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The Board of Directors manages the Trust's services and develops plans and strategies for the future. The Board includes full-time executives and part-time non-executive directors.

Chief Executive: Kevin McNamara

Kevin McNamara: Chief Executive

Kevin joined the Trust as Chief Executive Officer (CEO) in January 2024 from Great Western Hospital NHS Foundation Trust where he was the CEO from 2019, leading over 5,500 staff and local communities through the COVID-19 pandemic.

Kevin has worked for the NHS since 2003, having worked for the South-Central Strategic Health Authority, before joining Great Western Hospital in 2009 where he was the Director of Strategy and Community Service before becoming CEO in 2019.

As CEO, Kevin is ultimately responsible for the day-to-day leadership of the organisation through his executive team and for ensuring the implementation of the Board’s strategic objectives.


Deputy CEO, Director for Safety and Medical Director: Professor Mark Pietroni

Mark-Pietroni

Professor Mark Pietroni

  • MA MBA FFPH FRCP DTM&H
  • Medical Director and Deputy Chief Executive
  • Appointed March 2019

Mark has had a varied career path starting in London in Infectious Diseases, then 15 years in Bangladesh, and returning in 2012 to a role as Director of Public Health for South Gloucestershire. He was appointed to a part-time role as a consultant in Acute Medicine at this Trust in 2016 and then as Speciality Director for Unscheduled Care in 2017. A year into his role as Medical Director his overseas experience proved invaluable to the Trust''s response to the Covid pandemic. He was appointed Deputy Chief Executive in November 2020. He continues to work as an acute physician one day a week alongside his executive role.

Director for People and Organisational Development Claire Radley

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Claire joined the Trust in February 2022 having previously been the Director for People at the Royal United Hospital Bath NHS Foundation Trust and Assistant Director of OD at Cardiff and Vale Health Board. Before that Claire worked in Policing in roles spanning research, performance, culture change, and organisational development. She has worked for a local police force and in national roles, including as the advisor to the Chair of the College of Policing. She has a Ph.D. in organisational culture and Fellow CIPD.

Claire has experience in leading large-scale culture change work that has improved both staff and patient experience.

Director of Quality and Chief Nurse: Matt Holdaway

Matt Holdaway, Director of Quality and Chief Nurse

With a background in Critical Care nursing, Matt has extensive experience in nursing management, having previously held senior positions at Oxford University Hospitals NHS Foundation Trust where he was Divisional Director of Nursing before joining our Trust in 2021 as Deputy Director of Quality and Deputy Chief Nurse.

Matt was appointed to the Chief Nurse and Director of Quality position initially as an interim appointment and has held the substantive role since 2022. He continues to make a significant impact on our nursing workforce and the wider Trust.

Chief Operating Officer: Al Sheward

Image of Al Sheward, Chief Operating Officer

Al joined the Trust in December 2023 from Great Western Hospitals where he had held the position of Deputy Chief Operating Officer since May 2020. Prior to his time at Great Western, Al was Winter Director for the Bath and North East Somerset, Swindon and Wiltshire Integrated Care System.

Al played a key role in establishing the Swindon Integrated Care Alliance Coordination Centre building on experience from his time on the Isle of Wight and West Yorkshire, where he led a team using video-based technology to support residents in over 750 care homes across the UK

Director of Improvement and Delivery: Will Cleary-Gray

Will joined the Trust in September 2024 as our Executive Director of Improvement and Delivery. He brings over 25 years’ of experience working within the NHS and partner organisations at a local, regional and national level in board-level, clinical and research roles.

He started his NHS career as a critical care nurse and has diverse experience from working in acute, community and primary care and roles with NICE, the RCN, the University of York, Greater Manchester System and the Department of Health, before joining South Yorkshire.

His most recent role was Executive Director of Strategy and Partnerships at South Yorkshire Integrated Care Board leading for the board and system on strategy, planning, improvement, transformation and partnerships.

Will was instrumental in establishing one of the first large and complex Integrated Care Systems in England and shaping the NHS’s contribution to the wider social and economic development of the region as anchor organisation, working with NHS organisations, VCSE sector, local government and South Yorkshire Combined Mayoral Authority.

Will is passionate about improving quality, outcomes and experience for patients, families and working with local communities. He is a champion for improving population health and addressing health inequalities and harnessing the power of collaboration to tackle some of our most complex challenges. He has experience of leading change in large, complex systems to give measurable improvements for patients, families and staff.

Director of Finance: Karen Johnson

Karen Johnson portrait

Karen Johnson is responsible for ensuring good stewardship of the public finances. She has worked in the public section for 23 years and prides herself on helping to make a difference to individuals and the community. She is fully committed to ensuring the Trust provides good value for money while maintaining good quality services.

Her key focus is to move the Trust to a financially sustainable position and will work closely with divisions and individuals to achieve this.

Karen joined the Trust in January 2020 from Great Western Hospitals NHS Foundation Trust, where she was Director of Finance from 2015.

Chief Digital and Information Officer (Interim): Helen Ainsbury

Helen joined the Trust in April 2023 as interim Chief Digital Information Officer. She began her career in the private sector over 25 years ago, before working for an international Non-Governmental Organisation and then joining the NHS, at Great Ormond Street, in 2003. She has also worked for North Bristol Trust and was Chief Information Officer, for six years, at what is now Manchester University Hospitals.

Helen’s route to Board level began in business intelligence and she retains a passion for data-driven digital and organisational transformation which delivers measurable benefits to patients and staff.

Director of Integrated Governance: Kerry Rogers

Kerry joined the Board of Directors as a non-voting executive director in April 2024, having previously been Director of Corporate Affairs and Company Secretary at Oxford Health for over eight years.

Kerry has more than 30 years board level experience and held director roles in the NHS, in acute, mental health and community services. Kerry was previously a lay member for the Nursing and Midwifery Council and on the Business Planning and Governance Committee.

She is currently a trustee for Age UK Oxfordshire and has been a Board member of The Hill, an organisation which works with NHS trusts, universities, digital developers, innovators and investors to promote and encourage commercial and impactful technological solutions to problems in health and care.

With over 30 years’ experience in business and finance in both public and private sectors, Kerry champions good governance, and in her role provides the essential interface between the Board and all stakeholders. Prior to joining the NHS in 2005, her early public sector career was as an Inspector of Taxes.

She then went on to be a Finance Director and Company Secretary in the private sector for an IT professional services company contributing to the strategic direction and operational excellence of the business.