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As the Trust’s “Accountable Officer”, Miles is responsible for the overall development and performance of the Trust.

In addition to being a Board member, he attends several Board sub-committees. Miles joined the Trust on 8 January 2018 and has over 30 years’ experience in the NHS encompassing acute, community and mental health services, the Department of Health and the King’s Fund.

Miles is actively involved in the Kent and Medway Integrated Care System (ICS) chairing a number of key committees, which includes the Kent and Medway Cancer Alliance and the Kent and Medway Pathology Network. Miles is also the Senior Responsible Owner (SRO) for the West Kent Health and Care Partnership (HCP).

He is a National Delivery Advisor to NHS England’s Urgent & Emergency Care Programme where he is leading work on Electronic Bed and Capacity Management Systems.

Prior to joining MTW Miles worked as Improvement Director at NHS Improvement. He was previously Chief Executive of St George’s University Hospitals Foundation Trust (2011 to 2016) and prior to that Chief Executive at Bradford Teaching Hospitals NHS Foundation Trust (2005 to 2011) and Harrogate and District NHS Foundation Trust (2001 to 2005).

Miles is married to Abbie and has two children. He lives in south west London with his family.

The role of the Chief Executive 

The Chief Executive is the accountable officer to Parliament and is responsible for ensuring that the organisation works effectively in accordance with national health policy, public service values and maintenance of financial control. The Chief Executive is also personally accountable for clinical and corporate governance. Their role is directly accountable to the Board for ensuring that its decisions are implemented. Some areas they are also responsible for:

  • leading the Executive Directors in setting the Trust’s strategic aims, developing shared understanding and commitment to these aims, and working with Board colleagues, managers and staff, partner organisations in the local and system wide health economy and appropriate external organisations.
  • to ensure individual/patient and population needs are at the fore of what the Trust does.
  • to provide visible leadership that models exemplary behaviours of personal integrity and inspires and empowers staff.
  • Examining all major capital expenditure proposed and the recommendation to the Board of Directors of those which are material either by nature or cost
  • Managing the Trust’s risk profile in line with the extent and categories of risk identified as acceptable by the Board
  • Leading the executive directors in the day-to-day running of the Trust’s business, including chairing the Executive Team meetings and communicating decisions / recommendations to the Board
  • Promote effective joint working across organisational boundaries towards the achievement of the strategic objectives of the region in Kent & Medway

The Chief Executive works with the Chairman to ensure that the Board maintains its capacity and is continually developed in order to ensure it has ‘balance, completeness and appropriateness’ in the context of a changing NHS and wider healthcare environment. In support of these responsibilities a key part of the Chief Executive role is a focus on the integration agenda, system leadership and partnership working.