About Leadership Team Director of Care - Rayna McDonald Rayna joined Enham Trust in November 2015. Rayna joined the Royal National Hospital of Rheumatic Diseases in Bath as the Director of Operations and Nursing in May 2010 until the Trust was acquired in January 2015. Rayna has worked in a range of clinical, management and academic positions in various NHS and academic organisations. Rayna qualified as a Registered Nurse over 25 years ago. In addition, she is a graduate of the NHS Management Training Scheme, holds a Postgraduate Diploma in Management (Health) and a Bachelor of Nursing (Hons). Rayna has also published and presented research papers at a variety of international nursing conferences.