Group Director of Transformation and Digital
Ruth joined Ashford and St Peter’s Hospitals NHS Foundation Trust and Royal Surrey NHS Foundation Trust as Group Director of Transformation in September 2025.
Ruth brings over 20 years of NHS experience spanning finance, corporate services, operational leadership, commissioning, and system development at local, regional, and national levels.
She began her career on the NHS Graduate Finance Management Scheme and has since held senior leadership roles across providers, commissioning organisations, and NHS England. Most recently, as Director of System Development at NHS England, she led national programmes including the delegation of £20bn of commissioning functions and the safe transfer of 2,000 staff to ICBs, alongside responsibility for Place development, oversight and assessment, and commissioning strategy.
Ruth has extensive experience in leading large-scale transformation, digital and data programmes, governance for mergers and reconfigurations, and driving improvement across complex systems to deliver meaningful benefits for patients, staff, and partners.





