Adam has worked in the NHS since 1992 and is passionate about continuously improving services for patients. Having joined as a trainee accountant, he held a number of finance and operational management roles in trusts in London and Essex. At Basildon and Thurrock University Hospitals NHS Foundation Trust he held the positions of Director of Finance and Continuous Improvement, Chief Operating Officer and Deputy Chief Executive.
He then went on to hold national leadership roles as Director of Provider Sustainability, Director of Improvement and Regional Director for the south west of England. In these roles he led national programmes including the Virginia Mason NHS partnership, the Vital Signs programme, the Culture and Leadership programme and the Aspiring CEO programme, as well as national policies for improvement and leadership development.
Prior to joining the trust, Adam was the Chief Executive of Newham Hospital in East London. In 2025 he was awarded an Honorary Doctor of Science by the University of Hertfordshire in recognition of his services to the NHS.