Nigel is Chief Executive of the Nuffield Trust. Starting as an NHS management as a graduate trainee, Nigel’s career has been spent in health service management and health policy in the UK and internationally. He is an honorary visiting professor at the London School of Hygiene and Tropical Medicine and has worked for the King’s Fund, KPMG and the NHS Confederation.  He has advised on health service reform in Kyrgyzstan, Moldova, Ukraine, Azerbaijan and Iraq and continues to work regularly with WHO and the European Observatory. Nigel’s work and interests range from innovation and change at the front line of health care delivery, to wider health care policy in the UK and internationally.  He is keen to draw on different disciplines to inform health policy and has led the Trust’s work on recent NHS history. Nigel is a regular contributor to the BMJ and a widely quoted media commentator.  Nigel is leaving the Trust in July to work with WHO Europe on hospitals and primary care and do more with front line NHS organisations.