Peter Spilsbury

Home » Our leadership » Peter Spilsbury

Board Advisor and Director of the Strategy Unit

Image of Peter
Peter Spilsbury, Board Advisor and Director of the Strategy Unit

Peter is a nationally recognised expert in the use of analytical thinking combined with pragmatic action to drive strategic innovation in health and care services. He has a particular interest in collaborative working, grounded in clinical engagement and leadership, and the delivery of workable strategic change in complex systems.

During his 35 year career with the NHS, Peter has worked for hospitals, health authorities, regional authorities and primary care trusts in the West Midlands in director roles leading on commissioning, planning and strategy. He also has extensive experience in both programme leadership and assurance. With a strong personal reputation for his integrity, commitment to NHS values and independence of thought, Peter is a trusted advisor for many. Peter has worked on the development of national policy (including the Operating Framework) and was asked by DH to broker national agreements in relation to payment policies for specialist hospitals. He led the national review ‘Options for the Future of Payment by Results 2008/09-2010/11’.

He has led the development and evaluation of major strategic frameworks for whole economies as well as service strategies at a more granular level and large scale business cases. He has regularly participated in national programmes of strategic work in an advisory capacity.

He has led many innovative programmes of work including Investing in Health in the West Midlands, with its ahead-of-its-time emphasis on early intervention and care closer to home. That cumulative experience, however, has led him to increasingly question the value of ‘grand plans’ and to become ever more focused on what can be done practically to enable the dynamics of self-improving systems, equipped with the right skills and fully informed by evidence and high quality analysis and feedback mechanisms. For this reason he seeks out opportunities to work with health organisations and systems that are really driven to be innovative with discipline, that don’t just swallow the latest fashion or group-think and that trust and support the imagination, skills and experience of their frontline to do the right thing for their patients and public.

Over the last decade, Peter has built The Strategy Unit into a highly regarded, expert and trusted service that not only uses but also adds to the national and international evidence base about ‘what works and why’.

He revels in the team he has gathered around him and the fantastic feedback they receive for the innovative, important and useful work that they do. Peter’s continued ambition for The Strategy Unit, working with its partners, is to further grow in-house capability to undertake complex strategic work that makes a real difference and to offer the NHS , local government and the third sector a proven high quality consultancy alternative that works to NHS values Peter studied at Magdalen College, Oxford University and has a degree in politics, philosophy and economics.

Our people

Derek Kitchens headshot

Derek Kitchen

Managing Director

Qadeer Kianis headshot

Qadeer Kiani

Equality, Diversity and Inclusion Board Advisor

Janet Budds headshot

Janet Budd

Director of Strategy and Deputy Managing Director

Debbie Bywaters headshot

Debbie Bywater

Chief Information Officer

Tony Matthewss headshot

Tony Matthews

Director of Finance

Linda Rileys headshot

Linda Riley

Director of Funded Care

Sarah Sheppards headshot

Sarah Sheppard

Director of People

Peter Spilsburys headshot

Peter Spilsbury

Board Advisor and Director of the Strategy Unit

John Taylors headshot

John Taylor

Board Advisor

Clare Thomasons headshot

Clare Thomason

Director of Delivery, UK

Elizabeth Millers headshot

Elizabeth Miller

Director of Nursing and Clinical Services

View all

How we can help health systems

Developing health systems

Acting as an independent and trusted partner within the system to facilitate working across stakeholders and integrate elements of the provider system…

Learn more about Developing health systems
Developing health systems

Workforce resilience and transformation

Supporting systems to build a sustainable and integrated workforce, transforming systems, organisations and the workforce experience to improve resilience.

Learn more about Workforce resilience and transformation
Workforce resilience and transformation

Communications and engagement

Supporting ICSs with approaches to design and deliver effective communication, engagement and behavioural insights as a key enabler for system change and…

Learn more about Communications and engagement
Communications and engagement

Digitally enabled transformation and IT

Digitising care and partnering with systems for the transformation of digitally enabled service delivery (and other supporting processes) across vision, planning and…

Learn more about Digitally enabled transformation and IT
Digitally enabled transformation and IT

PHM analytics and decision support

Applying intelligence-led understanding of the health of the population to support the redesign of care and improve patient and financial outcomes across…

Learn more about PHM analytics and decision support
PHM analytics and decision support

Place and primary care transformation

Supporting providers to work together at a place and neighbourhood level to manage common resources, integrate community teams, improve health and reduce…

Learn more about Place and primary care transformation
Place and primary care transformation

Clinical redesign and provider collaboration

Redesigning how health and care works across England - placing people at the centre of their own health and care and utilising…

Learn more about Clinical redesign and provider collaboration
Clinical redesign and provider collaboration

Personalised healthcare commissioning services

Providing end-to-end funded care services, including patients as active partners in identifying their healthcare needs and then commissioning care to meet these.…

Learn more about Personalised healthcare commissioning services
Personalised healthcare commissioning services

Business enabling services

Delivering a wide range of support functions through transactional services, business partnering and transformation that drives efficiencies and releases value and time…

Learn more about Business enabling services
Business enabling services

Accessibility Tools