1. 1 “From microscope to management” Dr Mark Newbold CEO, Heart of England NHS FT web: www.marknewbold.co.uk twitter: @drmarknewbold

2. today... my journey into management CEO perspective on pathology and future questions / discussion

3. my journey - training 1983 - graduated from Birmingham Uni 1984 - house jobs - Dudley Rd Hosp & QEH 1985 - SHO pathology - General & Childrens 1986 - Reg in Histopathology - Warwick Hosp 1986-91 - Lecturer in Pathology, Med Sch 1991 - Consultant at Warwick Hospital 1989 MRCPath 1991 MD

4. my journey - post-training 1991 - 1999 Consultant at Warwick Hospital Head of Cytology / Postgraduate Clinical Tutor / Clinical Director of Pathology ISM Mgt training / Dip. BA at Warwick Business School 1999 - 2007 Consultant at Walsgrave / UHCW Clinical Director of Pathology / Head of Division / Associate Medical Director Managing Director, Rugby St Cross Hospital Led Cov & Warks Acute Services Review for SHA Aspiring CEO programme, West MIdlands SHA 2007 - left clinical work for CEO post Board post

5. some reflections... build skills base in your own specialty moving outside pathology is a key step take lots of advice - mentor / coach / or just ask! delegate - encourage, support, don’t always do! there is no ‘black book’ it’s all about people don’t try to conform to management stereotype - understand what is needed and deliver it your way

6. The real challenges! persisting health inequalities care quality - especially elderly care variable / poor clinical outcomes money - (£20bn) Nicholson challenge outmoded approach to chronic illness politics, esp. around ‘local’ services

7. key issues for provider CEO? clinical outcomes patient satisfaction targets - performance and quality financial balance governors / local issues QIPP / £20bn challenge shift from hospital to community / home care

8. what would CEOs like from you? guidance and advice clear clinical planning / strategy creation of clinical consensus constructive involvement in ‘real world’ debate on resource / constraints leadership on outcomes and quality

9. future of pathology… Nicholson challenge / economic outlook Future of smaller hospitals / specialist services Carter report - £500m efficiencies via rationalising? GP direct access c50% work for most labs, with significant surplus – ie it subsidises hospital lab service No real issues re quality / service standards

10. predictions... Split of hospital and GP/direct access pathology Some reconfiguration of hospital services as result Centralised processing for Cellular Path? What about the consultants?? Specialist clinical services Telepathology Where / How will bright young people like yourselves want to work?