Richard is a graduate of the NHS Management Training Scheme. After undertaking roles in commissioning at both health authority and primary care group level, he was Head of Performance at Birmingham and Black Country SHA, where he ensured that the SHA maintained its position as one of the best performing in the country. Richard gained board level NHS Trust experience by joining Sandwell and West Birmingham Hospitals NHS Trust initially as Director of Strategy and then as Chief Operating Officer. In these roles he led the development of new models of care working with local partners delivered service reconfigurations in paediatrics, surgery and pathology, maintained the Trust's track record of delivery on access targets and secured significant improvements in performance across the organisation. Richard was also chosen to take part in the national NHS Top Leaders Programme. At Walsall Healthcare Richard has led a programme of improvement in patient experience.