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Mandy is a Non-Executive Director at Liverpool University Hospitals NHS Foundation Trust and has an extensive background in NHS leadership, management, clinical practice, and public health, working in a variety of health and social care settings. She has held a number of executive director roles, including health care strategy, performance, and provider and market development, as well as being policy advisor to the Department of Health (DH) on the development of social value-led provider models. She was previously Non-Executive Director at Aintree University Hospital NHS Foundation Trust.

As the first Regional Director of Service Experience in England in 2008, she led the DH Patient Experience Policy Programme working on the development of national indicators and a review of the national survey architecture. Acclaimed as a passionate and practical force for change, she was nominated for the NHS Inspiration Leadership Award in 2010. She is committed to supporting NHS leadership and service experience improvement through her own independent company and as an executive coach and mentor to many aspiring and future leaders.