David Fillingham, chief executive, Royal Bolton Hospital foundation trust

David Fillingham’s work on lean thinking has been highly influential in the health service. He became chief executive at Bolton Hospitals trust (which became a foundation trust in October) in 2004 and introduced lean thinking there the following year.

The award winning work uses principles originally created by Toyota to streamline the production line for its vehicles and improve quality and cost effectiveness.

Modernisation has shaped Mr Fillingham’s career; he was director of the NHS Modernisation Agency from 2001-04 and before that was chief executive of University Hospital of North Staffordshire trust. He joined the NHS in 1989 after previously holding senior managerial positions in personnel and marketing at glass manufacturer Pilkington.