The national emergency care director has stepped down as a trust chief executive and sustainability and transformation partnership lead to focus on her national role, HSJ has learned.

Luton and Dunstable University Hospital Foundation Trust has appointed an acting chief executive to succeed Pauline Philip, three months after she was appointed by NHS England and NHS Improvement as national urgent and emergency care director.

Pauline philip


Pauline Philip

Pauline Philip became national urgent and emergency care director in March

David Carter took over the role from Ms Philip in May on a temporary basis, though the trust did not confirm if they expected Ms Philip to resume the role of chief executive in future. Mr Carter was previously the managing director of the trust.

He has been a board director for acute, mental health and community trusts over the last two decades. Prior to joining the NHS, he spent seven years working in audit and consultancy at KPMG.

The trust’s website said he is focused on redeveloping the current estate at Luton and Dunstable and “believes in devolution of decision making to the front line” to provide better, more efficient services.

Ms Philip will also no longer lead the Milton Keynes, Luton and Bedford STP. She has been replaced by Richard Carr, chief executive of Central Bedfordshire council and previously the STP’s deputy lead. Ms Philip will continue as chair of the STP.

Luton and Dunstable trust is involved in one of eight accountable care systems announced by Simon Stevens this month, which are designed to better integrate healthcare across primary, community and acute care and align with social care across a region. It is unclear if Ms Philip will continue leading on the development of the ACS on the patch.