US health chief becomes new NHS boss
A senior executive at a private US health firm has been appointed to lead NHS England - the most powerful body in the health service.
Simon Stevens, who has worked as an NHS manager and acted as a health adviser to Labour, will take over from Sir David Nicholson in April.
Mr Stevens is currently working for United Healthcare as its global health president.
His appointment comes at a challenging time for the health service.
While the NHS budget has been protected - it is rising 0.1% each year at the moment - the settlement still represents the biggest squeeze on its funding in its history.
This is happening at a time when there are growing demands for care.
There have already been signs the NHS is struggling to cope.
Last winter pressure on A&E units meant the waiting time target was missed from January to March.
Meanwhile, a growing number of trusts are running up deficits.
As chief executive of NHS England, Mr Stevens will have control over the day-to-day running of the health service.
Mr Stevens would be paid the same as Sir David - £211,000 per year - but had offered to take a 10% pay cut in the first year due to "NHS spending pressures", NHS England said.
He will draw a salary of £189,900 in the first year.
'American values'
Christina McAnea, head of health at the union Unison, sounded a note of caution about Mr Stevens' appointment.
She told the Today programme on BBC Radio 4: "I am surprised that they haven't been able to find someone within the NHS... and somewhat concerned that this is the Tory-Lib Dem government trying to install American medical values."
Ms McAnea said she hoped it was not a "surreptitious attempt" to move away from the NHS values of "free medicine for all"
But the chairman of NHS England, Sir Malcolm Grant, said they wanted to do a global search and believe Mr Stevens is the right person to lead the health service through the coming years.
Sir Malcolm told the Today programme: "We wanted the best in the world and we've got I think the best in the world. Of course we've got somebody who's got experience both of the public health system in this country and of the best of American healthcare.
"The NHS has to be open to ideas from across the world. All nations are facing a crisis in the affordability of healthcare and the American experience is valuable to us."
Read the complete story by Nick Triggle and find out more about Simon Steven on the BBC website here.
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