Dr. Hilary Thomas, KPMG in the UK 

A leading exponent of care system redesign, Hilary helps join up the different parts of the healthcare community to improve efficiency and quality.


I’m Hilary Thomas. I’m a member of the Global COE for KPMG. I’m an oncologist by background. Something to teach, something to learn. I was diagnosed with cancer myself six years ago after about 20 years of experience in oncology and what that taught me was that actually being a patient was a much bigger challenge than I had anticipated. I had always thought I was quite an empathetic doctor, I understood what patients experienced and how they felt about their treatment and I had some idea of what the side effects might be like. But in fact I had no idea of the vulnerability I was going to experience and of those side effects. What I learnt from that was actually that patients being involved in the design of treatments, in giving feedback about their experience and being able to talk about the side effects of the impact they have would have been very, very empowering and would have enabled the pharmaceutical industry to concentrate on more on how we avoid those side effects. So, I think we have a lot to learn from patients and I think that lesson can go much further than just the design of drugs. We should be learning from them in the way we deliver healthcare.

Seeing the bigger healthcare picture

Care system redesign is at the heart of Hilary’s work, bringing the entire healthcare community together to produce better outcomes and cut costs. Much of her efforts are focused on the growing challenge of chronic conditions, moving patients from acute care to more local settings.

In 23 years with the UK National Health Service, Hilary rose to become Medical Director of the Royal Surrey County Hospital, after which she joined private health and social care provider Care UK as Group Medical Director, with responsibility for over 500,000 patients and services users annually.

Hilary has helped transform several UK regional health systems and redesign care pathways for chronic conditions within London, implementing new models emphasizing prevention and support. She advised Singapore’s Ministry of Health to reconfigure services for its five million people, integrating acute, primary and community care to improve the patient experience.

A highly influential national figure, Hilary was a member of the UK General Medical Council from 1994-2003 and from 2008-2010 was a Leadership Associate of the Kings Fund, a leading UK policy think-tank for quality and health service integration.

Hilary is a Fellow of the Royal College of Physicians, a Fellow of the Royal College of Radiologists, holds an MA from Cambridge University and a PhD from the University of London.

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