Meet the team

Executive Team

Jim Mackey – Chief Executive

s216_Jim-Mackey-chief-executive-Jim Mackey became Chief Executive of Monitor and the NHS Trust Development Authority and Chief Executive Designate of NHS Improvement on 1 November 2015.

Jim is an qualified accountant who joined the NHS in 1990. His previous roles have included:

  • Chief Executive of Northumbria Healthcare NHS Foundation Trust
  • Interim Chief Executive of Northumberland Care Trust
  • Chief Operating Officer of Northumbria Healthcare NHS Trust
  • Regional Director of Finance at the Regional Health Authority
  • Deputy Chief Executive of Northumbria Healthcare NHS Trust
  • Director of Finance at North Tyneside Healthcare NHS Trust

He has a keen interest in quality of care, especially patient and family experience and has participated in a number of reviews and national projects, including the Dalton Review in 2014.

Bob Alexander – Deputy Chief Executive – 020 7932 1940

Before his appointment as Chief Executive, Bob served as Director of Finance at the NHS TDA.  Prior to this Bob was the Finance Director of NHS South of England and the Director of NHS Finance at the Department of Health from 2007. There he led on NHS Financial policy and performance as well as being responsible for the national tariff programme and finance issues underpinning the Health Reform Programme. Bob was a Strategic Health Authority (SHA) Finance Director from 2002 to 2007, first with Kent and Medway SHA then with South East Coast SHA.

Prior to this Bob held senior financial positions in different sectors, both public and private. He is CIPFA qualified and is currently a co-opted CIPFA Council member.

Elizabeth O’Mahony – Director of Finance – 01823 361340

Before taking on the role of acting Finance Director, Elizabeth was the Director of EOM Profile PhotoCorporate and Strategic Finance for the NHS Trust Development Authority.

Elizabeth has spent most of career in NHS Finance and worked across a number of provider and commissioning organisations and in the intermediate tier at a strategic and operational level.   Elizabeth was formerly Director of Finance for the South West Strategic Health Authority where she developed financial frameworks which supported the financial success of the region.   Elizabeth’s portfolio of financial experience is wide-ranging and includes financial turnaround, provider development and mergers and acquisitions.  She has been actively involved in the development of national financial policy for a number of years.

She is a fellow of the Association of Chartered Certified Accountants.

Ralph Coulbeck – Director of Strategy – 020 7932 1968

Ralph Coulbeck-3Ralph began his career on the NHS Management TrainingScheme and has worked in the NHS, parliament and government. Before taking up his current post, Ralph was Chief Adviser to the NHS Chief Executive and worked on key strategic issues such as the Next Stage Review, the QIPP challenge, and the current health reforms.

Dr Kathy McLean – Medical Director – 0161 625 7203

Kathy MDr Kathy McLean is Medical Director at the NHS Trust Development Authority. Until recently, she was the Clinical Transitions Director in the NHS Medical Directorate supporting Sir Bruce Keogh to embed clinical expertise and leadership at the heart of the NHS Commissioning Board. She also worked to influence how the commissioning system will continuously improve quality in the NHS in a range of ways including through clinical networks and new clinical senates.

Kathy was Medical Director at East Midlands Strategic Health Authority and prior to that was Medical Director at Derby Hospitals NHS Foundation Trust where she was a physician from 1994 until 2009.

Peter Blythin – Director of Nursing – 0161 625 7266

Peter qualified as a general nurse in Liverpool, before completing mental health registration in North Wales. Scholarships in America and Australia contributed to a clinical career in accident and emergency. Peter holds a BSc in Nursing from Manchester Metropolitan University and an MBA from the University of Leeds.

Peter has a strong clinical background and has a wealth of experience of the National Health Service. He has held a number of Board positions and recently joined the Department of Health National Quality Team as Director of Nursing having spent the last four years as the Director of Nursing and Workforce at West Midlands Strategic Health Authority. He works closely with the Department of Health Chief Nurse and is familiar with the development of national policy.

Anne Eden – Director of Delivery & Development (South)

Anne Eden

Anne took up the post of Director of Delivery and Development in the South of England in April 2015.  With more than 30 years’ experience in the NHS Anne started her career as an NHS management trainee and has experience in acute and teaching hospitals, mental health, community and specialist services.

She joined Buckinghamshire Healthcare NHS Trust as Chief Executive in December 2006. She led the integration of the county’s acute and community services in 2010.

Previously Director of Clinical Services at Hammersmith Hospitals and Director of Services at St Mary’s Hospital, Paddington; Anne has also worked for the Department of Health and in 2013 chaired the Better Training, Better Care group on behalf of Health Education England, which looked at how spending time in and out of hospital settings could help doctors determine their specialist futures.

Anne has an MBA and is a qualified performance coach and a graduate member of the Institute of Health Services Management and the Chartered Institute of Marketing. In 2012 she became a visiting professor at Bucks New University and advisor to the faculty of society and health; supporting the Institute of Applied Leadership’s MA in Leadership and Management programme.

Dale Bywater – Director of Delivery & Development (Midlands and East) – 01332 888160

Dale was previously the National Director of Provider Delivery (interim) working within the Department of Health. In additon he held  a substantive role as Director of Provider Development for the Midlands and East SHA Cluster, having undertaken a similar role previously within NHS East Midlands. Previous SHA roles include Director of Performance, Operations and Commissioning, and Director of Planning & Delivery.

Prior to working in an SHA he was National Associate Director leading a number of national programmes including, the development of NHS Treatment Centres, and service improvement programmes to improve day surgery and operating theatre efficiency within the provider sector.

Dale spent the first 10 years of his career working with a variety of senior operational roles within NHS acute teaching hospitals.

Portfolio Directors: Jeff Worrall (, Mark Cubbon ( and Fran Steele (

Lyn Simpson – Director of Delivery & Development (North)

Based on an important foundation of Nurse, Health Visitor and Midwife posts, Lyn Simpson

Lyn Simpson

Lyn Simpson

has successfully pursued an extensive and progressive career within the National Health Service occupying a series of high profile and responsible senior management positions up to Trust Board level within the Community and Acute healthcare sectors. Lyn held an operational performance and service improvement role at SHA level for five years before moving to the Department of Health to support the Deputy NHS Chief Executive as Director of NHS Operations.  Lyn has joined the NHS TDA to oversee the transition from NHS Trust to Foundation Trust status for organsiations in the North of the Country.

Portfolio Directors: Ian McInnes ( &  Dean Spencer (

Non-Executive Team

Sir Peter D Carr CBE – Chair – 0191 210 6420

Sir Peter Carr chaired the North East Strategic Health Authority until 3rd October 2011 when it was re-shaped under the government reforms.  He has been appointed to the Chairmanship of a new national NHS organisation and is a Vice-Chair of the NHS North of England SHA Cluster.  He has held Chairmanship of NHS organisations in the NE region since 1990 when he led the Regional Health Authority.  He is a member of Court of Newcastle University and the Newcastle University Business School.

In the 1980’s he held a senior position for 5 years in the diplomatic service based in Washington DC, where he engaged in a range of key negotiations on behalf of the British Government.  He has held senior and national positions with the Department of Employment, was a founding Director of the Advisory Conciliation and Arbitration Service (ACAS) and a Director of the Commission on Industrial Relations.  From 1993 to 1997, during a period of intense reform, he was Chairman of the Occupational Pensions Board.

He has a long standing interest in economic development and led the regional task force in the North East established by Central Government in the 1990’s.  He has maintained that interest by chairing an economic development board and has made a special international study of research parks.

For ten years he chaired a commercially successful waste management and recycling company.

In his early career Peter Carr worked as a lecturer in Management Structures and Labour Market Economics.  He began his working life as a cabinet maker.  He and his wife Geraldine live in Corbridge, Northumberland.

Dame Christine Beasley – Chair of Appointments Committee

Dame Christine Beasley served the NHS in a number of roles during a 50 year career. She started as student nurse in the Royal London Hospital in 1962.  Dame Christine held a number of Regional nursing, operations and organisational development posts and in 2002 was appointed Head of Development and Nursing in the Department of Health’s Directorate of Health and Social Care. In 2003 she was appointed Partnership Development Director of the Modernisation Agency. A year later, she took up her final role as Chief Nursing Officer for England, a post she held until 2012.

In parallel with her executive career, Dame Christine has been a member of various national nursing and health related committees. She has also been appointed to a number of non-executive positions in the health, charity and higher education sectors. In 2008, she was appointed Dame Commander of the Order of the British Empire for her public and voluntary service.

Sarah Harkness – Chair of Audit Committee

Sarah Harkness is an experienced finance professional who has worked at the highest level in a range of roles and organisations.

Sarah started her executive career in banking and in 1992 was appointed as Corporate Finance Director of NatWest Markets at the age of only 30. Six years later she moved to Arthur Andersen, where she remained until 2002. She left this role as she had been recruited to launch the corporate division of Directorbank Executive Search Ltd, which specialised in non-executive recruitment. While there, Sarah took on her own first non-executive roles in the private sector, as Director on the board of Homestyle Group PLC, a financially challenged retailer with an annual turnover of £400m and Chairman of McInnes Corporate Finance. In 2005 she was appointed as Chairman of Keyways Publishing Ltd.  Most recently, in 2011, she was appointed as non-executive director of JRI Orthopaedics Ltd and now chairs its Audit, Risk and Policy Committee.  She has also recently took up a role as Consultant with Cooperativa.

Caroline Thomson Non-Executive Director  CarolineThomson_2351032b

Caroline Thomson is Chairwoman of Digitaluk, a not for profit organisation formed by broadcasters to assist consumers in the conversion to digital TV. Ms Thomson is also a Trustee/Deputy Chairman at the National Gallery.


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