Article:

Two NHS leaders in conversation: “Many of us are accidental managers”

Written by Annie Makoff-Clark Monday 24 November 2025
Clinical pharmacist Katie Joyce and her chief executive Samantha Allen CMgr CCMI discuss the value of professional standards, accreditation and continual learning
Samantha Allen CMgr CCMI and Katie Joyce

Even at different stages in their careers, managers can have a lot in common – and a huge amount to offer each other. 

Katie Joyce is a clinical pharmacist and the medicines value programme lead for the NHS North East and North Cumbria Provider Collaborative. She also reports to the region’s Integrated Care Board (ICB). Katie is currently a CMI Level 7 leadership apprentice and this is her first strategic role.

Katie’s chief executive at the ICB is Samantha Allen CMgr CCMI, a CMI Companion who has been a Chartered Manager for 15 years. 

Both initially accidental managers, the two met to discuss the challenges they face in the NHS, plus the value of standards, training and accreditation…

 

Level 7 apprenticeships – what’s changing?

From January 2026, government funding for most Level 7 apprenticeships will no longer be available for learners aged 22 and over. This shift is prompting employers and education providers across the UK to act now to secure funding while it remains in place.

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Chartered = self-aware

Samantha Allen (SA): In the NHS, we can be quite inward-looking and decide that things aren't relevant to us when they really are. Being a Chartered Manager means having that self-awareness and curiosity around continuing professional development (CPD). I’ve been a chief executive for eight years, but the learning never stops. I always try to learn from other industries and sectors.

Katie Joyce (KJ): That really aligns with my experience on the apprenticeship. Day one on campus I was apprehensive, but I loved it because the whole day was discussion, sharing views and learning from each other. There were around 25 people in the room, with only a few from the NHS. 

Mixing with all these different sectors and perspectives has really helped me in how I connect with people – whether talking to a director of finance, a clinician or the pharmaceutical industry.

SA: I often suggest people get experience outside of the NHS. During my career, I have had the opportunity to do this. I learnt a lot from people who have experience working outside the NHS and the public sector. We need to be open to and curious about learning from others and bringing the best of that back into the NHS.

Also, pursuing accreditation and qualifications instils pride and shows that good management and leadership really does matter. Nowhere is that more important than in the NHS. It would be amazing to get to a point where all of our managers have Chartered status and are able to access that level of CPD.

Keep reading: confidence and overcoming imposter syndrome

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