Head of health, Unison (New entry)

Replacing the well-known Karen Jennings as head of health, Ms McAnea also oversees NHS pensions for the union and chairs the staff side of the NHS staff council.

Despite having a relatively low public profile to date, she is busy behind the scenes, exploiting tactics learned in her former life as a national negotiator. Convincing a determined cabal of ministers and a divided public that NHS staff deserve to keep their cherished pay, employment conditions and pensions will be a tough mission but she is well equipped to lead the charge. Likely to become more high profile as tensions mount.