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National Health Service History

Geoffrey Rivett

home inheritance1948-19571958-19671968-1977 1978-1987  1988-19971998-2007 2008-20172018 - 2027envoishort history London's hospitals



Sir David Nicholson


Nicholson was educated at Forest Fields Grammar School in Nottingham and graduated from the University of the West of England in History and Politics.  He joined the NHS on graduation, and then the Communist Party.  He remained a member of the CPGB until 1983.  He started in the NHS as a management trainee and for 10 years he worked in mental health mainly in Yorkshire  where he was involved in implementing the policy of transferring care from the old asylums to the community.


In 1988, Nicholson moved into the acute hospital sector, appointed as the Chief Executive of the Doncaster Health Care NHS Trust  He introduced Clinical Directorates there in 1988 and the Trust was a national pilot for Total Quality Management. In 1997, he moved to the Trent NHS Regional Office as the Regional Director of Performance before being appointed as Regional Director in November 2000


Nicholson was then made Regional Director for the old Eastern and West Midlands Regions between December 2001 and March 2002, combining these responsibilities with his Trent role whilst shadowing as Director of Health and Social Care (designate) for the Midlands and East of England. In April 2002 he formally took up the post of Director of Health and Social Care for the Midlands and East of England.


In 2003 he was appointed Chief Executive of Birmingham and The Black Country Strategic Health Authority (BBC SHA). In August 2005 he was asked to take on the additional roles of Chief Executive of neighbouring Shropshire and Staffordshire SHA and West Midlands South SHA.


In April 2006 he was appointed Chief Executive of the newly formed London Strategic Health Authority.   In  September 2006 he became NHS Chief Executive in September 2006 in charge of a £90bn budget and 1.3m employees,[

Sir David Nicholson KCB CBE has been Chief Executive of the National Health Service (NHS) in England since September 2006 and in December 2010 was appointed to take up the new post of Chief Executive of the NHS Commissioning Board/NHS England.  Initially appointed by a Labour government, he came to work closely with the coalition. He was criticised repeatedly after the publication of the Francis report for inadequate oversight of mid-Staffs, and his powerful pressure for targets and financial performance, as a possible cause of the problems.  He announced in May 2013 that he would retire.

 He was awarded a Commander of the Order of the British Empire (CBE) in the 2004 New Years Honours. He was awarded a Knight Commander of the Order of the Bath (KCB) in the 2010 New Years Honours.


Sources Department of Health website and Wikipedia


home inheritance1948-19571958-19671968-1977 1978-1987 1988-1997  1998-2007 2008-2017 2018 - 2027 envoishort history London's hospitals



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