Rachel Pearce is Director Commissioning Operations (South West – North), NHS England. As one of ten Directors Commissioning Operations operating nationally, Rachel provides strategic leadership and assurance to five Clinical Commissioning Groups (CCGs) and is responsible for a £1bn commissioning budget across directly commissioned services including: primary care (budget £800m); Armed Forces for England (budget £44m); and, Health and Justice for South of England (budget £122m). Alongside her NHS career, Rachel maintains a commitment to the non-statutory sector and has been a trustee for 13 years with charities providing drug and alcohol services and latterly mental health support including serving as Vice Chair of the Gloucestershire based charity The Independent Trust until 2014