Published: 10/01/2001, Volume 112, No. 5787 Page 11 12 13
The vital statistics of the 27 chief executives poised to run strategic health authorities suggest that the cliché of the middle-aged, grey-suited bureaucrat is alive and well.
Over two-thirds of the new appointments are men.Most - 17 - are already running HAs, with five from trust chief executive backgrounds and four from regional offices. All have experience of running NHS organisations, and appear in the main to have been slotted in conveniently to local organisations.
NHS chief executive Nigel Crisp describes them as a 'youngish' group, which is 'very dynamic'. It is true that the average SHA chief executive is more likely to be in his or her forties than fifties.
And there are some splashes of colour amid the grey. Among the 27 appointments made to the 28 posts (one is still vacant) are men and women who are not frightened of fighting their own corner in public. Stand up, Jane Herbert, Carolyn Regan, Mike Marchment, Ken Jarrold and Terry Hanafin.
Others, like Ron De Witt and Geoff Scaife, have hit the headlines for circumstances they might have preferred to avoid.
Mike Marchment, director of performance management for Trent, left his job as chief executive of Warwickshire HA in 1998 after a row with the local medical committee, which claimed to have been excluded from talks on the setting up of primary care groups.The GP press claimed a vote of no-confidence in Mr Marchment had been held. In fact, LMC chair Andrew Kennedy told HSJ at the time that no such vote was held - because 'we did not need to'.
Carolyn Regan, chief executive of East London and the City HA, met brief notoriety as chief executive of West Hertfordshire HA when it threatened to dock the pay of a GP who was issuing NHS prescriptions for Viagra against the HA's wishes, for which she won a rap over the knuckles from the NHS Executive. Her mettle was further tested in her current role when she protested against methods of allocating inequalities payments which short-changed the HA.
Terry Hanafin, director of public services research at the Audit Commission for England and Wales, was chief executive of Croydon HA from 1993-99 and showed he was not afraid to speak against the government.At a 1999 conference he accused new minister John Hutton of 'pandering to the tabloids' by parroting the line that community care had 'failed'.
As chief executive of South Manchester University Hospitals trust, Jane Herbert opposed plans for a city-wide mental health trust proposed by Manchester HA.
Before that she wrote to the then health secretary, Frank Dobson, warning him to drop plans which would not have allowed trusts to take out commercial insurance.
Then there is 'veteran' NHS manager Ken Jarrold - who inspired a new generation of managers, as well as bringing to an end the computer scandal of Wessex regional health authority in the early 1990s.Mr Jarrold had feared he could be 'too much of an old lag or politically incorrect' to win one of the 28 SHA jobs.
Geoff Scaife, chief executive of Birmingham HA since September 2000, left his job as chief executive of the NHS in Scotland earlier that year, refusing to comment on allegations that differences of opinion with the then health minister, Susan Deacon, were behind a whispering campaign that saw him ousted.
And who could accuse Ron De Witt, chief executive of King's College Hospital, of shying away from controversy? Soon after arriving at King's he won few friends when he stopped Lambeth community health council members making unannounced visits. But it was his hunger for interior design that kept him in the headlines - the£73,000 spent on office furniture while chief executive of Leeds HA, and two splurges at King's that saw a£25,000 office makeover followed, a year later, by a£79,000 refit of the management suite.
London's SHA chief executives and chairs North Central London Chief executive: Christine Outram is chief executive, Barnet, Enfield and Haringey HA. She was chief executive of Enfield and Haringey HA from 1995 until its merger with Barnet HA in 2001. Before that she was chief executive of Enfield and Haringey family health services authority.
Chair: Marcia Saunders, a former assistant director of social services, is chair of Barnet, Enfield and Haringey HA and an assessor for the General Medical Council and Commission for Health Improvement.
North East London Chief executive: Carolyn Regan is chief executive, East London and the City HA.
Chair: Elaine Murphy is visiting professor in psychiatry, Queen Mary, London University, and chair of East London and the City HA.
North West London Chief executive: Ron De Witt is chief executive, King's College Hospital.
Chair: Jane Kelly, a solicitor and management consultant, has been chair of West Middlesex University Hospital trust since 1992 and is a visiting fellow in health studies at York University.
South East London Chief executive: Duncan Selbie is chief executive, South West London and St George's Mental Health trust. One of the youngest appointments, Mr Selbie, 39, has spent 22 years in the NHS. The last decade has seen him working in community trusts in London. Mr Selbie will start working full-time for the SHA next week, although officially he remains in his trust post until April.
Chair: Linda Smith, currently chair of Lambeth, Southwark and Lewisham HA, is an organisation development consultant.
South West London Chief executive: Julie Dent is director of performance management, London region. Ms Dent has worked in the regional office for four years. Before that she was chief executive of Ealing, Hammersmith and Hounslow FHSA and director of commissioning at Ealing, Hammersmith and Hounslow HA.
Chair: James Cochrane was a director of Glaxo Wellcome until a year ago, responsible for its international operations.
Midlands and Eastern - who's who Bedfordshire and Hertfordshire Chief executive: Jane Herbert, chief executive, South Manchester University Hospitals trust, joined the NHS in Scotland 10 years ago and was chief executive of West Glasgow Hospitals University trust from 1994-98.
Chair: Ian White is chair of South East Herts primary care trust and a former director of social services.
Birmingham and the Black Country Chief executive: Geoff Scaife has been chief executive of Birmingham HA since September 2000, and was chief executive of the NHS in Scotland from 1993-2000.
Chair: Elisabeth Buggins, a freelance educator with involvement in the voluntary sector, is chair of Walsall Community Health trust.
Coventry, Warwickshire, Herefordshire and Worcester Chief executive: Mike Marchment, director of performance management, Trent regional office, was chief executive of Southern Derbyshire HA from 1998-2000 and of Warwickshire HA for two years before that.
Chair: Charles Goody, director of a company specialising in computer based workflow solutions, is chair of Coventry Healthcare trust.
Essex Chief executive: Terry Hanafin is director of public services research at the Audit Commission for England and Wales. He was chief executive of Croydon HA from 1993-99, and before that chief executive of the London borough of Lewisham.
Chair: Michael Brookes, a former manager with Ford, is chair of South Essex HA.
Leicestershire, Northamptonshire and Rutland Chief executive: David Sissling, chief executive, Northamptonshire HA, was chief executive of Leicester Royal Infirmary trust from 1998-2000.
Chair: Sir Richard Tilt is a former director general of the prison service and chair of Northamptonshire HA.
Norfolk, Suffolk and Cambridgeshire Chief executive: Peter Houghton is director, Eastern regional office. He was director of strategic development for Anglia and Oxford regional office from 1994-98 and chief executive of Hinchingbrooke Health Care trust from 1991-93. He faced flak from critics for failing to give adequate support to 'bodies in the chapel' chief executive Ken Williams, who left Bedford Hospital trust a year ago.
Chair: Stewart Francis is a non-executive director at Cambridgeshire HA and chair of the Rail Passengers Council.
Shropshire and Staffordshire Chief executive: Dr Bernard Crump is acting chief executive, Leicestershire HA. Dr Crump has been the HA's public health director since 1995. Before that he was public health director for South Birmingham HA. He is visiting professor of public health at Leicester University. Leicester has faced a series of public health crises, including the deaths of five people from variant Creutzfeldt-Jakob disease within a five-kilometre radius, a TB outbreak and a cervical smear audit that showed 14 deaths among women who had been given the all-clear.
Chair: Michael Brereton, politics lecturer and former leader of Newcastle- under-Lyme council, is chair of North Staffordshire HA.
Trent Chief executive: Alan Burns, chief executive, Cambridgeshire HA, became district general manager of Peterborough HA from 1985-92, and was then chief executive of North West Anglia HA.
Chair: Arthur Sandford is chair of Christie Hospital trust.
The new line-up in the North Cheshire and Merseyside Chief executive: Christine Hannah, director of strategic development at North West regional office, began as a management trainee. She was director of HR for Mersey RHA before being appointed chief executive of South Cheshire HA in 1993.
Chair: Judith Greensmith, chair of Liverpool HA, is a freelance management consultant.
County Durham and Tees Valley Chief executive: Ken Jarrold is chief executive, County Durham and Darlington HA. Mr Jarrold joined the NHS as a national administrative trainee in 1969.
Chair: Tony Waites is chair of Tees HA as well as chairing the Health in Teesside partnership board, and is a local magistrate.
Cumbria and Lancashire Chief executive: Pearce Butler is chief executive, Royal Liverpool and Broadgreen University Hospitals trust.Mr Butler was chief executive of Wigan and Bolton Hospitals trust, Wirral HA and the Royal Liverpool Children's trust. He began his career as a community worker in Liverpool.
Chair: Kath Reade, a lecturer in health and social care, is chair of East Lancashire HA and was leader of Burnley borough council until 1998.
Greater Manchester Chief executive: Neil Goodwin is chief executive, Manchester HA, where he has been since 1994. He was chief executive of St Mary's trust in London and Central Middlesex Hospital. Seen as one of the NHS's more cerebral players, his views on leadership have influenced policy.
Chair: Philip Smith, a solicitor, is chair of Stockport HA.
North and East Yorkshire and Northern Lincolnshire Chief executive: David Johnson is chief executive, Leeds Teaching Hospitals trust. He was appointed chief executive of St James' Hospital trust in 1992.
Chair: Professor David Johns chairs the Prescription Pricing Authority and is retired vice-chancellor and principal of Bradford University.
Northumberland, Tyne and Wear Chief executive: David Flory is chief executive, Newcastle and North Tyneside HA since 1999. Before that he worked at Northern RHA and then Northern and Yorkshire regional office.
Chair: Peter Carr, chair of Newcastle and North Tyneside HA, is also chair of Durham County waste management company.
South Yorkshire Chief executive: Mike Farrar is chief executive, Tees HA. He was NHS director of primary care, head of general medical services and mental health policy implementation manager for the Department of Health.
He is heading the NHS Confederation's role in GP pay negotiations.
Chair: Kathryn Riddle, the first woman pro-chancellor of Sheffield University and former high sheriff, is chair of Sheffield HA.
West Yorkshire Chief executive: Richard Jeavons, chief executive, Sheffield HA, joined the NHS in 1989 as a director of business and resource management at Northern General Hospital, Sheffield. He then spent nearly four years as chief executive of Sheffield Children's Hospital before joining Lincolnshire HA in 1998. During his brief period there the local council held a (heavily loaded) referendum which said the HA had created unsafe maternity services and demanded his resignation.
Chair: Sir John Alastair Graham, chair of the Police Complaints Authority, was formerly chair of the Parades Commission in Northern Ireland.
How the South is being reshaped Avon, Gloucestershire and Wiltshire Chief executive: to be announced.
Chair: Anthea Millett, retired chief executive of the Teacher Training Agency, is chair of Wiltshire HA.
Dorset and Somerset Chief executive: Ian Carruthers, chief executive, Dorset HA, is one of the architects of the current NHS reforms. Descriptions of him range from 'amiable' to 'sycophantic'.Mr Carruthers is seen as a management player who proved well able to adapt from Conservative to New Labour regimes. He is respected by staff as a good communicator.
Chair: Jane Barrie is a retired stockbroker and chair of Somerset HA Hampshire and Isle of Wight Chief executive: Gareth Cruddace is chief executive, North and Mid Hampshire HA. He joined the NHS in 1975 as a management trainee with the Northern RHA, then worked in Berkshire from 1980-99.
Chair: Peter Bingham, a former RAF officer, is chair of Isle of Wight, Portsmouth and South East Hampshire HA.
Kent and Medway Chief executive: Candy Morris has been chief executive, West Sussex HA, since October 2000, and was seconded to run a partnership which made her simultaneously chief executive of East Surrey HA from June 2001.
Chair: Kate Lampard is chair of Invicta Community Care trust and a barrister specialising in company, insolvency and property law.
South West Peninsula Chief executive: Thelma Holland, chief executive, Cornwall and Isles of Scilly HA since May 2000, is a former nurse. She was chief executive of Nottingham City Hospital trust.
Chair: Judith Leverton, a medical scientist, is chair of South and West Devon HA.
Surrey and Sussex Chief executive: Simon Robbins has spent four years leading Camden and Islington HA after four years as chief executive of Barnet HA. He joined the NHS 20 years ago.
Chair: Terri Hawksworth is chair ofWest Sussex HA and runs an executive support programme.
Thames Valley Chief executive: Nick Relph, chief executive, Berkshire HA, has been in post there since 1999, and has 20 years' experience in the NHS. He was previously acting chief executive of Oxfordshire HA.
Chair: Jane Betts was formerly secretary general of the Law Society and secretary of the British Postgraduate Medical Foundation. l