North Yorkshire Clinical Commissioning Group - Declarations of Interest Register If more than one interest per person, please use more than one row. Committee Member/Attendee Type of Interest Nature of Interest Position held in the Description Self or Other CCG / GP Is this Date Interest Date interest First Name Surname CCG/ relationship Member of a PCN? Return Date person a (Please select from Action Taken to Mitigate Conflict Practice / Other (Please select from drop-down list as per Started ended with the CCG Band (If yes, please select from drop drop-down list as (Please copy and paste from the form) (Please choose decision the form) down list as per the form) per the form) from the drop-down maker? Directors list as per the form) Committee Committee Governing Body Body Governing Audit Committee Audit Council of Members Council Panel Remuneration Interests Declared Yes/No Declared Interests Remuneration Committee Remuneration North Yorkshire Executive Executive North Yorkshire Primary Care Commissioning Commissioning Primary Care and Commissioning Committee Commissioning and Quality and Clinical Governance Governance Clinical and Quality Finance, Performance, Contracting Contracting Performance, Finance, Ampleforth & GP Partner, Ampleforth North Riding Community Roles and responsibilities held To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Yes & Hovingham Surgeries Network Financial GP Partner Self Apr-01 Ongoing Conflicts of Interests Policy. Surgeries within member practices. The Practice has a GMS contract to Ampleforth & GP Partner, Ampleforth North Riding Community Roles and responsibilities held provide primary care medical services To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Yes & Hovingham Surgeries Network Financial Self Apr-01 Ongoing Conflicts of Interests Policy. Surgeries within member practices. and also provides local and directed enhanced medical services. The Practice has a contract with North Ampleforth & GP Partner, Ampleforth North Riding Community Roles and responsibilities held Yorkshire County Council for provision To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Yes & Hovingham Surgeries Network Financial Self Jan-13 Ongoing Conflicts of Interests Policy. Surgeries within member practices. of some preventative health services commissioned by Public Health Research funding / grants that Ampleforth & GP Partner, Ampleforth North Riding Community may be received by the individual Practice is a member of the Primary To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Yes & Hovingham Surgeries Network Financial Self Jan-20 Ongoing Conflicts of Interests Policy. Surgeries or any organisation they have an Care Research Network. interest or role in Any other role or relationship which the public could perceive Ampleforth & The Practice is part of North Riding GP Partner, Ampleforth North Riding Community would impair or otherwise To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Financial Community Helath Network PCN. Applies Self Jan-19 Ongoing Yes & Hovingham Surgeries Network influence the individual’s Conflicts of Interests Policy. Surgeries to Self and All GP Partners. judgement or actions in their role within the CCG Any other role or relationship which the public could perceive Ampleforth & Practice provides undergraduate GP Partner, Ampleforth North Riding Community would impair or otherwise To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Financial medical student training forHull York Self Sep-09 Ongoing Yes & Hovingham Surgeries Network influence the individual’s Conflicts of Interests Policy. Surgeries University judgement or actions in their role within the CCG Any other role or relationship which the public could perceive Ampleforth & The Surgery holds service level GP Partner, Ampleforth North Riding Community would impair or otherwise To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Financial agreements with Ampleforth College to Self Jan-85 Ongoing Yes & Hovingham Surgeries Network influence the individual’s Conflicts of Interests Policy. Surgeries act as School Doctors judgement or actions in their role within the CCG Partner / employee of ……………. Ampleforth & GP Partner, Ampleforth North Riding Community practice which provides medical To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Yes & Hovingham Surgeries Network Indirect Wife Employed by EMIS Spouse/Partner Ongoing Ongoing Conflicts of Interests Policy. Surgeries services over and above the GP contractual obligations Any other role or relationship which the public could perceive Ampleforth & The Surgery has an agreement to GP Partner, Ampleforth North Riding Community would impair or otherwise To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Financial provide services to registered patients Self Ongoing Ongoing Yes & Hovingham Surgeries Network influence the individual’s Conflicts of Interests Policy. Surgeries whilst inpatients at St Monica's Hospital judgement or actions in their role within the CCG Ampleforth & Any other employment or private GP Partner, Ampleforth North Riding Community To be managed in accordance with the CCG's Greg Black Hovingham 21/10/2020 Yes Yes Yes & Hovingham Surgeries Network Financial practice (include hours worked LMC member Self Apr-20 Ongoing Conflicts of Interests Policy. Surgeries per week) Ayton and North Riding Community Roles and responsibilities held To be managed in accordance with the CCG's Felicity Day GP Partner Snainton Medical 06/08/2020 Yes Yes GP Partner Yes Network Financial Self Oct-15 Ongoing Conflicts of Interests Policy. Practice within member practices. The Practice has a GMS contract to provide Ayton and North Riding Community Roles and responsibilities held primary care medical services and also To be managed in accordance with the CCG's Felicity Day GP Partner Snainton Medical 06/08/2020 Yes Yes Yes Network Financial Self Oct-15 Ongoing Conflicts of Interests Policy. Practice within member practices. provides local and directed enhanced medical services. GP Partner, Beech Beech House Knaresborough & Rural Roles and responsibilities held To be managed in accordance with the CCG's Claire Keenleside 18/08/2020 Yes Yes Financial GP Partner Self Jan-94 Ongoing Yes House Surgery Surgery PCN within member practices. Conflicts of Interests Policy. The Practice has a GMS contract to provide GP Partner, Beech Beech House Knaresborough & Rural Roles and responsibilities held primary care medical services and also To be managed in accordance with the CCG's Claire Keenleside 18/08/2020 Yes Yes Financial Self Jan-94 Ongoing Yes House Surgery Surgery PCN within member practices. provides local and directed enhanced Conflicts of Interests Policy. medical services. The Practice has a contract with North GP Partner, Beech Beech House Knaresborough & Rural Roles and responsibilities held Yorkshire County Council for provision of To be managed in accordance with the CCG's Claire Keenleside 18/08/2020 Yes Yes Financial Self Jan-94 Ongoing Yes House Surgery Surgery PCN within member practices. some preventative health services Conflicts of Interests Policy. commissioned by Public Health Committee Member/Attendee Type of Interest Nature of Interest Position held in the Description Self or Other CCG / GP Is this Date Interest Date interest First Name Surname CCG/ relationship Member of a PCN? Return Date person a (Please select from Action Taken to Mitigate Conflict Practice / Other (Please select from drop-down list as per Started ended with the CCG Band (If yes, please select from drop drop-down list as (Please copy and paste from the form) (Please choose decision the form) down list as per the form) per the form) from the drop-down maker? Directors list as per the form) Committee Committee Governing Body Body Governing Audit Committee Audit Council of Members Council Panel Remuneration Interests Declared Yes/No Declared Interests Remuneration Committee Remuneration North Yorkshire Executive Executive North Yorkshire Primary Care Commissioning Commissioning Primary Care and Commissioning Committee Commissioning and Quality and Clinical Governance Governance Clinical and Quality Finance, Performance, Contracting Contracting Performance, Finance, Directorships, including non- GP Partner/ GP Partner, Beech Beech House Knaresborough & Rural executive directorships held in Fellow Partner is a Director of Dr Will Joness To be managed in accordance with the CCG's Claire Keenleside 18/08/2020 Yes Yes Indirect Business Jul-15 Ongoing Yes House Surgery Surgery PCN private or public limited limited Conflicts of Interests Policy. Partner companies Ownership or part-ownership of private companies, businesses or Partner in a practice with shares in GP Partner, Beech Beech House Knaresborough & Rural Yorkshire Health Network Ltd – local GP To be managed in accordance with the CCG's Claire Keenleside 18/08/2020 Yes Yes Financial consultancies likely or possibly Self Jan-14 Ongoing Yes House Surgery Surgery PCN federation which may contract for services Conflicts of Interests Policy. seeking to do business with the with the CCG CCG or NHS England Partner / employee of ……………. GP Partner, Beech Beech House Knaresborough & Rural practice which provides medical Partner at Beech House Surgery providing To be managed