Where oversight meets impact – practical leadership actions to support sustainable, equitable improvement
Jeremy Cox, Ruth Crabtree, Dr Kat Noble, Tracy Jayne Cunningham, Will Legge

Executive Medical Director, North East Ambulance Service NHS Foundation Trust
Dr Kat Noble has been Executive Medical Director of North East Ambulance Service since January 2023. An experienced Emergency Care GP, she has worked for over 20 years across primary, urgent and emergency care.
Her leadership career began in 2009 with the development of the single point of access in Durham, the precursor to NHS 111. As a national advisor, she co‑designed the governance assessment process for NHS 111.
She has also served as Executive Medical Director at NHS Direct and Associate Medical Director at North West Ambulance Service. Kat is Executive Lead for Health Inequalities at NEAS.
Jeremy Cox, Ruth Crabtree, Dr Kat Noble, Tracy Jayne Cunningham, Will Legge