When CCGs were established in 2013 the aim was to embed clinical expertise into commissioning health services. As such, our organisational and governance structures have been designed to ensure that we are a clinically-led organisation with family doctors and other medical leads at the heart of our decision making.
The main way of achieving this is through our Governing Body, which includes six local GPs, a secondary care doctor, two lay members, the Director of Public Health, our Chief Executive Officer and three Executive Directors (one of whom is the Chief Nurse). There are also representatives from Healthwatch Southampton and Southampton City Council.
Our Governing Body meetings are held in public and local people are welcome to attend.
Dr Mark Kelsey became Clinical Chair of the Governing Body in January 2018, having been a member of the Governing Body since the formation of the CCG in 2013. Mark trained in Southampton and has been a GP in the city since 2005. He is our GP Board lead for digital technology, communications and engagement and diabetes.
Mark is also Clinical Lead for the Care and Health Information Exchange (which was formerly known as the Hampshire Health Record) one of the most advanced clinical record sharing systems in the NHS.
Dr Richard McDermott has been a GP at Bitterne Park Surgery since 1997 where he specialises in diabetes, heart disease and child health. He is a partner in the Living Well Partnership. He is Deputy Clinical Chair and our GP Board lead for Better Care.
Dr Ian Ward joined our Governing Body in April 2016 and is our GP lead for quality.
Ian trained in Southampton and started working as a GP in the city in 2000. He works part time at Bitterne Park and also as a freelance GP. Ian also spent five years abroad working as a Medical Director for an NGO (Non-Governmental Organisation) in the Sahara Desert in West Africa, returning to Southampton in 2012.
He is interested in pre-hospital emergency and event medicine, and is also one of the Southampton FC crowd doctors. He has been a volunteer with St John Ambulance for over three decades.
Ian is a founding member of "Q", a national quality improvement initiative, and is on the Wessex Patient Safety Collaborative Steering Group.
Dr Pritti Aggarwal joined our Governing Body in April 2017 and is our lead for TARGET. Target stands for Time for Audit, Research, Governance, Education and Training – it gives GPs and practice nurses an essential opportunity to meet every two months to update their skills, learn about new treatments and share good practice.
Pritti trained in Cardiff and previously worked as a surgeon, she started working as a GP in Southampton in 2005. She is currently a partner at the Living Well partnership. Pritti’s main role is with the University of Southampton as a module lead for primary medical care for students and lead for faculty development for primary medical care, as well as the diversity theme lead.
Pritti has worked with the CCG since 2013, supporting our System Delivery Team to make changes to services that support and diagnose people with Deep Vein Thrombosis and work to provide GPs improved access to CT KUB and cystoscopy (scans of the kidneys, ureters and bladder) amongst other changes. She has been bringing together GPs and consultants through the GP consultant liaison in Southampton in promoting greater understanding of the challenges they both face.
Dr Sarah Young started working with the CCG safeguarding team in March 2017 as Named GP for Safeguarding Adults. Sarah joined our Governing Body in February 2018 and is our GP lead for cancer care and prescribing.
Sarah trained at the University of Southampton and qualified in 2004. She worked within general medicine and oncology specialities before becoming a freelance GP. Her work is currently split between being a locum GP across Southampton practices and working with the CCG. From May 2018 Sarah will also be working with Southampton Medical School as a seminar leader.
Dr Chris Sanford has been working with the CCG as a Clinical Lead since 2017. He joined our Governing Body in April 2018 and is our GP Board lead for primary care.
Chris has been a GP partner at The Living Well Partnership in Southampton since 2016. He graduated from Guy’s & St Thomas’ Medical School in 2004 and has over twenty years of experience in the voluntary sector including five years as a Chief Executive. Chris is interested in the links between social health and physical health and he is also Chair of Advising Communities, a debt advice charity.
Peter Hockey is the Postgraduate Dean for Health Education England (Wessex) responsible for developing a workforce fit for the future NHS and in particular for the training of 2500 doctors to the point of entry on to the General Medical Council's specialist register. He is an NHS Consultant Physician specialising in Respiratory Medicine and is still in clinical practice in Lymington New Forest Hospital. He was a 2007/8 Harkness Fellow in Healthcare Policy & Practice at Harvard Medical School and has an interest in determinants of quality within healthcare; having published in this field and now has a particular research interest in the wellbeing of doctors. He also works as an Enhanced Monitoring Associate for the General Medical Council supporting organisations where education quality concerns have been identified.
Peter was born in Durban, South Africa and qualified in Medicine from the University of the Witwatersrand, Johannesburg. Postgraduate specialist training was undertaken in Winchester, Bournemouth and Southampton.
June Bridle has been a lay member of the CCG Governing Body (with an interest in governance) since the CCG was established.
June was elected to represent the Sholing ward as a Southampton City Councillor in 1995 and retired in 2008. Her main interests were in health, education and planning and development.
Whilst working with the Improvement and Development Agency she carried out numerous reviews of other councils throughout the country. She also worked as a reviewer with the Audit Commission inspecting councils in London.
This work gave June a valuable insight into good governance, scrutiny and effective commissioning, and their impact on performance.
June served as a non-executive director of Southampton Primary Care Trust from 2002 to 2006 and returned in 2008 to act as the Chair of the then-emerging provider, which has now become Solent NHS Trust.
June was appointed the Conflicts of Interest Guardian for the CCG in 2016.
John Richards has been Chief Executive Officer since the CCG was established and worked with the Southampton, Hampshire, Isle of Wight and Portsmouth cluster of Primary Care Trusts (PCTs) as CCGs were being developed.
A former PCT Chief Executive with approaching 20 years’ experience leading commissioning organisations, John is passionate about supporting clinical leaders to own the quality and cost of healthcare, creating common purpose and leading with integrity and authenticity. He is determined to bring NHS and local authority leadership together to join up care. He is also interested in working with communities to build resourcefulness.
Hampshire born and bred, John studied social anthropology at Cambridge and joined the NHS in 1988 after a brief career in the Welsh Office. From 1991 to 2006 he worked in south west Hampshire, becoming Chief Executive of Eastleigh and Test Valley South PCT in 2002 and of New Forest PCT in 2004. John then moved to be Chief Executive of NHS Plymouth until 2011.
James Rimmer has been the Chief Finance Officer since the CCG was established and is also Deputy Chief Executive for the CCG.
James joined the NHS in 2001 as part of the highly regarded NHS Finance Graduate Training Scheme. He has held numerous senior finance roles working in both the commissioning and providing arms of the NHS.
James is a professionally qualified accountant, a Fellow of the Chartered Institute of Management Accountants (CIMA) and holds a master’s degree in business administration and an honours degree in accounting and finance.
As the Chief Financial Officer for the CCG James is responsible for ensuring we meet all of our statutory duties in relation to finance, providing expert financial advice to Governing Body members. He also leads on performance and is the CCG Lead Director for our relationship with NHS South, Central and West Commissioning Support Unit (our back office support services provider).
On behalf of NHS Clinical Commissioners, James co-chairs the Finance Working Group with Paul Baumann the Chief Financial Officer of NHS England. The Group allows engagement between CCG chief financial officers and the NHS England senior finance team on various national issues. He is also a member of the NHS England Allocations Steering Group, which is responsible for providing advice on the overall direction of NHS funding allocations.
James is a trustee of the Healthcare and Financial Management Association (HFMA) and chair of their Audit and Finance Committee, a three year term from December 2016. HFMA is a registered charity and the only professional body in the UK dedicated to setting and promoting the highest standards in financial management and governance in healthcare. It encompasses a membership community that represents a third of all finance staff working in UK healthcare.
Since July 2018, James is the Co-Chair of the NHS Clinical Commissioners (NHSCC) Finance Forum and a Member of the NHSCC Board (3 year term). NHS Clinical Commissioners is a membership organisation of Clinical Commissioning Groups (CCGs) in England existing to support them in providing the independent collective voice of CCGs providing voice and influence, networks and fora for peer support, sharing good practice and development. The Finance Forum acts as the representative voice for CCG CFOs at a national level and also provides an opportunity for networking and the sharing of best practice.
Stephanie Ramsey - Director of Quality and Integration (Chief Quality Officer and Chief Nurse), NHS Southampton City CCG
Stephanie Ramsey has been Director of Quality and Integration and Chief Nurse since the CCG was established. Her post is a joint appointment with Southampton City Council.
Stephanie leads on strategic development and system redesign across areas that benefit from integrated commissioning. This includes leadership of the Integrated Commissioning Unit (ICU) which is a joint commissioning team comprising CCG and Council staff (established October 2013).
Stephanie is also our chief nurse and provides corporate leadership for key programmes of work including corporate and clinical governance, quality and safety, medicines management, continuing healthcare, safeguarding, patient experience and patient/public engagement. She is a nurse, midwife and health visitor and has graduate and postgraduate degrees in health psychology and management. Stephanie has several years’ experience in leadership roles for a range of NHS community care providers and has worked on secondment in the voluntary sector.
Peter Horne spent 18 years in the Army as an infantry officer where his appointments covered a broad spectrum from combat operations and personnel policy to strategic procurement and training and development.
He moved to the NHS in 2005, initially as a divisional operations director within London Ambulance Service. Following this, he spent time within the regional tier of the NHS with responsibility for the management of performance, before taking up a post within local commissioning organisations in Hampshire.
Peter now heads up the Systems Delivery Directorate, responsible for commissioning acute services for adults in both elective and urgent care.
Dr Jason Horsley, BHB MBCHB MPH FFPH - Joint Director of Public Health for Southampton and Portsmouth City Councils
Dr Jason Horsley qualified in medicine in New Zealand in 1998. He worked in clinical medicine for a decade, predominantly in paediatrics, and held positions in New Zealand, Kenya, Australia, the UK and Uganda. He has been working in Public Health for the last ten years, moving to take up the post of joint director of Public Health for the Cities of Southampton and Portsmouth. Prior to this, Jason worked for the Department of Health, in the former Strategic Health Authorities and PCT’s (Primary Care Trusts) in the East of England and in South Yorkshire, and within the CCG’s and Local Authorities in South Yorkshire. He has also worked in academic settings undertaking research and teaching roles, most recently with the University of Sheffield, but he has also previously provided clinical teaching to medical students from the University of Cambridge and Mbarara University of Science and Technology in Uganda.
He has a master’s degree in Public Health from the University of Sheffield, a Degree in Medicine and Human Biology from Auckland university, and is a Fellow of the Faculty of Public Health and member of the Association of Directors of Public Health.
Lesley Gilder is a representative of Healthwatch Southampton (HWS), the local body representing the patient voice. Having representation from Healthwatch on the Governing Body is vital to bringing the patient voice and a city-wide perspective to influence decision-making.
Lesley is the lead link between HWS and the CCG Governing Body. She is also a member of the CCG Clinical Governance Committee. Lesley has a background in representing patients and was a member of Southampton LINk, HWS's predecessor organisation.
Over the last two years she has been engaged in a variety of projects related to health and social care and has undertaken Patient Led Assessments of the Care Environment (PLACE) for Solent NHS Trust and University Hospital Southampton NHS Foundation Trust and taken part in the Clinical Assessment Scheme for the Hospital Trust. Lesley has also contributed to both clinical quality review meetings and to the review of a local GP practice.
Lesley's professional career has spanned both management and research most recently as a senior manager in the Library and Information Service at Southampton University and previously as a researcher in a nationally funded Library Management Research Unit. Lesley is also President and Chair of Solent Credit Union.
For more information about Healthwatch Southampton visit their website www.healthwatchsouthampton.co.uk
Councillor David Shields is a member of the Council’s Cabinet, with portfolio for health and social care, private sector housing and local action on climate change. He chairs the city’s Health and Wellbeing Board and, along with representing the Council on the CCG Governing Body and serves on the CCG Primary Medical Care Commissioning Committee.
David is an active campaigner for health and social care issues and has been the elected member for the Freemantle ward for five years.
He also plays an active part in regional and national networks to promote policies to improve people’s health and wellbeing and ensure greater public involvement in shaping publicly funded care services. He was a founder member of the Care Quality Commission’s (CQC’s) Healthwatch England Committee (from October 2012 – June 2014). He also supports the Local Government Association with its national programmes of work on Health and Wellbeing Board leadership and putting Health in All Policies.