Cynthia Bower has had a challenging year. As chief executive overseeing the merger of three former health and social care regulators into the Care Quality Commission, she brought together different organisational cultures while getting to grips with an entirely new regulatory approach and dealing with the inevitable redundancies, lease issues and IT disasters.

True to character, as she had been NHS West Midlands chief executive while the Mid Staffordshire Foundation Trust scandal unfolded, she tackled the accusations in the national press head on.

Ms Bower, who has a background in social care, appears determined to use the full range of the CQC’s powers wherever appropriate.