

Our Trust Board comprises non-executive and executive directors who are jointly responsible for the effective management of Royal Surrey NHS Foundation Trust.
Led by the Chair, our non-executive directors use their knowledge, skills and experience to help the Board formulate Trust strategies, and support and promote a healthy organisational culture. They hold the Board to account by challenging its decisions and outcomes to make sure they are satisfied that our organisation is operating with financial and operational integrity, and in the best interests of patients and the public.
Led by the Chief Executive, the executive directors are our most senior managers and are responsible for the day-to-day running of the Trust, including matters on strategy and operational management, as well as any issues regarding staff or patients.
Both the non-executive directors and the executive directors regularly speak with patients and staff, listening to their views, ideas and concerns.
Ruth joined Ashford and St Peter’s Hospitals NHS Foundation Trust and Royal Surrey NHS Foundation Trust as Group Director of Transformation in September 2025.
Ruth brings over 20 years of NHS experience spanning finance, corporate services, operational leadership, commissioning, and system development at local, regional, and national levels.
She began her career on the NHS Graduate Finance Management Scheme and has since held senior leadership roles across providers, commissioning organisations, and NHS England. Most recently, as Director of System Development at NHS England, she led national programmes including the delegation of £20bn of commissioning functions and the safe transfer of 2,000 staff to ICBs, alongside responsibility for Place development, oversight and assessment, and commissioning strategy.
Ruth has extensive experience in leading large-scale transformation, digital and data programmes, governance for mergers and reconfigurations, and driving improvement across complex systems to deliver meaningful benefits for patients, staff, and partners.