The Executive Committee

The Executive Committee makes recommendations on strategy and commissioning plans and takes day to day decisions on performance management 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

The Executive Committee Members

Dr James Kent – Chief (Accountable) Officer and Integrated Care System (ICS) Executive Lead, BOB CCGs

James has over 25 years of healthcare experience as a doctor, management consultant and government adviser. Most recently he has been working with the NHS X leadership team on their priority areas for the recovery COVID-19 phase. James is also appointed as the ICS Executive Lead, with both roles commenced in May 2020.

Robert Majilton – Deputy Chief Executive


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 changed to take control of a newly established Project Management Office which oversaw all projects and programmes designed to be effective both financially and with excellent  patient outcomes.  Following further staff appointments since then his role has consolidated to Deputy Chief Officer which now continues for NHS Buckinghamshire CCG.

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

Dr Sian Roberts

After qualifying at St Bartholomew’s Hospital Medical School in 1992, Sian served in the RAF on a Short Service Commission where she completed her GP training. Following her military service, she worked abroad in China and in Singapore and then returned to the UK and the NHS in 2003.

Sian has been actively involved in health commissioning since 2011, initially as the Locality Lead for Amersham and Chesham practices, and since 2016, as the CCG Clinical Director for Mental Health, Learning Disabilities and Dementia.

Sian recognises that many of her patients presenting in General Practice have mental health illness. She is passionate about reducing the health inequalities in those with poor mental health and /or learning disabilities and she sees Primary Care as having a pivotal role in addressing these inequalities.

Sian is also Thames Valley Strategic Clinical Network Clinical Lead for Dementia and has been instrumental in supporting the Dementia Friendly Practice initiative across Buckinghamshire and the Thames Valley.

Dr Dal Sahota – Clinical Director – Unplanned Acute Care

Dr Dal Sahota

Dr Sahota is Clinical Commissioning Director for Unplanned Acute 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. In 2017 she became clinical director for urgent care across Aylesbury Vale and Chiltern CCG, a role which continues with the two CCGs merging as of 1 April 2018.

Dr Rashmi Sawhney – Locality Clinical Director, Wycombe (to July 2019), Clinical Director for Health Inequalities and The Primary Care Networks DES (from July 2019)

Dr Rashmi SawhneyDr Sawhney 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 a Clinical Director 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 Wycombe. This group aims to encourage public and patient involvement in developing appropriate commissioning priorities for Wycombe.

As a member of the current NHS Buckinghamshire CCG Executive Committee, she represents Wycombe practice views and contributes to the functioning of the organisation.

Dr Raj Thakkar, Clinical Director for Planned Care (from July 2019)

Dr Thakkar became a voting member of the CCG Executive Committee in July 2019 and is the CCG Clinical Director for Planned Care, championing opportunities for improvements especially in cardiology.

Dr Thakkar has been long term conditions lead for Thames Valley Strategic Clinical Network, primary care cardiology lead for the Oxford Academic Health Science Network (HSCN) and atrial fibrillation champion for NHSIQ Thames Valley. He sits on the national heart failure and valve disease steering group for the NHS long term plan. He has also worked as a medical writer, speaker and advisor – publishing over 200 articles and several books.

He was a national finalist for GP of the year in 2017 for his work on heart failure, He also started and chaired a Buckinghamshire cancer strategy group, which was awarded an All Parliamentary Group Award for improvement in first year survival. He has also been a national finalist in the prestigious HSJ awards 2019 for his work in atrial fibrillation. He has also received two atrial fibrillation pioneer awards (2017, 2019).

He trained at University College London where he achieved a bachelor’s degree in neuroscience and completed his medical degree in 1999. During his GP training programme in the Oxford deanery Raj went on to win the national GP enterprise award in his division. He also completed an enhanced GP registrar post in cardiology.
Locally, Dr Thakkar is currently a partner at Bourne End and Wooburn Green Medical Centre.

Kate Holmes – Interim Chief Finance Officer

After over 7 years experience as Deputy CFO for Buckinghamshire CCG, Kate Holmes was appointed as Buckinghamshire CCG’s interim Chief Finance Office from 1 October 2020.

Louise Smith– Interim Director for Primary Care and Transformation

Since 2020 Louise Smith has undertaken the role of Senior Responsible Officer Covid-19 Vaccination Programme across the Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (BOB ICS)

Vacant –  Clinical Lead for End of Life Care 
Vacant- Clinical Director for Medicines Management
Vacant- Clinical Director for Long Term Conditions, Prevention and Supported Self Care
Vacant- Clinical Director Children’s