Chief Transformation Officer, NHS Improvement | Helen has been supporting quality improvement within the health and care system for nearly 30 years. She has led and facilitated many nationwide initiatives to improve care, including in cancer services, urgent and emergency care, services for people living with dementia and care in the community.Helen has demonstrated a constancy of purpose and resilience to stay within the system over the years that is rare in internal change agents. She has managed to keep learning, growing and delivering change. Over time, her focus has shifted from managing big programmes of change to approaches that mobilise and build energy and commitment to change on a very large scale.