Miriam began her career in local government, working in management roles at the centre of large councils and in social care.  She developed her interest in policy and influencing work at the Local Government Association working on securing support and autonomy for councils to drive their own improvement.  Miriam joined NHS Providers in 2012 and has supported and led their policy and influencing programme on behalf of trusts since that time, with a particular recent focus on system working, and collaboration between trusts and their local partners.  Miriam has been director of policy and strategy at NHS Providers for the last two years.  She holds specific responsibilities for driving organisational strategy, and leads a strong team of professionals across analysis, policy and public affairs.