Samantha started her NHS career as an adult and paediatric nurse and was a national management trainee. Having worked in a variety of operational management roles, and in the national clinical governance support team, she became the Chief Executive of Epsom and St Helier University Hospitals NHS Trust. Following this, Samantha worked in the independent sector before she was appointed Chief Executive of West Hertfordshire Hospitals NHS Trust in February 2013. In 2014, Samantha was named as the Health Service Journal’s (HSJ) Chief Executive of the Year, and West Hertfordshire’s ‘Onion’ was highly commended in the patient safety category of the same awards. ‘Onion’ was an initiative which focused on supporting staff to be open and transparent about concerns and empowered them to help address them. Until June 2017, Samantha was Director of the New Care Models Programme, leading on the implementation of the new care models outlined in the NHS Five Year Forward View. This included launching 50 vanguards to take the lead developing new care models to act as the blueprints for the NHS. Following a period of working independently across a range of private organisations and institutions, connecting business and industry with health to design and deliver better healthcare solutions, in January 2019, Samantha was appointed as CEO/President of Centene UK to lead the UK’s strategy aimed at enabling and supporting integrated care across the UK.