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Glen Burley began his NHS career in 1983 as a finance trainee, qualifying as a Chartered Public Finance Accountant in 1990. After reaching the position of Director of Finance for South Warwickshire Mental Health Services NHS Trust, he moved into an acute operational role when he became Director of Operations for the Surgical Division of University Hospitals Coventry and Warwickshire NHS Trust.

In 2003, he was appointed as Chief Operating Officer and Deputy Chief Executive to Worcestershire Acute Hospitals NHS Trust and joined South Warwickshire in 2006, initially as Interim Chief Executive. He was formally appointed in 2008.

Between 2015 and 2017 Glen was the National SRO for the Emergency Care Improvement Programme alongside his role in the Trust.

In 2016, while remaining in his Chief Executive role at South Warwickshire University NHS Foundation Trust, Glen became Chief Executive of Wye Valley NHS Trust – leading to the creation of the Foundation Group the following year. In 2018, Glen became Chief Executive of George Eliot Hospital NHS Trust, with the organisation also joining the Foundation Group. Worcestershire Acute Hospitals NHS Trust joined the Group as an Associate Member in 2021 before becoming a full member in August 2023. Glen subsequently became Chief Executive while remaining in his role at the other three organisations.