Professor Rajan Madhok is the Medical Director of NHS Manchester. A medical graduate from Delhi, India, he has been in the west since 1980. He initially trained as an orthopaedic surgeon in the NHS and then switched to public health. Over the years he has held increasingly senior leadership positions in the NHS and until recently also worked in the IT sector. Amongst many other current positions he is the Joint Coordinating Editor of the Cochrane Bone, Joint and Muscle Trauma Group; member of the Global Partners in Public Health Informatics; Chair of the Open Access Education Initiative Charity; Overseas Advisor to Indian Confederation for Health Care Accreditation; Chair of the Greater Manchester Comprehensive Local Research Network, trustee of the Salford Combined Hospitals CAB, Council Member of the General Medical Council, and the India Envoy of National Patient Safety Agency. He holds professorial appointments with Universities of Teesside, Manchester Metropolitan and Manchester.