Our Organisation

Our Constitution

The CCG is a member organisation and the sum of its practices, practice members, locality groups, executive and Governing Body.

Our vision is to bring strong clinical leadership to local health needs, delivering efficient high quality NHS services for our patients by effective use of resources, improved patient outcomes, minimal waiting times and greater financial stability.

Our Constitution has been updated to reflect the changes brought about by federation of the two CCGs in Buckinghamshire. It is currently awaiting approval by NHS England and will be posted here once this process has been completed.

Read or download the AV CCG constitution


The CCG consists of Member practices which hold contracts for the provision of primary medical services. Member practices fall within three geographical localities, North, South and Central.

Decision Making: The Governing Structure

The CCG is accountable for exercising its statutory functions and grants authority to the Governing Body to act on its behalf for most of these.

The CCG’s clinical accountability is through the GP Chair of the Governing Body (or Clinical Leader) – it’s most senior clinician. Membership accountability comes through the Accountability Forum. The Chief Officer is the most senior manager in the CCG.

This section provides a brief explanation of accountabilities and component parts of the CCG required to exercise its statutory functions.

The component parts are:

  • The Executive Committee (a committee of the CCG)
  • The Governing Body

The diagram shows the relationship of the Member practices through the Accountability Forum, the Localities and the Commissioning Executive. The Governing Body has an overall responsibility for ensuring that the CCG delivers its objectives and duties.

The Governance Structure

Governance Structure

Governing Body

The Governing Body ensures that the CCG carries out its work effectively, efficiently and economically and with good governance and high quality, and in accordance with the terms of the CCG Constitution as agreed by its Members.

It is responsible for the CCG’s vision, assurance and strategy and will scrutinise decision making to ensure that due process is followed. The Governing Body is responsible for:

  • Assurance, including audit and remuneration
  • Assuring the decision-making arrangements
  • Oversight of arrangements for dealing with conflict of interests
  • Agreeing the vision and strategy
  • Formal approval of commissioning plans on behalf of the CCG
  • Oversight of performance and quality
  • Providing assurance of strategic risks

Governing Body Members

Name Current position (s) held in the CCG i.e. Governing Body member; Committee member; Member practice; CCG employee or other 
Dr Graham Jackson Clinical GP Chair – Aylesbury Vale CCG
Dr Raj Bajwa Clinical GP Chair – Chiltern CCG
Robert Parkes Lay Member (Deputy Lay Chair Aylesbury Vale CCG)
Tony Dixon Lay Member (Deputy Lay Chair Chiltern CCG)
Dr Karen West Member GP and Clinical Director Integrated Care
Dr Rebecca Mallard-Smith Member GP and Clinical Director Unplanned Community Care
Robin Woolfson Secondary Care Specialist Doctor
Crystal Oldman Registered Nurse
Graham Smith Lay Member and chair of Primary Care Commissioning Committee
Colin Seaton Lay Member for Patient and Public Involvement
Ross Carroll Lay Member
Lou Patten Chief Officer
Robert Majilton Deputy Chief Officer
Debbie Richards Director of Commissioning and Delivery (and Accountable Emergency Officer)
 Paul James Interim Chief Finance Officer

Governing Body Meetings

Governing Body Meetings are held monthly, to discuss business and make decisions about commissioning healthcare in the CCG.

Some of the meetings of the Governing Body are held in public, enabling members of the public to watch and listen to proceedings.  Anyone can pose questions about what the Group does and local healthcare issues in advance of the meeting and questions about the items on the agenda at the meeting itself, or in advance (see the public website Governing Body Papers page for further information).

All members are welcome to attend all Governing Body meetings – we would just appreciate you letting us know in advance so we can plan for numbers!  Please email members.cccg@nhs.net if you would like to come along

Governing Body Members

See a Who’s Who at Aylesbury Vale.

The Executive Committee

The Executive Committee is responsible for overall management of the CCG’s day to day responsibilities. The majority of the Commissioning Executive must be practicing clinicians; each clinical member then has responsibility for commissioning services within their own portfolio.

The responsibilities of the Executive Committee are:

  • To develop commissioning plans
  • Effectively lead and ensure delivery of locality and provider performance
  • Provide robust assurance to the Governing Body on all of the statutory duties

Find out more about The Executive Committee at Aylesbury Vale.

Ask a Question?

As part of the Clinical Commissioning Group’s commitment to openness and accountability, meetings of the Governing Body are open to the public. Anyone may ask questions about agenda items in advance of each meeting, and will be verbally responded to at the meeting.

Questions relating to an agenda item for a specific meeting can be submitted as follows:

  • In writing: to Aylesbury Vale CCG, The Gateway, Gatehouse Road, Aylesbury HP19 8FF
  • By phoning us: 01296 585 900
  • By completing and submitting the form below:

Board Papers

Accountability Forum


The CCG has evolved from ‘United Commissioning’ a limited liability company that purchased services through practice-based commissioning.

During 2012 AVCCG operated as a sub-committee of Buckinghamshire PCT. It became a statutory organisation on April 1, 2013.