Who we are

Board members

The NHS London Board is made up of:

  • 5 non-executive directors (including the Vice Chair, who is the Interim Chair of the Board)
  • 5 executive directors (including the Chief Executive)

There are also 6 associate directors who attend Board meetings

Non-executive directors

Professor Mike Spyer Chair of the Board
Mike Bell Vice Chair
Rachel English
Rima Makarem
Ian Harrison
Michael Parker

Associate Member

Jane Ramsey


Executive directors

Dame Ruth Carnall DBE, Chief Executive
Paul Baumann, Director of Finance and Investment
Trish Morris Thompson, Chief Nurse
Dr Simon Tanner, Director of Public Health
Dr Anne Rainsberry, Director of People and Organisational Development, and Deputy Chief Executive


Associate Directors

Stephen Webb, Director of Communications and Public Affairs
Hannah Farrar, Director Strategy and Commissioning Development
Sara Coles, Director of Performance
Dr Andy Mitchell, Medical Director
John Goulston, Regional Director of Provider Development and Director of LPfIT


Pictures and profiles for each of the members are shown below.

Non - Executive Directors


Professor Mike Spyer - Chair for NHS London

Mike SpyerProfessor Mike Spyer is recently retired from his post as Vice-Provost (Enterprise) at UCL. He was previously Vice-Provost (Biomedical) and Dean of UCL's Medical School. He is a neuroscientist with extensive research accomplishments in the field of the central nervous control of the heart, circulation and ventilation. His research has been, and continues to be, supported by the Wellcome Trust, the British Heart Foundation and the Biotechnology and Biological Sciences Research Council (BBSRC). Professor Spyer sits on numerous national and international scientific grant committees and was awarded an Honorary Doctorate of Medicine by the University of Lisbon in 1991. He was made a Founder Fellow of the Academy of Medical Sciences in 1998 and an Honorary Fellow of the Royal College of Physicians in 2002. He is on the Board of both biotech companies and the Anthony Nolan Trust. He was recently appointed President of the Physiological Society.


Mike BellMike Bell - Vice Chair for NHS London

Mike Bell is the director of a research and consultancy company, Michael Bell Associates, which works with central and local government on issues relating to social and financial exclusion and specialises in working with marginalised communities. Prior to establishing his company he was the Chief Executive of a national charity supporting community-based advice and legal services across the UK. He has also previously worked with the NHS in a number of roles.


Rachel English

Rachel English

Rachel is an economist and chartered accountant. She is the Founder of Helios Social Enterprise, and is currently a Non-Executive Director of the Global Carbon and Capture Institute (GCCSI) and the Audit Committee at the Department of International Development (DFID). Rachel has over 25 years' international experience in the energy sector, working in Europe, the Americas, former Soviet Union, Africa and Asia. She has held senior positions in leading energy blue chips, including BG Group and Shell, with responsibilities spanning corporate strategy, mergers and acquisitions, business planning, project finance and business development, and was the Chief Financial Officer of a UK-listed energy company. Rachel has also worked for the World Bank and the European Bank for Reconstruction and Development, developing policy and structuring investments, and began her career at Coopers & Lybrand (PwC). Rachel is a graduate of Oxford University and a Fellow of the Institute of Chartered Accountants in England and Wales.


Rima Makarem

Rima MakaremRima Makarem was a non executive director and Chair of Audit & Governance for NHS Haringey from 2007 until she was seconded to NHS London. She previously worked for GlaxoSmithKline for six years, where she was latterly director of competitive excellence, managing special corporate projects for the chief executive officer and operating board. Prior to this, she was a management consultant, advising FTSE 100 companies on financial, strategic and operational issues. The Government Equalities Office and Cabinet Office appointed Rima as an ambassador for diversity in public appointments as part of a major national programme to encourage more people in under-represented groups to apply for public positions. Rima holds a PhD in Biochemistry and an MBA from INSEAD.


Ian Harrison

Ian Harrison, Non-Executive DirectorIan Harrison was a Non-Executive Director of Barts and the London NHS Trust, where he also chaired the Audit Committee, from April 2008 until November 2010, when he was seconded to NHS London. He is a Managing Director of the Association for Financial Markets in Europe, which he joined in 1999 from Courtaulds, the international chemicals group, where he was Group Financial Controller and Company Secretary. In his earlier career he worked as a management consultant, a lecturer at a leading US business school, a corporate planner, chief executive of a transport company, and in a range of senior financial positions with Unilever. Ian was educated at St Paul's School, Heidelberg University and Balliol College, Oxford where he read mathematics. Amongst his other activities, he is Vice-Chairman of the Hampstead, Wells & Campden Trust, a Trustee of Community Action, and a Governor of Westminster School.


Michael Parker

Michael ParkerMichael Parker is a fellow of the Association of Chartered Certified Accountants (ACCA). He served as a Non-Executive Director and Vice Chair of Guy's and St. Thomas's NHS Trust before being appointed as Chair of King's in 2002. Michael is a Director of KCH Commercial Services Ltd. He is the President of the Sickle Cell Society and Treasurer of the Mary Seacole Memorial Statue Appeal. Michael is also a Board member of the Food Standards Agency; an external adviser to the Royal College of Nurses' Audit Committee and Pension Committee; Chair of NHS London's Diversity Reference Group and a member of its Leading for Health Reference Group; Acting Chair of ACCA's Corporate Governance & Risk Management Committee and the ACCA Health Panel.


Associate Member


Jane RamseyJane Ramsey

Jane Ramsey has been a member of the Board of UCLH since December 2006 and was Chair of Lambeth PCT for five years prior to joining that. She has undertaken a range of non-executive roles including as a lay member of the Royal Pharmaceutical Society of Great Britain and chair of a local housing association. Before that she was Vice-chair of Lambeth, Southwark & Lewisham Health Authority and a senior lawyer in local government in London, latterly as Director of Law and Public Services at Islington Council. She is currently a non-executive member of the Department of Health Audit Committee and a lay member of the Royal College of Veterinary Surgeons Investigations Committee.


Executive Directors


Ruth CarnallDame Ruth Carnall DBE - Chief Executive

Ruth Carnall was appointed Chief Executive of NHS London in March 2007. From September 2006 she worked as NHS London's Interim Chief Executive. Between 2004 and 2006 she was a freelance consultant working for government departments including the Prime Minister's Delivery Unit and the Home Office as well as for the health service. Prior to 2004 Ruth worked in the NHS for over 25 years. During this time, she undertook senior leadership positions at local, regional and national levels. In 1992 Ruth became Chief Executive at Hastings and Rother NHS Trust. She was Chief Executive of the West Kent Health Authority for six years before taking the position of Regional Director, South East and then Director of Health and Social Care for the South. From April 2003 to September 2004 Ruth served as Director of the Departmental Change Programme at the Department of Health. She was awarded the CBE in 2004 and appointed a Dame Commander of the British Empire in 2011 for services to the NHS.


Paul BaumannPaul Baumann - Director of Finance and Investment

Paul Baumann joined NHS London in May 2007 and brings over 22 years of experience of financial management and strategic leadership from his career with Unilever. He began his working life in Unilever's UK animal feeds business, undertaking a variety of finance and general management roles. He was involved in the eventual sale of the business to one of its leading competitors. He undertook financial leadership roles in operating companies in Germany and Ireland, culminating in the position of CFO of Unilever's largest European subsidiary in Germany. In 2001 he developed a strategy for the corporations finance function and became the founding director of the global Finance Academy. He is a Fellow of the Chartered Institute of Management Accountants.


Trish Morris-ThompsonTrish Morris Thompson - Chief Nurse

Trish Morris-Thompson trained at Whipps Cross Hospital in East London, and qualified as a Registered General Nurse in 1982 then as a Registered Midwife in 1986. Trish has a BA (Hons) in Health Studies and Applied Social Sciences (1991), an MBA from Hull University (1993), and in 2007 was awarded a Visiting Professorship by the Faculty of Health and Social Care at London South Bank University. Trish has extensive experience in healthcare gained through her work in London, the East and West Midlands, and South Australia. Prior to taking up her role at NHS London Trish was Executive Director of Nursing for the former North East London Strategic Health Authority.


Simon TannerDr Simon Tanner - Director of Public Health

Dr Simon Tanner was appointed by the Chief Medical Officer to the post of Regional Director of Public Health London and Health Adviser to the GLA in June 2007. Previously he was Regional Director of Public Health South Central from July 2006. Prior to that Simon was the Director of Public Health and Medical Director at the former Hampshire and Isle of Wight SHA and before that, Director of Public Health with the North and Mid Hampshire Health Authority until it was dissolved in March 2002. Simon qualified as a doctor in 1981 and spent eight years as a Principal in General Practice before training in public health medicine. During his time as Regional Director of Public Health in London he has concentrated on public health priorities for London, networking with external stakeholders and building a public health framework across London.


Anne RainsberryDr Anne Rainsberry - Director of People and Organisational Development and Deputy Chief Executive

Dr Anne Rainsberry has worked in health for over 20 years both in general management and in human resources roles. She first became an HR Director in the NHS in 1995 holding a number of Board level positions in London. Anne joined the Department of Health in 2001, working firstly as Director of Workforce Development in the South East Regional Office and latterly the Department of Health and Social Care Sector, with responsibility for leading the delivery of workforce modernisation in the NHS and Social Care across the south east and subsequently the south of England. In 2004, she was appointed as Director of Human Resources for the Department of Health with responsibility for the Department and its agencies and leading HR policy for its 26 arms length bodies. In 2005 she was awarded Doctorate of Business Administration with distinction and in 2006 was appointed to her present role. Anne is also Deputy Chief Executive.


Associate Directors


Sara Coles Sara Coles - Director of Performance

Sara Coles has worked at NHS London since October 2008. For the three years prior to joining NHSL she worked at the Department of Health in two national roles as Director, 18 weeks Intensive Support Programme and Director, National Cancer Waits Project. She has nearly 20 years experience in the NHS, predominantly in acute hospital operational management roles, with her latest experience in Deputy Chief Executive and Director of Operations posts.


Hannah FarrarHannah Farrar – Director of Strategy and System Management

Hannah Farrar joined NHS London in June 2006 initially as deputy director of Strategy & Commissioning. In September 2008, Hannah took up the position of director of the newly formed Strategy and System Management directorate. Previously Hannah has worked for the Department of Health, joining on the Civil service fast-stream programme. She worked in a number of roles, focusing on change and system reform. In 2005 Hannah moved to Monitor as a Senior Policy Advisor, where she was the author of the first three-year strategic plan for the regulator of NHS Foundation Trusts.


Stephen WebbStephen Webb - Director of Communications and Public Affairs

Stephen Webb has over 14 years experience in media relations and communications in complex government and public sector roles. Stephen joined NHS London as Communications Director in April 2008 and has played a lead role in building the capacity and capability of NHS communications in London. He was previously Director of Group Communications for Transport for London, with responsibility for a broad range of the organisation's key strategic communications work, including Government and stakeholder relations and internal communications. Stephen joined TfL in 2001 after working in media relations for a number of government departments. He was deputy head of the TfL media team that won the 2006 CIPR award for Crisis Communications following the July 2005 London bombings and has lectured in the UK and abroad on crisis communications.


Dr Andy MitchellDr Andy Mitchell - Medical Director

Dr Mitchell joined NHS London in 2009. His has worked in the Armed Services and remains a civilian adviser to the Defence Medical Services. As Joint Service Clinical Director he was responsible for world wide intensive care retrieval of sick children. In 1997 he established the Central South Coast Paediatric Intensive Care network and chaired through seven years of development. In 2006 he began working as Associate Medical Director at Great Ormond Street, where he facilitated the London children's pathway group as part of the NHS Next Steps review. He was a member of the London Clinical Advisory Group, and co-directs the Health care for London Children's project. He continues in part time general paediatric practice.


John GoulstonJohn Goulston - Regional Director of Provider Development and Director of LPfIT

John Goulston is Regional Director of Provider Development, and Director of LPfIT at NHS London. In this role as Director of Provider Development John leads on the Foundation Trust Pipeline for London's 26 NHS Trust's. This involves leading on the SHA's assurance process for reviewing both Trust's FT applications and the development of mergers and acquisitions where agreed in principle by trusts. From March 2008 to January 2011, John was Chief Executive at Barking, Havering & Redbridge University Trust following a secondment as acting chief executive. Over the period 2002 to 2007, John was Acting Chief Executive, Deputy Chief Executive and Director of Finance at Barts and The London NHS Trust. This role included leading on the approval of the FBC, contract agreement and the first year of construction for the £1bn PFI redevelopment of Barts and the Royal London Hospitals. John was also Director of Finance at the Royal Free Hampstead NHS Trust from 1995 to 2002. Overall John has 20 years experience as a Director of Finance and Chief Executive with NHS providers. John also has six years experience working for Coopers & Lybrand; first in the audit and then in the healthcare consultancy practice.

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