the development of national policy and strategy for a number of years. She is a fellow of the Association of Chartered Certified Accountants.
Regional Director for the North East and Yorkshire and North West regions
Richard joined NHS England as North Regional Director in 2012.
Prior to this he was Chief Operating Officer of NHS North of England. Previous roles include Executive Director of Operations and Performance for North East Strategic Health Authority, Chief Operating Officer for NHS South of Tyne and Wear and Executive Director within Newcastle upon Tyne Hospitals FT.
He began NHS management in 1984 and his early career included senior roles with the Regional Health Authority, District Health Authorities and Hospital Management.