Physician and CCG Board member committed to quality improvement through development of standards as regional Clinical Lead; national committee member including NICE guidelines and Quality Standards; BHF Programmes and patient outcome initiatives with international experience in clinical care and global standards.Deep emerging interest in philosophy and value judgement, born of engagement on social value judgement with NICE. Working with South of England Clinical Senate to define value in clinical practice.  Believe a central contemporary concept of value is necessary if the current moral ground of the NHS is to stand in the face of emerging societal and technological challenges.