Dr Navina Evans is the former CEO of East London Foundation Trust.  Under Dr Evans' leadership, ELFT developed their organisational strategy focussed on improving the lives of their patients through Quality Improvement methodology and people participation.  She has recently moved to Health Education England as CEO.  In this podcast we discuss her career from Psychiatry to Chief Executive, the challenges of maintaining momentum and effecting continuous improvement as well as her experience of service co-production with patients and carers