Our Governing Body
Our Governing Body comprises of a number of local GPs, clinicians, health professionals and lay members.
Dr Stephen Rowlands, Chair
Steve Rowlands has been a GP in Trowbridge since 1985. He retired as senior partner from Bradford Road Medical Centre in July 2013 but still maintains his role as a GP working as a locum.
Whilst working in the Solomon Islands in the South Pacific, Steve got involved with public health and medical politics. He has been involved in medical management in this country since the days of the Family Health Services Authority, originally sitting on the ‘medical service committee’ and has always had an interest in quality. Steve has worked for a Primary Care Group and latterly the Primary Care Trust as a Professional Executive Committee and board member and clinical governance lead. He has worked as appraisal lead for Wiltshire and instigated the current appraisal system in the county.
Stephen is a great advocate of clinicians leading the way in the NHS and has enjoyed helping to develop the Clinical Commissioning Group into an organisation that is clinically led, patient focused, and works well with all relevant stakeholders.
Deborah Fielding, Chief Officer
Deborah Fielding’s extensive experience includes Deputy CEO at NHS Havering as well as seven years in a commissioning role as Director of Strategy and Transformation in Essex.
Deborah has led performance and service transformation in one of the top 30 PCTs in the country with a team of six associate directors by developing innovative collaboration between organisations and teams. Her achievements in transforming services and performance in South East Essex and Havering drew on her extensive knowledge and experience of clinical policy and clinical governance.
One of her successful transformation projects included system redesign of GP led commissioning in South East Essex with integrated community and primary care, and the frail elderly acute/community pathway. Deborah is a strategic thinker focused on building influential partnerships with a commitment and passion to improve services resulting in improved performance impact, quality improvement and financial outcomes.
Simon Truelove, Chief Financial Officer
Simon is a member of the Chartered Institute of the Public Finance and Accountancy having qualified in 1995. He started working in the National Health Service (NHS) in 1990 after completing his degree at Bristol Polytechnic. He has worked as an accountant in a number of NHS provider and commissioning organisations as well as working across Adult Social Care. He secured his first Director of Finance role in 2002 at Swindon Primary Care Trust (PCT) as a job share with his wife and has operated in a senior director role ever since.
In 2007, after the rationalisation of PCTs, he worked on behalf of the Strategic Health Authority (SHA) across a number of different organisations including Great Western Ambulance Service, NHS Bristol and Swindon Adult NHS Community and Adult Social Care services. He started with NHS Wiltshire as a Group Director for North East Wiltshire (NEW) in April 2011 and secured the permanent Chief Financial Officer role for the aspiring Wiltshire Clinical Commissioning Group in July 2012.
He is passionate about making the finances of any organisation clear and transparent and ensuring that finance supports the strategic direction and vision of its leaders.
Simon is the CCG’s Senior Information Risk Officer (SIRO).
Dr Simon Burrell, GP Chair, North East Wiltshire
Simon qualified in Bristol in 1979 and worked in several hospitals in Bristol and Bath for some years in various specialties, but particularly in obstetrics. He joined the partnership in Corsham in 1985. Like all the partners he is keen to consider health and illness in the context of the whole person and to ensure an understanding of the balance of the benefits and hazards of modern treatments. He looks after the residents in local residential and nursing homes and through this has significant experience of helping older people and providing palliative care.
For ten years Simon was a medical officer for Bath Rugby Club, and has an interest in sports health. For some time now he has been involved in some of the wider aspects of organising health care in Wiltshire, providing clinical input into decisions about how NHS funds are spent. He is also involved in appraising other GPs in Wiltshire.
Dr Helen Osborn, GP Chair, West Wiltshire, Yatton Keynell and Devizes
Helen qualified in 1988 from the University of London. She is a GP and senior partner at Courtyard Surgery in West Lavington near Devizes. Her clinical interests are all aspects of family medicine, family planning, care of the elderly and palliative care. She is very involved in medical education as GP trainer and appraiser. Helen is also a staff-grade doctor in reproductive medicine/family planning.
Dr Toby Davies, GP Chair, Sarum
Toby qualified in 1985 at Birmingham University and completed his GP training in Devon after working in Australia. Since 1994 he has been a partner at the Castle Practice in Ludgershall, Wiltshire, and his specialism include asthma, cardiology and minor surgery. As well as serving on the Governing Body of the Clinical Commissioning Group he is a committee member of the Local Medical Committee. Toby is married and his wife is a consultant anaesthetist in Swindon.
Dr Richard Sandford-Hill, GP Vice Chair, West Wiltshire, Yatton Keynell and Devizes
Richard qualified from St George’s Hospital Medical School in 1988. In 1994, after completing his general practice training in West Dorset, Richard became a partner in the Market Lavington Surgery, where he has been a senior partner since 2006.
Richard’s specific clinical interests include minor surgery and palliative care.
Dr Chet Sheth, GP Vice Chair, Sarum
Chet is our new Vice Chair for Sarum Group. He is a GP partner at St Ann Street Surgery in Salisbury.
Mary Monnington, Registered Nurse
Mary qualified as a nurse in 1972 and has worked in a range of nursing posts including Night Sister, Ward Sister, Specialist Nurse for Infection Control, Clinical Teacher, Senior Clinical Nurse in Surgery and Tutor to the Staff Nurse Development Programme.
In 1978 she emigrated to Australia to work at the Alfred Hospital, undertaking a joint appointment in Orthopaedics and Education. Upon her return to the UK, she studied for an economics degree at the London School of Economics before completing a Master’s degree in Nursing at King’s College, London in 1986.
In 1987, Mary moved into general management at Princess Margaret Hospital in Swindon, Wessex Regional Health Authority and Dorset Health Commission. In 1994 she returned to a senior nursing post as Director of Nursing and Performance Management at Salisbury Healthcare NHS Trust.
In 2001, Mary began working for South Somerset Primary Care Trust and latterly for NHS Somerset as Director of Nursing. In September 2011, Mary commenced a long-term secondment as Cluster Director of Nursing for Bath and North East Somerset and Wiltshire Primary Care Trusts and was involved in the transitional process leading up to their dissolution in March 2013.
Dr Mark Smithies, Secondary Care Doctor
Mark qualified in 1981 at the University of London. Prior to becoming Director of Intensive Care at the University Hospital of Wales, in Cardiff, he was a consultant in Intensive Care at Guys Hospital in London.
As well as being a member of the Wiltshire Clinical Commissioning Group’s Governing Body, Mark is a Clinical Director of Critical Care Service for Cardiff and Vale of Glamorgan NHS Trust. He has also been increasingly involved in the development, organisation and management of critical care services throughout Wales, and in numerous research projects nationally and in Europe.
Peter Lucas, Lay Member
Peter’s background is in industry, commercial and investment banking and local community activities. He left the City in 2002 and retired to Donhead St Mary, a small village on the Wiltshire/Dorset border.
His involvement with the NHS first started in London, where for five years he chaired the Patient Partnership Group of his local GP practice. After moving to the country, he was appointed Non-Executive Director and Chair of Audit of Dorset & Somerset Strategic Health Authority. This then led to further involvement with the NHS with his appointment as a non-executive director to NHS Wiltshire in 2007. In April 2013 he was appointed Vice and Audit Chair of Wiltshire Clinical Commissioning Group.
Christine Reid, Lay Member
Christine has been involved in the NHS since 1984, when she was appointed by North Wiltshire District Council as a councillor member on Bath District Health Authority, a post she held until 1990 when she moved to Bath Continuing Health Care. In early 1996 she became a non-executive director for Wiltshire Health Authority until December 1997 when she was appointed Chair of Bath Mental Health Care Trust (BMHCT), which served Bath and North and West Wiltshire.
Over the next several years, Christine oversaw the BMHCT expansion into Bristol, north Somerset and south Gloucestershire, then finally the rest of Wiltshire: the Trust then became known as the Avon and Wiltshire Partnership. She remained a councillor until 1998, having also served on the national Local Government Association as lead member for rural local authorities and was awarded the OBE for this work. Christine has an ongoing interest in mental health services, carer services, delivering the Equality and Diversity agenda, and working with stakeholders.
In attendance (No voting rights)
David Noyes, Director of Planning, Performance & Corporate Services
David Noyes joined the Royal Navy in 1985 as a Logistics Officer. After initial training at Britannia Royal Naval College, Dartmouth, he spent the majority of his early career at sea either in frigates or aircraft carriers in professional service support assignments. His duties included being the Command advisor on a range of HR, legal, administration and performance management issues, and he saw active service in both the Gulf and Bosnia conflicts. Following advanced logistics training he became a Head of Department in the frigate HMS Boxer (including a spell in the West Indies on counter drugs operations). In 1998 he was appointed to work in the Ministry of Defence (MOD) as Military Assistant to First Sea Lord where he was responsible for supporting Strategy, Organisational Development and Corporate level decision making at the highest level of Defence.
Promoted to Commander in 2001, then Captain in 2009, he returned to the corporate level of the Navy as Executive Assistant to the Commander in Chief Fleet, providing support in both a national and NATO role. In early 2011 he was selected to be Deputy Commander of the UK Support Headquarters (Afghanistan) deploying to Helmand (a long way from the sea!) between November 2011 and June 2012. David retired from the Navy in March 2013, after 28 years’ service, to become Director of Planning, Performance and Corporate Services for Wiltshire Clinical Commissioning Group.
Ted Wilson, North East Wiltshire Group Director
Ted has worked for the NHS for over 30 years in a range of strategic management and planning roles at a senior level.
His previous post was Director of Operations for Shropshire Community Health NHS Trust, where he led the development and implementation of an organisational change and service transformation programme.
Prior to this, Ted was the Joint Director of Service Delivery at NHS Swindon and Swindon Borough Council and he led the work to develop a social enterprise across community health and adult social care provision.
Much of his NHS experience has been in Wales and culminated in a Chief Executive position of a Local Health Board (LHB) in Merthyr, one of the most deprived areas in the UK. He established this LHB from its inception and remained their Chief Executive for five years overseeing a number of primary and secondary care service developments during that time. He has also undertaken a number of senior executive roles in both health commissioning and operational management including a general acute hospital.
Earlier in his career, Ted worked as a Director for Health Promotion Wales, commissioning health improvement programmes across Wales.
Ted holds an honours degree in social sciences, and post graduate diplomas in health care management; human resources; purchasing and supply. He has also trained as a coach and mentor. He is passionate about improving health services for patients including their experience of care across organisational boundaries, delivering this care closer to home, consistently and whenever needed.
Jo Cullen, West Wiltshire, Yatton Keynell and Devizes Group Director
Jo has worked for the NHS for over 30 years, qualifying as a Registered Nurse from Guy’s Hospital in London in 1986, and graduating from the University of Bath in 1991. She has worked clinically in the RUH; in a GP practice in Bath on a Department of Health funded mental health project, and since 1996 worked for Wiltshire across previous predecessor NHS organisations. Jo was Head of Primary Care since 2009, managing the contracts for GPs, dentists, pharmacists and opticians and led the procurement of the Walk in Centre, Out of Hours and Single Point of Access and NHS 111 for Wiltshire.
Mark Harris, Sarum Group Director
For the last twenty years, Mark has worked in NHS commissioning organisations throughout the south in Surrey, Hampshire, London and Berkshire.
Over that time Mark has led the commissioning of acute, mental health, community and ambulance services in a variety of roles. In recent years, as Deputy Director of Commissioning in Berkshire, Mark was focused on planning, service redesign and change management, working alongside clinicians in primary care to redesign and set up new services.
In his role as senior commissioning support and operational lead, Mark also led the transfer of the community services of two Primary Care Trusts (PCT) into Foundation Trusts, before going on to support two first wave Clinical Commissioning Groups (CCG) set up and prepare for authorisation. He was seconded to Central Southern Commissioning Support Unit (CSCSU) in May 2012 as Director of Service Development, working to set up the new Commissioning Support Unit and develop services for CCG customers before joining Wiltshire CCG at the beginning of February 2013.
Dina McAlpine, Interim Director of Quality and Patient Safety
Dr Peter Jenkins, GP Medical Advisor, Safeguarding (children) and Clinical Exceptions
Peter Jenkins qualified from St Mary’s Hospital, London, in 1975 and has been a GP in Avon Valley Practice for more than 30 years. Until recently he was a GP Trainer and GP Tutor for Salisbury. Currently he works part-time in the practice and is a GP Appraiser.
Previously he was a Board member and Clinical Governance Lead for South Wiltshire Primary Care Trust (PCT) and then Associate Medical Director for Wiltshire PCT until March 2013.
He is the named GP for safeguarding children for the Clinical Commissioning Group.
Rob Hayday, Associate Director of Performance, Corporate Services and Head of of Project Management
Rob joined the NHS in 2008 and worked in provider services before joining the Clinical Commissioning Group (CCG) in 2012, when it was operating in shadow form. In the early part of his time with the CCG he was instrumental in its set-up and is now Head of Project Management. In this role he is responsible for monitoring the delivery of CCG projects to achieve the strategic aims for the people and patients in Wiltshire. Prior to working in the NHS, Rob held posts in Local Authority leisure services provision.
Lynn Talbot, Interim Director of Transformation
Lynn Talbot is a qualified nurse, health visitor and teacher and has been in the NHS over 20 years in senior management positions mainly within primary care. She is passionate about the NHS and improving patient care. Her focus has been on leading change and service redesign and she was one if the first to introduce commissioning into the NHS.
Diana Hargreaves, Board Administrator, CCG
Diana’s early career was in television and publishing and latterly has worked in the public sector assisting unemployed adults to return to work following a work experience placement; then as a commissioner of education and training for 16-19 year olds with The Learning and Skills Council and Wiltshire Council.
In 2011, Diana joined the Primary Care Trust, working as an administrator in Continuing Health Care, then became Business Manager to the CEO and Chair and took up her current role as the Clinical Commissioning Group’s Board Administrator in April 2013.
Maggie Rae, Corporate Director, Wiltshire Council
Maggie Rae is a Corporate Director at Wiltshire Council and has statutory responsibility for services delivering Adult Social Care and Public Health together with responsibility for Housing, Communities and Public Protection. She is also the Director of Wiltshire Public Health and continues to work closely with GP colleagues across the Clinical Commissioning Group and Wiltshire, supporting them on public health issues.
Maggie has spent her career developing and exercising her passion to lead improvement of the public’s health. Her previous roles have included Director of Public Health at NHS Wiltshire where she played a pivotal role in the transformation of Wiltshire as a health community. During this time she has led the development of ‘A single version of the truth’ – a partnership Joint Strategic Assessment of the county’s needs’, which is an assessment tool to help guide decisions on the commissioning of services for Wiltshire.
Previously Head of Health Local Delivery and Health Inequalities at the Department of Health, Maggie has also acted as the UK Representative on the European Expert Working Group on Health Inequalities.
Maggie is the South West Board member for the Faculty of Public Health, a Fellow of the Royal Society of Public Health and a Fellow of the Faculty of Public Health.
Julia Cramp, Service Director, Commissioning and Performance, Wiltshire Council
Julia is the Joint Associate Director (with the Clinical Commissioning Group) Quality Assurance, Commissioning and Performance, School and Early Years Effectiveness at Wiltshire Council.
James Cawley, Service Director, Commissioning Procurement and Strategy, Wiltshire Council
James is the Associate Director of Adult Care Commissioning, Safeguarding and Housing for Wiltshire Council.
James Roach, Integration Director
James is a joint appointment with Wiltshire CCG and Wiltshire Council and has the remit of supporting both organisations to achieve their ‘Better Care Plan’.
James has a history of working with CCGs at Director, Chief Operating officer, and Accountable Officer level and brings with him a wealth of leadership experience of working across health and social care organisations.
Christine Graves, Healthwatch
Our Governing Body register of interests