David Nigel Dalton

Sir David Nigel Dalton is the chief executive of Salford Royal NHS Foundation Trust and Pennine Acute Hospitals NHS Trust. He joined the National Health Service (NHS) as an administrative trainee in 1980.[1] In April 2011 he was named as the tenth highest paid employee (£232,600) in the English NHS.[2]

He was knighted in the New Year Honours 2014 and was one of the top ten Chief Executives in the NHS in 2013 according to the Health Service Journal.[3] In 2015 and 2016 the HSJ had him as the top Chief Executive.[4] [5]

In February 2014 he was asked by the Secretary of State for Health, Jeremy Hunt, to advise him how to "make it easy for NHS super-heads to take over struggling organisations".[6] His report, produced in December 2014, suggested that concessions could be established by which companies are given contracts to operate publicly funded hospitals. He points to Ribera Salud Grupo in Spain and AMEOS group in Germany and Austria as examples that could be followed.[7]

In January 2016, Dalton was appointed by the Secretary of State for Health Jeremy Hunt to act as the chief negotiator on behalf of the government and NHS Employers in negotiations with the British Medical Association (BMA) over the junior doctors contract.[8] After the BMA declined a final offer to end the dispute in February, Dalton wrote to the Secretary of State for Health Hunt that negotiations had finished and to "do whatever it deems necessary to end uncertainty for the service".[9] The Secretary of State for Health then announced on 11 February 2016 that the contracts would be unilaterally imposed with no further negotiations.[10] In support of Dalton's letter to the Secretary of State advising the government, the names of twenty NHS chief executives were appended following a paragraph stating "I confirm that this position is supported by both the NHS Confederation and NHS Providers, together with support from chief executives across the country, and their names are supplied." However, ten of the executives later denied they had supported imposition[11] and Dalton later admitted that Chief Executives named had not signed the letter.[12]

In April 2016 Dalton was appointed as Chief Executive of Pennine Acute Hospitals NHS Trust.[13] This is in addition to his role as Chief Executive of Salford Royal NHS Foundation Trust, a post he has held since 2001. [14] In November 2018 he announced that he was to step down.[15]


  1. ^ "Salford Royal Hospital's David Dalton awarded knighthood". BBC News. 31 December 2013. Retrieved 13 April 2014.
  2. ^ "Named: the highest NHS fat cat earners". Daily Telegraph. 30 April 2011. Retrieved 14 December 2013.
  3. ^ "HSJ Top Chief Executives 2014". Health Service Journal. 28 March 2014. Retrieved 13 April 2014.
  4. ^ "HSJ's top provider chief executives". Health Service Journal. 26 March 2015. Retrieved 1 May 2015.
  5. ^ "HSJ Top Chief Executives 2016". Health Service Journal. 2 March 2016. Retrieved 17 April 2016.
  6. ^ "Hospital chains: a recipe for success?". Kings Fund. Retrieved 13 April 2014.
  7. ^ "More hospitals could be privately operated in NHS shakeup, says review". Guardian. 5 December 2015. Retrieved 16 March 2015.
  8. ^ "Jeremy Hunt criticised over junior doctor fiasco – by his own chief negotiator". The Independent. 14 January 2016.
  9. ^ "Letter to SofS 10 Feb DD FinalFinal" (PDF). NHS Employers. 11 February 2016. Archived from the original (PDF) on 2016-02-11.
  10. ^ "We will fight contract imposition, says BMA". BBC News. 11 February 2016.
  11. ^ http://www.huffingtonpost.co.uk/2016/02/11/jeremy-hunts-junior-docto_n_9211662.html
  12. ^ http://gu.com/p/4gjjq
  13. ^ "Sir David Dalton to take over at neighbouring trust". Health Service Journal. 22 March 2016. Retrieved 22 March 2016.
  14. ^ "Sir David Dalton". Pennine Acute Trust. Retrieved 2 December 2016.
  15. ^ "Exclusive: Sir David Dalton to step down from CEO role". Health Service Journal. 19 November 2018. Retrieved 25 December 2018.