Our Directors

Managing Director and Co-founder of Integral Health Solutions, Hilary is a visionary leader and a specialist in the design and implementation of innovative, system-wide transformational change programmes.  

Hilary has an extensive track record of leading commissioning system reform often at the forefront of policy developments in the NHS.

Passionate about commissioning and service improvement, Hilary has achieved success in bringing together the public and private sector to deliver high impact service improvement and performance. This has been demonstrated through her work on ICS pilots, the delivery of the 18-week RTT programme and national ISTC programme.  

Business Experience and Health Context​

With over 30 years healthcare experience, including NHS Board Director experience, Hilary has held a number of senior appointments across various sectors of the NHS; for example, NHSEI, CSUs, PCTs, Health Authorities, NHS Trusts and Primary Care.  Hilary has extensive experience of working on large scale, complex programmes for NHSEI, including NHSEI Specialised Commissioning.  Hilary worked for the national NHSEI COVID-19 vaccination programme, where she has amassed a great deal of knowledge and experience on complex operational delivery and performance improvement at a scale never delivered in the history of the NHS.  Most recently Hilary has been working with the Cheshire & Merseyside Local Maternity and Neonatal System on women's health and maternity services.

Key Competencies

• Leadership – Hilary is visionary with a natural talent to build consensus, influence and lead others.  She is a proactive networker and a natural at developing relationships.  She is able to deploy a range of styles, which challenge traditional organisational boundaries and ways of working and have demonstrated results by working in partnership and leading change through people within and across organisations

• Change Management - An agent of change, Hilary possesses a willingness to embrace new ideas, capitalising on opportunities created by change. Hilary uses innovative approaches, connecting ideas and people leading to high impact service improvement and performance.  

   

Key Achievements

• Hilary led on the implementation of Perinatal Pelvic Health Services across NHS Cheshire & Merseyside; developed the Women’s Health Strategy, Local Maternity and Neonatal Strategy and an Ockenden Assurance Framework following the Ockenden review of Maternity Services.  She developed and implemented daily electronic SITREP reporting together with an Ockenden Business Intelligence monthly pack to provide assurance and identification of delays in maternity care.  This received a Highly Commended at the HSJ Patient Safety Awards 2023 for Safety Improvement through new Technology.  This accolade recognisesHilary’s ongoing innovative and collaborative partnerships with her clients and commitment to improving patient care.

• Hilary has had a variety of senior roles within the COVID-19 vaccine programme including Regional Interface Director supporting the initial set up of the programme; including the National Vaccine Operational Centre.  Hilary led on developing operational delivery models; mobilisation and support to regions and systems on primary and booster vaccinations to non-aged based cohorts and health inclusion groups; all requiring bespoke operational approaches to maximise vaccine uptake.  Hilary also led on the performance management of regions and systems against vaccine uptake for non-age-based cohorts and developed excellent relationships across all 7 regions. 

• Led the national Clinical Utilisation Review (CUR) programme on behalf of NHS England Specialised Commissioning, providing support to over 30 NHS Trusts nationally and 10 local commissioning hubs. This programme saw a reduction from over 50% of non-qualified bed-days down to 28% across NHS Provider organisations, realising significant provider and commissioner savings.  A community of practice approach was successfully established through a national learning network, sharing best practice and lessons learnt. 

• Hilary worked collaboratively with one of the eight successful first wave ICSs and a leading US integrator on the design and development of the new ICS for their local population.  This included leading the development of the Patient Pathway Workstream.

Co-founder of Integral Health Solutions and Finance Director, Phil is a qualified Chartered Accountant with in-depth experience in NHS finance having worked in both provider and commissioning organisations. 

Phil is a passionate visionary and strategic leader, who is recognised and respected nationally as an expert in his field.

His networks are extensive across both provider and commissioning organisations, NHS England and Area Teams.

Business Experience and Health Context

Building on a solid grounding in Accountancy with KPMG, Phil went on to build a successful career in the NHS in a variety of Finance and Information roles at Senior Manager and board Director level.  His last post in the NHS was Director of Finance & Information for the North of England Specialised Commissioning Group with a budget of £1.8bn. Since co-founding I.H.S in 2012 Phil has overseen, managed and undertaken projects for NHS England, CCGs and NHS Providers.  Phil was  most recently a member of the NHSE Senior Leadership Team on the NHSEI COVID-19 vaccination programme. 

Since co-founding I.H.S in 2012 Phil has overseen, managed and undertaken projects for NHS England, CCGs, NHS FT Providers including financial turnaround and transformation at Manchester University Foundation Trust.  Phil is also leading on the start-up of a new healthcare technology business.

Key Competencies – Finance and Analytical 

• Financial Management – Phil draws on a broad and extensive career as an NHS Senior Manager and board level Director to lead and drive projects through his knowledge, enthusiasm and excellent communication skills;

• Financial Strategy – by building and inspiring successful multi-disciplinary teams Phil has been able to find pro-active, pragmatic solutions to the most complicated and contentious financial challenges;

• Analytical – a self-confessed data and information guru, Phil is able to quickly understand data and find solutions to challenging problems; 

• Leadership – leading by example Phil inspires people to be self-aware, to build confidence, to understand their role and responsibilities, to acquire new skills whenever possible and to respect and gain respect from others.

Key Achievements

• Working as part of the National Senior Leadership Team on the NHSEI COVID-19 vaccination programme the role has involved securing c£4.5bn programme funding from HMT/DHSC and establishing financial governance and assurance systems to support national reporting of expenditure.  Phil has co-led the oversight of commercial contracting and procurement of goods, services and consultancies in relation to the programme.
• Programme Finance Director for Manchester FT leading the co-ordination of the financial recovery plan across Greater Manchester ICS in response to the COVID-19 pandemic, successfully engaging a wide range of partners to agree a single Greater Manchester ICS financial recovery plan.
• Senior Finance advisor to the C&M Women, Children’s and Young People Programme including Local Maternity Services, Maternity Connect and Children and Young People services. Phil successfully supported bids for funding, securing £2.5-£3m annually and establishing financial/governance systems to report achievement of deliverables.
• Financial Turnaround and Transformation Lead to Manchester Royal Infirmary (part of the group of hospitals within Manchester University NHS FT).  Working with the then new executive leadership team to consolidate and transform the 3 former hospital divisions into one 800 bedded - £400m adult hospital in the city centre of Manchester. 
• Financial Change – Phil successfully supported the transition of Specialised Commissioning into the NHS National Commissioning Board (£12bn budget). 
• Finance Strategy and Implementation  Phil implemented the National High Secure Mental Health Commissioning 10-year Financial Strategy working with Specialised Commissioning and High Secure Mental Health Trusts across England.