Ailsa Brotherton joined Lancashire Teaching Hospitals NHS Foundation Trust in 2017 from Manchester Foundation Trust where she was the Director of Transformation for the Single Hospital Programme. Prior to this Ailsa was the Interim Clinical Quality Director for the North of England with the Trust Development Authority/NHSI. She has also held a post-doctoral senior research fellow post, has a Masters in Leadership (Quality Improvement) from Ashridge Business School and is a Health Foundation Generation Q Fellow. Ailsa has experience of designing and delivering quality improvement and large-scale change programmes. Ailsa was recently awarded an honorary professorship at the University of Central Lancashire and is working with the Trust’s academic partners to ensure that the Trust’s improvement programmes are evidence based and evaluated. Ailsa is currently working with the Improvement Directors and Clinical Leads across Lancashire and South Cumbria in collaboration with Professor John Clarkson in the Engineering Department at the University of Cambridge to implement the Engineering Better Care framework across the ICS.