Alison Tennant started her NHS career as a hospital pharmacist working in various Midlands hospitals before she was appointed as one of the first GP practice pharmacists in 1997. She progressed to become a Specialist in Pharmaceutical Public Health at Dudley PCT (as one half of a male/female job share). Her role there included leading the Primary Care Pharmacy team and managing the primary care drug expenditure as well as the provider medicines costs through the newly introduced PBR tariff. She was the pharmacist advisor for the framework of West Midlands Ethical Commissioning Policies operated by the WM Specialised Commissioning Group. Following the 2012 health reforms Alison moved into broader NHS management as a CCG Board member leading on service development and quality. This led to working as part of the NHSE Specialised Commissioning team and from there to leading on Pharmacy services for the West Midlands Regional NHSE team. In 2016 she decided on a move back to hospital and took up the post of Director of Pharmacy at the Royal Wolverhampton Trust just as it was taking on responsibility for a group of GP practices. In 2019 Alison moved to be Chief Pharmacist at Birmingham Women’s and Children’s NHS Trust where her knowledge of medicines funding flows and commissioning pathways has been well utilised.