DECLARATION OF INTERESTS REGISTER AS AT APRIL 2020 (Updated September 2020) REGISTER OF THE NHS LINCOLNSHIRE CLINICAL COMMISSIONING GROUP BOARD Type of Interest Date of Interest Current position(s) held in the CCG Declared Interest (Name of i.e. Board member, Committee No Change Reported Name organisation and nature of Is the interest direct or indirect? Nature of Interest Action taken to mitigate risk member, Member Practice, CCG From To & Date business) employee or other Interest Professional Professional Non-Financial Non-Financial Non-Financial Personal InterestPersonal Financial Interest Declare as appropriate and Deepings Practice Partner Ongoing exclude from any primary care GP Simulation Training Declare. Exclude from any Akram, Majid Clinical Lead Director Ongoing Company commissioning Declare. Exclude from any Deepmedicine IT Company Director Ongoing commissioning LMC Member Ongoing Declare and note. Declare. Exclude from any Baker, David Clinical Lead, South West Locality K2 Federation Member Ongoing commissioning A&E Session at Grantham Doctor Ongoing Note and declare as appropriate. Hospital Interim Director of Nursing (Retired Ball, Elizabeth Nil N/A N/A N/A N/A August 2020 - remain on register for 6 United Lincolnshire Hospitals Note and declare, exclude Locum Consultant Apr-20 Jun-20 NHS Trust where appropriate. United Lincolnshire Hospitals Note and declare, exclude Indirect Wife works for ULHT Apr-20 Ongoing NHS Trust where appropriate. Exclude from any contractual St Barnabas Hospice Trustee Apr-20 Ongoing activity in which St Barnabas Honorary Lecturer, Teaching UoN Note and declare, exclude Boldy, David Secondary Care Doctor Lincoln Medical School Apr-20 Ongoing Students where appropriate. United Lincolnshire Hospitals Note and declare, exclude Mentor Consultants Apr-20 Ongoing NHS Trust where appropriate. Note and declare, exclude Lincoln Medical School Indirect Wife is Director of Clinical Skills Apr-20 Ongoing where 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 Burnett, Pete Interim STP Programme Director Nottinghamshire CCG 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 Riverside Coaching and Note. Company undertakes Owner/Director Ongoing Consultancy not to bid for work originating Note and declare. Removal of Liaison Care Strategic CHC Advisor (Ad hoc) Ongoing self from all decisions relating Note and declare. Removal CQC Special Advisor Ongoing from any CQC visits within the Connolly, Jim Non-Executive Director 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 NHSE/I Indirect Ongoing Nursing Declareenaged inas any appropriate executive and Greyfriars Surgery, Boston Partner Aug-92 Ongoing exclude from any primary care Boston Borough Council Medical Referee May-18 Ongoing Declare and note Hold a contract to provide General Practice services to North Sea North Sea Camp Prison Jun-15 Ongoing Declare and note Camp Prison under a service Doddrell, Dr Andy Clinical Lead - East Locality 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 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 Healthwatch Lincolnshire which is Fletcher, Sarah HW Lincs CEO HW Lincs the statutory independent consumer Aug-13 Date champion for health and care services in Lincolnshire Gaunt, Matt Director of Finance and Contracting 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 Inman, Janet Non-Executive Director Volleyball England 2017 2025 Note Company Secretary 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. Manby 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 REGISTER OF THE NHS LINCOLNSHIRE CLINICAL COMMISSIONING GROUP QUALITY AND PATIENT EXPERIENCE Type of Interest Date of Interest Current position(s) held in the CCG Declared Interest (Name of i.e. Board member, Committee Name organisation and nature of Is the interest direct or indirect? Nature of Interest No Change Reported & Date Action taken to mitigate risk member, Member Practice, CCG From To business) employee or other Interest Professional Professional Non-Financial Non-Financial Non-Financial Personal Interest Financial Interest Financial Declare as appropriate and Deepings Practice Partner Ongoing exclude from any primary care Declare. Exclude from any commissioning GP Simulation Training Director Ongoing discussions/decisions relating Company to GP Simulation Training Akram, Majid Clinical Lead Company. Declare. Exclude from any commissioning Deepmedicine IT Company Director Ongoing discussions/decisions relating to Deepmedicine IT Company. LMC Member Ongoing Declare and note. Declare. Exclude from any Baker, David Clinical Lead, South West Locality K2 Federation Member Ongoing commissioning A&E Session at Grantham Note and declare as Doctor Ongoing Hospital appropriate. 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. United Lincolnshire Hospitals Note and declare, exclude Locum Consultant Apr-20 Jun-20 NHS Trust where appropriate. United Lincolnshire Hospitals Note and declare, exclude Indirect Wife works for ULHT Apr-20 Ongoing NHS Trust where appropriate. Exclude from any contractual St Barnabas Hospice Trustee Apr-20 Ongoing activity in which St Barnabas may be interested. Boldy, David Secondary Care Doctor Honorary Lecturer, Teaching UoN Note and declare, exclude Lincoln Medical School Apr-20 Ongoing Students where appropriate. United Lincolnshire Hospitals Note and declare, exclude Mentor Consultants Apr-20 Ongoing NHS Trust where appropriate. Note and declare, exclude Lincoln Medical School Indirect Wife is Director of Clinical Skills Apr-20 Ongoing where appropriate. British Thoracic