Article: Two NHS leaders in conversation: “Many of us are accidental managers” Written by Annie Makoff-Clark Monday 24 November 2025 Share Share to LinkedIn Share to Facebook Share via email Clinical pharmacist Katie Joyce and her chief executive Samantha Allen CMgr CCMI discuss the value of professional standards, accreditation and continual learning 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. Find out more 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 Login or register below for Free Instant Access Login If you are already registered as a CMI Friend, Subscriber or Member, just login to view this article. Confirm your registration Login below to confirm your details and access this article. Sign in with email Email remember me remember Forget? Please confirm that you want to switch off the "Sign in with email" remember me feature. Yes No Register for Free Access Not yet a Member, Subscriber or Friend? Register as a CMI Friend for free, and get access to this and many other exclusive resources, as well as weekly updates straight to your inbox. You have successfully registered As a CMI Friend, you now have access to whole range of CMI Friendship benefits. Please login to the left to confirm your registration and access the article. Article Our extensive range of articles are designed to keep you in the loop with all the latest management and leadership best practice, research and news. Members See More CMI Members have access to thousands of online learning and CPD resources. Learn more about our membership benefits Join The Community CMI offers a variety of flexible membership solutions, tailored to your needs. Find out more and get involved in the CMI community today.