Tracy has over 30 years NHS commissioning and operational management experience in primary, community and acute service settings. She was Policy Lead with the Department of Health, responsible for developing the approval process for the creation of social enterprises. She worked with Tower Hamlets GP Care Group CIC for over seven years, and was the Joint Chief Executive for 5 years. She was also the interim Chief Operating Officer for Vhi, the largest private health insurer in Ireland. She is the Chair of Gateway Primary Care CIC and previously chaired the Social Enterprise Support Centre for Yorkshire. Tracy became ECCH’s first Chief Executive in 2011.