Dudley CCG - Declarations of Interest Register as of: 31/10/2017

Dudley CCG - Declarations of Interest Register as of: 31/10/2017 Title First Name Surname Job Title Declarations of Interest Date of any changes made Mrs Victoria Adams Planned Care Efficiency Pathway Manager Brother - Pallative Care Childrens Nurse - Black Country Partnerships Sister-in-Law - Opthalmology Nurse - Dudley Group NSH Foundation 24/07/2017 Mrs Julia Argentieri Senior Contracts Manager Director of a software company Jetblack Software 20/09/2017 Ms Jane Atkinson Designated Nurse for Safeguarding Adults None Ms Philippa Badger Business Support Officer None 22/09/2017 Dr Adeela Bashir Clinical Lead - Safeguarding Mrs Malveer Bassey Intermediate Care Coordinator None 05/04/2016 Ms Debra Beatrup POD Call Handler None 06/11/2017 Mr Chris Benfield CSU Business Insight Lead Mr Stuart Bennett Accounts Assistant Ms Mwamba Bennett Senior Contracts Manager Personal Relationship with Expenses Officer at Royal Wolverhampton who also provide a shared service for DWMHT Host for Contact the Elderly and Local Church Spokesperson for HOPE Worldwide UK. (Registered Charity) Husband works for the Royal Wolverhampton as a Clinical Technologist in Diagnostic Radiotherpy 03/02/2017 Hannah Billingham Interim Business Support Manager None 01/08/2017 Dr Richard Bramble Clinical Lead Integration Partner, Links Medical Practice 21/04/2016 Mrs Laura Broster Director of Communications & Public Insight Director of Shrops Hire Solutions Ltd Mrs Caroline Brunt Chief Nurse None 01/11/2017 Mr Neill Bucktin Director of Commissioning Chairman of the Corporation, Heart of Worcestershire College Member of Managers in Partnership Director - North East Worcestershire Enterprises Ltd. 10/10/2017 Mrs Nicola Burgess Head of Contracts None 07/11/2017 Mr Joe Cahill Quality Assurance Manager None 10/10/2017 Mrs Jenny Cale Commissioning Manager None 04/04/2016 Mrs Stephanie Cartwright Director of Organisational Development & Human Resources In a personal relationship with Chief Executive Officer 11/10/2017

Mrs Rachael Chambers Contracts Support Officer None 18/09/2017 Ms Joyful Chigiga Quality Assurance Coordinator None 29/11/2016 Mrs Gillian Chimento Senior Contracts Manager None 14/08/2017 Mrs Helen Codd Community Engagement Manager None 18/09/2017 Mr James Cole Commissioning Manager Employee of Flam Lily Nursing Agency Spouse employed by Dudley & Walsall Mental Health Partnerships NHS Mrs Clare Cook Intermediate Care Co-Ordinator None 16/10/2017 Mr Philip Cowley Senior Finance Manager Primary Care Partner works for Central Midlands CSU Dr Linda Cropper Commissioning Manager None 05/10/2017 Mr Joshua Crowe Accounts Assistant None Mr Mark Curran Commissioning Manager None 10/10/2017 Mrs Carmela Dada Safeguarding Administrator None 26/04/2016 Dr Jonathan Darby Clinical Executive Acute & Community Commissioning Principal in General Practice, Senior Partner, St Margaret s Well Surgery BBC Drama, Birmingham Director Manor Abbey Investments Non-Executive Director for the Royal Wolverhampton Hospitals NHS 12/03/2017 Mrs Monica Dinham Senior Social Worker None 06/11/2017 Mrs Stacey Dixon Senior Management Accountant - Commissioning CIMA Miss Jayne Dunn Strategy Lead Nurse General/Other: Partner is a GP within Sandwell CCG. 06/11/2017 Mrs Jackie Eades Interim EA to Chief Accountable Officer Employed by Walsall CCG Patient Representatitve at Burntwood Health & Wellbeing Centre PPG 02/11/2017 Dr Ruth Edwards Board Member Kingswinford, Amblecote & Brierley Hill GP Partner - AW Surgeries Locality / Clinical Executive for Quality & Safety 05/02/2017 Mrs Jayne Emery Chief Officer of Dudley Healthwatch None 11/10/2017 Mr Jason Evans Commissioning Manager England and Wales, number 1151108. Director of The Mariposa which is a charity registered in 18/09/2017 Julia Evans POD Call Handler None Mrs Tiffany Fear Commissioning Support Secretary None 10/10/2017 Miss Carolyn Flavell PA to Chief Finance Officer Partner works in supplies team for Interserve FM, based at Russells Hall Hospital 06/11/2017

Mrs Jennifer Fletcher Urgent Care Manager Other Employer: Self-Employed Fitness Instructor Ms Parminder Flora POD Operative Also employed by Midcounties Co-Operative 18/10/2016 Kelly Fojan IT Business Support Officer None 27/04/2017 Mr Brendan Forde Senior Finance Manager Membership of statutory body: Institute of Certified Public Accountants Mr Robert Franklin Patient Insight Specialist None Mr Matthew Gamage Head of Financial Management None 11/10/2017 Dr Richard Gee GP Engagement Lead Appointed member of Dudley Group Foundation Council of Governors Mrs Sharon George Designated Nurse for Looked after Children & Young People None 14/02/2017 Mrs Deborah Gilbert PA to Director of Membership Development None 07/04/2017 Mrs Elizabeth Gilbert CHC/FNC Nurse Assessor None 29/03/2016 Ms Tracey Green Business Support Manager Cousin employed by TeraFirma 18/09/2017 Mrs Lindy Green Continuing Healthcare Nurse Assessor None 15/06/2015 Kathy Green Intermidate Care Co-ordinator Mrs Rachel Gretton Primary Care Commissioning Support Officer None 18/09/2017 Mr Geraint Griffiths Commissioning Programme Manager None 15/08/2017 Dr Purshotam Das Gupta Board Member Dudley & Netherton Locality GP Partner at Links Medical Practice Member of Labour Party 11/10/2017 Miss Molly Halford Business Support Apprentice None 16/08/2017 Miss Clare Hamilton EA to Chair & Chief Executive None 22/03/2016 Mrs Mandy Hampton Continuing Healthcare Coordinator None 04/06/2016 Dr Christopher Handy Lay Member for Quality & Safety Chief Executive, Accord Group Visiting Professor at Birmingham City University Board Member of: Black Country LEP Board Ma trix Redditch Co-operative Homes Black Country Consortium Birmingham Chamber of Commerce Walsall Housing Regeneration Agency Direct Health 31/03/2016 Mrs Lindsey Harding Communications Officer None 10/10/2017 Ms Deborah Harkins Chief Officer for Health & Wellbeing (Director of Public Health) None 17/03/2015

Mr Matthew Hartland Chief Operating & Finance Officer Director of Dudley Infracare Lift LTD Director of Whitbrook Management Company Member of Chartered Institute of Public Finance and Accountancy Interim Strategic Chief Finance Officer, Walsall CCG Interim Strategic Chief Finance Officer, Wolverhampton CCG Mrs Beverley Hayes Contracts Support Officer None Dr David Hegarty CCG Chair / Board Member Stourbridge, Wollescote & Lye Locality GP Partner - Wychbury Medical Group Chairman of Black Country STP Clinical Leadership Group Partner is Director of Strategy at Worcestershire CCG Shareholder with D C Corporation Ltd Council member- West Midlands Clinical Senate Member of LMC Member of BMA 05/10/2017 Mr Andrew Hindle Commissioning Manager None 21/03/2016 Ms Sarah Hirst Information Governance Manager - Arden & GEM Commissioning Support Unit Support 4 CCGs - Wolverhampton CCG, Birmingham & South Central CCG, Sandwell and West Birmingham CCG and Dudley CCG 12/01/2016 Mr Jeremy Hodgetts Performance Analyst None Miss Keren Hodgson Engagement Officer None Mrs Kelly Holland Financial Accountant None Dr Mark Hopkin Clinical Lead Partner at Moss Grove Kingswinford Partner at Moss Grove Kinver Associate Non-Executive Director Dudley Group Foundation NHS 07/11/2017 Dr Tim Horsburgh Sessional GP - Netherton Health Centre. Clinical Executive for Primary Care & LMC Member of the Local Medical Committee Representative Clinical Lead for Partners in Paediatrics Mrs Nicola Howell IC Co-ordinator None 11/10/2017 Mrs Clair Huckerby Pharmaceutical Advisor Director of Ridgeacre Pharmacy Limited (currently dormant company to cease end of October 2017- papers submitted to Companies House) C L Huckerby Consultancy Services Member of General Pharmaceutical Council Fellow of the Faculty of the Royal Pharmaceutical Society Member of Pharmacist Defence Association Expert adviser to NICE 2017-2020 Pharmaceutical Adviser on Nice Clinical Guidance for Renal Hypophosphatemia 2012-2017 Married to Head of Marketing at ZimmerBiomet Orthopaedics Husband has shares in Astra Zeneca and ZimmerBiomet 18/09/2017

Mrs Jane Hughes Practice Nurse Mentor None 02/02/2017 Mrs Julie Jasper Lay Member Patient & Public Involvement Lay Member - Sandwell and West Birmingham CCG Managing Director of Westland s Associates Ltd Member of CIPFA 11/10/2017 Mr Duncan Jenkins Specialist in Pharmaceutical Public Health Director of Morph Consultancy Ltd Director of Free Radical Network Ltd Ethical Decision Making Ltd Member of Royal Pharmaceutical Society Hon Sen Lecturer University of Worcester Consultant to the Pharmacists Defence Association Self Employed consultancy work including pharmaceutical companies 20/04/2016 Mr Jaspal Johal Pharmaceutical Consultant Also works for MidCountries Co-Op - Community Locum Member of General Pharmaceutical Council Member of Pharmacist Defence Association 09/08/2017 Ms Sue Johnson Deputy Chief Finance Officer None 10/10/2017 Mrs Fiona Jolly PA to Head of Commissioning Daughter is a nurse in the GI Unit at Russells Hall Hospital Mr Simon Jones Management Accountant Director of SRJ Financial Consultancy Ltd Past Acquaintance Carol Jones - Practice Manager Representative 03/11/2017 Mrs Laura Jones Continuing Health Care Nurse Assessor None 11/10/2017 Mrs Gurpreet Kaur (Sodhi) Management Accountant - Corporate & Financial Planning None Mr Daniel King Director of Membership Development & Primary Care None 10/10/2017 Mrs Sarah Kite Commissioning Support Secretary None 03/11/2017 Mr Scott Lavender Assistant Management Accountant - Primary Care Other Employment: Codsall Leisure Centre Mrs Kellie Lennon Paediatric Complex Health Care Co-ordinator None

Dr Rebecca Lewis Board Member Halesowen & Quarry Bank Locality GP Partner Feldon Practice Surgery 10/10/2017 Mrs Gail Lowe Commissioning Support Secretary Daughter works at Russells Hall Hospital in Path Lab 18/09/2017 Dr Mona Mahfouz Board Member Dudley & Netherton Locality Dr Abrar Malik Clinical Lead for Commissioning and Pathways Ms Karen Mander POD Manager GP Partner, Keelinge House Surgery Member of LMC Directorship: Director Malik Healthcare Consultancy Ltd Ownership of Business: Malik Healthcare Consultancy Ltd Owner of Olive Guest House Member of GPhC Member of Pharmacist Defence Assosiation (PDA) 13/01/2017 06/11/2017 03/08/2017 Mr Hartish Mangat Practice Based Pharmacist - Contractor Also Employed by Birmingham Community Healthcare NHS 09/01/2017 Dr Steve Mann Board Member Stourbridge, Wollescote & Lye Locality / Clinical Executive for MCP GP Partner - Lion Health. Sister provides the Paediatric Triage Service 31/10/2017 Dr Lucy Martin Clinical Lead Shareholder in Future Proof Health Member of Association of Palliative Medicine Medical Director of Mary Stevens Hospice 21/04/2016 Mr Paul Maubach Chief Executive Officer Member of Dudley Health & Wellbeing Board Member of CIPFA Member of Managers in Partnership In a personal relationship with Director of OD & HR Interim Chief Executive Officer, Walsall CCG Mrs Alice McGee Head of HR & OD Employed by Sandwell & West Birmingham CCG 15/08/2017 Mrs Marcia Minott Head of Quality & Patient Safety None 30/03/2016 Mrs Lisa Mitchell Contracts Support Officer None 18/09/2017 Mr Taps Mtemachani Commissioning Manager for New Models of Care Dr V Mittal GP Representative at Primary Care Commissioning Committee Healthcare Redesign Consultancy - Pthway redesgin with Pharma and Cahrities (non-dudley) GP at Crestfield Surgery Membership MDU Membership GMC 09/02/2017 Mr Anthony Nicholls Head of Intelligence & Analytics None 10/10/2017 Mrs Anna Nicholls Senior Contract Manager - NHS England None 17/02/2017

Mr Minesh Parbat Prescribing Advisor 2% shareholding in Bedsense Ltd Member of General Pharmaceutical Council Member of Royal Pharmaceutical Society Member of Pharmacists Defence Association External QIPP Advisor to NICE Wife is owner of Mesmerise Events - Events Management Company Wife is Sales Manager at Village Hotel Solihull 27/07/2017 Mr Tony Oakman Strategic Director People Metropolitan Borough Council None 07/04/2016 Flora Parminder POD Call Handler Other Employment: The Midcounties Co-Operative 11/10/2017 Mrs Beverley Passmore POD Call Handler (Secondment) Main Employment: AW Surgeries Mr Paresh Patel Primary Care IT Manager None Ms Dipika Patel CSU Business Insight Manager None 13/09/2016 Dr Devna Prashara Clinical Lead Integration Dr David Pitches Public Health Representative - Primary Care Commissioning Committee Primary Care Commissioning Committee Member at Dudley CCG Consultant in Public Health Medicine, Dudley MBC Wife is a Consultant Obstetrician at Heart of England Foundation Occasional Church organist fees received for giving recitals or playing for services 25/01/2017 Miss Anneka Price Office Manager None 22/03/2016 Mrs Maria Prosser Communications & Public Insight Support Officer Sister in Law is a Matron at DGFT (Paeds/Neonates) 04/10/2017 Miss Zoe Pugh Performance Manager General/Other: Brother works for Dudley Group as a Medical Records Clerk. Dr Matthew Read Board Member Sedgley, Coseley & Gornal GP Woodsetton Medical Practice 06/03/2017 Mrs Teresa Rickhuss Primary Care Contracts Support Officer Daughter is employed as Deputy Company Secretary at Birmingham Childrens Hospital Mrs Julie Robinson Primary Care Contracts Manager None Mr Tom Robinson EMIS Web Developer None 10/10/2017 Dr Fiona Rose Board Member Sedgley, Coseley & Gornal GP Castle Meadows Surgery 22/02/2017 Mrs Sukvinder Sandhar Pharmacist Contractor Mid-countries Cooperative Pharmacy 13/04/2016

Mr Jagdeep Sangha Practice Based Pharmacist (PBP) and Older persons Specialist Pharmacist Mr Paul Sharkey Finance Manager Partnerships Director of Jagdeep Sangha Ltd Pharmacy Consultancy Community Pharmacy Locum Sainsbury's Pharmacy, Amblecote Branch and Mid Counties Co-Op Pharmacy Group Member of GPhC Member of Royal Pharmaceutical Society Member of Pharmacist Defence Association Private Pension stakeholder Investment fund model Membership of other organisations: Healthcare Finance Management Association, NHS Financial and Environmental Sustainability Special Interest Group (NB: The name of this group may be changed) 18/09/2017 18/09/2017 Mrs Marjorie Shaw Senior Social Worker None 11/10/2017 Dr David Shukla Clinical Lead Research Mrs Debbie Simner IC/CHC Nurse Assessor None 10/10/2017 Mrs Sophie Sirréll Deputy Office Manager & PA Sister works at New Cross Hospital Wolverhampton 03/02/2017 Mr Martin Siviter Administrative Support None 10/10/2017 Mr James Smith Head of Financial Management Spouse works in Finance at Dudley MBC Mrs Emma Smith Governance Support Manager Parent Governor at Netherton Park Nursery 10/10/2017 Mrs Pauline Smith Practice Nurse Mentor Other Employer: Clement Road Medical Practice 21/03/2016 Mr David Stenson Patient Opportunity Panel Representative Non-Executive Director _ Black Country Partnership NHS Foundation 12/02/2017 Volunteer, Healthwatch Dudley Mr Steve Stanier Head of OD & HR School Governor North Vice Chair - Bromsgrove High School 26/05/2017 Dr Ruth Tapparo GP Board Member and Clinical Executive for Finance, Performance & Business Intelligence GP Partner - Three Villages Medical Practice 05/10/2016 Ms Patricia Taylor Commissioning Manager None 03/02/2017 Mrs Joanne Taylor (nee Gutteridge) Mr Thomas Thomik Commissioning Manager None 29/03/2016 Dudley Local Pharmaceutical Committee Representative Chrsitine Thorndike Interim Safeguarding Administrator Dudley LPC Member Royal Pharmaceutical Society Member 21/04/2017 Mrs Maggie Traynor Lead Nurse Intermediate Care/ Stepdown Membership: NMC, RCN Mrs Alison Turner Commissioning Support Secretary None Mrs Joanne Turner Project Support Officer None 11/10/2017 Mrs Johanne Turton CHC Nurse Assessor None 03/05/2016 Mrs Carol Tyler Practice Manager Representative Managing Partner - Summerhill Surgery Future Proof Health 06/06/2017

Miss Lily Tyler Trainee Management Accountant Stepmother - Carol Tyler Summerhill Surgery 25/08/2017 Ms Vivien Vasey Complaints & FOI Officer None 29/03/2016 Mrs Su Vincent Designated Nurse for Safeguarding Childrens None 11/10/2017 Mrs Gloria Walker Quality & Safety Administrator None 29/03/2016 Mr Steve Wellings Lay Member - Governance Wife employed by Dudley MBC Housing Department One Niece employed by DGFT as a nurse Member of CIPFA 10/04/2017 Mrs Mary Wilkins Practice Nurse Mentor None 27/04/2016 Mrs Rebecca Willetts Quality & Safety Assurance Officer None Dr Rebecca Willetts Clinical Lead Integration Mrs Maria Williams CHC/FNC Nurse Assessor None 11/10/2017 Mr James Young Head of Quality Assurance Other: wife works for DGFT as a Phlebotomist 27/01/2017