Prof. Rafael Bengoa, co-director of the Institute for Health and Strategy, Bilbao, is the keynote speaker at this symposium. A Senior Fellow of Harvard University School of Public Health, he teaches strategic leadership at Harvard and at McGill, Canada. He has also practiced for seven years in both hospital and primary care. Professor Bengoa chaired the expert group that published the report ‘Systems not Structures’, in 2016, which provides the blueprint for the transformation of Northern Ireland's healthcare system. Prof. Bengoa holds MScs in Community Medicine and Health Systems Management from the University of London. He worked for 15 years for the World Health Organization in Copenhagen and Geneva, where he was Director of Management of Chronic Conditions and later Director for Health System Policies. From 2009 to 2013 he was Minister for Health and Consumer Affairs in the Basque Regional Government and is Vice Chairman of the EU Advisory Group of Horizon 2020, which deals with health, demography and wellbeing.