Dylan Birch is Deputy Director of Delivery and Accountability in the national Specialised Commissioning directorate in NHS England, and was implementation lead on the programme to deliver delegation of specialised services to ICBs. He has worked in specialised commissioning for the past nine years, covering a number of programme, delivery, PMO and assurance and performance responsibilities. Prior to specialised, he worked in programme delivery across the NHS informatics portfolio, within the Patients and Information directorate in NHS England and NHS Connecting for Health (as was).