Executive leadership team

Our Executive Leadership Team, headed by Chief Executive Ailsa Claire, is responsible for all operational issues at Auckland DHB.

photo of Ailsa Claire

Ailsa Claire, OBE 
Chief Executive

Ailsa was appointed as Chief Executive of Auckland DHB in October 2012, following a distinguished career in the UK's National Health Service (NHS). At the NHS, Ailsa held a number of senior roles in provider and commissioning organisations, as well as roles on advisory committees. Awarded an OBE for services to healthcare, she is passionate about patient-centred care, changing the way patients and the public relate to the healthcare sector, and making use of the latest advances in technology. 

Ailsa is proud to lead New Zealand's premier DHB, which is dedicated to innovation, research and staff seeking to do the right thing for patients and their whānau.


Margaret Dotchin 
Chief Nursing Officer

Margaret completed her nursing training at Middlemore Hospital as a registered general and obsetric nurse in 1985. Margaret worked in a variety of roles as a registered nurse both at Middlemore Hospital, National Women’s Hospital and overseas prior to her first senior nursing role as charge nurse gynaecology oncology, National Women’s in 1990. She was appointed to the role of Chief Nursing Officer, Auckland District Health Board (ADHB) in July 2012. Prior to this Margaret held the position of Director of Nursing for Adult Services, ADHB.

Margaret has held both general management and nursing leadership roles across Adult Health Services and Women’s Health Services in her long history of working at ADHB or its predecessors. She is passionate about nursing and the contribution the profession brings to the delivery of safe, high-quality, compassionate, family-centred care – balanced with financial sustainability.    

Key roles and responsibilities:

  • Professional accountability and leadership.
  • Infection control.
  • Falls and pressure injuries. 
  • Patient and whānau experience.

Dr Margaret Wilsher 
Chief Medical Officer

Margaret was appointed Chief Medical Officer in 2010. A medical graduate of the University of Otago, she trained as a specialist in respiratory medicine at Green Lane Hospital and undertook post fellowship clinical and research training in London. After a number of years as a practising clinician and clinical academic, she has assumed an increasing number of clinical leadership and and administration roles in health. A key component of the CMO role is ongoing clinical practice. Margaret considers this essential as she sees the hospital when it is busy, experiences the same challenges as her clinical peers and importantly, hears patient stories at source. 

Margaret has a number of health leadership responsibilities outside of the DHB, including membership of the partnership groups overseeing major capital investment in Canterbury and Southern DHBs, advisory roles to ministry and minister of health. She has also held leadership roles within her clinical profession. 

Key roles and responsibilities:

  • Medical professional accountability and leadership.
  • Research.
  • Clinical Practice Committee.
  • Patient safety.
  • Auckland Academic Health Alliance.
 Andrew Old

Dr Andrew Old
Chief of Strategy, Participation and Improvement

Andrew is a Public Health Physician and was appointed to this Executive role in 2014, having worked at Auckland DHB since 2001 in a number of clinical and non-clinical roles. Andrew is a past Board member of the New Zealand Medical Association (NZMA) and was Chair of the NZMA’s Doctors-in-Training Council from 2005 to 2008. He is a Fellow of both the Australasian Faculty of Public Health Medicine (AFPHM), of the Royal Australasian College of Physicians (RACP), and of the New Zealand College of Public Health Medicine (NZCPHM), and is currently an elected member of the AFPHM Faculty Council. He was awarded a Fellowship of the NZMA in 2011 for services to the profession and the New Zealand public and is an Honorary Senior Lecturer in the Department of Medicine at the University of Auckland. 

Andrew has a long-standing commitment to partnering with patients, whanau and communities to co-design health services, and a keen interest in ensuring our health system supports the best possible outcomes for the populations we serve. 

Key roles and responsibilities:

  • Organisation strategy.
  • Patient and public participation.
  • Partnerships with health organisations
  • Communication.
  • Innovation.
  • Strategy deployment and performance improvement.
 Fiona Michel

Fiona Michel
Chief Human Resources Officer

Fiona came to our DHB from New Zealand Police, having previously worked for two decades in the technology, banking and insurance sectors across New Zealand, Australia, the UK and Asia. She completed her MBA at the University of Auckland in 2015, and was invited to become a lifetime member of the Beta Gamma Sigma International Honours Society.  Fiona includes in her career highlights, being elected class speaker for her Harvard Business School graduation, leading the recipients of the Australian Human Resources Institute’s Workplace Relations Award in 2012,and being named the Australian Human Resources Institute’s Dave Ulrich HR Leader of the Year in 2013. 

Fiona is a Graduate of the Australian Institute of Company Directors, a Fellow of the Australian Human Resources Institute and a Chartered Fellow of the Chartered Institute of Personnel and Development in the UK. 

Key roles and responsibilities: 

  • Organisational development and culture.
  • Leadership and management capability.
  • Employment administration and payroll.
  • Employee recruitment and orientation.
 Debbie Holdsworth

Dr Debbie Holdsworth
Director of Funding, Auckland & Waitemata DHBs

Key roles and responsibilities:

  • Lead funding directorate across both DHBs.
  • Ensure funds are allocated effectively and efficiently for health outcome.


Dame Naida Glavish
Chief Advisor Tikanga, Auckland & Waitemata DHBs

Key roles and responsibilities: 

  • Relationships with mana whenua and Mātā Waka.
  • Cultural support to all staff, patients and their whānau.


Joanne Gibbs
Director Provider Services

Key roles and responsibilities:

  • Provider integration operational management.
  • Accountable for all services and employees in provider functions.
  • Provider arm performance.


Shayne Tong
Chief of Intelligence & Informatics

Shayne comes to Auckland District Health Board with extensive experience in IT and digital experience in both operational and large complex transformation delivery. Most recently, Shayne worked as the Chief Information Officer at Genesis Energy but has also held senior positions at Fletcher Building as well as Barclays Group and Goldman Sachs in the United Kingdom.

Key roles and responsibilities:

  • IT enabled transformational change.
  • Electronic health record.
  • Digital by Default.
  • Business intelligence.
  • healthAlliance/IT service contracts.


Rosalie Percival
Chief Financial Officer

Key roles and responsibilities:

  • Corporate governance and risk management.
  • Estate strategy and facilities management.
  • Supplier contract management.
  • Commercial services.

Sue Waters
Chief Health Professions Officer 

Key roles and responsibilities:

  • Professional accountability and leadership.
  • Health and Safety.
  • Family violence and child protection.
  • Disability and rehabilitation.
  • Corporate governance and risk management.
photo of Karen Bartholomew at her desk

Dr Karen Bartholomew
Acting Director of Health Outcomes, Auckland & Waitemata DHBs

Key roles and responsibilities:

  • Health needs asssessment.
  • Planning and reporting.
  • Population health.
  • Healthy workplace.