HSJ Clinical Leaders of 2014

1. CLINICAL
LEADERS
INNOVATION
SUMMIT
AN HSJ SUPPLEMENT/xx hmnot 2013 IN ASSOCIATION WITH...
Recognising Professional Achievement

xxxxxx
xxxxx
xxxxxxxxxxxx
In association with

2. foreword
Alastair McLellan
The judges of HSJ’s Clinical Leaders
are asked to make a complicated and
nuanced estimation of those
nominated for the honour.
On one hand they must judge a
person’s influence on healthcare
policy, NHS performance or clinical
innovation; on the other they must make a much more
subjective judgment on how well that person’s clinical
background informs the exercising of that influence.
The 100 people we have therefore chosen – from
across the spectrum – are all leaders, both in their
practice and their day to day example.
But, importantly, for all of them their clinical
backgrounds are vital to the decisions they make, the
face they show to the world, even if, at a day to day level,
the job they are doing is far removed from clinical
practice. They still rely on evidence when weighing
difficult choices and they keep the patient front and
centre as a wide range of financial, political and
professional pressures pile in on them.
Some of our individuals are well known, others much
less so; for some their inclusion barely warranted
debate, for others the discussion was intense.
The list, you will also be able to see, is partially
ranked. The fact that we have ranked 21 rather than a
more rounded 20 is deliberate.
Our original intention was, indeed, 20 but the
consensus was that the 21 chosen (after much
wrangling) were all more than worthy contenders, and
therefore to excise one purely for arithmetical reasons
would have been artificial. So 21 it stayed. The other 79
names are simply listed alphabetically.
HSJ fully expects the choices we have made to be
controversial. We also hope they will spark debate about
the changing nature of clinical leadership and influence
within healthcare.
Alastair McLellan is editor of HSJ.
HoW HsJ clinical leaders is Judged
For this, our second HSJ Clinical Leaders
supplement, we sought to identify those
individuals who are having the greatest impact in
terms of driving and influencing high quality, safe
care for patients. In particular we were looking for
those who our judges believed were having the
greatest impact and influence on health policy,
For all of them their
clinical backgrounds
are vital to the decisions
they make, even if
the job they are doing
is far removed from
clinical practice
service transformation and innovation. Influence in
these areas is highlighted in the supplement and
our online graphic using the colour-coded symbols
below.
A long list was developed over the summer
through a combination of public and internal
nomination processes. A panel of judges with
The judges
Kamran Abbasi International and digital
editor, The BMJ
Professor Elizabeth Anionwu Emeritus
professor of nursing, University of West
London
Professor Viv Bennett Director of
nursing, Public Health England
Farah Bhatti Consultant cardiothoracic
surgeon, NHS Wales and honorary
associate professor, Swansea University
David Evans Medical director,
Northumbria Healthcare Foundation
Trust
Pam Garside Fellow in health
management, Judge Business School,
Cambridge University
Alastair Henderson Chief executive,
Academy of Medical Royal Colleges
Alastair McLellan Editor, HSJ (chair)
Katherine Murphy Chief executive,
Patients Association
Simon Potts Director, healthcare,
Veredus
Sir Mike Rawlins Former chair, National
Institute for Health and Clinical
Excellence
Annette Sergeant Director and head of
healthcare practice, Veredus
Editor: Nic Paton
Writers: Shreshtha Trivedi,
Claire Read, Nic Paton
Project assistant:
Rebecca Thomas
knowledge of influence in healthcare was put
together, who represented a broad spectrum of
opinion.
Our judges met at the HSJ offices in September
to consider the long list. Judges were not prevented
from being on the list, but were excluded from
conversations about their potential inclusion.
POLICY INNOVATION TRANSFORMATION
hsj.co.uk 24 October 2014 Health Service Journal supplement 1

3. Sir Bruce is one of
the most liked and
respected senior
leaders in the
English NHS
l Professor Sir Bruce Keogh
MEDICAL DIRECTOR, NHS ENGLAND
No change at the head
of our list of top clinical
leaders. Just as in 2013,
Sir Bruce occupies the
number one slot.
The influence of
NHS England’s medical
director continues to be
strongly felt, whether
through his
1
recommendations on transforming urgent and
emergency day in England, his advocacy of
seven-day services, or the lasting impact of his
mortality rates review.
A former cardiac surgeon who successfully
persuaded his colleagues to publish their
mortality rates, this is a man unafraid of
controversy or difficult discussions. The first
stage of his review of urgent and emergency care
proposed a redesignation and reorganisation of
current services, the impact of which will be felt
widely.
Similarly, his commitment to ensuring that the
quality of patient care does not decrease at
weekends – he has recently described the
introduction of seven-day services as his
“number one priority” – will clearly necessitate
change across the NHS.
His recommendations may be debated, but the
fact that his driving force is concern for the
patient and safety is beyond doubt. It is one of
the many reasons that Sir Bruce is one of the
most liked and respected senior leaders in the
English NHS.
l Professor Dame Sally Davies
CHIEF MEDICAL OFFICER FOR ENGLAND, DEPARTMENT
OF HEALTH
England’s first female
chief medical officer is
known for her outspoken
views, but our judges felt
Dame Sally’s inclusion in
our top 21, and so near
the top, was only right.
Having used her last
annual report to draw
attention to the growing
2
issue of antibiotic resistance – which she has
described as “a catastrophic threat” equal to
terrorism or climate change – she has this year
turned her attention to mental health.
The characterisation of this area of healthcare
as a “Cinderella service” is far from a new one, but
Dame Sally’s call for more funding and greater
emphasis on mental health and wellbeing is
unlikely to be easily ignored.
Her report suggests waiting time targets should
be introduced to encourage faster access to
services, a recommendation which will
undoubtedly cause debate. So too will her
questioning of whether employed people with
anxiety or depression should be fast-tracked for
treatment so as to reduce the considerable impact
of mental ill health on the economy.
Despite the best efforts of the Daily Mail, which
had a field day over Dame Sally’s August 2013
admission that she tried cannabis at university, it
is these important pronouncements for which she
has gained most attention.
l Professor Sir Mike Richards
CHIEF INSPECTOR OF HOSPITALS, CARE QUALITY
COMMISSION
It is now just over a
year since Sir Mike
was appointed to the
role of chief inspector
of hospitals. His
renown as an
oncologist is
international and, in
his previous role as
cancer “tsar” at the
3
Department of Health, he is widely
acknowledged to have done more than anyone
else to improve cancer treatment in the UK.
At the Care Quality Commission, he has
presided over a major change in the way
hospital inspections are conducted. Gone are
small teams of two or three inspectors visiting
a strictly limited number of specialties over a
short period of time. The new regime, through
which around 40 trusts have now passed, sees
larger expert teams examining performance in
a much more detailed way.
There seems little doubt that the method is
generally more credible, and a full
methodology for the inspections has been
developed. The real challenge that Professor
Sir Mike now faces is to make the labour-intensive
process consistent and sustainable –
for both inspectors and for the trusts being
visited by them.
2 Health Service Journal supplement 24 October 2014 hsj.co.uk

4. l Professor Steve Field
CHIEF INSPECTOR OF GPs, CARE QuALITY
COMMISSION AND CHAIRMAN, NATIONAL
INCLuSION HEALTH BOARD
In last year’s
clinical leaders
supplement, HSJ
spoke of “the rise
and rise of this
GP”. These proved
to be prescient
words, for just a
couple of months
later Professor
4
Field would take another step up in his
already impressive career: from deputy
medical director at NHS England to the role
of chief inspector of GPs.
In the post, he is responsible for
inspecting the standard of care at more than
7,000 GP practices in England. While the
hospital inspection regime being led by his
CQC colleague Professor Sir Mike Richards
is frequently described as new, the GP
regime genuinely is: there has never before
been a nationwide process to inspect the
standards of care provided by family doctors.
Two blocks of CCGs have now been
through the trial process, with the full
inspection programme due to begin this
month. Some in primary care have raised
concerns about problems with recruiting
sufficient numbers of qualified inspectors.
In addressing such worries, Professor
Field will be speaking to his colleagues in a
very literal sense: he remains a practising
partner at the Bellevue Medical Centre in
Birmingham.
l Dr Maureen Baker
CHAIR, ROYAL COLLEGE OF GENERAL PRACTITIONERS
Dr Baker did not
appear among our
top clinical leaders
at all last year, but
her election last
November as chair
of the Royal
College of General
Practitioners was
enough to
5
guarantee her a placing in 2014.
That she is ranked as high as fifth reflects
her willingness to speak out about some of
the most important issues surrounding
primary care provision. She has regularly
expressed concerns about a “funding crisis
in general practice”; one which she believes
is leaving patients facing a postcode lottery.
Patient safety is a long standing interest,
as is the use of informatics and information
technology to improve care. She remains a
strategic safety adviser at the Health and
Social Care Information Centre, where she
held the role of clinical director for patient
safety until her election as Royal College of
General Practitioners chair.
l Dr Mark Porter
CHAIR, BRITISH MEDICAL ASSOCIATION COuNCIL
Not a new entry to
the list, but new to
the top of it, Dr
Mark Porter is the
public voice of a
profession that
considers itself
under appreciated
and under attack.
At this year’s
6
British Medical Association annual
conference, the respected consultant
anaesthetist used his speech to launch a true
fight. Questioning whether “we have a
government that really gets the NHS”, he
said politicians must “face up to the damage
that they have done”.
He and the association remain staunchly
opposed to the reforms instituted by the
Health and Social Care Act. Among their
concerns: that the service has become more
fragmented; that the tendering of services to
non-NHS and public sector bodies has been
prioritised; and that doctors are overworked
and underpaid.
There has been a slight change of stance
on seven-day services – the BMA now
supports doctors being in hospitals at the
weekend to treat emergencies and inpatients
– but it is clear this is not a leader or an
organisation that is planning to abandon its
demands for medics’ worries to be heard.
“With the general election just 10 months
away,” said Dr Porter during his BMA
conference speech, “we could be fighting like
this every day.”
siMon PoTTs
on greaT leaders
For some, leadership is seen as a
thankless task. For others, putting
one’s head above the parapet has
been the seminal moment of their career.
To be an even moderately successful leader,
you must have drive and motivation, qualities
that help develop resilience – you might need
some of that too!
But those three qualities combined are not
the passport to great leadership. Really
inspiring clinicians have an advantage over
their general manager counterparts because
they know how to make patients feel like they
are the most important person in the world.
Clinicians who can translate that skill into
their daily dealings with colleagues will get
noticed, be trusted and have the potential to
become influential.
In a clinical environment, influential leaders
understand how healthcare work. They
‘Inspiring clinicians
have an advantage over
their general manager
counterparts’
understand service planning, contract
negotiation, funding sources and who to
influence to effect change. They will have a
deep understanding of “what good looks like”
and how to build high performing teams. Most
importantly, they can apply different
influencing strategies across dissimilar
stakeholder groups, a core skill for any
aspiring chief executive or medical director.
Leaders from clinical backgrounds tell us
one of the most challenging aspects to being
successful is handling complexity and
ambiguity. Finding clinical, operational and
workforce strategies that meet national and
regulatory performance standards, whilst
operating in an underfunded health economy
where demand exceeds resource and
partnership is still work in progress, is both
complicated and complex.
Being a leader or chief executive is lonely,
but those who are effective have built solid
relationships they can call on for support;
they have the intellect and interpersonal
skills to respond to a complex array of
stakeholders. Most importantly, they offer
inspiring leadership because they are not
afraid of their “giant within” and doing what’s
right for patients.
We are proud, once again, to be supporting
HSJ’s Clinical Leaders.
Simon Potts is director of healthcare
at Veredus.
www.veredus.co.uk
hsj.co.uk 24 October 2014 Health Service Journal supplement 3

5. l Jane Cummings
CHIEF NURSING OFFICER, NHS ENGLAND
Ms Cummings’ top
five position last
year partly
reflected the
impact of her
“6Cs” campaign,
the values she
espoused in an
attempt to restore
the morale and
7
reputation of nursing post-Francis.
In July, it was announced that the
principles – care, compassion, competence,
communication, courage and commitment –
were being extended to all those working in
the NHS in England, from hospital porter to
chief executive.
The former emergency nurse retains her
strong focus on creating and embedding a
culture of compassion, speaking out recently
about the importance of good end-of-life
care and promoting the Liverpool Care
Pathway replacement Priorities of Care. The
December 2013 launch of the Nursing
Technology Fund, meanwhile, was an
important way to emphasise the crucial role
nurses play in the use of technology in
healthcare.
“Far from being afraid of new technology,”
argued Ms Cummings, “we must learn to
embrace and use it, particularly in frontline
nursing and midwifery care where it can
improve communication, help staff do their
jobs better, more safely and efficiently and
consequently create a better experience for
patients.”
Staffing levels have been a continuing
area of focus, and one in which Ms
Cummings argues her team “have done
more on in the past 18 months than has ever
been done on a national level ever before”.
In July, Ms Cummings launched a new
section of the NHS Choices website, which
publishes nurse and midwife staffing data
down to ward level.
l Dr Hugo Mascie-Taylor
MEDICAL DIRECTOR AND EXECUTIVE DIRECTOR OF
PATIENT AND CLINICAL ENGAGEMENT, MONITOR
The special
administrator at
Mid Staffordshire
Foundation Trust,
Dr Mascie-Taylor
added another
important role to
his portfolio when
he was appointed
as Monitor’s
8
medical director earlier this year.
The post is a new one, with Dr Mascie-
Taylor responsible for offering clinical advice
to the regulator’s board and executive. His
counsel is likely to be sought on a number of
issues, including potentially challenging
ones such as reconfigurations, interventions
and transactions.
He is perhaps uniquely qualified for such
an undertaking, having spent a year
overseeing the dissolution of Mid
Staffordshire.
For now that is work he continues – his
role at Monitor is a part-time one. But in a
July letter to Professor Sir Mike Richards
following a CQC inspection of the trust, Dr
Mascie-Taylor warned that failure to secure
changes to services before winter could be
“potentially disastrous” for the local health
economy.
Meanwhile this former medical director is
seeking ways to support others taking on
that role. Following research that showed a
quarter of medical directors are new to the
job, he revealed that Monitor would act on
the findings, perhaps by introducing a
version of the organisation’s board induction
days.
l Dr Sarah Wollaston
MP FOR TOTNES AND CHAIR OF HOUSE OF COMMONS
HEALTH SELECT COMMITTEE
Early indications
are that Dr
Wollaston plans to
continue her
predecessor’s
policy of making
the health select
committee a force
to be reckoned
with.
9
Speaking after her election in June –
which followed the unexpected resignation
of her predecessor, former health secretary
Stephen Dorrell – she expressed her belief
that “the role of the select committee is to
ask those challenging questions on behalf of
patients and taxpayers so this most
cherished of our institutions in this country
can continue to be there for all of our
constituents when they need it the most”.
She will have to fill some big shoes: Mr
Dorrell has been widely respected during his
four years as chair. But our judges were
impressed by the strength she has already
demonstrated, not least her willingness to
disobey the whips when she considers it
necessary.
While the former GP made our Clinical
Leaders list last year, this is her debut in the
top ranks of it. If she continues her spirit of
taking a stand, expect to see her here again
next year.
Our judges were
impressed by
Sarah Wollaston’s
willingness to disobey
the whips when she
considers it necessary
4 Health Service Journal supplement 24 October 2014 hsj.co.uk

6. l Clare Marx
PRESIDENT, THE ROYAL COLLEGE OF SURGEONS
Ms Marx made
history in April
when she was
elected the first
female president of
the Royal College
of Surgeons. Given
that the college has
existed for 214
years, our judges
10
felt this achievement was worthy of
recognition in and of itself.
She is used to blazing this sort of trail,
having previously been the first female
president of the British Orthopaedic Society.
It seems likely the issues she championed
there will remain priorities in her new
presidency: notably patient safety (on which
she remains the college’s lead) and
increasing the low percentage of women
who become surgeons.
The latter is one of the many reasons she
was named as one of HSJ’s Inspirational
Women in the inaugural year of the project.
She has expressed the belief that change is
most effective when led by healthcare
professionals, and is clearly not averse to
suggesting it herself.
Speaking recently on the BBC’s Today
programme, she questioned whether it was
time to abandon the idea of a “one-size-fits-all”
18-week waiting time for routine
surgery.
l Professor Terence Stephenson
CHAIR, THE ACADEMY OF ROYAL COLLEGES
Representing
200,000 doctors
and 20 royal
college members is
challenging
enough, however
Professor
Stephenson will
soon to be taking
on another
11
challenge. From January 2015 he will chair
the General Medical Council – and that year
of course will also bring with it a general
election.
The former president of the Royal College
of Paediatrics and Child Health opposed the
Health and Social Care Act of 2012, part of a
campaign that led to the formation of the
NHS Future Forum.
He will now have his hands full looking
after medical education and training,
espeically as patient safety continues to be a
critical issue in the wake of the Mid
Staffordshire scandal.
The consultant paediatrician, who
specialises in neonatal medicine and
paediatric emergencies, will have the tough
task of ensuring that the Francis, Keogh,
Berwick and Clwyd Hart recommendations
are being implemented.
l Peter Carter
CHIEF EXECUTIVE AND GENERAL SECRETARY,
ROYAL COLLEGE OF NURSING
Although he has
been a
controversial
figure, with some
RCN members
accusing him of
not properly
defending the
nursing profession
in the aftermath of
12
the Mid Staffordshire scandal, there is no
denying that Peter Carter still wields a great
deal of influence.
As a head of an organisation that has
400,000 nurses, midwives, health visitors,
nursing students, cadets and healthcare
assistants as its members, Dr Carter has had
a difficult job of ensuring that their voices
and concerns are heard in Westminster.
With the profession being criticised
following the care failings at Mid
Staffordshire hospital, he has tried to
highlight the problems of staffing levels and
continues to campaign for the
implementation of the Francis report’s
recommendations.
Clinical managers
Currently or recently in
operational roles
Professor Peter Clark
Consultant oncologist,
Clatterbridge Centre for Oncology
Professor Matthew Cooke
Deputy medical director (strategy
and transformation), Heart of
England Foundation Trust and
professor of clinical systems
design, University of Warwick
Professor the Lord Ara Darzi
Chair, Imperial College Health
Partners and director of the
Institute of Global Health
Innovation, Imperial College
London
Professor Tricia Hart
Chief executive, South Tees
Hospitals Foundation Trust
Professor David Haslam
Chair, NICE
Peter Lees
Founding director, Faculty of
Medical Leadership and
Management
Dr Hugo Mascie-Taylor
Medical director and executive
director of patient and clinical
engagement, Monitor
Dame Julie Moore
Chief executive, University
Hospitals Birmingham Foundation
Trust
Sir Stephen Moss
Non-executive director, Derby
Hospitals Foundation Trust
Dr Yvette Oade
Chief medical officer, The Leeds
Teaching Hospitals Trust
Dr Matthew Patrick
Chief executive, South London and
Maudsley Foundation Trust
Professor Eileen Sills
Chief nurse and director of
infection control and prevention,
POLICY
INNOVATION
TRANSFORMATION
hsj.co.uk 24 October 2014 Health Service Journal supplement 5

7. l Professor David Haslam
CHAIR, NATIONAL INSTITUTE FOR HEALTH AND CARE
EXCELLENCE
Professor Haslam’s
rise to our top 21
indicates how his
role and profile
have grown in the
past year. As chair
of NICE, he
perfectly
understands that
the role comes
13
with controversies: the organisation is no
stranger to battles with the pharma industry,
government and the media over its
decisions.
However, this former GP remains
unruffled – he has a lot on his plate, with
NICE now looking after quality standards in
social care as well. His remit is by no means
limited to NICE though; Professor Haslam
is also clinical adviser at the CQC and expert
member of the National Quality Board,
thereby overseeing some of the most
important developments in the NHS
currently.
l Professor Keith Willett
DIRECTOR FOR ACUTE EPISODES OF CARE, NHS
ENGLAND
As someone who
says he prefers to
“stay one step
ahead of the
medical political
game” rather than
indulging in “NHS
watching”,
Professor Keith
Willett is just the
14
man NHS needs at the moment. A leading
light in trauma care, his work has been so
influential that he was seconded full-time to
NHS England as director for acute episodes
of care from the University of Oxford.
Nicknamed as “trauma tsar”, he
co-founded the Oxford Trauma Service in
1993, resulting in the John Radcliffe unit
acquiring the status of foremost referral
centre for patients with complex and serious
injuries.
Professor Willett was also responsible for
introducing 24/7 services in Oxford more
than 20 years ago, and he firmly believes
that the seven-day services can be replicated
across the NHS.
Particularly interested in research around
fractures and falls, he led the NHS England’s
Review of Urgent and Emergency Care
alongside senior colleagues such as
Professor Sir Bruce Keogh and Dame
Barbara Hakin.
Professor Willett will play a crucial role in
the coming year as he tries to implement the
changes proposed in the review, working
with stakeholders such as patient groups,
hospital providers and CCGs.
l Professor Tricia Hart
CHIEF EXECUTIVE, SOUTH TEES HOSPITALS
FOUNDATION TRUST
Words such as
“approachable”
and “friendly” are
not usually used to
describe the chief
executives of NHS
organisations.
However, Professor
Tricia Hart is one
of the rare breed of
15
leaders who remain firmly rooted to the
ground.
Her mantra of keeping patients at the
heart of service and delivering the best
patient care possible is one of the reasons
that she is widely respected by peers and
staff alike.
In a career spanning more than 40 years,
she has donned a number of hats, working
as a nurse, midwife, health visitor and
academic besides taking on senior
management roles.
Her sphere of influence can be gauged by
the fact she’s been involved in shaping up
some of the most significant policy measures
in the NHS in recent times, be it the
GPs
Dr Charles Alessi
Chairman, National Association of
Primary Care and senior adviser,
NHS Clinical Commissioners
Dr Maureen Baker
Chair, Royal College of General
Practitioners
Dr Amanda Doyle
Co-chair of NHS Clinical
Commissioners leadership group
and chief clinical officer,
Blackpool CCG
Dr Sam Everington
Chair, Tower Hamlets CCG
Professor Steve Field
Chief inspector of GPs, Care
Quality Commission and
chairman, National Inclusion
Health Board
Dr Clare Gerada
Clinical chair for primary care
transformation in London, NHS
England
Dame Barbara Hakin
Chief operating officer, NHS
England
Dr Steve Kell
Co-chair, NHS Clinical
Commissioners and chair,
Bassetlaw CCG
Dr Arvind Madan
Chief executive, The Hurley Group
Caldicott report or being one of the four
assessors for the Francis inquiry.
Professor Hart worked alongside Sir
Robert Francis in reporting the systematic
failings at Mid Staffordshire hospital. And
last year prime minister David Cameron
appointed her to review NHS complaints
procedures along with Labour MP Ann
Clwyd. Some of the suggestions in the report
have called for transparency, culture change,
scrutiny of patient feedback and chief
executives to be personally responsible for
complaints procedures.
6 Health Service Journal supplement 24 October 2014 hsj.co.uk

8. l Sir Mark Walport
UK’S CHIEF SCIENTIFIC ADVISER, DEPARTMENT OF
HEALTH
Sir Mark is committed to
bringing science and
research to the forefront
of policy making. With
backgrounds in
immunology and
rheumatology, he
believes science has a
role to play in diplomacy
because it helps Britain
16
carve out a bigger role on the world stage.
He, of course, is no stranger to being diplomatic
himself and is understood to be adept at
navigating the choppy waters of Whitehall politics.
While he was the head of the Wellcome Trust for
a decade (2003-13), Sir Mark was credited with
shining a light on biomedical research and policy
issues. Under his leadership, the Wellcome Trust
allowed its scientists to publish their work in open
access journals, so their research could be of wider
benefit to people and society.
He is also credited with advancing studies on
sequencing of the human genome so that insights
from these can be used to help patients suffering
from diabetes, cancer and rare diseases.
Recently he gave evidence to the House of Lords
Science and Technology Committee on the future
research priorities for the UK. A supporter of
international collaboration, it will be interesting to
watch how he tackles the challenges around
fostering innovation to support the UK’s growth
prospects.
l Dame Julie Moore
CHIEF EXECUTIVE, UNIVERSITY HOSPITALS
BIRMINGHAM FOUNDATION TRUST
It’s a testament to
Dame Julie’s
influence that she
has now featured
as one of HSJ’s,
Top Chief
Executives and
Clinical Leaders, as
well as being one
of our inaugural
17
LGBT Role Models. So obvious was her
inclusion as a clinical leader that our judges
didn’t even discuss it.
A trailblazer in the truest sense, she is
known for being outspoken and
championing patient-centred initiatives.
Dame Julie began her career as a nurse
because she thought it was the nurses who
made a real difference to the lives of
patients.
She spent 10 years in clinical practice
before moving on to the management side of
things and working her way up. In 2006, she
became the chief executive of University
Hospitals Birmingham, one of the biggest
hospital trusts in the country.
An advocate of bigger trusts running
hospital chains, she and her organisation
were entrusted to provide support and
mentorship to the troubled George Eliot
Hospital Trust and Burton Hospitals
Foundation Trust.
l Professor Cathy Warwick
CHIEF EXECUTIVE, ROYAL COLLEGE OF MIDWIVES
It is no
exaggeration to say
that Professor
Cathy Warwick is
one of the most
well respected
leaders in the NHS.
In these difficult
times, she
continues to be a
18
voice of reason and leads by example.
A supporter of women-centred care, she
has been instrumental in encouraging
midwives to provide choice to expectant
mothers and reduce unnecessary
interventions.
Professor Warwick qualified as a midwife
in 1976 and went on to become head of
midwifery and gynaecology nursing at
King’s College Hospital in 1994.
Such was her contribution in running one
of the largest home birth services in the
country that in 2004 the Department of
Health commended King’s maternity
services for reducing the caesarean section
rate and she was appointed an honorary
professor.
Professor Warwick has been a regular on
various advisory committees related to the
workforce and also exerts tremendous
influence in shaping midwifery strategy at a
national level.
Dame Julie is
known for
championing
patient-centred
initiatives
POLICY
INNOVATION
TRANSFORMATION
hsj.co.uk 24 October 2014 Health Service Journal supplement 7

9. l Dr Fiona Godlee
EDITOR, THE BMJ
She may not be
hosting television
shows but Dr
Fiona Godlee has
to be one of the
most influential
“media doctors” in
the country – being
in charge of a
journal read by
19
more than 120,000 doctors in the UK and
overseas every week.
Having qualified as a doctor in 1985, she
joined The BMJ in 1990, beginning a two-decade
long illustrious career in the field of
medical publishing and writing.
In 2005, Dr Godlee was appointed as
editor-in-chief of the magazine, becoming
the first female editor in the journal’s history.
She considers The BMJ to be a
“campaigning journal”, combining elements
of science and journalism. Some of her key
works include being at the forefront of the
AllTrials campaign and writing on topics
such as ethics of academic publication,
problems with editorial peer review and
impact of environmental degradation on
health.
She also led the development of BMJ
Clinical Evidence, a database of knowledge
and treatments grounded in evidence-based
medicine.
l Professor Eileen Sills
CHIEF NURSE AND DIRECTOR OF INFECTION CONTROL
AND PREVENTION, GUY’S AND ST THOMAS’S HOSPITAL
Known for her
strong leadership
skills, Professor
Sills’ work around
staff engagement at
Guy’s and St
Thomas’s is more
relevant than ever,
as nursing faces
20
unrelenting scrutiny in the aftermath of the
Mid Staffordshire scandal.
Her emphasis on creating a culture where
staff feel confident to raise problems and
misgivings has been praised by nurses and
others alike.
Being the chief nurse of such a large and
complex trust isn’t easy, but according to our
judges, she is adept at “taking everyone
along”.
Recently, she has been appointed as the
chair of chief nurses of the Shelford Group,
an elite group of 10 leading NHS multi-specialty
academic healthcare organisations.
Professor Sills also takes the clinical lead
for dementia at Guy’s and holds visiting
professorships at King’s College London and
South Bank University. She is a member of
the NHS Employers policy board and a
trustee of the Burdett Trust.
Clearly, she continues to be a prominent
spokesperson for her profession. Or as a
member of judging panel put it, “she is still
the go-to person if Number 10 wants an
opinion on nursing policy”.
l Dr Ben Goldacre
WELLCOME RESEARCH FELLOW IN EPIDEMIOLOGY,
LONDON SCHOOL OF HYGIENE AND TROPICAL
MEDICINE; WRITER ON SCIENCE AND MEDICINE
Best-selling author, data
geek, researcher,
psychiatrist and
academic – Dr Ben
Goldacre is a man of
many talents, whose
work has successfully
exposed how the media,
politicians, and the
21
pharmaceutical industry distort scientific facts
and research to suit their agenda.
His widely popular books, newspaper
columns, TED talks and blog posts and tweets
have managed to make the niche subject of
science writing become mainstream as he
becomes the “rock star” science writer – taking
on the baddies and their pseudoscience with
acerbic wit and scathing prose.
The self-described “nerd evangelist” started
his column “Bad Science” in The Guardian in
2003 which debunked dodgy scientific claims. In
2008, this turned into a book, which became one
of the top 10 bestsellers on Amazon.
His second book, Bad Pharma: How Drug
Companies Mislead Doctors and Harm Patients
was released in 2012 has been the scourge of the
pharmaceutical industry – uncovering how the
$600bn behemoth misuses evidence by
withholding negative trial data from doctors
and/or patients.
Nurses and midwives
Gail Adams
Head of nursing, Unison
Professor Viv Bennett
Director of nursing, Public Health
England and Department of Health
Peter Carter
Chief executive and general
secretary, Royal College of Nursing
Teresa Chinn
Registered nurse and founder of
WeNurses
Jane Cummings
Chief nursing officer, NHS England
Ruth May
Chief nurse, NHS Midlands and
East
Professor Judy McKimm
Director of strategic educational
development, Swansea University
College of Medicine
Professor Janice Sigsworth
Director of nursing, Imperial
College, London
Jacqueline Thompson
Nurse consultant, older people,
NHS Tayside
Professor Cathy Warwick
Chief executive, Royal College of
Midwives
8 Health Service Journal supplement 24 October 2014 hsj.co.uk

10. Top Clinical Leaders
LISTED ALPHABETICALLY
l Cheryll Adams
Founding director, Institute of Health Visiting
Ms Adams only established the Institute of
Health Visiting in November 2012, but it is
already seen as an influential organisation.
Its founder has impressed with her strong
leadership of a rapidly growing and
developing profession.
l Gail Adams
Head of nursing, Unison
Ms Adams, a nurse by background,
continues to be a determined promoter and
protector of her profession. She has
expressed concerns that little progress has
been made on safe staffing levels despite the
Francis and Keogh reviews, arguing that
“the spectre of another Mid Staffs still looms
large over the NHS”.
l Dr Charles Alessi
Chairman, National Association of Primary Care
and senior adviser, NHS Clinical Commissioners
Dr Alessi continues to be a key leader in
primary care. Having played an important
part in the introduction of clinically led
commissioning, it seems his role now will be
to support its evolution. He has come out
strongly in favour of co-commissioning, for
instance.
l Dr Mohammad Al-Ubaydli
Founder and chief executive, Patients Know Best
While others talk about the importance of
giving patients access to their medical
records, Dr Al-Ubaydli gets on and does it.
Patients Know Best is now used in 40
hospitals in the UK, and by patients and
clinicians in seven other countries.
l Professor Dame Sue Bailey
Former president, Royal College of Psychiatrists
Professor Bailey came to the end of her term
as president of the RCPsych in June, but she
remains an important clinical leader. As the
new chair of the Children and Young
People’s Mental Health Coalition, expect her
to maintain her promotion of better care for
young people suffering mental ill health.
l Professor Sir John Bell
Regius chair of medicine, University of Oxford
The former president of the Academy of
Medical Sciences is said to be far more
influential than most people realise. During
his career he has been key to the
development of research programmes in
genetics and genomics. And thanks to his
position as one of two UK life sciences
champions, he has the attention of senior
leaders – including the prime minister.
l Professor Viv Bennett
Director of nursing, Public Health England and
Department of Health
One of our judges, Professor Bennett did not
Having played an
important part in
the introduction
of clinically-led
commissioning,
Charles Alessi’s role
now will be to support
its evolution
take part in discussions about her inclusion
in the list. She continues to promote the idea
that all nurses need to think about public
health as part of their practice.
l Professor Don Berwick
Author of report into NHS patient safety
With his post-Mid Staffordshire review of
patient safety now published, Professor
Berwick’s disappearance from the top
echelons of our list (last year he was ranked
third) was perhaps predictable. But his
thinking as outlined in last year’s
supplement remains important – even as the
former paediatrician and founder of the
influential Institute for Healthcare
Improvement dedicates himself to a run for
governor of Massachusetts.
l Dr Mike Bewick
Deputy medical director, NHS England
Dubbed England’s most senior GP, Dr
Bewick is responsible for leading the
transformation of primary care. The
publication of Improving general practice – a
call to action clearly detailed the case for
change. Now the effort begins to make the
vision a reality.
l Professor Nick Black
Professor of health services research, London
School of Hygiene and Tropical Medicine and
chair, National Clinical Audit and Enquiries
Advisory Group, NHS England
This former public health doctor has chaired
the National Clinical Audit and Enquiries
Advisory Group since 2008. The unrelenting
post-Francis focus on assessing and
improving quality lends it increasing
importance.
l Professor Richard Bohmer
International visiting fellow, The King’s Fund
A doctor who practised in his native New
Zealand and then in England, Professor
Bohmer now teaches healthcare
management at Harvard Business School in
addition to his position at The King’s Fund.
Through this work, he is a clinical leader
who is supporting many others to become
the same.
l Professor Alistair Burns
National clinical director for dementia for
England, Department of Health
Professor Burns is the man responsible for
meeting David Cameron’s dementia
challenge: namely to deliver major
improvements in dementia care and
research by 2015. The immediate target is to
ensure that two-thirds of the estimated
number of people with dementia have a
diagnosis and post-diagnostic support, a
goal which Professor Burns believes will be
attained by next year.
l Professor Iain Cameron
Chair, Medical Schools Council
Dean of the faculty of medicine at the
University of Southampton, Professor
Cameron became the chair of the Medical
Schools Council last September. The council
represents all medical schools in the UK,
making its chair an important leader in
medical education.
l Sir Iain Chalmers
Health services researcher, one of the founders
of the Cochrane Collaboration and coordinator of
the James Lind Initiative
The distinguished health services researcher
is perhaps the most eminent of his kind. As
founder of The Cochrane Collaborative, Sir
Iain could be argued to have done more than
anyone else for the pursuit of evidence-based
medical practice.
l Teresa Chinn
Registered nurse and founder of WeNurses
She is a new entry among our top clinical
leaders but Ms Chinn can already call herself
an HSJ/Nursing Times Social Media Pioneer,
Rising Star and inspirational woman. The
wealth of accolades recognise her
achievement in using social media to bring
nurses together in discussion and learning.
POLICY
INNOVATION
TRANSFORMATION
hsj.co.uk 24 October 2014 Health Service Journal supplement 9

11. Top Clinical Leaders
LISTED ALPHABETICALLY
l Professor Peter Clark
Consultant oncologist, Clatterbridge Centre for
Oncology
Professor Clark’s expertise in his field of
practice is recognised both locally and
nationally. He chairs the Royal College of
Physicians medical oncology committee, the
NHS England clinical reference group for
chemotherapy, and the National Cancer
Drug Fund. But Professor Clark’s influence
extends beyond oncology, not least through
the 10 years that he spent as a member of the
NICE technology appraisal committee.
l Professor Matthew Cooke
Deputy medical director (strategy and
transformation), Heart of England Foundation
Trust and professor of clinical systems design at
University of Warwick
A second year on the list for former urgent
care “tsar” Professor Cooke. That reflects his
impressive influence on the development of
emergency care, whether within his own
region or at the national level.
l Dr Paul Cosford
Director for health protection and medical
director, Public Health England
In common with many of his public health
colleagues, Dr Cosford is something of an
unsung hero. The recent ebola outbreak has
put him and his department centre stage,
and there is a sense that he has acquitted
himself well.
l Ian Cumming
Chief executive, Health Education England
The first chief executive of Health Education
England, Mr Cumming is seen as having
had a very significant impact in his role,
particularly when it comes to the training of
nurses. HEE’s Shape of Caring Review is
currently underway, for instance, and will
make recommendations on the reform of
nurse and care assistant education.
l Professor Lord Ara Darzi
Chair, Imperial College Health Partners and
director of the Institute of Global Health
Innovation, Imperial College London
A fall from the upper reaches of our clinical
leaders list for Lord Darzi (last year he was
ranked sixth), but a continuing presence: a
good way to describe his current position in
healthcare. He may not be as central to
policy as he was in the days of Gordon
Brown’s government, but no one would deny
that his voice is still an important and
influential one.
l Professor Jane Dacre
President, Royal College of Physicians and
director, UCL Medical School
Previously recognised as one of HSJ’s
Inspirational Women, Professor Dacre’s
influence increased this year when she was
elected president of the Royal College of
Aneez Esmail is seen as
central to the revived
debate over equality in
the NHS
Physicians. She continues to practise,
holding a consultant rheumatologist post at
Whittington Health Trust.
l Dr Jennifer Dixon
Chief executive, The Health Foundation
Dr Dixon appears among our clinical leaders
for the second year in a row, but this time in
a different role. After five years as chief
executive of the Nuffield Trust, she became
the head of The Health Foundation last
October. The respect afforded to the views of
this former paediatrician remains
unchanged, however.
l Dr Amanda Doyle
Co-chair of NHS Clinical Commissioners
leadership group and chief clinical officer,
Blackpool CCG
One of the two GPs chairing NHS Clinical
Commissioners (the other is her fellow HSJ
Clinical Leader Steve Kell), Dr Doyle is an
important voice as the new commissioning
system beds down. When Monitor
announced an investigation of whether
Blackpool CCG had breached competition
rules, she also became a somewhat
controversial one. She has openly questioned
whether the regulations are complicating
and impeding commissioning decisions.
l Dr Mike Durkin
Director of patient safety, NHS England
Just over 12 months since the publication of
the Berwick report, Dr Durkin is publicising
the progress he says has been made –
including increased levels of incident
reporting, fewer pressure ulcers, and more
patients recorded as “harm free” – while
also gearing up for the launch of Patient
Safety Collaboratives. This programme is set
to launch this autumn and is promised to be
the largest of its kind in the world.
l Professor Aneez Esmail
Professor of general practice, University of
Manchester
Professor Esmail is seen as central to the
revived debate over equality in the NHS. His
research focuses on the idea that the medical
profession still unnecessarily and unfairly
considers race when taking decisions on
career progression, complaints and rewards.
Many bodies have reconsidered their policies
as a result of the professor’s work.
l Baroness Audrey Emerton
Cross bench peer, House of Lords
Baroness Emerton continues to be the only
nurse currently in the House of Lords. She
also continues to make sure it is not only the
medic’s voice considered when health
legislation passes through the upper
chamber. With a general election
approaching, and a possible change in
government, the legislative work to be done
on health is only set to increase – and, with
it, Baroness Emerton’s importance.
l Dr Sam Everington
Chair, Tower Hamlets CCG
When HSJ was seeking a GP to sit on our
inquiry into the future of NHS leadership,
Dr Everington was the top choice. A pioneer
of the sort of integrated approach to health
and social care which organisations across
the country are now committed to
introducing, he is widely recognised as
delivering excellent care to the deprived local
community he serves. When this qualified
barrister talks, people listen.
l Professor Sir David Fish
Managing director, UCLPartners
Professor Sir David has been at the head of
UCLPartners since its June 2009
establishment, leading 40 higher education
and NHS organisations. It reports real
impact on local patients’ lives – training over
13,000 staff to improve care for people with
dementia, for example – and is highly rated
for its research.
l Dr Paul Flynn
Chair of the consultants’ committee, British
Medical Association
Negotiations on a new consultant contract
continue, with Dr Flynn admitting they are
particularly difficult. “Unlike previous
contract talks,” he told the BMA conference
this summer, “there is no new money to
invest… in return for the changes in working
practices that the government wants.” The
most significant of those changes is the
introduction of seven-day services, an issue
on which the BMA has somewhat mellowed
its stance.
l Dr Clare Gerada
Clinical chair for primary care transformation in
London, NHS England
She may have come to the end of her term as
chair of the Royal College of General
Practitioners, but no one expected the
outspoken Dr Gerada to sink into the
10 Health Service Journal supplement 24 October 2014 hsj.co.uk

12. shadows – and she hasn’t. Her role in
London is an important one.
l Professor Sir Muir Gray
Director, Better Value Healthcare
Professor Sir Muir has been a public health
doctor since 1972. Yet he retains a great deal
of influence, helping to ensure clinicians
consider population health and wellbeing as
well as the patient directly in front of them.
As director of Better Value Healthcare, he is
seeking to publish handbooks and
development programmes to get more value
from healthcare resources.
l Dame Barbara Hakin
Chief operating officer, NHS England
After a year-long investigation, the General
Medical Council cleared Dame Barbara of
acting in a “bullying” and unprofessional
manager. But it is not like that would be
enough to make her job easy: having been
responsible for commissioning development
at NHS England, she has now been through
what she admits is was “the most difficult
year [NHS England] has faced in balancing
its financial plans”.
l Dr Phil Hammond
GP, journalist, broadcaster, vice president of the
Patients Association
Private Eye’s managing director and health
correspondent was ironically one of the two
journalists at the satirical magazine to
question the conduct of the woman who
precedes him alphabetically in our list. It is
just one example of Dr Hammond’s unique
role at the heart of British healthcare:
simultaneous healthcare commentator and
practitioner, a position cemented this year by
his appointment as vice president of the
Patients Association.
l Professor Sue Hill
Chief scientific officer, NHS England
Health scientists often feel that their
considerable contribution to the health
service receives insufficient attention. They
usually have a point. Professor Hill is still
working tirelessly to increase the profile and
appreciation of her colleagues, this year
sponsoring a joint project with the NHS
Confederation to explore how the benefits of
health sciences to the NHS can be fully
realised.
l Dr Paul Hodgkin
Founder and chair, Patient Opinion
After 25 years as a GP, Dr Hodgkin
established the well regarded Patient
Opinion in 2005. The site enables patients to
share their experiences of healthcare, good
or bad, and provides a new way for
healthcare staff to garner feedback. Its
pioneering founder has been called on to
advise the government and NHS England on
their choice and open data programmes.
commissioning system, Dr Kell has
established himself as arguably the most
recognised leader of his CCG colleagues –
and the go-to commentator for members of
the media.
l Peter Lees
Founding director, Faculty of Medical Leadership
and Management
A second HSJ Clinical Leaders appearance
for the founder of the Faculty of Medical
Leadership and Management. This
membership organisation has filled a clear
gap – how many times has it been argued
medics need to become more involved in
healthcare leadership? – and has quickly
connected to a range of leading figures.
l Dr Geraint Lewis
Chief data officer, NHS England
The furore over care.data cannot have been a
particularly pleasant time for Dr Lewis. But
no matter when it is ultimately rolled out,
and in what form, Dr Lewis’s role in
ensuring the NHS makes use of its data will
remain crucial.
l Professor Sir Robert Lechler
Executive director, King’s Health Partners
Plans for a formal merger between Guy’s
and St Thomas’, South London and
Maudsley and King’s College Hospital
Foundation trusts may have been put on the
backburner, but the position of King’s
Health Partners and Sir Robert as its
executive director is undiminished.
l Dr Arvind Madan
Chief executive, The Hurley Group
Dr Madan is responsible for strategy and
business development at The Hurley Group,
which runs GP practices and walk-in centres
across London. As Dr Clare Gerada is his
fellow partner at the group, he will also have
the ear of the clinician leading primary care
transformation in London.
l Dr Clifford Mann
President, College of Emergency Medicine
The pressures on his speciality are such that
Dr Mann has become increasingly high
profile. He has recently rung the alarm bell
on “exit blocking” – when A&E staff
recommend a patient should be admitted,
but there are delays in allocating a bed – and
warned that proposals to reform the urgent
and emergency care payment system would
be a “disaster” for A&E departments.
l Dr Kim Holt
Founder, Patients First campaign
The paediatrician who blew the whistle on
the Baby P scandal, Dr Holt founded
Patients First in 2011 to help others in
raising concerns about the quality of care.
With Sir Robert Francis now conducting a
review into whistleblowing in the NHS,
expect Dr Holt’s views to be highly sought
after, and highly valued.
l Professor Richard Horton
Editor-in-chief, The Lancet
Editor-in-chief of the world’s leading
medical journal since 1995, Professor
Horton’s voice is one with impact. His
authority is international, not least through
his co-chairmanship of the World Health
Organization’s independent expert review
group on women’s and children’s health.
l Dr Ruth Hussey
Chief medical officer, NHS Wales
As Wales’s chief medical officer, it is Dr
Hussey’s job to lead public health policy and
the medical profession in the country. The
country has arguably been hit harder than
the rest of the UK by austerity measures, but
Dr Hussey is felt to be performing well in
her role.
l Celia Ingham Clark
National director for reducing premature deaths,
NHS England
Ms Ingham Clark has led important
workstreams at NHS England before – first
as national clinical director for enhanced
recovery and acute surgery, then as medical
director for revalidation and quality. But her
latest appointment, as part of Sir Bruce
Keogh’s team, is probably her most
significant yet.
l Professor the Lord Ajay
Kakkar
Chair, UCLPartners
A consultant surgeon at University College
London Hospitals Foundation Trust,
Professor the Lord Kakkar became chair of
UCLPartners in April. It remains the largest
academic health science centre in the world,
and a renowned one.
l Professor Jonathan Kay
Clinical informatics director, NHS England
Heading NHS informatics is a poisoned
chalice if ever there was one but this
practising consultant chemical pathologist is
widely thought to be doing well. To hear him
speak is to recognise that he truly believes
informatics can and is making a difference
in healthcare.
l Dr Steve Kell
Co-chair, NHS Clinical Commissioners and chair,
Bassetlaw CCG
In the first 18 months of the new
POLICY
INNOVATION
TRANSFORMATION
hsj.co.uk 24 October 2014 Health Service Journal supplement 11

13. Top Clinical Leaders
LISTED ALPHABETICALLY
l Professor Sir Michael Marmot
Professor of epidemiology and public health,
University College London
Professor Sir Michael has spent his working
life exploring the social determinants of
health, regularly demonstrating the shorter
longevity of those on lower incomes and in
poorer areas. His appearance on Desert
Island Discs this summer underscores the
regard in which he is held, and enabled him
to provide a simple explanation of his work.
“What I contribute to the policy debate is
that I bring evidence,” he told Kirsty Young.
“I don’t do the skulduggery of politics.” A
valuable trait indeed.
l Dr Johnny Marshall
Policy director, NHS Confederation
In post for a year and a half now, Dr
Marshall persists with efforts to extend the
NHS Confederation’s partnership work in
health and social care. He continues to
practise as a GP, and one who is closely
involved in clinical commissioning: he
helped set up NHS Clinical Commissioners,
for which he is now a senior adviser.
l Ruth May
Chief nurse, NHS Midlands and East
Ms May was a key contributor to the
national nursing strategy Compassion in
Practice, leading on staffing levels and skill
mix. Now she is a vocal supporter of Stop the
Pressure. The idea for the campaign came
from a Twitter exchange between Ms May
and a student nurse, and has become a truly
national movement.
l Dr Margaret McCartney
GP and health writer
Dr McCartney is a Glasgow-based GP but,
thanks to her writing and broadcasting
work, is known across the UK. She asks
difficult questions, but they are often
acknowledged to be the right ones. This
year, the Royal College of GPs approved her
proposal to establish a working group
considering the issues of overdiagnosis and
overtreatment.
l Professor Judy McKimm
Director of strategic educational development,
Swansea University College of Medicine
Professor McKimm is a nurse by background
but has now spent around 30 years in
education. At Swansea University, she runs a
masters course in leadership for the health
professions. The course is an important
contribution to the idea that leadership by
clinicians is not synonymous with leadership
by medics.
l Dr Kathy McLean
Medical director, NHS Trust Development
Authority
After a year as clinical transitions director at
what was then the NHS Commissioning
Francis report and its aftermath, slowly
rebuilding confidence in the organisation.
The lessons he learned during this period
continue to invite interest from across the
health service. Since February 2013, the
former nurse has held a non-executive post
at Derby Hospitals Foundation Trust.
l Dr Chaand Nagpaul
Chair, GP committee, British Medical Association
A new entry on our clinical leaders list, but
Dr Nagpaul’s July 2013 election as the chair
of the BMA’s GP committee saw him take
slot 25 in last year’s HSJ100. He has
successfully negotiated new GP contracts
across all four UK nations, with no change
in contracted hours or out-of-hours working.
But he told the BMA conference that these
changes “don’t address the fundamental
issue of chronic underfunding and
unsustainable pressures on UK general
practice”.
l Dr Yvette Oade
Chief medical officer, The Leeds Teaching
Hospitals Trust
Dr Oade has gained a strong reputation for
successfully leading service change and care
integration. She did it during her time as
chief medical officer and deputy chief
executive at Hull and East Yorkshire Trust
and is considered to be repeating the trick in
her relatively new role at Leeds.
l Professor David Oliver
President-elect, British Geriatrics Society
Professor Oliver is the high profile president-elect
of the professional organisation for
those caring for older people. The consultant
geriatrician advocates impressively for
equality of access to services – including as a
commissioner on HSJ’s Commission on
Hospital Care for Frail Older People.
Demographic changes surely mean the role
of the organisation he leads can only grow.
l Sir John Oldham
Chair, Independent Commission on Whole Person
Care
In March, Sir John published One Person,
One Team, One System, a report which
represents the outcome of his year-long
review into whole person care. Given that he
was commissioned by shadow health
secretary Andy Burnham, it could equally be
described as the likely foundation of
Labour’s health policy at the next election.
l Dr Kiran Patel
Chair, South Asian Health Foundation
If we had an “up and coming” subcategory
within our clinical leaders, Dr Patel would be
there. A consultant cardiologist, he heads the
South Asian Health Foundation which
promotes research relating to this
community. In this role, he is said to
galvanise researchers.
Board, Dr McLean joined the NTDA in late
2012. She continues to carve out the medical
leadership agenda at the body supporting
and regulating non-foundation trusts.
l Dr Martin McShane
Director for long term conditions, NHS England
With around 15 million people in the UK
suffering from a long term condition (and
counting), Dr McShane’s job is a challenging
one. At the start of the year, he warned that
LTCs were at risk of overwhelming the NHS.
He has proposed the establishment of
complex care GP practices, which would
only see patients with complex needs.
l Dr Ramesh Mehta
President of the British Association of Physicians
of Indian Origin
You may not agree with the judicial review
this consultant paediatrician brought
against the Royal College of General
Practitioners and the General Medical
Council, alleging racial discrimination in
their exams. And it was ultimately
unsuccessful. But his actions have increased
attention on the significant issue of
differential attainment in medical education
– and the need to do something about it.
l Professor Karen Middleton
Chief executive, Chartered Society of
Physiotherapists
During seven years as chief health
professions officer, Professor Middleton had
the task of leading more than 80,000 allied
health professionals (AHPs) working across
14 different professions. Far from simple, but
Professor Middleton established a strong
record of clinical leadership. Arguably her
biggest achievement was enabling certain
AHPs to independently prescribe. She took
up her role at the Chartered Society of
Physiotherapists in February, and few would
bet against her displaying similarly effective
leadership here.
l Dame Gill Morgan
Chair, Foundation Trust Network and Alzheimer’s
Society
A member of HSJ’s Future of NHS
Leadership inquiry, Dame Gill has an
impressive CV: from public health doctor to
senior healthcare management to
permanent secretary at the Welsh
government assembly. She retired from the
last of those roles in 2012, but her two most
recent appointments ensure her expertise
remains relevant and valued in healthcare.
l Sir Stephen Moss
Non-executive director, Derby Hospitals
Foundation Trust
Few would envy the job Sir Stephen held
from 2009 to 2012: chair of Mid
Staffordshire Foundation Trust. It was he
who led the organisation through the
12 Health Service Journal supplement 24 October 2014 hsj.co.uk

14. l Dr Matthew Patrick
Chief executive, South London and Maudsley
Foundation Trust
Dr Patrick is part of a very rare breed: the
clinician who is chief executive. He took up
the top job at SLAM in October 2013, and
has impressed locally by bringing his clinical
expertise and skills to his management role.
But his influence is wider – he has
contributed to a range of national mental
health policies, including the development of
the improving access to psychological
therapies programme.
l Dr David Pencheon
Director, NHS Sustainable Development Unit
Dr Pencheon is a key figure promoting the
need for, and awareness of, greater
sustainability within the NHS in England,
reducing the service’s carbon and
environmental footprint. Our judges
applauded Dr Pencheon’s continuing efforts
in this area, especially his practical approach
to engaging both the public and NHS
employees.
l Dr Mark Porter
Media doctor
The very term “media doctor” may be met
with suspicion in medical circles but Dr
Porter’s rational and informed writing,
analysis and broadcasting for The Times, the
BBC’s One Show and Radio Four continues
to be respected. As our judges put it: “For a
doctor in the media he is sensible and
evidence-based; we take him seriously.”
l Dr Dan Poulter
Parliamentary under secretary of state, DH
Dr Poulter’s inclusion led to intense debate –
was the rarity of having a practising clinician
in a ministerial role reason enough to make
him an HSJ Clinical Leader, especially in an
administration pushing through
controversial health reforms? Our judges
concluded: “Whether we like what he’s
doing or not, he has influence.”
l Professor Wendy Reid
Director of education and quality, Health
Education England
Formerly medical director at Health
Education England, Professor Reid was
appointed director of education and quality
in March. Her work around emergency
medicine workforce planning has been
influential and our judges felt that, in her
new post, she will continue to have an
important leadership role.
l Professor Anthony Rudd
National clinical director for stroke, NHS England
As London’s first clinical director for stroke,
Professor Rudd brought “common sense” to
stroke services in the capital, our judges
argued, and his move last year to a national
role therefore bodes well.
l Professor Sir John Savill
Chief executive, the Medical Research Council
The MRC, as one of the major funders of
NHS research, plays a pivotal and
increasingly influential role in the health
service – especially as trusts are under more
pressure to be “research active”. As its head
(and reappointed in March until 2016),
Professor Savill therefore once again merited
a place as a top clinical leader, judges felt.
l Professor Laura Serrant-
Green
Professor of community and public health
nursing, School of Health and Wellbeing,
University of Wolverhampton
Professor Serrant-Green was one of HSJ’s
Inspirational Women earlier this year. Her
inclusion as a Top Clinical Leader recognises
both her influence in higher education and
her pioneering clinical work, notably within
the African Caribbean community and
especially in the area of male prostate cancer.
l Professor Janice Sigsworth
Director of nursing, Imperial College London
Professor Sigsworth joined Imperial’s
Academic Health Services Centre back in
2008 from the Department of Health, where
she had been England’s deputy chief nurse.
As one of the service’s most senior nurse
leaders, she is, our judges argued, “highly
respected but known for having her feet on
the ground”.
l Dr Geraldine Strathdee
National clinical director, mental health, NHS
England
A consultant psychiatrist at Oxleas
Foundation Trust and visiting professor at
UCLPartners, Dr Strathdee has been a senior
and influential figure within mental health
policy for more than 20 years. With mental
health provision becoming an increasingly
high-profile issue, her inclusion as an HSJ
Clinical Leader was unquestioned.
l Professor David Taylor
Director of pharmacy and pathology, South
London and Maudsley London School of
Pharmacy
It’s hard to know where to start in terms of
gauging Professor Taylor’s influence – his
day job; editor-in-chief of Therapeutic
Advances in Psychopharmacology; his work
with King’s Health Partners; lead author of
the Maudsley Prescribing Guidelines. Our
judges, certainly, praised his constant focus
on improving patient experience and on
engaging and collaborating with others.
l Jacqueline Thompson
Nurse consultant, older people, NHS Tayside
One of our judges called Ms Thompson “one
of the most impressive nurses I’ve met”, in
particular citing her work around
cardiothoracic surgery, nurse led prescribing
and acute medicine. Primarily nominated for
work as advanced nurse practitioner at
Central Manchester University Hospitals
Trust, Ms Thompson moved north in
August, becoming one of just three nurse
consultants for older people in Scotland.
l Professor Sir John Tooke
President, Academy of Medical Sciences
Professor Tooke has been president of the
Academy since November 2011. He is also
vice provost (health) and head of the
medical school at UCL. Our judges praised
him for being not just a “distinguished
clinical investigator” but also for having
done a “very good” job as president.
l Professor Patrick Vallance
President pharmaceuticals R&D, GSK
Professor Vallance’s leadership has
“revolutionised the way GSK organises itself
in R&D” our judges agreed. Indeed, he is
arguably “the great white hope of one of our
remaining pharmaceutical companies in the
UK”, they felt.
l Professor Sir Simon Wessely
President, Royal College of Psychiatrists
There was some debate as to whether
Professor Sir Simon should be included
within our list, given that he only took office
in June and therefore has had limited time to
make his mark. Nevertheless, his
distinguished clinical track record, and the
fact he is now in such an influential position,
meant the consensus was yes.
l Professor Sir Norman
Williams
Chair, Health Education England commission on
safety and past president, Royal College of
Surgeons
Professor Sir Norman was appointed by
HEE in August, building on the
government’s Sign up to Safety campaign.
However, his inclusion in this year’s list was
primarily as “one of the greatest presidents
of the Royal College of Surgeons in living
memory”, our judges argued, in particular
his achievement in “corralling” surgeons
into putting their results into the public
domain. l
POLICY
INNOVATION
TRANSFORMATION
hsj.co.uk 24 October 2014 Health Service Journal supplement 13