Dr Robert Royce is the Senior Researcher at the Bevan Commission. Robert had previously held senior NHS management positions both in England and Wales, as well as working in healthcare consulting (his last consultancy assignment before joining the Bevan Commission was as Recovery and Sustainability Director for ABMU Health Board). He has also worked in the USA and for Bupa (UK Health Insurance) where he was Head of Policy, Quality and Provider Relations for four years. He has written two books and had almost 100 articles published in the likes of the BMJ, HSJ and Managed Care (USA). He has a PhD from Swansea University looking at the dynamics of the private healthcare in the United Kingdom. He is particularly interested in performance management and improvement in healthcare and how payment systems impact (positively and negatively) on them.