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1 AN HSJ SUPPLEMENT/xx month 2013 CLINICAL LEADERS IN ASSOCIATION WITH... Recognising Professiona Achievement xxxxxx xxxxx xxxxxxxxxxxx In association with

2 Heping shape the future of heathcare is what drives us to do more Veredus is a market eading executive search business offering nationa and internationa access to the most sought after eaders operating in the heath, wider commercia, pubic service and not-for-profit sectors. As our heath systems deveop there is a noticeabe change in the way organisations are now working more coaborativey to find soutions that ead to deveoping a new and sustainabe heathcare system. For many this wi ead to pioneering, or re-engineering, new methods of deivery. Consequenty, the demand for cinica eaders offering naturay inspiring vision and brave, authentic eadership skis has continued to increase. Veredus demonstrates a ong history of working cosey with cients to find tomorrow s exceptiona cinica eaders and we beieve that we offer a cear competitive edge that can hep shape your future too, because of our unparaeed quaity of service together with our: Deep Understanding of the Heath Sector Our team brings more than 80 years combined experience of working within the NHS, private and not-for-profit providers and the executive search industry. This means we offer access to wider candidate markets and, that we are uniquey skied at assessing those who wi deiver immediate vaue to our cients. Our continued record of success aong with our abiity to engage and work cosey with a wide range of cient organisations affords us rea currency in the market pace in which we operate. Unique Track Record of Success We have an unbeatabe track record of successfuy appointing to senior roes in heathcare. With a dedicated team of 14 speciaist consutants we provide sector eading executive search and interim management soutions across the heath sector. Additionay, we have simiar teams working across the wider private and pubic sectors incuding those in higher education, centra government, financia services, energy and infrastructure, media and transport. Unrivaed Commitment to Maximising Choice Our consutants are passionate about finding eaders that impact positivey on deivering organisationa goas, dedicating their time to understanding you and your organisation, which in our opinion is the key to making a successfu hire. We aways undertake fresh market research to identify and secure the very best taent avaiabe, wherever they may be. Veredus is the ony nationa executive search and seection company accredited as an Investor in Diversity, showcasing the true extent of our reach to bring you the widest seection of candidates. Soutions Focused Approach Because we treat every situation with a fresh pair of eyes, we can provide advice on the right approach to take whether you need to recruit for an exceptionay difficut to fi post, or are simpy ooking for the best impartia career advice. We offer a wide range of services from creative marketing, microsite design, comprehensive assessment, outpacement or on-boarding advice. Aternativey, you may need an interim management soution, which is a bespoke approach to buiding capacity and capabiity in response to any recruitment requirement. As one of the argest firms pacing senior managers in the UK, we are we paced to service your needs. For more information about the range of services Veredus has to offer and how these may hep shape your organisation, or enhance your career, pease contact: Annette Sergeant Director and Head of Heath Practice, Veredus T: M: E: annette.sergeant@veredus.co.uk Simon Potts Director of Heath Practice, Veredus T: M: E: simon.potts@veredus.co.uk

3 foreword Dave West This is the third year of HSJ s 100 Cinica Leaders. It is ony right and proper that, as cinica eadership cements itsef at the heart of heathcare, this ceebration has become a firm fixture in our caendar. In your hands is a suppement which highights 100 individuas whose cinica background is shaping the work that they do. These are peope who are taking the experience they have had as a doctor, a nurse or an aied heath professiona and using it to infuence heathcare. For many, that infuence is at the poicy eve: these are the peope who have had the ear of poiticians during the run up to the genera eection and wi continue to have it in the coming months, or have pressed for major pubic heath poicy shifts. For others, it is infuence at the service eve those who wi be charged with deivering the sort of transformation detaied in the NHS Five Year Forward View. Others sti are at the cutting edge of science and research, using their cinica knowedge to transform treatments for patients. Together, these are peope who te the tae of where cinica eadership stands today in the heath service. We see an NHS in which the cinicay quaified are taking a eading roe, even as some argue that cinicians are insufficienty represented at the most senior eves in heathcare providers. It is interesting to note that ony four of this year s HSJ Cinica Leaders are trust chief executives, for exampe. The person at the top of our ist remains unchanged Professor Sir Bruce Keogh has been in number one position for each of the three years we have pubished this suppement but there are penty of new names here. As ever, our judges faced a daunting task. The prestigious pane engaged in serious and energetic debate. We thank them for their efforts, and await with interest your thoughts on their decisions. Dave West is senior bureau chief, commissioning and performance, HSJ These are peope who te the tae of where cinica eadership stands today in the heath service The judges Kamran Abbasi internationa editor, The BMJ Professor Timothy Evans medica director and deputy chief executive, Roya Brompton and Harefied Foundation Trust Professor Sir David Fish managing director, UCLPartners Professor David Hasam chair, Nationa Institute for Heath and Care Exceence Dr Timothy Heymann non-executive director, Monitor Samantha Jones director of new care modes, NHS Engand Des Key executive director, Nationa Care Forum Professor Aison Leary chair of heathcare and workforce modeing, London South Bank University Dr Mahiben Maruthappu senior feow to the chief executive, NHS Engand Simon Potts director, heathcare, Veredus Theresa Shaw chief executive, Centre for Nursing Innovation Annette Sergeant director and head of heathcare, Veredus Sir Richard Thompson past president, Roya Coege of Physicians Dr Syvia Tang group medica director, Priory Group Dave West senior bureau chief, commissioning and performance, HSJ (chair) Commissioning editor Nosmot Gbadamosi Writer Caire Read Project assistant Tom McFarand HoW HsJ cinica eaders is Judged For the third year of HSJ Cinica Leaders, we sought to identify individuas whose cinica background ceary infuences the work that they do. We were seeking those who have made a significant impact on heath service poicy, heathcare deivery or cinica advances in the ast 12 months or who were ikey to do so in the next 12 months. Our ong ist was created from March to May through a combination of a pubic nomination process and input from an expert pane. Our judges reviewed the ist and added their suggestions, deciding on the fina 100 at a judging evening hed in May. During this session, they aso ranked the top 20 cinica eaders among this 100. Judges considered the foowing criteria in coming to their decisions: Poitica infuence To what extent has the individua infuenced heathcare poicy nationay in the run up to the eection? To what extent is he or she ikey to infuence poicy in the coming 12 months? Service transformation To what extent has the individua infuenced improvements in services as envisaged in the NHS Five Year Forward View or are ikey to do so in the coming 12 months? Innovation To what extent has the individua used his or her cinica eadership to infuence innovative soutions in heath and care? Infuence in these areas is highighted in the suppement and our onine graphic using the coour coded symbos beow. Judges who were nominated excuded themseves from the seection process. However, in the interest of producing a credibe ist, judges who met the criteria as cinica eaders were considered by HSJ editor Aastair McLean after the judging process. POLICY INNOVATION TRANSFORMATION hsj.co.uk 8 Juy 2015 Heath Service Journa suppement 1

4 1 Professor Sir Bruce Keogh MEDICAL DIRECTOR, NHS ENGLAND HSJ Cinica Leaders is now in its third year and it is the third year that Sir Bruce has sat atop it. No one woud argue against this former cardiac surgeon being named Engand s most important cinica eader, other than perhaps the man himsef. This represents both Sir Bruce s incontrovertibe infuence, and the modesty with which he wieds it. Seven day services and emergency care have remained a key focus for Sir Bruce this year. Promises on the former found their way into the Conservative manifesto, and have become a theme of many post-victory speeches by David Cameron. On the atter, the new care modes outined in the NHS Five Year Forward View drew heaviy on the recommendations of the care review ed by Sir Bruce. This year, he wi take on another review: this time of the professiona codes of practice for doctors and nurses. Instigated by Jeremy Hunt, it is in part a reaction to the report on faiings at University Hospitas of Morecambe Bay Foundation Trust. Mr Hunt wi be optimistic that the review wi have an impact. In February, statistica anaysis by heathcare information body Dr Foster suggested that the Keogh specia measures trusts have since seen asting fas in their mortaity rates. 2 Professor Sir Mike Richards CHIEF INSPECTOR OF HOSPITALS, CARE QUALITY COMMISSION No one woud argue against him being Engand s most important eader, other than perhaps the man himsef Sir Mike Richards and Dame Say Davies (3) swap paces in this year s HSJ Cinica Leaders, with the chief inspector of hospitas moving up a sot to number two. The new inspection mode is now 18 months od, and by the end of the year Sir Mike hopes that a hospitas wi have been through the regime receiving individua ratings for urgent and emergency services, medica care, surgery, critica care, services for chidren and young peope, end of ife care and outpatients and diagnostic imaging. He contends that this constitutes a better view of NHS quaity than ever before, and certainy the process is more rigorous. There is aso no doubt over his determination to improve the inspection regime. Consistency remains a probem though one about which Sir Mike is refreshingy open. He used an HSJ webinar to ca on trusts to hep address the issue by reeasing their top cinicians to ead CQC inspections. The introduction of the fit and proper person test ast November introduces another responsibiity for Sir Mike. As is characteristic, it is one he pans to discharge sensitivey he tod HSJ he did not think it right to name individuas at a triage stage but with a cear focus on quaity. He argued that the shortage of NHS senior managers was no reason not to pursue action against those about whom concerns are raised. 3 Professor Dame Say Davies CHIEF MEDICAL OFFICER FOR ENGLAND, DEPARTMENT OF HEALTH Dame Say can surey take some of the credit for the recent, beated appearance of menta heath at the top of the poitica agenda. It is no coincidence that the chief medica officer s most recent annua report, pubished in ate 2014, focused on the ongtime Cinderea service. In it, she caed for more funding and much greater emphasis on menta heath and webeing. The report aso suggested the introduction of waiting time targets. Less than a year ater and such targets are now in pace for access to taking therapies and for peope who have experienced a first episode of psychosis. It is evidence of the extent to which, when Dame Say speaks, peope sit up and pay attention. For the past two years, she has emphasised her support of the creation of babies with DNA from two women and one man dubbed three-parent IVF as an option for women with mitochondria disease. In February, MPs and the House of Lords passed egisation to egaise the technique. 2 Heath Service Journa suppement 8 Juy 2015 hsj.co.uk

5 4 Professor Steve Fied CHIEF INSPECTOR OF gps, CARE QuALITY COMMISSION Heathcare is a word in which many firsts are caimed, often inaccuratey. But Professor Fied can take credit for something genuiney new: the nationwide process to inspect the standards of care provided by famiy doctors. Its fu aunch has not been without its teething probems. Amost as soon as the first inspection reports were pubished in November, there were concerns about inaccuracies. One in 10 5 Dr Sarah Woaston GP practices were assigned the highest risk rating, but the reveation of mistakes in the cacuations ed to an apoogy. The use of banding has now been dropped, and Professor Fied promises to speak not of risk but of variation. What was perhaps more reveaing was the one inspected practice decared to be providing outstanding services across the board. Saford Heath Matters runs three surgeries in Greater Manchester, prioritises prevention, and runs an extended set of services. By highighting it, Professor Fied payed an important roe in mapping out a post-forward view mode of primary care. Expect him to continue to do so. MP FOR TOTNES AND CHAIR OF HOuSE OF COMMONS HEALTH SELECT COMMITTEE Sarah Woaston first broke into the top ranks of HSJ Cinica Leaders ast year. Back then we wrote that if she continues her spirit of taking a stand, expect to see her here again next year. She has. Dr Woaston has aways insisted that she is not a triba poitician. Her continuing wiingness to pubicy speak out when she disagrees with her party eader constitutes compeing proof. In recent months, she passionatey opposed David Cameron s suggestion that those who cannot work due to obesity or substance misuse shoud have their benefits cut if they refuse treatment. She suggested the pan was iega and unworkabe. The former GP is aso unconvinced by pedges to institute 8am to 8pm and weekend GP access by It has not been entirey possibe for Dr Woaston to sidestep tribaism in the run up to the genera eection the seect committee s usuay routine annua report on heath and socia care expenditure became bogged down in party poitica arguments but with 7 May out of the way, she shoud return to her usua mode of operation: passionate views based on persona cinica experience. 6 Professor Cathy Warwick CHIEF EXECuTIVE, ROYAL COLLEgE OF MIDWIVES A jump of more than 10 paces for Professor Warwick, who was ranked 18th in ast year s HSJ Cinica Leaders. The change argey represents the importance of this former midwife as the NHS responds to the findings of the Morecambe Bay investigation report. Pubished in March, Dr Bi Kirkup s review concuded that serious faiures in cinica care ed to unnecessary deaths of mothers and babies. It aso spoke of a dominant group of midwives whose over zeaous pursuit of natura chidbirth at any cost sometimes ed to unsafe care. That means Professor Warwick wi need to work hard to prevent members of her profession becoming demonised in the way nurses did post-mid Staffordshire. Morae is aready chaenging. Midwives went on strike for the first time in the history of the coege ast October, protesting over pay, and there have ong been concerns over staffing eves. Many eyes wi be on the RCM and on Professor Warwick to hep pick the profession back up. simon PoTTs on great eaders The move towards a 24/7 cinicay ed sustainabe NHS aong with the impact of the 2012 Heath and Socia Care Act is pacing greater demands upon our cinica eaders. In the current cimate, to deiver what s right for patients, we need to optimise the opportunities for cinica eaders to respond with pioneering, contemporary and innovative soutions whie creating and shaping the environments for change to happen. Providers, once sovereign organisations, now operate on a changing andscape made more compex by increased reguation, changing commissioning priorities, workforce chaenges, risk management and financia constraints. Consequenty, amongst organisationa eaders, the appetite for service integration and budget devoution is buiding, recognising the need for whoe system coaboration as the enaber to providing high quaity heath and socia care services that wrap Buiding consensus wi be more effective than beating the enemy into submission around patients needs. Future sustainabiity of the NHS is firmy dependent upon the quaity of its future cinica eadership and whoe systems working together. For trai bazing, innovative cinica eaders with the ambition and capabiity to ead beyond an organisationa eve, your moment to thrive is here. Ambitious cinica eaders wi need to deveop eadership skis sooner than in previous generations through taking on severa eadership responsibiities in parae. This wi enabe progression up the adder of infuence more quicky, rather than simpy making sequentiay progressive promotions. Learning from eadership mistakes wi be an important aspect of mastering authentic eadership and cinica eaders wi need to deveop exceptiona infuencing, team working and negotiating skis to become effective system eaders. This is whie maintaining their cinica credibiity. Above a, success wi be judged by what and how change is deivered. Buiding consensus by working in partnership wi be more effective than beating the enemy into submission. Deivering the right resuts in the right way wi have the most significant impact on cinica careers; get it right and opportunities are penty, get it wrong and the opportunities may be hard to find. Simon Potts is director of heathcare, Veredus hsj.co.uk 8 Juy 2015 Heath Service Journa suppement 3

6 7 Dr Cifford Mann President, Roya Coege of Emergency Medicine Cifford Mann enters the top 20 ranks for the first time, a representation of how centra he now is in the discussion over emergency care. During a winter in which A&E performance against targets was the worst on record, his was a powerfu voice defending his coeagues. He has argued that the key issue was not A&E departments but inadequate fow through hospitas, which saps morae and eads to probems with staff retention. The risk to patient care in the future wi not be whether they ve met the four hour target or missed it by five minutes, it s whether there are experienced cinicians to see them in the emergency department when they first attend, he tod HSJ in Apri. He has proved adept at paying the media game a post-christmas suggestion that poice crack down on binge drinking to reduce pressures on A&E was a perfecty timed headine-grabber but the judges recognised him as doing a huge amount to transform emergency care. As A&E departments begin to approach winter he wi be caed on to do a huge amount more. 8 Dr Kate Granger consutant in edery medicine, Mid Yorkshire Hospitas Trust Dr Granger has aready been named one of HSJ s Most Inspirationa Women, a Socia Media Pioneer, and a member of 2014 s HSJ100. Now she joins our Cinica Leaders and right at the top of the ist. It is difficut to overstate the impact she has had. Diagnosed with a rare and termina cancer in 2011, she soon started writing about her experiences of moving to the other side from doctor to patient. One of the major themes is the difference sma acts of compassion can make. Her #heomynameis campaign which encourages staff to introduce themseves and their roe to patients buit on that thought, and has become a truy nationa movement embraced by nationa poitica figures. Later in 2015, NHS Empoyers wi run the Kate Granger Awards for Compassionate Care for the second year. Despite her impact, Dr Granger remains a humbe presence. When she got the etter announcing her MBE, she said: I thought I d been chosen for jury service. One of her major themes is the difference sma acts of compassion can make 9 Dr Geradine Strathdee nationa cinica director for menta heath, NHS Engand One imagines that the way poiticians fe over one another to make promises over better menta heathcare in the run up to the genera eection must have been immensey gratifying for Dr Strathdee. On the other hand, she coud surey be forgiven for feeing a simutaneous hint of irritation what on earth has taken them so ong? This consutant psychiatrist has been a eading figure in menta heathcare for more than 20 years, determined to push parity of esteem. In two years at NHS Engand, she is widey recognised as having more or ess singe-handedy kept menta heath at the top of the agenda. Her tenacity is widey admired and if poiticians interest might have been a mixed bessing, the announcement of increased menta heath funding and the Menta Heath Taskforce is surey unreserved good news. The taskforce which wi be designing a new five year strategy for menta heath wi put the sector, and Dr Strathdee, at the centre of deivering the sort of changes envisaged by the forward view. 4 Heath Service Journa suppement 8 Juy 2015 hsj.co.uk

7 10 Professor Keith Wiett DIRECTOR FOR ACUTE EPISODES OF CARE, NHS ENGLAND A sight cimb up our Cinica Leaders ranks for Professor Wiett, who ast year occupied 14th position. Few woud have envied him as he sought to navigate the A&E crisis, which was rarey out of the headines this winter. It is his use and expanation of data which has heped 11 Dr Fiona Godee EDITOR, THE BMJ A second year among the top ranks for former genera physician Dr Godee. Her guiding aim, she says, is to improve heath and heathcare internationay and to hep doctors make better decisions wherever they are in the word. She is not afraid to speak up about sometimes controversia issues. Last year, The BMJ began an internationa 12 Professor Viv Bennett chief nurse, Pubic Heath Engand poiticians and other eaders understand the true nature of the probem: that it is system wide. He has couped his expanation of the issue with suggested soutions, embodied in the urgent and emergency care review and the forward view. Urgent and emergency care is to undergo a compete redesign within three years, according to a recent announcement by NHS Engand s chief executive, and no doubt Professor Wiett wi be at the hem of this transformation. campaign against corruption in heathcare from which this year Dr Godee made very cear the UK was not exempt. In an editoria, she caed for a register of financia interests, foowing a BMJ investigation suggesting UK doctors were receiving covert financia incentives to refer patients to private hospita groups. The journa stepped into the genera eection debate too, pubishing an open etter in which Dr Godee spoke of an NHS stretched cose to breaking point which was sti reeing from the costy and distracting reforms of the 2012 Heath and Socia Care Act. Top 10 women Dr Maureen Baker Chair, Roya Coege of GPs Professor Viv Bennett Chief nurse, Pubic Heath Engand Jane Cummings Chief nursing officer, NHS Engand Professor Dame Say Davies Chief medica officer, Department of Heath Dr Fiona Godee Editor, The BMJ Dr Kate Granger Consutant in edery medicine, Mid Yorkshire Hospitas Trust Dame Juie Moore Chief executive, University Hospitas Birmingham Foundation Trust Dr Geradine Strathdee Nationa cinica director for menta heath, NHS Engand Professor Cathy Warwick Chief executive, Roya Coege of Midwives Dr Sarah Woaston MP for Totnes and chair, House of Commons heath seect committee Viv Bennett is not a new name to HSJ Cinica Leaders, but she makes her debut within the top 20. A big reason is the recent change in her roe. Having been director of nursing at the Department of Heath and Pubic Heath Engand, in Apri she took on the new roe of chief nurse for PHE and the tite of chief government adviser on pubic heath nursing and midwifery. It was a move wecomed by our sister tite Nursing Times, which argued that giving nursing a strong voice in this arena can bring about tangibe, positive change in the heath of the nation, and ensure that NHS services face ess demand in the future. Certainy Professor Bennett has ong espoused the benefits of prevention, and embedding her beief that a nurses shoud consider pubic heath as part of their practices wi be key to reaising the ambition of the forward view. hsj.co.uk 8 Juy 2015 Heath Service Journa suppement 5

8 13 Jane Cummings CHIEF NURSING OFFICER, NHS ENGLAND Two and a haf years on from the aunch of her nursing strategy Compassion in Practice known argey for its 6Cs of care, compassion, competence, communication, courage and commitment Jane Cummings is confident that it has made a difference. Eary survey data from Ipsos MORI 14 Sir Mark Waport suggested an upward trend in the number of patients reporting they were treated with compassion post-strategy. A forma academic evauation is now being conducted. She admits there is more to be done to make the 6Cs truy universa, however, and is aso continuing a focus on safe staffing eves. Earier this year, HSJ earnt that Ms Cummings had written to a trusts about the introduction of a new safe staffing indicator, which wi sit aongside a recommended twice yeary assessment of the time nurses spend giving direct care to patients. UK government chief scientific adviser GPs Dr Chares Aessi Co-chair, Nationa Association of Primary Care Dr Maureen Baker Chair, RCGP Dr Mike Bewick Deputy medica director, NHS Engand Dr Nav Chana Chairman, Nationa Association of Primary Care Dr Amanda Doye Chief cinica officer, Backpoo CCG Sir Sam Everington Chair, Tower Hamets CCG During his time as director of the Wecome Trust, Sir Mark had a significant infuence on medica research. In just over two years as chief scientific adviser to the UK government, he has shown a cear desire to keep such research high on the agenda. It is one shared by the NHS Five Year Forward View, which suggests ways to acceerate the adoption of breakthroughs in treatments and diagnostics. Sir Mark has wecomed the impending introduction of test bed sites to tria technoogies and innovations that might improve care. The potentia of digita is one he expored in The Internet of Things: making the most of the Second Digita Revoution, the 2014 report he authored, in which he argued digita technoogies coud hep shift heathcare from cure to prevention, and give peope greater contro over decisions affecting their webeing. In turn, these technoogies coud integrate the deivery of care, improve cinica outcomes and yied considerabe cost efficiencies for the NHS. Professor Steve Fied Chief inspector of GPs, Care Quaity Commission Dame Barbara Hakin Nationa director of commissioning operations, NHS Engand Dr Amir Hannan GP at Haughton Thorney Medica Centres Dr Nick Harding Chair, Sandwe and West Birmingham CCG 15 Coone John Etherington nationa cinica director for rehabiitation and recovering in the community, NHS Engand A consutant in rheumatoogy and rehabiitation, Coone Etherington ed the deveopment of compex trauma rehabiitation services during the Iraq and Afghanistan conficts. His successes there ed him to being appointed to his roe at NHS Engand, where he is charged with nothing ess than transforming rehabiitation services. He is keen for these to be seen as integra rather than a bot-on, and is driving understanding of how timey input can hep patients recover, often away from hospita. His entry on this ist refects how crucia his work is as new care modes aim to shift care away from hospitas. Dr Steve Ke Chair, Bassetaw CCG Dr Margaret McCartney GP and heath writer Dr Peter Meton Chief cinica officer, North East Linconshire CCG Dr Chaand Nagpau Chair, GP committee, BMA Dr Hugh Reeve GP and chief cinica officer, Cumbria CCG Dr John Ribchester GP at Whitstabe Medica Practice Dr Richard Vautrey Deputy chair GP committee, BMA Dr Sarah Woaston MP for Totnes and chair, House of Commons heath seect committee 6 Heath Service Journa suppement 8 Juy 2015 hsj.co.uk

9 16 Dame Juie Moore CHIEF EXECUTIVE, UNIVERSITY HOSPITALS BIRMINGHAM FOUNDATION TRUST Another year at the top of HSJ Cinica Leaders for Dame Juie, one of the NHS s great characters and its most prominent chief executives. A nurse who spent 10 years in cinica practice before moving into management, she has reguary been ahead of the game on deveoping new ways to deiver care. Back in 2013, she spoke of the potentia for the trust to acquire oca GP practices. Meanwhie the organisation s buddying arrangement with Medway Foundation Trust provided an eary tria of the potentia of hospita chains over a arge geographic area though she admitted to HSJ that it was not an unquaified success: It was testing the concept of whether you can operate [with a trust from a] distance and I think over time that it wi be possibe but not as a first go. It is an exampe of her refreshingy outspoken honesty, mirrored too in the HSJ Commission on Hospita Care for Frai Oder Peope, which she chaired and which argued that greater integration woud not save money. 17 Dr Mark Porter CHAIR, BRITISH MEDICAL ASSOCIATION COUNCIL The profie of Mark Porter in the run up to the eection, and that of the BMA, was high. That was in part due to an interview with The Guardian, in which he argued that any winning party woud be tempted to bring in NHS charges. It was a cever poitica move, and a guaranteed way of bringing attention to the concerns of the BMA, even if its juxtaposition with their simutaneous campaign for the depoiticisation of the NHS debate might have provoked a wry smie in some quarters. With the eection out of the way, and a cear government in power, Dr Porter s work is far from over: expect him to be a prominent voice in the debate over how to introduce seven day services. Expect Dr Porter to be a prominent voice in the debate over how to introduce seven day services 18 Dr Maureen Baker CHAIR, ROYAL COLLEGE OF GPs A fa from fifth position ast year to 18th this, but Dr Baker remains in the top ranks of our Cinica Leaders nonetheess. As the pubic face of genera practice, she has continued to speak forcefuy about what she sees as the need for more resources. She has wecomed the forward view s proposed soutions, saying the coege particuary supports GP practices working within federations. In a December interview with HSJ, Dr Baker contended that the modes were needed because the peope we re caring for now and the probems that peope have now, are quite different. Whie describing GPs as feeing absoutey overwhemed by workoads, she said they coud not sit back and et everybody ese organise around us. POLICY INNOVATION TRANSFORMATION hsj.co.uk 8 Juy 2015 Heath Service Journa suppement 7

10 19 Professor Sir Ian Gimore chair, Liverpoo Heath Partners; chair, Acoho Heath Aiance UK Nurses and midwives Sir Ian Gimore is a rea force in the debate about reducing harm from excessive drinking. As chair of the Acoho Heath Aiance, he described the chanceor s decision to reduce the duty on some types of acoho in the March budget as disgracefu. 20 Dr Nei Bacon founder, iwantgreatcare.org This decision is a sap in the face to our doctors, nurses and emergency services on the frontine that are paying the price for this cut, he argued. The reaity is that there are one miion acoho reated hospita attendances each year, and that acoho reated harm costs in Engand 21bn yeary, so expect the debate to continue and Sir Ian to be at the centre of it. His roe at Liverpoo Heath Partners aso ensures rea infuence. Gai Adams Head of nursing, Unison Professor June Andrews Director of Dementia Services Deveopment Centre, Stiring University Professor Viv Bennett Chief nurse, Pubic Heath Engand Say Brearey Chair, Nursing and Care Quaity Forum Professor Hiary Chapman Chief nurse/chief operating officer, Sheffied Teaching Hospitas Trust Another new member of the top 20, Dr Bacon was seen by judges as pushing significant cutura changes on transparency in heathcare. Through iwantgreatcare, this former nephroogist has pioneered new ways of turning the important but often nebuous concept of patient experience into a cear metric. He is more than wiing to chaenge the status quo: when the site aunched in 2008, the BMA was up in arms at the idea that patients woud be rating the quaity of care they fet they had received from heathcare professionas. Yet by 2013, the Friends and Famiy Test had been introduced by the government a singe question simiar in stye to those asked by iwantgreatcare, which at many trusts heps deiver the test. Dr Bacon has often shown himsef to be ahead of the game, and our judges beieve he wi remain there. Jane Cummings Chief nursing officer, NHS Engand Susan Hamer Organisationa and workforce deveopment director, Nationa Institute for Heath Research Cinica Research Network Professor Tricia Hart Chief executive, South Tees Hospitas Foundation Trust Ruth May Nursing director, Monitor Professor David Hasam chair, Nationa Institute for Heath and Care Exceence David Hasam was a member of the judging pane and he was therefore not eigibe for incusion in the ist. However, it woud stretch credibiity not to incude him among the most significant cinica eaders in the country. NICE s infuence continues to grow and Professor Hasam has formed a partnership with its chief executive Sir Andrew Dion as successfu as the ong-standing one he had with previous chair Sir Michae Rawins. Aastair McLean, editor, HSJ Dame Juie Moore Chief executive, University Hospitas Birmingham FT Professor Anne Marie Rafferty Professor of nursing poicy, King s Coege London Professor Eizabeth Robb Chief executive, The Forence Nightingae Foundation Dame Eieen Sis Chief nurse and director of patient experience, Guy s and St Thomas Foundation Trust Professor Cathy Warwick Chief executive, Roya Coege of Midwives Jane Whittome Head of improvement programmes: ong term conditions and experience of care, NHS Improving Quaity Suzette Woodward Campaign director for Sign up to Safety, NHS Engand 8 Heath Service Journa suppement 8 Juy 2015 hsj.co.uk

11 Top Cinica Leaders LISTED ALPHABETICALLY Chery Adams Founding director, Institute of Heath Visiting A second successive appearance for Ms Adams among our top cinica eaders. She founded the Institute of Heath Visiting in November 2012, and is seen as having significanty raised the profie of the profession. Heath visiting is a profession that continues to need huge amounts of support, so do not discount the ikeihood of a third successive appearance. Gai Adams Head of nursing, Unison A consistenty voca and prominent champion and defender of nursing, Ms Adams infuence was particuary fet this year. In November, the union was the argest of nine whose members took part in a four hour strike over the government s decision not to impement the recommendations of the NHS pay review body. Dr Chares Aessi Co-chair, Nationa Association of Primary Care, and senior adviser, Pubic Heath Engand The outspoken Dr Aessi commands attention. This year he has expressed his firm beief that primary care shoud be co-commissioned by CCGs, and continued to keep focus on vascuar disease and dementia he is PHE s ead for preventabe dementia. Dr Mohammad A-Ubaydi CEO and founder, Patients Know Best A third year among HSJ s Cinica Leaders for Dr Mohammad A-Ubaydi. The socia enterprise he founded gives patients access to their medica records, and aows them in turn to grant access to heathcare professionas and carers. Professor June Andrews Director of Dementia Services Deveopment Centre, Stiring University A former nurse, Professor Andrews is a key eader in improving dementia care. She is not afraid to express her views in a recent book she suggested that hospitas are consistenty faiing peope with the condition. Professor Dame Sue Baiey Chair, Academy of Medica Roya Coeges Hugey important in putting menta heath on the agenda when president of the Roya Coege of Psychiatrists, Dame Sue was eected chair of AoMRC in January. She is proving to be no ess chaenging in her new roe: in May, a BMJ piece penned by her and other senior doctors decried a cuture of over-treatment. Professor Sir John Be Regius chair of medicine, Oxford University The founder of the Wecome Trust Centre for Human Genetics, Sir John has ong been at the cutting edge of heathcare research. In March, it was announced that he was eading the expert advisory group for the nationa innovative medicines and medica technoogy review. The review wi find ways to ensure the speedy impementation of medica breakthroughs. Dr Mike Bewick Deputy medica director, NHS Engand The new care modes set out by NHS Engand in the NHS Five Year Forward View envisage new forms of out of hospita care, with primary care centra to this. As Engand s most senior GP, Dr Bewick wi be infuentia as the vanguard projects gather pace. Professor Dame Caro Back Adviser on work and heath, Department of Heath A new entry among our Cinica Leaders but Dame Caro has had ong term infuence she is former nationa director for heath and work, and a previous chair of the Academy of Medica Roya Coeges. In February 2015, David Cameron asked her to review how best to encourage those with treatabe conditions back into work. Since that incudes those with obesity and drug or acoho probems and one of the options on the tabe is withdrawing sickness benefits she wi have to navigate difficut waters. Professor Nick Back Professor of heath services research, London Schoo of Hygiene and Tropica Medicine and chair, Nationa Advisory Group on Cinica Audit and Enquiries, NHS Engand Research by Professor Back and coeagues has this year become the genesis of Jeremy Hunt s nationa study into avoidabe deaths. The government pans to repicate his study of case notes to assess how many preventabe deaths there are in hospitas though Professor Back expresses scepticism that it wi be possibe to make such an assessment at an individua hospita eve. Professor Richard Bohmer Internationa visiting feow, The King s Fund This year has seen mutipe reviews of NHS eadership, and so one imagines Professor Bohmer must have found his views being even more keeny sought than ever before. The professor of management practice at Harvard Business Schoo is righty seen as an expert on how to make the desire for more cinica eadership a reaity. Say Brearey was unafraid to oppose government poicy and recommend a minimum nursing staffing eve Professor Len Bowers Professor of psychiatric nursing, King s Coege London Menta heath truy gained a pace on the nationa agenda in the run up to the eection, with parity of esteem centra to the forward view. It was a change which has righty served to increase focus on the work of those in the fied. Professor Bowers, a former menta heath nurse, has spent many years researching how to reduce confict on psychiatric wards. His Safewards mode has been adopted by trusts across the UK, and is gaining attention wordwide. Say Brearey Chair, Nursing and Care Quaity Forum Despite being chair of the prime minister s Nursing and Care Quaity Forum, Ms Brearey was unafraid to oppose government poicy and recommend a minimum nursing staffing eve. The forum was unofficiay scrapped in eary 2014 but Ms Brearey remains active, primariy focusing on the importance of patient invovement in care. Professor John Britton Director, Centre for Tobacco and Acoho Studies, Nottingham University and consutant in respiratory medicine, Nottingham University Hospitas Foundation Trust A new entry among our cadre of cinica eaders, Professor Britton is at the front of the fight to prevent the respiratory disease caused by cigarettes. In recent months, his work has infuenced two significant changes: the forthcoming Engish ban on smoking in cars when chidren are present and the introduction of pain cigarette packaging from POLICY INNOVATION TRANSFORMATION hsj.co.uk 8 Juy 2015 Heath Service Journa suppement 9

12 Top Cinica Leaders LISTED ALPHABETICALLY Professor emeritus Tony Butterworth Chair, Foundation of Nursing Studies Professor Butterworth has a string of previous chairmanships and chief executive roes to his name among them chairmanship of the NHS Institute for Innovation and Improvement and is said to have a continuing infuence. At the Foundation of Nursing Studies he is raising the profie of nursing and innovation, and is described as one of those peope who other peope of infuence go to for advice. Howard Catton Head of poicy and internationa affairs, Roya Coege of Nursing With the impending introduction of nursing revaidation, Mr Catton s voice is an important one. He is said to have infuence over poicy, and wi be a key source of consistency and expertise as RCN chief executive Peter Carter prepares to stand down. Dr Nav Chana Chair, Nationa Association of Primary Care A first appearance among HSJ s Cinica Leaders for Dr Chana, who was eected chairman of NAPC in September Notaby his interests incude driving quaity in primary care and popuation-based heathcare which are both prominent on the NHS Engand agenda. Professor Hiary Chapman Chief nurse/chief operating officer, Sheffied Teaching Hospitas Foundation Trust Professor Chapman is one of the most prominent of Engand s chief nurses, not east because Sheffied is part of the Sheford Group of eading teaching hospitas. She continues to compete at east one cinica shift per month, and co-ed the deveopment of the Safer Nursing Care Tookit. Used by hospitas across the UK to hep set appropriate staffing eves, it was ast year endorsed by NICE. Professor Jane Dacre President, Roya Coege of Physicians Professor Dacre has now been president of the RCP for just over a year, and has aready succeeded in putting her stamp on things. It is surey no coincidence that one key focus of the organisation s five year strategy, pubished at the beginning of the year, is education she is on secondment from University Coege London Medica Schoo during her presidency. Professor Lord Ara Darzi Chair of surgery, Imperia Coege London and Institute of Cancer Research and director of the Institute of Goba Heath Innovation As director of the Institute of Goba Heath Innovation at Imperia Coege, Lord Darzi s infuence is increasingy a wordwide one. He has payed an important roe, for instance, in deveoping heathcare in Qatar. But do not discount his continuing impact on home shores. He may no onger be a minister of heath but he is sti making recommendations to which poiticians pay attention most recenty, as chair of the London Heath Commission. Professor Erika Denton Nationa cinica director for diagnostics, NHS Engand A new entry, but consutant radioogist Professor Denton has proved hersef adept at handing chaenges. As nationa cinica director for imaging unti 2013, she ed a programme of work which deivered additiona capacity and reduced waiting times. Her next chaenge: managing the end of the Nationa Programme for IT contracts, which suppied imaging IT systems to trusts. Dr Jennifer Dixon Chief executive, The Heath Foundation Dr Dixon appears among our top cinica eaders for the third year in succession, previousy as chief executive of Nuffied Trust and now at the hem of The Heath Foundation, which is becoming an increasingy important voice. Significanty, its new poicy and economics teams are attempting cearer diagnoses of the chaenges and suggesting soutions, not east new modes of care. Dr Amanda Doye Chief cinica officer, Backpoo CCG, and co-chair, NHS Cinica Commissioners It has been quite the year for commissioning: pre-eection debates over the roe of CCGs, the introduction of co-commissioning of primary care, and the probems over the tariff. Throughout it a, Dr Doye has been a determined and voca defender of the roe of cinica commissioners. Sean Duffy Nationa cinica director for cancer, NHS Engand Surviva rates for cancer have never been higher, and Mr Duffy points to the resuts of the nationa patient survey as evidence that experience is improving too. But work to ensure more integrated services continues, not east through proposas to consoidate stereotactic radiosurgery and stereotactic radiotherapy services in fewer ocations, but across seven days rather than five. Dr Mike Durkin Nationa director of patient safety, NHS Engand In Juy, the new nationa patient safety coaboratives wi aunch. Next area of focus for Dr Durkin: the possibiity of creating an independent patient safety investigation unit simiar to the Air Accidents Investigation Branch. Jeremy Hunt has asked Dr Durkin to consider the proposa as part of the reaction to the Morecambe Bay scanda aong with much cearer guideines for standardised incident reporting. Baroness Audrey Emerton Cross bench peer, House of Lords The ony nurse in the House of Lords, Baroness Emerton continues to be an important and tireess champion of the profession. She was key to the deveopment of the Cuture of Care Barometer, a too to assess whether workpaces are suffering from a poor cuture. An academic study pubished this year reported positive resuts in hospitas at which it has been impemented. Sir Sam Everington Chair, Tower Hamets CCG The new year addition of the Sir to the beginning of this GP s name indicates the importance he has had over many years. That in the same month he was appointed by NHS Engand to ead nationa work on new primary care driven care modes ensures his continuing importance. Dr David Fearney Medica director, Mersey Care Trust A new entry among our cinica eaders, our judges were impressed by Dr Fearney s commitment to achieving a zero suicide rate at his organisation and the trust s No Force First initiative. The aim of the programme is for physica and medication ed restraint to become an absoute ast resort, and audit shows it has an impact. He is said to be the driving force behind a partnership between the trust, Stanford University and Lockton, an insurance brokerage firm to manage and predict risk in menta heath. Dr Kevin Fenton Director of heath and webeing, Pubic Heath Engand Dr Fenton was in our inaugura coection of Cinica Leaders but absent ast year. His return refects the important roe prevention and pubic heath wi pay in making the spirit of the NHS Five Year Forward View a reaity. Dr Jonathan Fieden Medica director, medicine board, University Coege London Hospitas Foundation Trust As a medica director at one of the argest trusts in the country, Dr Fieden immediatey commands infuence. But as the ead inspector at the Care Quaity Commission, which inspected Hinchingbrooke Hospita, he has gained additiona importance this year which sees him incuded among our Cinica Leaders for the first time. 10 Heath Service Journa suppement 8 Juy 2015 hsj.co.uk

13 The scourge of pedars of poor science, Dr Ben Godacre remains an important presence Dr Pau Fynn Chair of the consutant committee, British Medica Association With a cear push to make seven day services a reaity, Dr Fynn is an important negotiator. In October, the BMA waked away from an 18 month negotiation over changing consutants contracts to increase their presence at weekends. But Dr Fynn tod HSJ he and the BMA woud be open for business if obstaces to taks on how to increase consutant presence at the weekends were removed. Dr Ben Godacre Author, Bad Science and Bad Pharma; co-founder, ATrias campaign; and senior cinica research feow at the Centre for Evidence-Based Medicine, University of Oxford The scourge of pedars of poor science drops out of the top ranks of our Cinica Leaders but remains an important presence. He is a keen advocate for cinica transparency and the importance of good, propery governed cinica data. He says: Medica data, rarefied and condensed, presents huge power to do good, but it aso presents huge risks. Professor Sir Muir Gray Director, Better Vaue Heathcare A pubic heath doctor for the past 43 years, Sir Muir has had enormous infuence over the course of his career not east as the founding director of the UK nationa screening programme. In January, he pubished the book Sod 70! The guide to iving we, detaiing how sma changes in ifestye can ead to iving we for onger. Dame Barbara Hakin Nationa director of commissioning operations, NHS Engand Former GP Dame Barbara retains a centra roe at NHS Engand. The eection resut means that she wi not find hersef having to ead a dramaticay different commissioning system, though she is once again facing the spectre of historic compaints against her: the Genera Medica Counci is to review a decision made during its investigation. Susan Hamer Organisationa and workforce deveopment director, Nationa Institute for Heath Research Cinica Research Network A former nurse, Ms Hamer is seen as hugey important in advancing cinica academic careers for nurses and aied heath professionas. One of HSJ s judges highighted that the entire academic structure for non-medics is reay her work. With new care modes requiring new types of professionas, hers wi be an important voice, hence her debut here. Dr Phi Hammond GP, writer and broadcaster, vice president of the Patients Association Dr Hammond remains a reguar media presence, incuding his roe at Private Eye. He has recenty pubished a book on the importance of sef-care widey acknowedged as hugey important if the heath service is to be sustainabe. Dr Amir Hannan GP, Haughton Thorney Medica Centres, ong term conditions ead, Tameside & Gossop CCG A new entry among our Cinica Leaders, but aready an HSJ Innovator, Rising Star and BME Pioneer. In 2000, as a newy quaified doctor, Dr Hannan took a job at 21 Market Street the GP practice previousy run by Harod Shipman. It is an experience which has informed his work, eading him to advocate patient access to their own records. Dr Nick Harding Chair, Sandwe and West Birmingham CCG, and non-executive director, Vitaity Partnership At Vitaity Partnership in Birmingham, Dr Harding is heping pioneer a very different type of care. Vitaity is a singe GP organisation operating in 13 ocations and is committing to increasing patient access through digita and extended opening hours. He aso chairs a CCG which, intentionay, straddes oca authority boundaries. Having been named as a mutispeciaty community providers (MCP) vanguard, Vitaity s infuence and that of Dr Harding is ony set to increase. Professor Tricia Hart Chief executive, South Tees Hospitas Foundation Trust A former nurse, Professor Hart fas away from the top 20 of our Cinica Leaders this year. But she remains one of the most important and we respected chief executives around. Dr Car Heneghan Director, Centre for Evidence-Based Medicine, Oxford University Dr Heneghan describes himsef as having an interest in evidence based medicine and the truth behind heath research findings. It is an area in which he has become a prominent figure, working with The BMJ among others to evauate the rea case for treatments. Professor David Heymann Professor of infectious disease epidemioogy, London Schoo of Hygiene and Tropica Medicine; head of the Centre on Goba Heath Security at Chatham House; and chair, Pubic Heath Engand Professor Heymann s profie has risen yet further during a year in which the word confronted the eboa crisis. Through both his academic work and his roe at Pubic Heath Engand, he is a prominent voice on infectious diseases. Dr Richard Horton Editor in chief, The Lancet Asked in March what he woud do as prime minister, Dr Horton tod The Independent his first act woud be to repea Andrew Lansey s disastrous Heath and Socia Care Act. The eection resut means the act wi stay, but so too wi the infuentia voice of the man who has edited the word s eading medica journa since Ceia Ingham Cark Nationa director for reducing premature deaths, NHS Engand An important presence at NHS Engand since its inception, Ceia Ingham Cark has payed a particuary important roe in thinking on seven day services. If they are to become a reaity, she wi be a crucia source of expertise. Professor Lord Ajay Kakkar Chair, UCLPartners Chair of the word s argest academic heath science centre, Lord Kakkar keeps busy he is aso a practising surgeon and an active business ambassador for heathcare and sciences. Dr Steve Ke Co-chair, NHS Cinica Commissioners, and chair, Bassetaw CCG With his feow NHSCC chair and HSJ Cinica Leader Amanda Doye, Dr Ke is a key proponent of the virtues of cinica commissioners. The eection resut may have given reassurances over CCGs future but there are further chaenges ahead, among them speciaist services co-commissioning and the roe of commissioning support. Professor Tim Kenda Chair of the Nationa Coaborating Centre for Menta Heath, Roya Coege of Psychiatrists At the NCCMH, Professor Kenda has heped drive evidence based guideines, standards and measurements for menta heath. His entry among HSJ Cinica hsj.co.uk 8 Juy 2015 Heath Service Journa suppement 11