The Executive Committee

You have appointed your Executive Committee to deliver the remit of the CCG, who make recommendations on strategy and commissioning plans and take day-to-day decisions on performance and risk management to provide robust assurance to the Governing Body.

The Terms of Reference for this committee can be found through the following link

Executive Committee TOR – October 2016

The Executive Committee Members

Louise Patten – Chief Officer

Lou-PattenLouise is a registered nurse and trained as a District Nurse in Buckinghamshire.

She has worked as Assistant Director of Nursing for a Community Provider then moved into Commissioning as Director of Primary Care.  She has held a PCT Deputy Chief Executive and Board Nurse position.

After her year’s sabbatical taking an MBA, she has worked for a commercial healthcare organisation, set up her own consultancy company and held a Trustee/Director post at Watford Football Club’s Community Trust (registered Charity). Following her appointment as Accountable Officer for Aylesbury Vale CCG in 2013, Lou’s role expended across Chiltern CCG from 1 July 2016.

Robert Majilton – Deputy Chief Officer


Robert has held many finance roles within the NHS including Chief Financial Officer at Buckinghamshire PCT, Interim Director of Finance (CHO) at Oxford Health NHS Foundation Trust, Director of Finance – CHO (Interim) at Oxfordshire Primary Care Trust, Chief Financial Officer at Oxfordshire Primary Care Trust, Deputy Director of Finance at Oxfordshire Primary Care Trust, Deputy Director of Finance at Oxford City Primary Care Trust and Finance Manager at Nuffield Orthopaedic Centre NHS Trust.

From 2013 to 2016, his role provided financial leadership to emerging Clinical Commissioning Groups, supporting delivery of savings programmes and providing financial advice and training to members of the organisation.

As of 1 July 2016 his role has changed to take control of a newly established Project Management Office which oversees all projects and programmes designed to be effective both financially and with excellent  patient outcomes.

Debbie Richards – Director of Commissioning and Delivery (and Accountable Emergency Officer)


Following a number of senior NHS roles for both providers (including Buckinghamshire Healthcare NHS Trust) and in commissioning, Debbie was appointed to her current role from October 2016.

Nicola Lester – Director of Transformation

Nicola LesterNicola has been committed to the NHS since undertaking general nurse training in the 1980’s. Having specialised in the field of intensive care nursing, she built her career via the nurse management route, culminating in a matron role. The challenge of major changes in the remit of critical care in the early 2000’s sparked an interest in the role of clinicians as general managers and so after 20 years directly caring for patients, she became a Divisional Manager in an acute Foundation Trust.

Seeking a more strategic role and experience outside of the hospital setting, Nicola was seconded to a Primary Care Trust to manage a county-wide review of urgent care. Nicola joined BPCC, the predecessor organisation to Chiltern CCG, as Development Director in 2010 to support its transformation and continues to lead on organisational development.

As of 1 July 2016, Nicola has become Director of Corporate Affairs across both Aylesbury Vale CCG and Chiltern CCG, changing to Director of Transformation as of February 2017.

Dr Sian Roberts – Clinical Director – Mental Health, Learning Disabilities and Dementia

Dr Sian RobertsAfter qualifying at St Bartholomew’s Hospital Medical School in 1992, Sian joined the RAF on a Short Service Commission, to complete her hospital and GP training. She then left the RAF to join her husband, who was working in China and then Singapore. After working for three years as a GP in an Expat Clinic in Singapore, Sian returned to the UK in 2003, whereupon she initially worked as a GP Retainer at Little Chalfont Surgery for 3 years, before joining a Partnership at John Hampden Surgery in 2007.

Sian is passionate about people, patients and health and the reason she became a GP. She believes there are opportunities with Clinically Led Commissioning that will improve health care for patients and that GPs have the necessary skills to influence these healthcare changes.

Sian has been an active member of Bucks Primary Care Collaborative (BPCC) since its inception and was elected as a Clinical Locality Lead for Amersham and Chesham Practices in 2011. She continued in this role as the BPCC has transitioned to a CCG. She was responsible for engaging nine practices within Amersham and Chesham Locality with Clinical Led Commissioning, to benefit their local patients, until July 2016. From 1 July 2016 she has been the Clinical Director for Mental Health, Learning Disabilities and Dementia.

Sian is married with 2 sons, who take up much of her time outside General Practice!

 Dr Dal Sahota – Clinical Director – Urgent Care

Dr Dal SahotaDr Sahota is Clinical Commissioning Director for Urgent Care, having previously been the Clinical Director for Maternity, New Borns & Children. She qualified at University College London in 2001. She then completed her VTS within the oxford deanery based at The Royal Berkshire Hospital, Reading. Thereafter she worked as a partner in Berkshire for 5 years.

Following the births of her son and daughter Dal now lives and works in Buckinghamshire. She is a portfolio GP, so as well as being a family doctor, has a special interest in dermatology and skin surgery and is also a GP appraiser in Buckinghamshire.

When not working, Dal may be spotted at Tumble Tots, Jo Jingles or Legoland with her children!

Dr Christine Campling – Clinical Director – Contracting and Maternity

Christine-CamplingChristine has been a GP at Broughton House surgery for over 12 years and before this practiced in Birkenhead Wirral for 13 years. Christine has been involved with commissioning services for patients in Buckinghamshire for over 7 years with Aylesbury Vale PCT and then Buckinghamshire PCT.

She then became Clinical Lead for Elective Care on creation of CCGs, and from 1 July 2016 has become the Clinical Director for Contracting and Maternity across Aylesbury Vale and Chiltern CCGs.

Dr Conan Hassim – Clinical Locality Lead – Southern

Dr Conan HassimDr Hassim is the Clinical locality lead for the Southern Locality. He qualified at  University College Hospital in London in 1993 and then trained as a GP on the UCH vocational training scheme. He started as a partner at Threeways Surgery in Stoke Poges back in 1999. He became the Locality Lead for 8 practices in the Southern part of Chiltern CCG in 2011 and continues in this role.

Dr Rashmi Sawhney – Clinical Locality Lead – Wycombe

Dr Rashmi SawhneyDr Sawhney is the Clinical locality lead for the Wycombe locality.  She has been a GP at Riverside Surgery in High Wycombe since 1997. She is part of the Oxford GP trainers group as well as the Bucks GP appraisers group.

Rashmi was one of the founder members of the Wycombe Collaborative which subsequently merged with Chiltern Collaborative to form BPCC. Hence has been engaged with the concept of clinical commissioning for several years.

She did her undergraduate training at Lady Hardinge Medical College, New Delhi. She did her post graduate training (MRCGP, DCH & Post Graduate Certificate in Medical Education) in the UK. She has a special interest in management of patients with type 2 diabetes. She has attained the Certificate in Diabetes Care and completed the Insulin for Life Course. In her role as a GP with an interest in diabetes, she has developed an understanding of the psychological impact of long term conditions, especially in relation to the South Asian population, where cultural factors have an impact as well.

In her current role as locality lead she is involved with activities aimed at bringing the Wycombe practices and clinicians to work more cohesively to foster good team working and sharing of good practice. Rashmi is also involved in the development of the Public and Patient Engagement Group (PPE) for the Wycombe locality. This group aims to encourage public and patient involvement in developing appropriate commissioning priorities for the Wycombe locality.

As a member of the current Aylesbury Vale CCG and Chiltern CCG Executive Team, she represents her locality’s views and contributes to the functioning of the organisation as part of the management team.

Dr Malcolm Jones – Clinical Locality Lead – Aylesbury Vale South

Malcolm JonesMalcolm graduated from Cambridge University in 1996 and spent several years in hospital medicine, much of it specialising in paediatric medicine. Although he enjoyed working as a specialist, he appreciated the need for more holistic practise and decided to change tack by becoming a GP. He qualified as a GP in 2006, gaining merit in his MRCGP diploma and coming top in his cohort of fellow trainees on the Wycombe vocational training scheme.

He became a partner at The Cross Keys Surgery in Princes Risborough in 2007. Malcolm welcomes the changes in the structure of the NHS and while he recognises there are marked financial challenges for healthcare in the UK, he also believes there is now a great opportunity to improve much of what the NHS provides.

Outside of work, Malcolm’s great loves are his family, cycling and gardening. He lives near Princes Risborough.

Dr Toby Gillman – Clinical Locality Lead – Aylesbury Vale Central

Paul James – Interim Chief Finance Officer

Executive Team Meetings

Executive Team Meetings are held twice a month, and the minutes are approved at the Governing Body meeting, the minutes of which can be found here:

All members are welcome to attend Executive Team meetings – we would just appreciate you letting us know in advance so we can plan for numbers!  Please email if you would like to attend.