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The role of the senior independent director

24 June 2026

9:30 - 13:00

Online via Zoom

Online

  • Leadership

  • Governance

Overview

Supporting accountability, stability and strong governance 

The senior independent director (SID) plays a pivotal part in supporting effective unitary board governance, strengthening relationships, and providing an additional route for challenge and assurance.  

This interactive half-day session delivered in partnership with NHS England is designed for current SIDs who want a refresher, and non-executive directors who are new to the role or considering stepping into it.  

Through expert input, practical scenarios and peer discussion, you will explore what good looks like in an NHS context, including how to approach chair appraisal and how to navigate difficult dynamics when relationships are under strain. 

Key takeaways
  1. Understand the SID role and where it adds value supporting board governance.
  2. Feel more confident in chair appraisal and relationship boundaries.
  3. Get real examples from peers and trainers to apply directly in your trust.
  4. Leave with tested approaches you can adapt and use straight away. 

Why this matters

The SID role is often most visible at times of challenge: when board relationships become strained, when confidence in leadership needs to be tested and restored, or when there are concerns about role boundaries and behaviours. In these circumstances, the SID can play a central role in stabilising governance, maintaining trust and ensuring issues are appropriately surfaced and addressed. 

The role brings a distinct set of expectations, sensitivities and stakeholder relationships, including with governors. This session focuses specifically on the practical realities of the role in an NHS context, drawing on real scenarios and peer discussion. 

What we'll cover

  • The role and core responsibilities of the SID in the context of NHS unitary board governance.
  • How to manage difficult dynamics with the chair, governors or non-executive directors. 
  • Approaches to real-life SID scenarios, including relationship breakdowns and boundary issues.
  • Case-based discussion: ask questions, share challenges and gain advice from trainers and peers under Chatham House Rule. 

This is a half-day course, with estimated timings of 9:30am to 1pm (subject to change).

Trainers

Peter Howie

Peter Howie

Associate - Board Development Programme

NHS Providers

Peter Howie

Peter Howie

Associate - Board Development Programme

NHS Providers

Peter Howie has 42 years of NHS experience, including 15 years as trust secretary. He is a former chair of NHS Providers' Company Secretaries Network and has provided governance support through secondments to other NHS trusts. A registered nurse with a master's degree in health policy and organisation, Peter now works as an associate with NHS Providers and as a governance consultant for NHS trusts. Peter has delivered training across the public and charitable sectors, in a wide range of leadership, clinical and governance subjects over the past 40 years, and contributes to local charitable work as a Rotarian.

Natalie McMillan

Natalie McMillan

Associate - Board Development Programme

NHS Providers

Natalie McMillan

Natalie McMillan

Associate - Board Development Programme

NHS Providers

Natalie McMillan has worked in senior board-level roles spanning operations, human resources, organisational development and transformation across the public, not-for-profit and manufacturing sectors. Natalie played a lead role in the acquisition of Scarborough by York Hospital in 2013 and was part of an award-winning team pioneering workforce models for healthcare assistants and advanced clinical practitioners. More recently, Natalie served as chief executive of Locala Community Partnerships, overseeing its transformation following a critical Care Quality Commission inspection. Natalie now works independently supporting organisations with complex workforce issues, change management and leadership.

Pricing

Open to NHS Providers members and non-members.

Member (trusts and foundation trusts): £165 (exc. VAT) | £198 (incl. VAT)
Associate member and integrated care boards: £206 (exc. VAT) | £247.20 (incl. VAT)
Non member: £248 (exc. VAT) | £297.60 (incl. VAT)

You will need to provide a purchase order number at booking to confirm your place on this course. Card payments are also accepted.

Follow the 'Book now' link at the top of this page to book your place. You will need to create an account if you have not already done so.

Who should attend

  • Senior independent directors 
  • Non-executive directors who are new to the SID role or considering stepping into it.  

Learn more about our programmes