His roles have included; Chief Executive of West Yorkshire and South Yorkshire Strategic Health Authorities, Chief Executive of Tees Valley Health Authority and Head of Primary Care at the Department of Health (United Kingdom). During his time at the Department of Health, he was responsible for establishing Primary Care Groups, Primary Care Trusts and PMS. In addition he chaired the NHS Confederation GP Contract negotiating team that successfully negotiated the new General Medical Service contract and is the National Programme Director of NHS Live.
Farrar's first position with the NHS was as a gardener at Rochdale Infirmary between 1977 and 1979. In 1982 he joined Rochdale Health Authority as a health promotion officer and then went on to set up an alcohol and drug service for Yorkshire. Further positions included chief executive of Tees Health Authority, head of primary care at the Department of Health and chief executive at South Yorkshire Strategic Health Authority and West Yorkshire Strategic Health Authority. On 1 July 2006, he became Chief Executive of NHS North West, the new Strategic Health Authority for North West England, as part of the new centralised SHA structure. He left this post for the NHS Confederation in October 2011, as NHS North West became one of three SHAs to be merged to form the NHS North of England SHA Cluster. From 2002 to 2009 he was the Chair of the Strategic Health Authority Chief Executives Group. In addition, he is a member of the National Migration Impact Forum, which is a Ministerial sounding Board for immigration policy (including the new points based migration system)
Prior to working in the NHS, he worked for Grand Metropolitan UK Ltd and pursued early aspirations to play professional football and cricket, playing semi-professionally for Rochdale Football Club and as a fast bowler for Littleborough Cricket Club. He was appointed to the board of Sport England in April 2005 and acted as the interim chair from December 2007 following the resignation of Derek Mapp. He stepped down from the chair in March 2009 with the appointment of Richard Lewis but remained a member of the board.
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- "Lewis named Sport England chief". BBC Sport (British Broadcasting Corporation). 20 February 2009. Retrieved 19 December 2009.
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