Four months after its permanent chief executive, Dorothy Hosein, resigned, troubled East of England Ambulance Services Trust has a new boss. Tom Abell is taking over the top job on a permanent basis, having moved over from a deputy chief executive role at Mid and South Essex Foundation Trust, itself a trust that is struggling with concerns over quality and governance. However, if the MSE role was a challenge, Mr Abell is sure to find EEAST an even bigger one. In September 2020 a Care Quality Commission inspection found a “combative leadership” culture. It also referred the trust to the Equality and Human Rights Commission over concerns the trust had breached the Equality Act 2010.