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19. Dr Arvind Madan

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Dr Madan’s remit as NHS England deputy medical director gives him the power to reshape general practice from the centre.

It is early days but in his first seven months in the role he has made a strong impression. As one nominator put it, he was the ‘main GP architect of the GP Forward View’. Another said: ‘Although not a high-profile figure, Dr Madan has been the driving force behind [NHS England chief executive] Simon Stevens’ support for primary care.’

Dr Madan has been tasked with rebuilding the fractured relationship between NHS England and GPs – a big job. He spent 20 years as chief executive of the giant Hurley Group of practices in London, serving some very deprived areas; it seems this experience gave him insight into the importance of protecting general practice.

He says: ‘The key priority is stabilising struggling practices and making sure the GP Forward View is delivered in a way that is meaningful to practices and patients. This can’t just be another document that gathers dust.’

He believes general practice must ‘move away from bureaucracy and multiple, confusing micro-incentives, with time and space to provide care for people who have illnesses.’ If he delivers, he will make a big difference to his profession.  

Why influential: He is behind much of the GP Forward View

Surprising fact: GPSI in substance misuse and works in a London hostel every week

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