Independent Research Healthcare Decision-Making

KSR is proud to have transitioned to an Employee Ownership Trust (EOT) in October 2022. Since its foundation in 2005, KSR has continuously produced excellent and trusted independent research to support healthcare decision-making. The EOT enables KSR to preserve this legacy cultivated by founder Jos Kleijnen, remain independent, and provide security for its employees.

As part of the move to the EOT, a new Board of Trustees was formed. The members of the Board of Trustees will change over the years. Currently, the Board includes an independent chair, the minority shareholder, an independent trustee, the KSR Co-Director and an employee representative. KSR has also become a member of the Employee Ownership Association (EOA), which offers support and advice.

Proudly independent, together

Studies have shown employee-owned businesses to be highly resilient, more profitable, and more sustainable. The incentives presented to employees improve motivation and performance, while employment standards also tend to be higher. Because they directly benefit from the success of the business, employees are more committed to long term business goals, with a more entrepreneurial mindset.

KSR is proud to be an EOT, and committed to remain independent and provide security for its employees.

Find out More

Sara Twaddle

Independent Trustee and Chair

Sara Twaddle

Independent Trustee and Chair

Sara is a health economist and health services researcher. She spent her entire career in NHS Scotland and her last role before retirement was leading the Evidence Directorate at Healthcare Improvement Scotland. Since retiring to the Isle of Skye in 2019, Sara has become increasingly involved in community issues and she chairs the local development trust.

Mike Graham

Employee Representative Trustee

Mike Graham

Employee Representative Trustee

Mike joined KSR Ltd in October 2025 as a Reviews Manager. He has a PhD in Exercise Science and previously worked as a Senior Lecturer and Clinic Manager with experience across health services, exercise science, public health research, teaching, academic supervision and project management.

Mike has also contributed to university ethics committees, academic and governance within UK higher education, bringing experience of governance, collaboration and evidence-informed decision-making.

As Employee Representative Director on the EOT, Mike is committed to listening to employee-owner views, promoting open communication, and helping ensure employees have a meaningful voice in the organisation’s future.