Jim Mackey became Chief Executive of Monitor and the NHS Trust Development Authority and Chief Executive Designate of NHS Improvement on 1 November 2015.

Jim is a qualified accountant who joined the NHS in 1990. His previous role have included:

• Chief Executive of Northumbria Healthcare NHS FOundation Trust
• Interim Chief Executive of Northerland Care Trust 
• Chief Operating Officer of Northumbria Healthcare NHS Trust
• Regional Director of Finance at the Regional Health Authority
• Deputy Chief Executive of Northumbria Healthcare Trust
• Director of Finance at North Tyneside Healthcare NHS Trust

​He has a keen interest in quality of care, especially patient and family experience and has participated in a number of reviews and national projects, including the Dalton Review in 2014.