Director of Commissioning at National Health Service England- Commissioning
November 2012 - Present | North West England
Appointed to lead the development and establishment of commissioning functions for the NCB Area Team.
This includes Commissioning for Specialised services(2nd largest in the UK), Primary Care and Public Health across the population
Building and recruiting new teams, developing integrated business and financial planning, system wide risk management policy development. Leading on reconfiguration and strategies to develop sustainable centres of excellence. Leading on health and well being boards integrated care and integrated planning.
Established sound governance and performance reporting systems including PMO gated service transformation approach
Interim Contract: Director of Finance at NHS South East London
August 2012 - November 2012
I was appointed to facilitate transition to new organisations accountability, maintain financial delivery of system and deliver on key strategic performance and service change agenda
gained approval for business case headquarters investment, a strategic financial delivery review across six CCG's identifying key assumptions on growth, investments, QIPP and an assessment of the recurrent financial position in each CCG, organisation transition program development
Director of Finance at NHS South East London
August 2012 - November 2012
I was appointed to facilitate transition to new organisations accountability, maintain financial delivery of system and deliver on key strategic performance and service change agenda
o Gained approval for business case headquarters investment integrating CSU, CCG and Area Team functions
o Designed and completed a strategic financial delivery review across six CCG's identifying key assumptions on growth, investments, QIPP and an assessment of the recurrent financial position in each CCG- which informed assessment process and wider south London sustainability
o Transition program design and set up for management of finance function to CCG and CSU roles
o Organisation program design and set up for legal function transfer, assets and liabilities
Executive Vice President Strategy & Performance at Alberta Health Services
2009 - 2012
o Key member of the Executive Team. Portfolio of research and innovation, planning, information and analytics functions, population and clinical service strategy.
o Lead 5 year action plan, through five transformation programs (prevention, primary care, reduced waiting, seniors and mental health) with targets and initiatives This providing clearer priorities, accountability, change programs, and investment discipline. Resulting in better services and more effective business and management systems.
o Developed integrated business and financial planning processes.
o Lead a long-term scenario project, with conferences, research, modelling, clinical, patient and public consultation for future direction. Resulted in specific recommendations on needs in improving population health, childhood health, primary care, innovation and clinical leadership.
o Established and developed internal capability on data integration, information governance and standards, performance management systems. Delivered corporate, zone, site and individual performance level targets and dashboards for KPIs
o Built partnerships with two Universities to support and develop an Academic Health Network focusing on research, knowledge translation and improving outcomes.
o Established new Strategic Clinical Networks, with measures for quality and cost, specified resources, skills, competencies and processes for improvement.
o Board and Committee Member of The Institute of Health Economics. Quality & Safety, Audit, Finance and Governance. Co-Chair with AHW on Technology Appraisal, Performance Measurement Data and Reporting.
Executive Vice President Strategy & Performance at Alberta Health Services
2009 - 2012
o Key member of the Executive Team. Portfolio of research and innovation, planning, information and analytics functions, population and clinical service strategy.
o Lead 5 year action plan, through five transformation programs (prevention, primary care, reduced waiting, seniors and mental health) with targets and initiatives This providing clearer priorities, accountability, change programs, and investment discipline. Resulting in better services and more effective business and management systems.
o Developed integrated business and financial planning processes.
o Lead a long-term scenario project, with conferences, research, modelling, clinical, patient and public consultation for future direction. Resulted in specific recommendations on needs in improving population health, childhood health, primary care, innovation and clinical leadership.
o Established and developed internal capability on data integration, information governance and standards, performance management systems. Delivered corporate, zone, site and individual performance level targets and dashboards for KPIs
o Built partnerships with two Universities to support and develop an Academic Health Network focusing on research, knowledge translation and improving outcomes.
o Established new Strategic Clinical Networks, with measures for quality and cost, specified resources, skills, competencies and processes for improvement.
o Board and Committee Member of The Institute of Health Economics. Quality & Safety, Audit, Finance and Governance. Co-Chair with AHW on Technology Appraisal, Performance Measurement Data and Reporting.
Executive Director of Health System Development at NHS Northwest (SHA)
2008 - 2009
o Acted as the lead for policy development, SHA's approach to innovation, provider development and major procurement programs including attaining Foundation Trust status and equitable access to primary care.
o Led a complex and high profile program on transforming community services (7m population and 30 organisations). Completed internal separation of PCT provider services (financial and governance) and introduced new innovative service models. This allowed providers to undertake their own evaluation of options whilst being supported by a regional team.
o Developed commercial services function including procuring for innovation, single portal for procurement, partnering structures guidance and market analysis .
o Drove three major strategic economy reviews on financially challenged systems, identified overlapping services and opportunities to divest/merge and integrate care organisations with primary, community and hospital services.
o Board Member, served on the Provider Development Committee, Chaired the evaluation of a number of health systems 'world class commissioning' competence. Delivered clearer strategic direction by actively managing NHS Trusts and PCTS and also ensured the proposed new organisations were successful in economic sustainability, service profile and strategic fit.
Executive Director of Health System Development at NHS Northwest (SHA)
2008 - 2009
o Acted as the lead for policy development, SHA's approach to innovation, provider development and major procurement programs including attaining Foundation Trust status and equitable access to primary care.
o Led a complex and high profile program on transforming community services (7m population and 30 organisations). Completed internal separation of PCT provider services (financial and governance) and introduced new innovative service models. This allowed providers to undertake their own evaluation of options whilst being supported by a regional team.
o Developed commercial services function including procuring for innovation, single portal for procurement, partnering structures guidance and market analysis .
o Drove three major strategic economy reviews on financially challenged systems, identified overlapping services and opportunities to divest/merge and integrate care organisations with primary, community and hospital services.
o Board Member, served on the Provider Development Committee, Chaired the evaluation of a number of health systems 'world class commissioning' competence. Delivered clearer strategic direction by actively managing NHS Trusts and PCTS and also ensured the proposed new organisations were successful in economic sustainability, service profile and strategic fit.
Deputy CEO / Director of Finance and Estates at Stockport Primary Care Trust
2002 - 2008
o Promoted to Deputy CEO in 2005, finance, information & estates plus strategy, policy and major strategic change programs particularly on access initiatives and chronic disease management.
o Highest audit score on financial management, reporting, standing, control and value for 2yrs. Developed prioritisation systems. Chaired Northwest Directors of Finance and led Manchester PCTs finance strategy. Spearheaded new shared business service initiative. National advisor for DoH, Audit Commission, NHS Alliance, Nuffield and Kings Fund.
o Acknowledged by The NHS Modernisation Agency for exceptional performance in strategic service development plan, integrating service strategy with the capital investment needs.
o Established investment vehicle for GPs as leaseholders and equity providers for new build premises. Generated over ?10m for 5 new premises developments, co-located surgeries and community services.
o Secured ?30m capital investment from national competition for innovative new community hospitals.
o Led a strategic improvement project 'Better Health' and focused on building the engagement level of Clinicians, GPs, Patients and Citizens in selecting the right initiatives for nine priority pathways which were adopted into the 2008 strategic plan.
o Revised and improved provider's Payment by Results contracts to include shared demand management agreements to ensure the health economy was not destabilised. Negotiated and secured ?5m of new national funding to compensate for a shift from local costs to national prices.
o Championed Practice Based Commissioning, implementing new care models including early intervention service, brief interventions and case management. Utilised social enterprise structures for full engagement and ownership by clinicians and devolved PCT resources to this structure. A forerunner of the clinical commissioning groups now being set up in the UK. Served on PEC, Board and Audit & Finance Committee. Managing Director of Stockport Managed Care.
Deputy Chief Executive / Director of Finance and Estates at Stockport Primary Care Trust
2002 - 2008
o Promoted to Deputy CEO in 2005, finance, information & estates plus strategy, policy and major strategic change programs particularly on access initiatives and chronic disease management.
o Highest audit score on financial management, reporting, standing, control and value for 2yrs. Developed prioritisation systems. Chaired Northwest Directors of Finance and led Manchester PCTs finance strategy. Spearheaded new shared business service initiative. National advisor for DoH, Audit Commission, NHS Alliance, Nuffield and Kings Fund.
o Acknowledged by The NHS Modernisation Agency for exceptional performance in strategic service development plan, integrating service strategy with the capital investment needs.
o Established investment vehicle for GPs as leaseholders and equity providers for new build premises. Generated over ?10m for 5 new premises developments, co-located surgeries and community services.
o Secured ?30m capital investment from national competition for innovative new community hospitals.
o Led a strategic improvement project 'Better Health' and focused on building the engagement level of Clinicians, GPs, Patients and Citizens in selecting the right initiatives for nine priority pathways which were adopted into the 2008 strategic plan.
o Revised and improved provider's Payment by Results contracts to include shared demand management agreements to ensure the health economy was not destabilised. Negotiated and secured ?5m of new national funding to compensate for a shift from local costs to national prices.
o Championed Practice Based Commissioning, implementing new care models including early intervention service, brief interventions and case management. Utilised social enterprise structures for full engagement and ownership by clinicians and devolved PCT resources to this structure. A forerunner of the clinical commissioning groups now being set up in the UK. Served on PEC, Board and Audit & Finance Committee. Managing Director of Stockport Managed Care.
Deputy CEO / Director of Finance and Estates at North Stoke PCT
2000 - 2002
o Established new organisation finance function, governance, lead on strategic estates plan across four organisations, submitted and won funding for national LIFT application, secured funding and support for joint health and social care initiative deprived neighbourhood.
Deputy Chief Executive / Director of Finance and Estates at North Stoke PCT
2000 - 2002
o Joined first wave PCT and immediately promoted to deputy CEO
- Established new organisation finance function, governance, lead on strategic estates plan across four organisations, submitted and won funding for national LIFT application, secured funding and support for joint health and social care initiative deprived neighbourhood.
Senior Consultant at SECTA/Tribal
1998 - 2000
o Large scale capital development business cases, specialist in financial modelling, capacity and system planning, promoted twice, lead consultant on new North Staffordshire University hospital, medical school, community hospital, mental health service review, organisational reviews.
Senior Health Transformation Consultant at SECTA/Tribal
1998 - 2000
o joined team in a newly created position to develop broader expertise and consulting approach.
Specialised in large scale change through capital development business cases, specialist in financial modelling, service model design and capacity and system planning
- promoted twice, lead consultant on new North Staffordshire University hospital, nottingham medical school, new community hospital, manchester mental health service review, salford organisational reviews, cross cutting work with department of justice and prisons in scotland
Deputy Director of Finance and Planning at Stockport HealthCare NHS Trust
1990 - 1998
o Lead overall finance function, financial control, returns, annual accounts. Set up and managed a new organisation finance function, built new teams, procured and implemented full suite of financial systems (AP, AR, GL, BI) , trained, mentored and developed qualified teams, achieved financial targets year on year , financial stability and efficiency savings year on year.
Program budget and service line budgeting and reporting to enable income and costs to be aligned, targets established.
In latter 3 years reported to Director of Planning and lead on major projects, planning and business cases including a new childrens hospital unit and a new hospital for elderly severely mentally ill.
I championed one of the countries first wave PFI deals.
Deputy Director of Finance at Stockport HealthCare NHS Trust
1990 - 1998
o Lead overall finance function, financial control, returns, annual accounts. Set up and managed a new organisation finance function, built new teams, procured and implemented full suite of financial systems (AP, AR, GL, BI) , trained, mentored and developed qualified teams, achieved financial targets year on year , financial stability and efficiency savings year on year.
In latter 3 years developed reporting line to Director of Planning and lead on major projects, planning and business cases.
I championed one of the countries first wave PFI deals.
Financial Accountant at North Manchester Health Authority
1989 - 1990
Head of financial services, accounts and controls. Managed teams in technical, accounts receivable/payable, charity and patient/cash funds.
Financial Accountant at North Manchester Health Authority
1989 - 1990
Head of financial services, accounts and controls. Managed teams in technical, accounts receivable/payable, charity and patient/cash funds.
Financial Planner at Regional Health Authority Manchester
1987 - 1989
Development of financial framework guidance, consolidation of returns, business analysis and advice on key programme areas. strategic review of breast cancer screening service expansion.
Financial Planner at Regional Health Authority Manchester
1987 - 1989
Development of financial framework guidance, consolidation of returns, business analysis and advice on key programme areas. strategic review of breast cancer screening service expansion.
Trainee Accountant at Manchester City Council
1985 - 1987
managed training programme in Audit, Housing, Treasury, Education - gained understanding of key systems, processes and accountabilities. undertook selected projects in each area
Trainee Accountant at Manchester City Council
1985 - 1987
managed training programme in Audit, Housing, Treasury, Education - gained understanding of key systems, processes and accountabilities. undertook selected projects in each area
Director of Commissioning at NHS ENGLAND
November 2012
o Responsible for leading the commissioning of services for a large population, Primary Care Public Health and Specialised Services -contracting based on national standards- over 2bn budget
o Second largest specialised commissioning portfolio in the UK covering Lancashire, Merseyside, Cheshire and Manchester providers of specialised healthcare services.
Leading major QIPP program for procurement of services estimated to drive 2bn savings
o Set up of new organisation teams, and systems for the new Commissioning portfolio.
o Established financial allocation risk framework which enabled stabilisation of contracts -adopted Nationally
o Established risk framework and integrated planning format for North of England
o Currently advising on three economy reconfigurations around integrated care
o Member of two Health and Wellbeing Boards -to develop priorities and commissioning strategies
o Developing collaborative working with health and wellbeing boards, and clinical networks, and a range of key stakeholders
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