Penny is an experienced healthcare operational leader with deep experience across the UK NHS and the Caribbean. With a background spanning acute hospital operations from emergency care and elective surgery to outpatients and diagnostics she has also led major system-wide initiatives, including the Covid-19 vaccination program for Lancashire and South Cumbria. Her expertise centers on pathway efficiency, effective resource deployment, workforce modelling, and the integration of services to strengthen health systems. Across the Caribbean, she has driven governance reform, operational transformation, and initiatives that enhance efficiency, access, and quality of care.