Navina has over twenty years’ clinical experience in psychiatry, medicine and paediatrics, and came to East London in 1997 as a consultant psychiatrist. In 2011 Navina took on the role of deputy chief executive and director of operations at the East London NHS Foundation Trust (ELFT), and was appointed as chief executive in August 2016. Prior to 2011, Navina worked as the clinical director for Child and Adolescent Mental Health Services (CAMHS) at ELFT, where she led on ensuring effective delivery in terms of quality, performance and effectiveness and had lead responsibility for partnerships and integrated care. During her time with ELFT Navina has been involved in service development and redesign, encompassing change management at considerable scale, careful balancing of staff morale, maintaining quality and safety and keeping within financial limits. Navina has considerable experience of working across organisational boundaries, especially with local authorities, voluntary sector, acute and community services and primary care. Navina has previously been involved in Medical Education at Barts and The London Medical School as Honorary Senior Lecturer, Associate Dean, and provided pastoral care to medical students.