DECLARATION OF INTERESTS REGISTER AS AT APRIL 2020

(Updated September 2020) Inman, Janet Gaunt, Matt Sarah Fletcher, Fahy, Martin Jules Ellis-Fenwick, Dr Andy Doddrell, Connolly, Jim Fenella Chambers, Pete Burnett, Boldy, David Elizabeth Ball, David Baker, Majid Akram, Name Non-Executive Director Non-Executive Contracting and Finance of Director CEO Lincs HW Quality & Nursing of Director Secretary Board Locality - Lead East Clinical Director Non-Executive Director Non-Executive Director Programme Interim STP Secondary Care Doctor for6 register on - 2020 remain August (Retired InterimNursing of Director Locality West South Lead, Clinical Lead Clinical Current position(s) held in the CCG member, Member Practice, CCGmember, Practice, Member i.e. Boardi.e. member, Committee employeeor other Shareholder of Lindum Group ofLindum Shareholder United Hospitals Hospitals Lincolnshire United Hospitals Lincolnshire United Hospitals Lincolnshire United Declared InterestDeclared (Name of organisation and nature of Unite/Mental Health Nurses Nurses Health Unite/Mental Deepmedicine IT Company Deepmedicine Greyfriars Surgery, Boston A&E Session at Session A&E Nottinghamshire (F4RN) - Nottinghamshire minister for the Methodist fortheMethodist minister Boston Borough Council Borough Boston Wife is a superintendent asuperintendent is Wife Riverside Coaching and and Coaching Riverside Church in Boston circuit Boston in Church North Sea Camp Prison Prison Camp North Sea provider ofhyperprovider speed Society Thoracic British GP Simulation Training Training GP Simulation Lincoln Medical School Medical Lincoln Lincoln Medical School Medical Lincoln Spouse is Director and and Director is Spouse Nottinghamshire CCG Nottinghamshire CCG Nottinghamshire St Barnabas Hospice Barnabas St Volleyball Volleyball Deepings Practice Deepings Activity Alliance Activity Awaiting detail Awaiting Fibre for Rural Fibre for Rural K2 Federation K2 Liaison Care Liaison Consultancy Association GP Trainer GP Trainer broadband broadband NHS Trust NHS Trust NHS Trust NHS business) HW Lincs HW Company Hospital NHSE/I CQC LMC Nil Nil REGISTER OF THEREGISTER OF NHS LINCOLNSHIRECLINICAL GROUP COMMISSIONING N/A N/A             Financial Interest Type of Interest N/A N/A Non-Financial        Professional Interest N/A N/A    Non-Financial Personal Interest Is the interest direct or indirect? Indirect Indirect Indirect Indirect Indirect Indirect

BOARD Non-Executive Director and Chair of Chair and Director Non-Executive for minister asuperintendent is Wife the statutory independent consumer statutory consumer the independent Hold a contract to provide General provide to contract a Hold Healthwatch Lincolnshire which is whichis Lincolnshire Healthwatch UoN Honorary Teaching Lecturer, Strategic CHC Advisor (Ad hoc) (Adhoc) CHCAdvisor Strategic Wife is Director of Clinical Skills Clinical of Director is Wife the Methodist Church in Boston Boston in Church Methodist the Mother in law is aPrimary lawMother in is Care HWLincs holds the contract for contract the holds HWLincs Spouse is Assistant Director of Director Assistant is Spouse Practice services to North Sea North to Sea services Practice Deputy for Nurse is Chief Wife champion for health and care care and for health champion Camp Prison under a service under aservice Prison Camp Non-Executive Director and and Director Non-Executive provision from Nottingham. provision Commissioning Manager Manager Commissioning services in Lincolnshire Lincolnshire in services Nottinghamshire CCG Nottinghamshire Wife works forULHT Wife Company Secretary Finance Sub-Group Finance Mentor Consultants Nature of Interest Locum Consultant Locum Medical Referee Medical Special Advisor Advisor Special Owner/Director GP trainer Students Member Member Member Member Director Director Nursing Nursing Director Trustee Spouse Partner Partner Doctor circuit

May-96 May-18 Aug-13 Sep-08 Aug-92 Feb-20 Jun-20 Jun-15 Apr-19 Apr-20 Apr-20 Apr-20 Apr-20 Apr-20 Apr-20 Apr-20 From 2017 2016

Date of Interest Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Jun-20 2025 2024 Date Date Date To

No Change Reported & Date Note Note N/A declare and Note Note note and Declare note and Declare note and Declare from anyexclude primary care and appropriate as Declare anyenaged in executive be Not to declare. and Note required. Noaction Note. withinthe from any CQC visits Removal declare. and Note relating decisions fromall self of Removal declare. and Note fornot tobid work originating CompanyNote. undertakes declare and Note declare and Note declare and Note declare and Note where appropriate. exclude declare, and Note where appropriate. exclude declare, and Note where appropriate. exclude declare, and Note Barnabas whichSt in activity from anyExclude contractual where appropriate. exclude declare, and Note where appropriate. exclude declare, and Note N/A appropriate. as declare and Note commissioning from anyExclude Declare. note. and Declare commissioning from anyExclude Declare. commissioning from anyExclude Declare. from anyexclude primary care and appropriate as Declare Action taken to mitigate risk Inman, Janet Non-Executive Director Asian Sport Foundation Non-Executive Director 2019 2027 Note Lincolnshire Sport Forum Chair 2019 Present Note Lyons, Sean Chair West Nottinghamshire College  Chair of Corporation Board Feb-19 Present Note Heath Surgery Bracebridge  Registered Patient 01-Dec-09 Present Note Heath Deputy Lieutenant for  Deputy Lieutenant for Lincolnshire 01-May-20 Present Note Lincolnshire University of Lincoln Student  Trustee and Board Director 01-Jan-19 Present Declare and note. Union University of Lincoln Court  Member 01-Feb-19 Present Declare and note. Liburd, Sue Non-Executive Director To be excluded from University of Lincoln Business negotiations of any  Consulting Partner 01-May-19 Present School commerical transactions with UoL Business School Advisory Board Member and Government Events Limited  01-Jul-18 Present Note Conference Chair Sage Blue Limited  Managing Director 01-Dec-00 Present Note Exclude from any contractual Lincolnshire Housing activity in which Lincolnshire  Chief Executive 2018 Present Partnership Housing Partnership may be Macdonald, Murray Non-Executive Director interested. Scout Association  Chair 2015 Present Note NELC Health & Wellbeing  Member 2020 Present Note and declare. Board Self Employed Management  Self-Employed 2013 Present Note Consultant McSorley, Gerry Non-Executive Director Note. Exclude from any CQC CQC  Specialist Advisor 2013 Present related submission work. DeFerrers Academy Trust  Trustee 2013 Present Note Mills, Sarah-Jane Chief Operating Officer – West Locality Nil N/A N/A N/A N/A Moore, Pete Non-Executive Director Nil N/A N/A N/A N/A Herbal Medicine and Indirect Wife is Clinic Manager 2014 Ongoing Declare and note. Acupuncture Lincoln College Parkin, Dr John Clinical Lead – West Locality BMJ Best Practice Indirect Daughter is Marketing Manager 2019 Ongoing Declare and note. Daughter is Physiotherapy Student University of Lincoln Indirect 2019 Ongoing Declare and note. (Masters Degree) 2nd Year Chief Operating Officer - South West Raybould, Clair Nil Nil Nil Nil Nil Locality Wife is employed as Lead Advanced Declare at meetings as Rix, Andrew Chief Operating Officer Sidings Medical Practice Nil Nil Nil Indirect Apr-20 Ongoing Nurse Practitioner required Turner, John Chief Executive Nil N/A N/A N/A N/A N/A N/A Director of Public Health - Lincolnshire Ward, Professor Derek University of Lincoln  Visiting Professor of Public Health Apr-20 Ongoing Note and declare County Council Sidings Practice  Registered Patient Ongoing Note and declare. Sidings Practice  Family Registered Patients Ongoing Note and declare. Williamson, Sandra Chief Operating Officer – East Locality Boston West Academy School  School Governor Sep-17 Ongoing Note Meadow Edge Care Home  Grandparents are Residents Apr-19 Ongoing Note and declare Health and Wellbeing Board Woolley, Sue Lincolnshire County Council  Executive Member Ongoing Note and declare. Representative Connolly,Jim Clarke,Nicola Fenella Chambers, DavidBoldy, Sarah Bates, Elizabeth Ball, David Baker, Majid Akram, Name Non-ExecutiveDirector Rep Lincs HW Non-ExecutiveDirector SecondaryCare Doctor DeputyBoard Secretary months) 6 2020on registerAugust -remain for DirectorNursing of (Retired Interim Locality Lead,ClinicalWest South LeadClinical Current position(s) held in theCurrent CCG in position(s) held member, Member Practice,CCG Member member, i.e. Board member, Committee Boardmember, i.e. employeeother or ShareholderGroup Lindum of District Council Lindsey District West DeclaredInterest (Name of UnitedLincolnshire Hospitals UnitedLincolnshire Hospitals UnitedLincolnshire Hospitals organisation and natureandorganisation of The Glebe Practice, Saxilby TheGlebe Practice, Deepmedicine IT Company DeepmedicineIT A&E Session at Grantham at Session A&E Nottinghamshire (F4RN)Nottinghamshire - RiversideCoaching and British Thoracic Society Thoracic British providerhyper of speed GP Simulation Training Simulation GP LincolnMedical School LincolnMedical School Spouse is Director and Spouseis St Barnabas Hospice St DeepingsPractice Awaitingdetail FibreRuralfor K2 FederationK2 LiaisonCare Consultancy broadband NHSTrust NHSTrust NHSTrust business) Company Hospital CQC LMC Nil REGISTER OF THE NHSTHELINCOLNSHIRE OF CLINICAL REGISTER GROUPCOMMISSIONING N/A          Financial Interest TypeInterest of

N/A Non-Financial      Professional Interest QUALITYAND PATIENT EXPERIENCE N/A

   Non-Financial Personal Interest Is the interestIs indirect?director Indirect Indirect Indirect

HonoraryLecturer, Teaching UoN Strategic CHC Strategic Advisor(Adhoc) Wife is Director of Clinical Skills DirectorClinical of is Wife Wife works ULHTfor Wife MentorConsultants NatureInterestof Registered Patient Locum Consultant Locum Special Advisor Special Election Officer Election Owner/Director Students Member Member Member Director Director Director Trustee Spouse Partner Doctor

Apr-20 Apr-20 Apr-20 Apr-20 Apr-20 Apr-20 Apr-20 From DateInterestof

Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Present Present Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Jun-20 To

NoChange Reported &Date Note. No action required.No action Note. flowspatient significant providerswhere there are or Lincolnshiresystems anywithin CQC thefrom visits Noteand Removaldeclare. byCCGthe any to CHC support required relating decisions all from self Noteand Removal declare.of Lincolnshirethesystem. from bidworkfor to not originating Company Note.undertakes Noteand declare Noteand declare whereappropriate. Noteand declare,exclude whereappropriate. Noteand declare,exclude whereappropriate. Noteand declare,exclude beinterested. may whichBarnabasin activity St anyExclude contractual from whereappropriate. Noteand declare,exclude whereappropriate. Noteand declare,exclude Noteand declare. necessary noNote,mitigation N/A appropriate. Noteand declare as commissioning anyDeclare.Exclude from Declareand note. Company. DeepmedicineIT to relating discussions/decisions commissioning anyDeclare.Exclude from Company. Training Simulation GP to relating discussions/decisions commissioning anyDeclare.Exclude from excludeany primarycare from Declareappropriate as and Actiontakenrisk mitigate to Connolly, Jim Non-Executive Director

Note and declare. Not to be Spouse is Assistant Director of NHSE/I Indirect Ongoing enaged in any executive Nursing process involving NHSE/I. Danby, Emma Senior Lead Nurse Quality & Safety Awaiting detail Declare as appropriate and Greyfriars Surgery, Boston  Partner Aug-92 Ongoing exclude from any primary care decision making. Boston Borough Council  Medical Referee May-18 Ongoing Declare and note Hold a contract to provide General Practice services to North Sea Doddrell, Dr Andy Clinical Lead - East Locality North Sea Camp Prison  Jun-15 Ongoing Declare and note Camp Prison under a service provision from Nottingham. GP Trainer  GP trainer May-96 Ongoing Declare and note Wife is a superintendent Wife is a superintendent minister for minister for the Methodist  the Methodist Church in Boston Sep-08 Ongoing Note Church in Boston circuit circuit Unite/Mental Health Nurses Fahy, Martin Director of Nursing & Quality  Member Jun-20 Ongoing Note and declare Association Non-Executive Director and Chair of Activity Alliance 2016 2024 Note Finance Sub-Group Non-Executive Director and Inman, Janet Non-Executive Director Volleyball England 2017 2025 Note Company Secretary Asian Sport Foundation Non-Executive Director 2019 2027 Note Lincolnshire Sport Forum Chair 2019 Present Note Trustee - international medical Conflict unlikely with CCG charity that works with in-country activity, but if any potential Maternail and Childhealth medical/healthcare teans in poor Martin, Wendy Associate Director of Nursing  2010 Ongoing conflict this will be declared to Care Advocacy International countries to improve emergency the meeting/forum Chair for care provision (for women and advice on management. children particulalrly). Self Employed Management  Self-Employed 2013 Present Note Consultant McSorley, Gerry Non-Executive Director Note. Exclude from any CQC CQC  Specialist Advisor 2013 Present related submission work. DeFerrers Academy Trust  Trustee 2013 Present Note Chief Operating Officer – West Mills, Sarah-Jane Nil N/A N/A N/A N/A Locality Declare and note. Not to be Husband employed as Practice Allied Health South invovled in commissioning Indirect Care Coordinator currently based at Sep-19 Date Lincolnshire decisions relating to the Medical Centre Holbeach Medical Centre Neno, Rebecca Deputy Chief Nurse Littlebury Medical Centre,  Registered Patient Ongoing Note Holbeach Declare and note. Exclude North West Anglia  Partner/Governor Apr-19 Present from any contractual Foundation Trust relastionship with NWaFT. Palmer, Pam Associate Director of Nursing Nil N/A N/A N/A N/A Herbal Medicine and Indirect Wife is Clinic Manager 2014 Ongoing Declare and note. Acupuncture Lincoln College Parkin, Dr John Clinical Lead – West Locality BMJ Best Practice Indirect Daughter is Marketing Manager 2019 Ongoing Declare and note. Daughter is Physiotherapy Student University of Lincoln Indirect 2019 Ongoing Declare and note. (Masters Degree) 2nd Year Wife is employed as Lead Declare at meetings as Rix, Andrew Chief Operating Officer Sidings Medical Practice Nil Nil Nil Indirect Apr-20 Ongoing Advanced Nurse Practitioner required Southall, Sarah Deputy Chief Nurse Nil N/A N/A N/A N/A Spouse is employed by Marie Curie Declare and note accordingly. Cancer Care Rapid Response Not to be involved in decisions Marie Curie Ongoing Service which is commissioned by or procurement processes Vine, Terry Deputy Chief Nurse (West Locality) Lincolnshire CCG. relating to Marie Curie. Declare and note. Consider Mainstream Political Party Member Ongoing resignation if compromises CCG role. Sidings Practice  Registered Patient Ongoing Note and declare. Sidings Practice  Family Registered Patients Ongoing Note and declare. Chief Operating Officer – East Williamson, Sandra Boston West Academy Locality  School Governor Sep-17 Ongoing Note School Meadow Edge Care Home  Grandparents are Residents Apr-19 Ongoing Note and declare Wilson, Claire Wilson, AnnetteWilcox, Putwa, Tasnim Moore, Pete Liburd, Sue Hann, Tom Gaunt, Matt Croot, Rob Chambers, Fenella Breadon, Alison Name Deputy Board Secretary Interim Assistant Director Finance of PwC -Audit Committee Member Non-Executive Director Non-Executive Director Internal Audit Manager, PwC Director Finance of and Contracting Deputy Director Finance of Non-Executive Director Head Internal of Audit - PwC Current position(s) held in the CCG member, Member Practice, CCG i.e. Board member, Committee employee or other Shareholder Lindum of Group Declared Interest (Name of University Lincoln of Student organisation and nature of Government Events Limited Heath Surgery Bracebridge University Lincoln of Court Spouse is Director and Deputy Lieutenant for University Lincoln of Sage Blue Limited Business School Awaiting detail Lincolnshire business) Heath Union Nil Nil Nil Nil Nil Nil Nil REGISTER OF THE NHS LINCOLNSHIRE CLINICAL GROUP LINCOLNSHIRE OFREGISTER NHS THE COMMISSIONING N/A N/A N/A N/A N/A N/A N/A    Financial Interest Type of Interest AUDIT AND RISK N/A N/A N/A N/A N/A N/A N/A Non-Financial   Professional Interest N/A N/A N/A N/A N/A N/A N/A

  Non-Financial Personal Interest Is the interest direct or indirect? Indirect

Advisory Board Member and Trustee and Board Director Deputy Lieutenant for Consulting Partner Nature of Interest Registered Patient Managing Director Conference Chair Lincolnshire Member Spouse Nil Nil

May 2019 May 2020 Dec 2000Dec 2009Dec July 2018 Feb 2019 Jan 2019 From N/A N/A Date of Interest

Ongoing Present Present Present Present Present Present Present N/A N/A To

No Change Reported &Date N/A N/A N/A N/A N/A N/A Note Note with UoL Business School commerical transactions negotiations any of beTo excluded from Declare and note. Declare and note. Note Note N/A N/A Note and declare N/A Action taken to mitigate risk Moore,Pete Sarah-Jane Mills, McSorley,Gerry Martin,Wendy Macdonald,Murray Liburd,Sue MattGaunt, Fahy,Martin DavidBoldy, Sarah Bates, Adrian Audis, Name Non-ExecutiveDirector Non-ExecutiveDirector DirectorFinanceand of Contracting DirectorNursingQuality of & SecondaryCare Doctor DeputyBoard Secretary Manager Commissioning -NHSE/I theCurrent CCG in position(s) held Non-ExecutiveDirector Locality ChiefOperatingWest – Officer Non-ExecutiveDirector DirectorNursing of Associate member, Member Practice,CCG Member member, i.e. Board member, Committee Boardmember, i.e. employeeother or West Lindsey District Council Lindsey District West DeclaredInterest (Name of UnitedLincolnshire Hospitals UnitedLincolnshire Hospitals UnitedLincolnshire Hospitals UniversityLincolnStudent of organisation and natureandorganisation of Self Employed ManagementEmployed Self CareAdvocacy International The Glebe Practice, Saxilby TheGlebe Practice, GovernmentLimited Events Unite/MentalHealth Nurses HeathSurgery Bracebridge UniversityLincolnCourt of DeFerrersTrust Academy NELC Health & Wellbeing NELCWellbeing Health & Maternailand Childhealth ManbyAssociation Scout British Thoracic Society Thoracic British LincolnMedical School LincolnMedical School NHSLincolnshireCCG DeputyLieutenant for St Barnabas Hospice St LincolnshireHousing UniversityLincoln of SageLimited Blue Business School Business Lincolnshire Association Partnership Consultant NHSTrust NHSTrust NHSTrust business) Board Heath Union CQC Nil Nil Nil REGISTER OF THE NHSTHELINCOLNSHIRE OF CLINICAL REGISTER GROUPCOMMISSIONING N/A N/A N/A         Financial Interest TypeInterest of

N/A N/A N/A Non-Financial PRIMARYCARE COMMITTEE COMMISSIONING         Professional Interest

N/A N/A N/A Non-Financial       Personal Interest Is the interestIs indirect?director Indirect Indirect Indirect

DeputyLieutenant Lincolnshirefor HonoraryLecturer, Teaching UoN charity that workscharity that with in-country medical/healthcare teans in poorin teans medical/healthcare countries to improveemergency to countries Wife is Director of Clinical Skills DirectorClinical of is Wife Trustee-international medical careprovision (forwomen and AdvisoryBoard Member and Trusteeand Board Director Wife employedby CCG Wife childrenparticulalrly). Wife works ULHTfor Wife MentorConsultants ConsultingPartner NatureInterestof Registered Patient Registered Patient ManagingDirector Locum Consultant Locum Specialist Advisor Specialist ConferenceChair ChiefExecutive Election Officer Election Self-Employed Students Member Member Member Member Trustee Trustee Chair

01-May-19 01-May-20 01-Dec-00 01-Dec-09 01-Feb-19 01-Jan-19 01-Jul-18 Jun-20 Apr-20 Apr-20 Apr-20 Apr-20 Apr-20 Apr-20 Apr-20 From 2013 2013 2013 2010 2020 2015 2018

DateInterestof Present Present Present Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Present Present Present Present Present Present Present Present Present Present Present Present Present Ongoin Jun-20 To

NoChange Reported &Date N/A N/A Note work. related submission anyExcludeNote. CQC from Note adviceonmanagement. Chair for meeting/forum the will bethis declared to conflict any potentialif but activity, with unlikelt CCGConflict Noteand declare. Note interested. HousingbePartnership may whichin activity Lincolnshire anyExclude contractual from Note Note School UoLBusiness with transactions commerical anynegotiations of To beexcluded from Declareand note. Declareand note. Note Note N/A Noteand declare Noteand declare whereappropriate. Noteand declare,exclude whereappropriate. Noteand declare,exclude whereappropriate. Noteand declare,exclude whichBarnabasin activity St anyExclude contractual from whereappropriate. Noteand declare,exclude whereappropriate. Noteand declare,exclude Noteand declare. necessary noNote,mitigation Declareand note. Actiontakenrisk mitigate to Moulder, Lyndy HW Lincs Rep Boston Locality  Registered Patient Ongoing Note Herbal Medicine and Indirect Wife is Clinic Manager 2014 Ongoing Declare and note. Acupuncture Lincoln College Parkin, Dr John Clinical Lead – West Locality BMJ Best Practice Indirect Daughter is Marketing Manager 2019 Ongoing Declare and note. Daughter is Physiotherapy Student University of Lincoln Indirect 2019 Ongoing Declare and note. (Masters Degree) 2nd Year Pilton, Kate LMC Representative LMC  Director 2016 Date Declare and note accordingly As observer will not comment if discussions directly affect employment status. Not to be Practice  Employed as GP in Lincolnshire Jul-20 Ongoing involved in any decision making that may compromise position. Lincolnshire Local Medical  Medical Director Jul-20 Ongoing Declare and note accordingly Sharrok, Dr Kieron LMC Representative/Observer Committee

BMA  BMA Representative Jul-20 Ongoing Declare and note accordingly

Declare and note accordingly. Wife works in general Indirect Wife works in general practice Ongoing Not to be involved in decisions practice regarding wife's Practice. Turner, John Chief Executive Nil N/A N/A N/A N/A N/A N/A Sidings Practice  Registered Patient Ongoing Note and declare. Sidings Practice  Family Registered Patients Ongoing Note and declare. Chief Operating Officer – East Williamson, Sandra Boston West Academy Locality  School Governor Sep-17 Ongoing Note School Meadow Edge Care Home  Grandparents are Residents Apr-19 Ongoing Note and declare Health and Wellbeing Board Woolley, Sue Lincolnshire County Council  Executive Member Ongoing Note and declare. Representative Moore, Pete Moore, McSorley, Gerry Murray Macdonald, Sue Liburd, Inman, Janet Connolly, Jim Fenella Chambers, Name Board member, Committeemember, Member Non-Executive Director Non-Executive Director Non-Executive Director Non-Executive Director Non-Executive Director Non-Executive Director Non-Executive (Chair) Director Non-Executive Current position(s) held in the CCG i.e. Practice, CCG employeePractice, or other Declared InterestDeclared (Name of organisation Fibre for Rural Nottinghamshire (F4RN) - Nottinghamshire Fibre for Rural Self Employed Management Consultant EmployedManagement Self Spouse is Director and Shareholder of Shareholder and Director is Spouse University of Lincoln Business School Business Lincoln University of Riverside Coaching and Consultancy and Coaching Riverside University of Lincoln Student Union Student Lincoln University of provider ofhyper provider broadband speed Deputy for Lincolnshire Lieutenant Heath SurgeryHeath Heath Bracebridge Lincolnshire Housing Partnership Housing Lincolnshire NELC Health & Wellbeing Board Wellbeing & Health NELC Government Events Limited Events Government University of Lincoln Court Lincoln University of DeFerrers Academy Trust and nature of business) Manby Association Scout Lincolnshire Sport Forum Sport Lincolnshire Asian Sport Foundation Sport Asian Volleyball England Volleyball Sage Blue Limited Blue Sage Activity Alliance Activity Lindum Group Lindum Liaison Care Liaison NHSE/I CQC CQC Nil REGISTER OF THEREGISTER OF NHS LINCOLNSHIRECLINICAL GROUP COMMISSIONING N/A        Financial Interest Type of Interest

Non- REMUNERATIONCOMMITTEE N/A        Financial Professiona l Interest

Non- N/A

   Financial Personal Interest Is the interest indirect? direct or Indirect Indirect Advisory Board Member and Conference Conference and Member Advisory Board Spouse is Assistant Director of Nursing Nursing of Director Assistant is Spouse Non-Executive Director and Company and Director Non-Executive Non-Executive Director and Chair of Chair and Director Non-Executive Deputy for Lincolnshire Lieutenant Strategic CHC Advisor (Ad hoc) (Adhoc) CHCAdvisor Strategic Trustee and Board Director Director Board and Trustee Non-Executive Director Non-Executive Finance Sub-Group Finance Consulting Partner Consulting Registered Patient Patient Registered Nature of Interest Managing Director Director Managing Specialist Advisor Specialist Special Advisor Advisor Special Chief Executive Chief Owner/Director Self-Employed Secretary Member Member Director Trustee Spouse Chair Chair Chair 01-May-19 01-May-20 01-Dec-00 01-Dec-09 01-Feb-19 01-Jan-19 01-Jul-18 From 2013 2013 2013 2020 2015 2018 2019 2019 2017 2016 Date of Interest Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Present Present Present Present Present Present Present Present Present Present Present Present Present Present 2027 2025 2024 To No Change Reported & Date N/A Note work. submission from any Exclude Note. CQC related Note declare. and Note Note interested. mayPartnership be Housing Lincolnshire which in from anyactivity Exclude contractual Note Note School with Business UoL transactions commerical any of fromnegotiations excluded be To note. and Declare note. and Declare Note Note Note Note Note Note NHSE/I. involving process executive any in enaged be Not to declare. and Note required. Noaction Note. flows patient where thereproviders are significant or systems Lincolnshire withinthe visits from anyRemoval CQC declare. and Note by CCG the to any required relating CHCsupport decisions fromall self of Removal declare. and Note system. Lincolnshire from the originating for work bid to Companynot Note. undertakes declare and Note Action taken to mitigate risk Wilson, Claire Wilson, Annette Wilcox, Paula Pilkington, Macdonald,Murray Janet Inman, MattGaunt, Emma Frost, Connolly,Jim Name DeputyBoard Secretary DirectorFinance of Assistant Interim Development) Director Finance(Business Assistant Non-ExecutiveDirector Non-ExecutiveDirector DirectorFinanceand of Contracting ManagementAccounting DirectorFinance– of Assistant Non-ExecutiveDirector Current position(s) held in theCurrent CCG in position(s) held member, Member Practice,CCG Member member, i.e. Board member, Committee Boardmember, i.e. employeeother or DeclaredInterest (Name organisationof FibreRuralfor (F4RN)Nottinghamshire - RiversideCoaching and Consultancy providerhyper of speed broadband LincolnshireHousing Partnership NELC Health & Wellbeing Board NELCWellbeing Health & and natureandbusiness) of ManbyAssociation Scout LincolnshireForumSport Asian Sport FoundationSport Asian VolleyballEngland REGISTER OF THE NHSTHELINCOLNSHIRE OF CLINICAL REGISTER GROUPCOMMISSIONING Activity Alliance Activity LiaisonCare NHSE/I CQC Nil Nil Nil Nil Nil N/A N/A N/A N/A N/A    Financial Interest TypeInterest of

N/A N/A N/A N/A N/A Non-Financial   

Professional FINANCEAND PERFORMANCE Interest N/A N/A N/A N/A N/A

 Non-Financial Personal Interest direct or indirect?director Is the interestIs Indirect

Strategic CHC Strategic Advisor(Adhoc) Spouse is Assistant Director of Assistant Spouseis ChairFinanceSub-Group of Non-ExecutiveDirector and Non-ExecutiveDirector and Non-ExecutiveDirector CompanySecretary NatureInterestof Special Advisor Special ChiefExecutive Owner/Director Member Nursing Director Chair Chair

From 2020 2015 2018 2019 2019 2017 2016 DateInterestof

Ongoing Ongoing Ongoing Ongoing Ongoing Present Present Present Present 2027 2025 2024 To

NoChange Reported & Date N/A N/A N/A Noteand declare. Note whichLincolnshireHousing anyExcludein activity contractual from Note Note Note Note N/A N/A NHSE/I. anyexecutive involving process Notebeandenaged Notto declare. in required.No action Note. flowspatient significant orproviders where systems there are within CQCLincolnshirethevisits any Noteand Removaldeclare.from supportrequired byCCG the relatingany to decisions CHC all from Noteandself Removal declare.of Lincolnshiresystem. workfor the originating from Company Note.bidundertakes to not Actiontakenrisk mitigate to REGISTER OF THE NHS LINCOLNSHIRE CLINICAL COMMISSIONING GROUP

STAFF

Current position(s) held in the CCG Declared Interest (Name of No Change i.e. Board member, Committee Type of Name organisation and nature of Is the interest direct or indirect? Nature of Interest Date of Interest Reported Action taken to mitigate risk member, Member Practice, CCG Interest business) & Date employee or other

From To

Interest

Professional Professional

Non-Financial Non-Financial Non-Financial

Personal Interest Personal Financial Interest Financial

Declare as appropriate and exclude from any Deepings Practice  Partner Ongoing primary care decision making.

Declare. Exclude from any commissioning GP Simulation Training Akram, Majid Clinical Lead  Director Ongoing discussions/decisions relating to GP Company Simulation Training Company. Declare. Exclude from any commissioning Deepmedicine IT Company  Director Ongoing discussions/decisions relating to Deepmedicine IT Company. Audis, Adrian Commissioning Manager – NHSE/I NHS Lincolnshire CCG Indirect Wife employed by CCG Present Declare and note.

LMC  Member Ongoing Declare and note. Declare. Exclude from any commissioning Baker, David Clinical Lead, South West Locality K2 Federation  Member Ongoing discussions/decisions relating to K2 Federation. A&E Session at Grantham  Doctor Ongoing Note and declare as appropriate. Hospital Interim Director of Nursing (Retired Ball, Elizabeth August 2020 - remain on register for Nil N/A N/A N/A N/A 6 months)

West Lindsey District Council  Election Officer Present Note, no mitigation necessary Bates, Sarah Deputy Board Secretary The Glebe Practice, Saxilby  Registered Patient Present Note and declare. Lead Nurse Quality and Patient Bennett, Kerri Nil N/A N/A N/A N/A Safety New Springwells Practice, Bouch, Janet Personal Assistant Registered Patient Ongoing Note and declare Billingborough Breadon, Alison Head of Internal Audit - PwC Nil N/A N/A N/A N/A No risk identified, do not attend panels where NHS Representative  CHC Independent Review Panels Ongoing Brewster, Shona Head of Transformation and Delivery the patient is from Lincolnshire St Johns Medical Centre  Registered Patient Ongoing Note and declare United Lincolnshire Hospitals Note and declare, exclude where  Locum Consultant Apr-20 Jun-20 NHS Trust appropriate. United Lincolnshire Hospitals Note and declare, exclude where Indirect Wife works for ULHT Apr-20 Ongoing NHS Trust appropriate. Exclude from any contractual activity in St Barnabas Hospice  Trustee Apr-20 Ongoing which St Barnabas may be interested. Honorary Lecturer, Teaching UoN Note and declare, exclude where Boldy, David Secondary Care Doctor Lincoln Medical School  Apr-20 Ongoing Students appropriate. United Lincolnshire Hospitals Note and declare, exclude where  Mentor Consultants Apr-20 Ongoing NHS Trust appropriate. Note and declare, exclude where Lincoln Medical School Indirect Wife is Director of Clinical Skills Apr-20 Ongoing appropriate. British Thoracic Society  Member Apr-20 Ongoing Note and declare Wife is Deputy Chief Nurse for Nottinghamshire CCG Indirect Apr-19 Date Note and declare Nottinghamshire CCG Burnett, Pete Interim STP Programme Director Mother in law is a Primary Care Nottinghamshire CCG Indirect Feb-20 Date Note and declare Commissioning Manager Spouse is Director and Chambers, Fenella Non-Executive Director Indirect Spouse Ongoing Note and declare Shareholder of Lindum Group Note. Company undertakes not to bid for Riverside Coaching and  Owner/Director Ongoing work originating from the Lincolnshire Consultancy system.

Connolly, Jim Non-Executive Director Note and declare. Removal of self from all Liaison Care  Strategic CHC Advisor (Ad hoc) Ongoing decisions relating to any CHC support required by the CCG Note and declare. Removal from any CQC visits within the Lincolnshire systems or Connolly, Jim Non-Executive Director CQC  Special Advisor Ongoing providers where there are significant patient flows Fibre for Rural Nottinghamshire (F4RN) -  Director Ongoing Note. No action required. provider of hyper speed broadband Spouse is Assistant Director of Note and declare. Not to be enaged in any NHSE/I Indirect Ongoing Nursing executive process involving NHSE/I. Croot, Rob Deputy Director of Finance Nil N/A N/A N/A N/A Danby, Emma Senior Lead Nurse Quality Nil N/A N/A N/A N/A Day, Jane Personal Assistant Branston Surgery Registered Patient 2017 Date Note and declare Declare as appropriate and exclude from any Greyfriars Surgery, Boston  Partner Aug-92 Ongoing primary care decision making. Boston Borough Council  Medical Referee May-18 Ongoing Declare and note Hold a contract to provide General Practice services to North Sea Doddrell, Dr Andy Clinical Lead - East Locality North Sea Camp Prison  Jun-15 Ongoing Declare and note Camp Prison under a service provision from Nottingham. GP Trainer  GP trainer May-96 Ongoing Declare and note Wife is a superintendent Wife is a superintendent minister for minister for the Methodist  the Methodist Church in Boston Sep-08 Ongoing Note Church in Boston circuit circuit Caythorpe and Ancaster Declare as appropriate and exclude from any  Partner Aug-17 Date Medical Practice primary care decision making. Declare and note. Not to be invovled in Down, Dr Adrian GP, Executive Member K2 Federation  Director Aug-18 Date commissioning decisions relating to the K2 Federation Newark Emmaus Trust  Director Mar-14 Date Note Wilpeg Trust  Trustee Aug-14 Date Note Declare as appropriate and exclude from any Market Cross Surgery  Partner 1984 Date primary care decision making. Elder, Dr John GP, Executive Member Lincolnshire LMC  Chair 2017 Date Declare and note accordingly LMC  Director 2015 Date Declare and note accordingly British College Asthetic  Director 2017 Date Note Medication Ellis-Fenwick, Jules Board Secretary Awaiting detail Unite/Mental Health Nurses Fahy, Martin Director of Nursing & Quality  Member Jun-20 Ongoing Note and declare Association HWLincs holds the contract for Fletcher, Sarah HW Lincs CEO HW Lincs  Healthwatch Lincolnshire which is Aug-13 Date the statutory independent consumer Assistant Director of Finance – Frost, Emma Nil N/A N/A N/A N/A Management Accounting Gaunt, Matt Director of Finance and Contracting Nil N/A N/A N/A N/A

Hann, Tom Internal Audit Manager, PwC Nil N/A N/A N/A N/A Non-Executive Director and Chair of Activity Alliance 2016 2024 Note Finance Sub-Group Non-Executive Director and Volleyball England 2017 2025 Note Inman, Janet Non-Executive Director Company Secretary Asian Sport Foundation Non-Executive Director 2019 2027 Note

Lincolnshire Sport Forum Chair 2019 Present Note Heath Surgery Bracebridge  Registered Patient 01-Dec-09 Present Note Heath Deputy Lieutenant for  Deputy Lieutenant for Lincolnshire 01-May-20 Present Note Lincolnshire University of Lincoln Student  Trustee and Board Director 01-Jan-19 Present Declare and note. Union University of Lincoln Court  Member 01-Feb-19 Present Declare and note. Liburd, Sue Non-Executive Director To be excluded from negotiations of any University of Lincoln Business  Consulting Partner 01-May-19 Present commerical transactions with UoL Business School School Advisory Board Member and Government Events Limited  01-Jul-18 Present Note Conference Chair Sage Blue Limited  Managing Director 01-Dec-00 Present Note West Nottinghamshire Lyons, Sean Chair  Chair of Corporation Board Feb-19 Present Note College Exclude from any contractual activity in Lincolnshire Housing  Chief Executive 2018 Present which Lincolnshire Housing Partnership may Partnership be interested. Macdonald, Murray Non-Executive Director Manby Scout Association  Chair 2015 Present Note NELC Health & Wellbeing  Member 2020 Present Note and declare. Board Trustee - international medical charity that works with in-country Conflict unlikely with CCG activity, but if any Maternail and Childhealth medical/healthcare teans in poor potential conflict this will be declared to the Martin, Wendy Associate Director of Nursing  2010 Ongoing Care Advocacy International countries to improve emergency meeting/forum Chair for advice on care provision (for women and management. children particulalrly). McCauley, Rebecca Senior Finance Manager Nil N/A N/A N/A N/A McGinty, Tony Attached Consultant in Public Health Nil N/A N/A N/A N/A Self Employed Management  Self-Employed 2013 Present Note Consultant McSorley, Gerry Non-Executive Director Note. Exclude from any CQC related CQC  Specialist Advisor 2013 Present submission work. DeFerrers Academy Trust  Trustee 2013 Present Note Chief Operating Officer – West Mills, Sarah-Jane Nil N/A N/A N/A N/A Locality Moore, Pete Non-Executive Director Nil N/A N/A N/A N/A

Moulder, Lyndy HW Lincs Rep Boston Locality  Registered Patient Ongoing Note

Husband employed as Practice Declare and note. Not to be invovled in Allied Health South Indirect Care Coordinator currently based at Sep-19 Date commissioning decisions relating to the Lincolnshire Holbeach Medical Centre Holbeach Medical Centre Neno, Rebecca Deputy Chief Nurse Littlebury Medical Centre,  Registered Patient Ongoing Note Holbeach North West Anglia Foundation Declare and note. Exclude from any  Partner/Governor Apr-19 Present Trust contractual relastionship with NWaFT.

Palmer, Pam Associate Director of Nursing Nil N/A N/A N/A N/A

Declare and note. Not to be involved in any Pardoe, Dr Elton GP, SW Locality Exec Committee LADMS  Medical Director Ongoing contracting/commissioning discussions re: LADMS.

Herbal Medicine and Indirect Wife is Clinic Manager 2014 Ongoing Declare and note. Acupuncture Lincoln College

Parkin, Dr John Clinical Lead – West Locality BMJ Best Practice Indirect Daughter is Marketing Manager 2019 Ongoing Declare and note.

Daughter is Physiotherapy Student University of Lincoln Indirect 2019 Ongoing Declare and note. (Masters Degree) 2nd Year

Declare as appropriate and exclude from any St Peter's Hill Surgery  GP Partner Ongoing primary care decision making. Via wife direct interest in local Pharmacy shares  Ongoing Declare and note. pharmacy as shareholder Pilbeam, Dr Andy SWL Locality GP Member Declare and note. Not to be involved in any K2 Federation  Member/shareholder Ongoing contracting/commissioning discussions re: K2. Declare and note. Not to be involved in any LADMS  Member/shareholder Ongoing contracting/commissioning discussions re: LADMS. Assistant Director Finance (Business Pilkington, Paula Nil N/A N/A N/A N/A Development) Pilton, Kate LMC Representative LMC  Director 2016 Date Declare and note accordingly

Putwa, Tasnim PwC - Audit Committee Member Awaiting detail Chief Operating Officer - South West Raybould, Clair Nil Nil Nil Nil Nil Locality Wife is employed as Lead Rix, Andrew Chief Operating Officer Sidings Medical Practice Nil Nil Nil Indirect Apr-20 Ongoing Declare at meetings as required Advanced Nurse Practitioner Declare as appropriate and exclude from any GP Services   primary care decision making. GP Member of CCG Executive Ryder, Dr Tim Declare and note. Not to be involved in any Member K2 Federation   contracting/commissioning discussions regarding K2. As observer will not comment if discussions directly affect employment status. Not to be Spilsby Practice  Employed as GP in Lincolnshire Jul-20 Ongoing involved in any decision making that may compromise position. Lincolnshire Local Medical  Medical Director Jul-20 Ongoing Declare and note accordingly Sharrok, Dr Kieron LMC Representative/Observer Committee BMA  BMA Representative Jul-20 Ongoing Declare and note accordingly

Declare and note accordingly. Not to be Wife works in general practice Indirect Wife works in general practice Ongoing involved in decisions regarding wife's Practice.

Southall, Sarah Deputy Chief Nurse Nil N/A N/A N/A N/A

Stead, Helen Finance Manager Nil N/A N/A N/A N/A

Turner, John Chief Executive Nil N/A N/A N/A N/A N/A N/A

Spouse is employed by Marie Curie Declare and note accordingly. Not to be Cancer Care Rapid Response Marie Curie Ongoing involved in decisions or procurement Service which is commissioned by Vine, Terry processes relating to Marie Curie. Deputy Chief Nurse (West Locality) Lincolnshire CCG.

Declare and note. Consider resignation if Mainstream Political Party Member Ongoing compromises CCG role. Director of Public Health - Ward, Professor Derek University of Lincoln  Visiting Professor of Public Health Apr-20 Ongoing Note and declare Lincolnshire County Council

Wilcox, Annette Interim Assistant Director of Finance Awaiting detail Nil N/A N/A N/A N/A

Sidings Practice  Registered Patient Ongoing Note and declare.

Sidings Practice  Family Registered Patients Ongoing Note and declare. Chief Operating Officer – East Williamson, Sandra Boston West Academy Locality  School Governor Sep-17 Ongoing Note School Meadow Edge Care Home  Grandparents are Residents Apr-19 Ongoing Note and declare

Wilson, Claire Deputy Board Secretary Nil N/A N/A N/A N/A Health and Wellbeing Board Woolley, Sue Lincolnshire County Council  Executive Member Ongoing Note and declare. Representative REGISTER OF GIFTS, HOSPITALITY & COMMERCIAL SPONSORSHIP

NAME POSITION DATE OF DECLINED OR DATE OF DETAIL OF GIFT/ HOSPITALITY ESTIMATED SUPPLIER/OFFERER NAME & REASON FOR ACCEPTING OR OFFER ACCEPTED RECEIPT (If VALUE NATURE OF BUSINESS DECLINING applicable) Nil recevied to date