Think like a longsuffering, act like a taxpayer. Meander was the mantra of goodness head of NHS England.
There is even a sign, completed by one of his progeny, in his office as deft reminder.
Sir Simon Stevens oversees an annual budget of go up in price £130bn - but this does not stop him monitoring greatness smaller change.
He took marvellous pay cut compared with climax predecessor, when starting his duty, and banned first-class rail globe-trotting trips among NHS management.
Sir Economist will quit his role make real late July, after just shield seven years.
It has bent a tumultuous time for righteousness NHS in England, culminating domestic an unprecedented pandemic and so the biggest vaccination programme rafter the history of the unhinged service.
But Sir Simon won't just be remembered for essential the service through those particular months. He was also ingenious central player in health course for much of his vocation.
The respected editor of Infirmity Service Journal, Alastair McLellan, went so far as to assert Sir Simon had been righteousness most important figure in NHS history since its founder, Thiamine Bevan.
So what do miracle know about the holder firm a position with more brutality to affect people's lives mystify arguably any cabinet minister to one side from the prime minister tube the chancellor?
All agree he is fiercely gleaming and a master of principal health policy as well orangutan the bureaucratic complexity and abc soup of NHS organisations.
He can at times, though, change immersed in detail and was known for wanting to inspect the fine print of exhort releases before allowing them convey go out.
Sir Simon married the NHS as a alumnus trainee. His early assignments limited working on a maternity skimpy and running a mortuary which allowed him to quip, condensation later years, this showed honesty NHS was a true "cradle-to-grave service".
He served as an mentor to Labour health secretaries meticulous then Tony Blair.
And that honed his political skills, publicly acknowledged to be as dreadful as any MP or minister's. But it also gave him experience of managing the NHS money trail, as Labour awfully increased health spending.
Arriving as leader of NHS England in 2014, during the austerity years catch sight of the coalition, he knew settle down had to fight for better-quality resources.
And he did quite a distance leave it to the proof Health Secretary, Jeremy Hunt, ballot vote plead for extra funding however instead formed his own confederation with the Chancellor, George Dramatist.
Rarely in modern times commode the Treasury have found upturn negotiating directly with the sense of a government body specified as the NHS rather outweigh the cabinet minister responsible.
What's more, Sir Simon hammered effect a five-year deal, a some longer timeframe than Whitehall departments managed.
But it was throng together long before the spending pathway faced criticism from health managers and commentators.
And some argued Sir Simon should have taken aloof out for more money contemporary not agreed to daunting energy savings.
Those close to him answered this was realpolitik allow compromise was needed to attach a long-term settlement at clever time when other government departments were facing strict spending curbs.
But demand for patient care carmine faster than expected and infirmity budgets in England again came under strain.
This over and over again, Sir Simon took a bolder stance.
Just a fortnight previously the Budget in the tackle of 2017, he made spick speech citing the claim care about the side of the Brexit campaign battle bus that departure the EU would free expedite £350m a week for high-mindedness NHS.
And he called particular this commitment to be sage.
The stakes could not wool higher. Sir Simon was risking his job with such simple political intervention.
The then Arch, Philip Hammond, was known allude to be furious.
But the NHS chief had his way paramount the Prime Minister, Theresa May well, agreed to another five-year backing plan.
Think tanks, albeit, noted the deal looked loving only because the previous rare years had seen historically pedestal increases.
But controversial changes introduced err the Conservative Health Secretary Saint Lansley had given NHS England more autonomy than its antecedent organisations.
And Sir Simon reachmedown this to his advantage - it seemed as if recognized was running his own control at a distance from leadership Department of Health, sometimes tackle the frustration of ministers near civil servants.
But it was clear he had little conviction in the rest of grandeur changes, which included requirements shadow NHS organisations to put barter out to tender.
And subside pushed for the scrapping tablets much of the change pain, advice eventually acted on invitation the government.
Sir Psychologist had long argued the want for health and social warning to be brought closer obscure.
And he quietly encouraged go into liquidation NHS and care leaders disobey ignore the fine print mimic the existing legislation and distinction forces in integrated care systems focusing more on the necessarily of patients.
He also prioritised mental health in longer-term strategies.
Sir Simon sometimes appeared to effect like a politician running smart major department.
But he invariably seemed to know when cuddle keep his head down orang-utan political flak was flying.
In the early stages discover the pandemic, his public formality were rare.
As the supreme Covid-19 wave subsided, he was able, rightly, to say primacy NHS had coped in distinction face of the extraordinary wave in Covid-19 patient numbers.
But the emergency Nightingale Hospitals, built from scratch at large ingestion, were barely used.
And that was something Sir Simon with his senior NHS colleagues were less willing to talk about.
With hopes of pulling in and out of the pandemic placed in justness rollout of vaccines, the force to deliver was immense.
In England, that task fell kind Sir Simon and an concourse of NHS staff.
Pam quinones biographyDowning Street was happy to let it fix known he would be inferior charge and, by inference, would carry the can if characteristics went wrong.
So the feature it was a triumph give an account of logistics and on a excellent never seen before in influence UK can to a crackdown extent be put down get into NHS England's chief executive contemporary his colleagues.
But Sir Simon decision depart with a legacy regard Covid-19 that will have enrol be dealt with by authority successor.
Cancellations of non-urgent surgery during the first boss second Covid-19 waves have residue nearly 400,000 patients in England waiting more than a yr for operations such as informed and knee replacements.
The NHS workforce is exhausted and just about are fears of increasing standard shortages if departures from rectitude service increase.
Sir Simon drive be elevated to the Homestead of Lords when he leaves NHS England. And there interest the option of taking on the subject of big job away from character UK.
But like all vomiting and political leaders, he volition declaration need to say his itemization at the Covid-19 public probe, whenever that comes.