HSJ50 2009 – Major Shifts of Power

Posted on November 12, 2009. Filed under: Journals |

Health Service Journal | BY RICHARD VIZE | 12 November 2009

This year’s HSJ50, the ranking of the 50 most powerful people in NHS management policy and practice in England, again reveals major shifts in who is wielding power.

It was drawn up by an expert panel in association with our partners, recruitment consultancy Harvey Nash, and management consultancy Ernst & Young.

This is the fourth year we have published the HSJ50. A total of 18 of this year’s most powerful people are new entries, with three re-entries.

The list is controversial and we do not expect everyone to agree with the judges’ decisions. We give details of the judging panel and how they came to their decisions.

As well as managers, politicians and government advisers the rankings include clinicians, civil servants, strategic health authority chief executives, trade unionists, a journalist, policy experts and regulators.

The ministerial team had a poor showing, with only health secretary Andy Burnham making the cut. Regulators are still big beasts in the health jungle, while factors such as swine flu and the financial squeeze have advanced the fortunes of several key players.

The NHS senior management team is still the dominant force, while the SHA chief executives are resurgent.

Despite being out of formal government circles there were strong rankings for Lord Darzi and former director of commissioning Mark Britnell.

Among those who didn’t make this year’s list but are hot prospects for 2010 are Jim Easton, recently appointed national director for improvement and efficiency, Jennifer Dixon, director of the resurgent Nuffield Trust, and Steve Barnett, who took over permanently this year as chief executive of the NHS Confederation.

One of the difficulties the panel faced was reflecting the growing power of the Conservatives as the NHS prepares for a change of power. In the end two Tories made the rankings, but it is arguable that others should have joined them. Note the panel always excludes the prime minister and chancellor and their shadows.

  • 01 David Nicholson
  • 02 Lord Darzi of Denham
  • 03 David Flory
  • 04 Sir Bruce Keogh
  • 05 Andy Burnham
  • 06 Bill Moyes
  • 07 Sir Liam Donaldson
  • 08 Baroness Young of Old Scone
  • 09 Sir Michael Rawlins
  • 10 Andrew Lansley
  • 11 Mike Farrar
  • 12 David Behan
  • 13 Steve Smith
  • 14 Cynthia Bower
  • 15 Andrew Dillon
  • 16 Mike Richards
  • 17 Mark Britnell
  • 18 Ruth Carnall
  • 19 Steve Bundred
  • 20 Oliver Letwin
  • 21 Sir Robert Naylor
  • 22 Niall Dickson
  • 23 Sophia Christie
  • 24 Laurence Buckman
  • 25 Peter Carter
  • 26 Bob Ricketts
  • 27 Jeremy Heywood
  • 28 Steve Field
  • 29 Nick Timmins
  • 30 Dame Sally Davies
  • 31 Sir Ian Carruthers
  • 32 Nigel Edwards
  • 33 Mark Goldman
  • 34 Elisabeth Buggins
  • 35 Hamish Meldrum
  • 36 Richard Barker
  • 37 David Fillingham
  • 38 Stuart Bell
  • 39 Helen Bevan
  • 40 Lord Carter of Coles
  • 41 Sian Thomas
  • 42 Dame Carol Black
  • 43 Nicolaus Henke
  • 44 Robert Chote
  • 45 Stephen Thornton
  • 46 Dame Barbara Hakin
  • 47 Ben Page
  • 48 Karen Jennings
  • 49 Sue Slipman
  • 50 Ben Goldacre
  • HSJ50 2009 – the judging process
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