Professor Judith Smith

Professor Judith Smith

Health Services Management Centre
Professor of Health Policy and Management

Contact details

Address
School of Social Policy and Society, HSMC
Park House
University of Birmingham
Edgbaston
Birmingham
B15 2RT, United Kingdom

Judith Smith is Professor of Health Policy and Management within the Health Services Management Centre. She is a highly experienced and widely published health services researcher and policy analyst, specialising in health care organisation and management, having spent over 30 years working in health services research and development, following an earlier career as a senior manager in the NHS. Her main research interests are: the organisation and management of primary care; long-term conditions and integrated care; the development and evaluation of health care organisation and service delivery; and health care management, commissioning and governance.

Judith is Co-Director (with Dr Manbinder Sidhu) of the National Institute for Health and Care Research (NIHR) funded Birmingham, RAND Europe and Cambridge (BRACE) rapid evaluation centre. She has been awarded National Institute for Health and Care Research (NIHR) Senior Investigator status (2026-2030) to recognise her sustained national leadership in rapid evaluation methodology and applied health services research.

She is Trustee and Chair of Health Services Research UK, the membership organisation for health services researchers across the four nations of the UK. 

Judith is Director of Health Services Research with Birmingham Health Partners, the clinical academic alliance of Birmingham NHS trusts, the University of Birmingham, Aston University and Health Innovation West Midlands.   

Judith is a member of the NIHR Research Incubator Funding Committee, and the Advisory Board of the NIHR Research Support Service (RSS).

She is Chair of the Scientific Advisory Committee of The Healthcare Improvement Studies (THIS) Institute at the University of Cambridge.

Qualifications

  • PhD in Health Services Management, University of Birmingham, 2009
  • MBA in Business Administration, Open University Business School, 1999
  • Diploma in Health Services Management, Institute of Health Services Management, 1990
  • BA (Hons) in French Language and Literature, University of Birmingham, 1987

Biography

Prior to taking up her role as Professor of Health Policy and Management at HSMC in 2015 Judith spent six years as Director of Policy at the Nuffield Trust - an independent charitable research foundation based in London.

From 2007-2009 Judith was based in Aotearoa New Zealand working as Visiting Senior Research Fellow at the Health Services Research Centre in the Victoria University of Wellington and (from 2008-2009) as Senior Policy Fellow in the New Zealand Ministry of Health.

From 2000 to 2024 Judith was Deputy Director of the National Institute for Health and Care Research's Health and Social Care Delivery Research Programme.

She has previously served as a Non-Executive Director of the Birmingham Women's and Children's NHS Foundation Trust (2014-2022) and South Birmingham Primary Care Trust (2002-2004) and was a board member of the European Health Management Association (2004-2006). In 2013, Judith was appointed Chair of the Royal Pharmaceutical Society’s Commission on Future Models of Care. 

From 2024-2025, Judith acted as an expert witness to the Thirlwall Public Inquiry, preparing written and oral evidence on matters of NHS organisation, management and governance. From 2010-2013 she served as Expert Adviser to the Mid-Staffordshire NHS Foundation Trust Public Inquiry and then as an Assessor of the Inquiry's recommendations.  In 2001, she prepared expert evidence (with Professor Chris Ham) on health services management for the Bristol Public Inquiry into paediatric surgery.

Teaching

Judith contributes teaching sessions to the Healthcare Policy and Management MSc Programme, and the Global Health Policy module of the MA in Global Public Policy.

Research

Judith maintains an active portfolio of research projects, funded by a range of national and local bodies, all focused on how the organisation and delivery of health services might be further improved.  Current and recent projects include:  

  • A rapid evaluation of approaches to general practice quality improvement focused on patient access for the NIHR BRACE Rapid Evaluation Centre (2024-2025)
  • Portfolio review of rapid evaluation practice and methodology for the National Institute for Health and Care Research (2023)
  • Principal investigator for a portfolio analysis study of the full set of phase 1 BRACE rapid evaluations, exploring their focus on and implications for people living with multiple long-term conditions (2019-2023)
  •  A study of the use of remote outpatient consultations in NHS trusts during the COVID-19 pandemic (for Birmingham Health Partners).
  • A rapid evaluation of the implementation of Primary Care Networks in the NHS in England (for the NIHR BRACE Rapid Evaluation Centre) 

A study of the narrative accounts of GPs working through the COVID-19 pandemic (with the University of Aberdeen and the Health foundation).

Other activities

Judith is a member of the following: 

  • Health Services Research UK, as Trustee and Chair
  • Health Services Research Association of Australia and New Zealand
  • The Society of Authors 
  • European Health Policy Group

Judith is a Fellow of the Royal Society of Medicine

She is Trustee and Director of Ex Cathedra Choir, Education and Participation

Publications

Recent publications

Book

Moralee, S, Sidhu, M, Smith, J & Walshe, K 2025, Healthcare Management. 4th edn, McGraw Hill, Maidenhead. <https://www.mheducation.co.uk/healthcare-management-4e-9780335252596-emea-group>

Article

Durand, MA, Wistow, G, Al-Haboubi, M, Douglas, N, Erens, B, Hoomans, T, Tommaso, M, Miller, R, Pacho, A, Rehackova, L, Smith, J, Thana, L & Mays, N 2025, 'Evaluating the role of community-based multi-disciplinary teams in integrated health and social care in England: overview of findings from the Pioneer evaluation and their implications for health and social care integration', Journal of Health Services Research & Policy, vol. 30, no. 1 Supplement, pp. 69S-81S. https://doi.org/10.1177/13558196251349398

Chapter

Smith, J, Moralee, S, Sidhu, M & Walshe, K 2025, Introduction: the current and future challenges of healthcare management. in S Moralee, M Sidhu, J Smith & K Walshe (eds), Healthcare Management. 4th edn, McGraw Hill, Maidenhead, pp. 1-10. <https://www.mheducation.co.uk/healthcare-management-4e-9780335252596-emea-group>

Comment/debate

Smith, J 2025, 'Abolishing NHS England could shift power from the centre – but health service overhauls rarely go well', The Conversation. <https://theconversation.com/abolishing-nhs-england-could-shift-power-from-the-centre-but-health-service-overhauls-rarely-go-well-252240>

Bailey, S, Smith, J & Ham, C 2025, 'Improving performance means investing in managers', Health Service Journal. <https://www.hsj.co.uk/workforce/improving-performance-means-investing-in-managers/7040511.article>

Smith, J, Bailey, S & Ham, C 2025, 'NHS management reform: regulation is just the beginning', British Medical Journal, vol. 389, r1240. https://doi.org/10.1136/bmj.r1240

Editorial

Pettigrew, LM, Beech, J, Alderwick, H & Smith, J 2025, 'From hospital to community? The good, the bad and the ugly of the Ten-Year Plan to move care to the community', British Journal of General Practice, vol. 75, no. 759, pp. 440-442. https://doi.org/10.3399/BJGP.2025.0567

Other

Wu, F, Spitters, S, Sidhu, M & Smith, J 2025, 'A rapid evaluation of the commissioning and delivery of quality improvement programmes across general practice in England', Health Services Research UK 18th Annual Conference, Newcastle upon Tyne, United Kingdom, 2/07/25 - 3/07/25.

Wu, F, Spitters, S, Sidhu, M & Smith, J 2025, 'A rapid evaluation of the commissioning and delivery of quality improvement programmes in general practice in England', Health Services Research UK 18th Annual Conference, Newcastle upon Tyne, United Kingdom, 2/07/25 - 3/07/25.

Spitters, S, Wu, F, Sidhu, M & Smith, J 2025, 'Exploring the implications of health system reorganisation for quality improvement in primary care', 2025 Annual Conference of the European Forum for Primary Care, Vienna, Austria, 7/09/25 - 9/09/25.

Other contribution

Sussex, J, Smith, J & Sidhu, M 2025, BRACE response to The Health Foundation NHS Productivity Commission's call for evidence. <https://www.birmingham.ac.uk/research/centres-institutes/brace-rapid-evaluation-centre/publications-and-outputs>

Smith, J 2025, INQ0101380 – Witness statement of Professor Judith Smith, dated 07/06/2024. The Thirlwall Inquiry, Liverpool. <https://thirlwall.public-inquiry.uk/evidence/inq0101380-witness-statement-of-professor-judith-smith-dated-07-06-2024/>

Smith, J 2025, INQ0108747 – Witness statement of Professor Judith Smith, dated 03/01/2025. The Thirlwall Inquiry, Liverpool. <https://thirlwall.public-inquiry.uk/evidence/inq0108747-witness-statement-of-professor-judith-smith-dated-03-01-2025/>

Smith, J 2025, INQ0108893 – Third witness statement of Professor Judith Smith (Professor of Health Policy and Management, University of Birmingham Health Services Management Centre), dated 13/02/2025. The Thirlwall Inquiry, Liverpool. <https://thirlwall.public-inquiry.uk/evidence/inq0108893-third-witness-statement-of-professor-judith-smith-professor-of-health-policy-and-management-university-of-birmingham-health-services-management-centre-dated-13-02-2025/>

Smith, J 2025, NHS ten-year plan for England: what’s in it and what’s needed to make it work. The Conversation . <https://theconversation.com/nhs-ten-year-plan-for-england-whats-in-it-and-whats-needed-to-make-it-work-260077>

View all publications in research portal

Expertise

An expert on the NHS, health policy, primary care and general practice, healthcare leadership and management.

Languages and other information

English (native speaker) 

French (fluent speaker)

Media experience

As Director of Policy of a major national health research foundation (2009-2015), Judith’s work entailed communication and influencing activity with government, the media, the Department of Health, national representative organisations, and local health and social care bodies.  She continues to undertake this work from her position at the University of Birmingham.  

Judith regularly writes articles and prepares blogs for the print and on-line media.  She has written for the Guardian, Health Service Journal, British Medical Journal, and the Conversation.  She gives interviews to the media, and has appeared on BBC News, BBC News 24, The World Tonight, File on Four, Five Live News, and BBC local news stations.

Expertise

Health and Social care

Professor Judith Smith is an expert on the NHS, health policy, primary care and general practice, health funding and commissioning, healthcare leadership and management.

Policy experience

Judith’s standing in the academic and policy community has been recognised in various ways. She was expert adviser on NHS organisation and commissioning to the Mid-Staffordshire NHS Foundation Trust Public Inquiry and an assessor to the Inquiry in relation to policy recommendations (2010-2013).  From 2024-2025, Judith prepared expert testimony for the Thirlwall Public Inquiry, focusing on NHS management, governance and leadership. 

Judith has given oral evidence to the Health Select Committee of the House of Commons as part of inquiries into: public expenditure on health; the implementation of the Coalition Government’s health reforms; and care for people with long-term conditions.  She gave oral evidence to the House of Lords 2013 Inquiry into the Inquiries Act, exploring her experience of being an expert adviser and assessor to the Francis Inquiry. 

Judith provides regular advice to the Department of Health and Social Care (DHSC), NHS England and Integrated Care Boards in relation to primary care, integrated care, health commissioning, and wider health policy and governance issues.  She also works closely with bodies such as the Health Foundation, the King’s Fund, the Nuffield Trust, the NHS Alliance, and medical royal colleges.