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 AVCCG 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 Commissioning Executive (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

The Governing Body includes the following members:

  • GP Chair (Clinical Leader)
  • 1 GP Executive Member with Health & Wellbeing Board Membership
  • Chief Finance Officer
  • Chief Officer (fulfilling the Accountable Officer role)
  • 2 Lay members
  • Secondary Care Specialist Doctor
  • Registered Nurse

The Executive Team

Governing Board Members

See a Who’s Who at Aylesbury Vale.

Commissioning Executive Team

The Commissioning Executive 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 Team 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

The members of the Executive are:

Lou PattenDr Graham Jackson Chief OfficerClinical Chair
Dr. Kevin Suddes Clinical Lead – Unscheduled Care
Dr. Christine Campling Clinical Lead  – Elective Care
Dr. Juliet Sutton Clinical Lead  – Early Years   (Maternity, Newborns and Children)
Dr. Karen West Clinical Lead – Joint Commissioning & Partnership Working
Dr. Stuart Logan Clinical Lead  – Long Term   Conditions (Prescribing and End of Life
Dr. Malcolm Jones Clinical Locality Lead – South Locality
Dr. Charles Todd Clinical Locality Lead – Central Locality
Dr. Rodger Dickson Clinical Locality Lead – North Locality
Colin Thompson Director of Operations & Performance
Alison Foster Director of Quality
Robert Majilton Chief Financial Officer

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.