After training in clinical medicine and then public health, I took up my first NHS consultant post in Tayside, Scotland from 1994 to 1996. I became a Director of Public Health first at Newcastle from 2006 to 2009, and then at Lewisham from 2009 to 2019. In these posts I was responsible for budgets of over £500 million as an executive director and up to £48 million as a budget holder. I have led the development of policy and strategy both within the NHS and across multiple agencies in the public, private and third sectors, and have taken financial and management responsibility for implementing many of them.

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