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 Cabinet Office’s delivery unit.
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 and NHS Improvement.
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.
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).
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.
Professor Stephen Powis
National Medical Director and Interim NHS Improvement Chief Executive Officer
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.
Chief Nursing Officer, England
Ruth is the Chief Nursing Officer for England and an Executive/National Director at NHS England and NHS Improvement. 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.
Sir James Mackey
National Director of Elective Recovery
Sir James is National Director of Elective Recovery for NHS England and NHS Improvement. 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.
National Director of Strategy
Ian joined NHS England in July 2014. Prior to this he was Director of the NHS Group and Head of Policy Profession for the Department of Health.
In 2005/06 he was the Prime Minister’s senior adviser on the NHS.
He is also currently an Adjunct Professor at the Institute of Global Health Innovation, Imperial College, London.
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, who has served as a non-executive director of NHS Improvement for almost three years, is internationally renowned for his pioneering work on improving health and care in both hospital and community settings.
He will lead the new 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.
London Regional Director
Andrew joined NHS England and NHS Improvement 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 both NHS Improvement and 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.
Acting East of England Regional Director
Sean was previously Medical Director and Chief Clinical Information Officer for NHS England and NHS Improvement’s East of England region, where he has driven NHS efforts to support the roll out of Integrated Care Systems and promote quality improvement across the region.
Previously, Sean held several clinical leadership positions across provider, commissioning and regulatory organisations in both America and the UK. Former roles include: Associate Clinical Professor and Director of Paediatric Cardiac Anaesthesia at the University of Michigan; Associate Medical Director at the Department of Health and Social Care; Non-executive Director at Somerset CCG, Medical Director at Salisbury NHS Foundation Trust; Medical Director at University Hospitals Bristol NHS Foundation Trust and Medical Director for Professional Leadership at NHS Improvement.
Sean was chair of the Department of Health and Social Care’s National Steering Group on Cosmetic Surgery Regulation between 2005 and 2008 and has worked as a special adviser to the CQC, chairing a number of comprehensive inspections.
Midlands Regional Director
Dale has been Regional Director of the Midlands and East region at NHS Improvement since the organisation’s creation in April 2016 and prior to that, he served as the Director of Delivery and Development at one of its predecessor organisations, 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.
Dr Amanda Doyle OBE
North West Regional Director
Dr Amanda Doyle OBE joined NHS England and NHS Improvement 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.
North East and Yorkshire Regional Director
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.
Chief People Officer
Prerana combines senior public service experience with strong skills from the private sector. She joins from the United Nations, where she was the Chief Human Resources Officer for the World Food Programme for four years, after which she took on the role of Director for Public-Private Partnerships for the past two years. During her tenure as head of Human Resources, Prerana led the development of the UN’s first strategic human capital approach, as well as the reform of many key policies.
Prior to the United Nations, Prerana worked for more than 15 years at Unilever PLC, starting with them in India, and then for several years was in global roles at the Unilever headquarters in London. Her last role in Unilever was Vice-President HR for the Global Foods business. Prerana brings a wealth of expertise in leadership development and strategic talent management, as well as diversity and inclusion.
She is a passionate and committed advocate for diversity at all levels and all jobs, and applies this lens to people-related decisions, policies and processes.
National Director for Emergency and Elective Care
Pauline has been the National Director of Urgent and Emergency Care since December 2015, acting on behalf of both NHS England and NHS Improvement.
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.