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Derek Wanless was born in Newcastle upon Tyne, where he was educated at the Royal Grammar School. From 1967-70, he was an undergraduate at King's College Cambridge, which he attended on a support grant from Westminster Bank (a constituent of the present NatWest Bank). He was an extraordinarily gifted mathematician and graduated as Senior Wrangler in 1970. On graduation he moved into banking, qualifying as a statistician, and attended the Program for Management Development at Harvard. He was a member of the Institute of Statisticians and a Fellow of the Chartered Institute of Bankers, of which he was President in 1999.
He had joined Westminster Bank, a constituent of the present NatWest Bank in 1967, beginning with a Saturday job before becoming NatWest's Director of Personal Banking from 1986-1988. Then becoming the General Manager for UK Branch Business and UK Financial Services before, in 1992, taking on the role of Group Chief Executive until 1999, when he received a reported pay-off of £3,000,000. It was on Friday 8 October 1999, that BBC News reported that Derek Wanless had been ousted from his position as Chief Executive. Wanless was reportedly forced out by the bank's Non-Executive Directors, who replaced him with Sir David Rowland. Wanless had been criticised by City investors for taking the bank into investment banking, and failing to curtail high costs. As executive responsible for NatWest's card business, he led the team which invented Switch, the UK's debit card scheme. He led the NatWest Group immediately prior to its takeover, by the (then) relatively small Royal Bank of Scotland.
In 2002 he carried out a review of the future funding of the National Health Service for Gordon Brown, then Chancellor of the Exchequer and in 2007 carried out a further review for the King's Fund.
He was a Non-Executive Director of Northern Rock between 2000/2007, where he was Chairman of The Northern Rock's Audit and Risk committees. His position became highly contentious, following the incipient collapse of Northern Rock in September 2007. The Northern Rock's crisis was due to inadequate risk provision, and a 'run on the Bank' was only halted with promises of unlimited UK government support.
Sir Derek was heavily criticised regarding his role in the Northern Rock affair by a committee of MPs sitting on the Commons Treasury Select Committee on 16 October 2007. Sir Derek's resignation was accepted by Northern Rock's newly appointed Chairman on 17 November 2007. He died of pancreatic cancer at the age of 64 in 2012.
Sir Derek Wanless was a Freeman of the City of London, received a Knighthood in the 2005 New Year Honours and a Doctor of Civil Law, honoris causa from Durham University on 30 June 2005. He received an Honorary Doctorate in Business Administration (Hon DBA) from Sunderland University in July 2007. A further Honorary Doctorate was awarded by Coventry University in November 2007, which prompted a Daily Telegraph article questioning the value of such awards 
The House of Commons Select Treasury Committee published its report into the Northern Rock affair on 24 January 2008. Wanless's role as Chairman of the Risk Committee, was criticised in the report. The report's conclusion is appended below, and the full report may be found as referenced.
#31. - The directors of Northern Rock were the principal authors of the difficulties that the company has faced since August 2007. It is right that members of the Board of Northern Rock have been replaced, though haphazardly, since the company became dependent on liquidity support from the Bank of England. The high-risk, reckless business strategy of Northern Rock, with its reliance on short- and medium-term wholesale funding and an absence of sufficient insurance and a failure to arrange standby facility or cover that risk, meant that it was unable to cope with the liquidity pressures placed upon it by the freezing of international capital markets in August 2007. Given that the formulation of that strategy was a fundamental role of the Board of Northern Rock, overseen by some directors who had been there since its demutualisation, the failure of that strategy must also be attributed to the Board. The non-executive members of the Board, and in particular the Chairman of the Board, the Chairman of the Risk Committee and the senior non-executive director, failed in the case of Northern Rock to ensure that it remained liquid as well as solvent, to provide against the risks that it was taking and to act as an effective restraining force on the strategy of the executive members. 
- 2007: Our Future Health Secured? A review of NHS funding and performance for the King's Fund
- 2006: Securing Good Health for Older People for the King's Fund with the Personal Social Services Research Unit (PSSRU) at The London School of Economics.
- 2004: Securing Good Health for the Whole Population for HM Treasury
- 2002: Securing Our Future Health: Taking a Long-Term View for HM Treasury
- "Derek Wanless, Doctor of Law" (PDF). Durham University. Retrieved 13 September 2007.[permanent dead link]
- "Profile: Banking's boy wonder: Derek Wanless - NatWest's chief has a personal touch but a pragmatic vision, says William Kay". Independent. 27 March 1994.
- "Biographical Information about Derek Wanless". HM Treasury. Archived from the original on 3 October 2007. Retrieved 13 September 2007.
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- Carvel, John (12 September 2007). "Summing Up". The Guardian. London. Retrieved 13 September 2007.
- "NatWest chief executive ousted". BBC News. 8 October 1999.
- White, Michael (12 September 2007). "Welcome for Wanless". The Guardian. London. Retrieved 13 September 2007.
- BBC News (Sept. 2007). “Northern Rock deposits guaranteed: The government has said that it will guarantee all deposits held by the embattled Northern Rock bank”, BBC News, 17 September 2007. Retrieved 8 July 2014
- Derek Wanless Obituary in The Guardian. Retrieved 26 March 2014
- "Sir Derek Wanless". NHS History. Retrieved 13 September 2007.
- 'Business diary: "Sir Derek becomes a doctor on the NHS"'
- on YouTube
- House of Commons - Treasury - Fifth Report