NHS WARWICKSHIRE NORTH CCG AND COVENTRY AND RUGBY CCG - Register of Interests for Governing Bodies in Common meeting

WN / CR / Current position (s) held- i.e. Governing Declared Interest- (Name of the organisation and Title First Name Surname Type of Interest Date of Interest Both Body, Member practice, Employee or other nature of business)

Declared To Indirect Interests Professional Non-Financial Non-Financial Personal Interests Personal Financial Interests Nil Lay Member for Audit and Governance WN Mr David Allcock (previously Lay Member for Public and Patient Engagement)  1. GP at Camphill GP-Led Health currently operated WN Dr Godwin Igodo Clinical Lead Oct-10 Current by Malling Health/IMH Group

 2. Director at Ripples Healthcare (former interest - WN Dr Godwin Igodo Clinical Lead Current to be removed in October 2018)

1. GP Partner at Station Street Surgery   WN Dr Arshad Khan Clinical Lead Current

2. GP Partner at Torcross Medical Centre, Coventry   WN Dr Arshad Khan Clinical Lead Current

3. GP Locum at Khan Medical Practices Ltd  

WN Dr Arshad Khan Clinical Lead 2011 Current

1. 50% Shareholder of Graham Nuttall Associates  14/09/2015 Ltd WN Mr Graham Nuttall Lay Member for Primary Care Current

2. Trustee and Board Member at Bulkington Village 14/09/2015 Centre WN Mr Graham Nuttall Lay Member for Primary Care Current 

Lay Member for Public and Patient WN Mr Derek Pickard 1. Member of the Labour Party  1994 Current Engagement

Lay Member for Public and Patient WN Mr Derek Pickard 2. Member of the Healthwatch Steering Committee  Current Engagement  Consultant Physician for Worcestershire Health and WN Dr Chris Pycock Secondary Care Doctor Dec-14 Current Care Trust

Joint role with Warwickshire North CCG and WN Ms Rachel Robinson Associate Director of Public Health  Current Warwickshire County Council

WN Dr Imogen Staveley Clinical Lead 1. Salaried GP at Bedworth Medical Centre  04/09/2017 Current NHS WARWICKSHIRE NORTH CCG AND COVENTRY AND RUGBY CCG - Register of Interests for Governing Bodies in Common meeting

WN / CR / Current position (s) held- i.e. Governing Declared Interest- (Name of the organisation and Title First Name Surname Type of Interest Date of Interest Both Body, Member practice, Employee or other nature of business)

WN Dr Imogen Staveley Clinical Lead 2. CEO PregnaPouch (Pregnancy related app)  Current October 2015

1. Partner at Dordon and Polesworth Group WN Dr Deryth Stevens Chair  2005 Current Practice

2. Dordon and Polesworth Group Practice is a WN Dr Deryth Stevens Chair  Current member of Primary Care Warwickshire Federation

3. A business partner at Dordon and Polesworth Group Practice has a financial interest in Linden WN Dr Deryth Stevens Chair  Current Nursing Home Group (former interest - to be removed in October 2018) 4. Practice holds a contract to provide services to a  local nursing home WN Dr Deryth Stevens Chair 2015 Current

Practice Nurse at Bulkington Surgery  WN Mrs Sue Turner Practice Network Lead Jul-05 Current

 Practice Network Lead Nuneaton and WN Dr Inayat Ullah 1. GP at Woodlands Surgery Current Bedworth

2. Practice participates in the One Thing Campaign  Practice Network Lead Nuneaton and WN Dr Inayat Ullah to undertake Health Checks (former interest - to be Current Bedworth 6 Months removed in November 2018)

3. Partner at Longford Primary Care Centre,  Practice Network Lead Nuneaton and WN Dr Inayat Ullah Coventry (former interest - to be removed in Current Bedworth November 2018) 4. Urgent Care George Elliot Hospital  Practice Network Lead Nuneaton and WN Dr Inayat Ullah Current Bedworth

Clinical Director, Coventry and Rugby CCG 1. Senior Partner, Walsgrave Health Centre, CR Dr Steven Allen  Apr-15 Current Governing Body Coventry

Clinical Director, Coventry and Rugby CCG CR Dr Steven Allen 2. Practice is member of GP Alliance  Nov-16 Current Governing Body

Lay Member Public and Patient Engagment, CR Mrs Claire Forkes Nil Coventry and Rugby CCG Governing Body

Acting Director of Public Health Coventry and CR Ms Liz Gaulton Coventry and Rugby Governing Body Member Nil (Co-opted participant, non-voting)

Lay Member, Coventry and Rugby CCG 1. Senior Manager, South Central Ambulance CR Mr Ludlow Johnson  Sep-08 to date Governing Body Service

Lay Member, Coventry and Rugby CCG CR Mr Ludlow Johnson 2. Specialist Advisor, Care Quality Commission  Apr-14 to date Governing Body NHS WARWICKSHIRE NORTH CCG AND COVENTRY AND RUGBY CCG - Register of Interests for Governing Bodies in Common meeting

WN / CR / Current position (s) held- i.e. Governing Declared Interest- (Name of the organisation and Title First Name Surname Type of Interest Date of Interest Both Body, Member practice, Employee or other nature of business)

Lay Member, Coventry and Rugby CCG CR Mr Ludlow Johnson 3. Magistrate  Sep-09 to date Governing Body

Secondary Care Consultant, Coventry and 1. Consultant Anaesthetist, Northampton General CR Dr Prashant Kakodkar  Oct-02 to date Rugby CCG Governing Body Hospital

Secondary Care Consultant, Coventry and 2. Consultant Anaesthetist, Three Shire Hospital, CR Dr Prashant Kakodkar  Dec-02 to date Rugby CCG Governing Body Northampton

Secondary Care Consultant, Coventry and CR Dr Prashant Kakodkar 3. Special Advisor, Care Quality Commission  Sep-16 to date Rugby CCG Governing Body

Secondary Care Consultant, Coventry and CR Dr Prashant Kakodkar 4. Examiner, The Royal College of Anaesthetists  Oct-11 to date Rugby CCG Governing Body

Secondary Care Consultant, Coventry and 5. Local Negotiating Committee Member, CR Dr Prashant Kakodkar  Dec-16 to date Rugby CCG Governing Body Northampton General Hospital

Secondary Care Consultant, Coventry and CR Dr Prashant Kakodkar 6. Member Q - Network, Health Foundation  Nov-17 to date Rugby CCG Governing Body

Clinical Lead, InSpires Locality, Coventry and CR Dr Peter O'Brien 1. GP Partner at Forrest Medical Centre.  1987 Current Rugby CCG Governing Body

Clinical Lead, InSpires Locality, Coventry and CR Dr Peter O'Brien 2. Practice is member of GP Alliance  2015 Current Rugby CCG Governing Body

Clinical Lead, InSpires Locality, Coventry and CR Dr Peter O'Brien 3. Chairman of Trustees, The Night Shelter  Apr-18 Current Rugby CCG Governing Body

Chair, Coventry and Rugby CCG Governing CR Dr Sarah Raistrick 1. GP Partner Willenhall Primary Care Centre 1  Jul-15 Current Body

Chair, Coventry and Rugby CCG Governing CR Dr Sarah Raistrick 2. Practice is a member of the GP Alliance  Current Body

Chair, Coventry and Rugby CCG Governing 3. Husband is a leader (I am a member) of a church CR Dr Sarah Raistrick  Current Body in Coventry supporting Hope Coventry initiatives.

Chair, Coventry and Rugby CCG Governing CR Dr Sarah Raistrick 4. Practice is a member of Sowe Valley Cluster  Current Body

Lay Member Audit and Governance, Coventry CR Mr Chris Stainforth Nil and Rugby CCG Governing Body

Clinical Lead, Rugby Locality, Coventry and CR Dr Deepika Yadav 1. Salaried GP, Forrest Medical Centre  Dec-14 Current Rugby CCG NHS WARWICKSHIRE NORTH CCG AND COVENTRY AND RUGBY CCG - Register of Interests for Governing Bodies in Common meeting

WN / CR / Current position (s) held- i.e. Governing Declared Interest- (Name of the organisation and Title First Name Surname Type of Interest Date of Interest Both Body, Member practice, Employee or other nature of business)

Clinical Lead, Rugby Locality, Coventry and CR Dr Deepika Yadav 2. Husband is GP, Locum  Apr-13 Current Rugby CCG

Clinical Lead, Rugby Locality, Coventry and 3. Clinical Advisor for NHS England (on an ad-hoc CR Dr Deepika Yadav  Mar-18 Current Rugby CCG basis) for the International Recruitment Programme

Clinical Lead, Rugby Locality, Coventry and CR Dr Deepika Yadav 4. LMC Member  Apr-18 Current Rugby CCG

Chief Nursing Officer, Coventry and Rugby Both Ms Jo Galloway Nil CCG and Warwickshire North CCG

Both Ms Andrea Green Chief Officer Honary Member of the Faculty of Public Health  Mar-18 Current

Chief Finance Officer, Coventry and Rugby Both Mrs Clare Hollingworth Nil CCG and Warwickshire North CCG

Director of Acute Contracting and Both Mr Steve Jarman-Davies Nil Performance. IFR Panel Member.

Director of Public Health Warwickshire. County Both Dr John Linnane Council, Governing Body Member (Co-opted Nil participant, non-voting)

Both Mrs Maria Maltby Deputy Director of Corporate Affairs Nil

Both Ms Jenni Northcote Chief Strategy and Primary Care Officer Nil