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 Executive Committee TOR – FINAL v1.0 AMENDED RC July 2018

The Executive Committee Members

Louise Patten – Chief Executive


Lou Patten has been Chief Executive of Aylesbury Vale and Chiltern CCG since June 2016, having previously been Chief Officer at Aylesbury Vale CCG since 2013.  She successfully led the federation of the two Buckinghamshire CCGs and has led on the successful bid for Buckinghamshire to become one of the first eight Integrated Care Systems (ICS).  In January 2018 she also became the interim Chief Executive Officer for Oxfordshire CCG.

During this time she has developed high performing CCGs with strong system leadership and a national reputation for clinical leadership and innovation.  A registered nurse, Lou has developed a patient focused approach to system wide change across Buckinghamshire, working in partnership with other health and care organisations. She brings these skills to Oxfordshire with the specific aim of developing and supporting integrated system working in order to enhance the BOB STP development.

Lou trained as a registered nurse at Southampton University Hospital and later took her diploma in district nursing, degree in health science and an MBA.  She has board level experience within Provider and Commissioner organisations, worked for a commercial healthcare company, set up her own consultancy and held a Director post at Watford Football Club’s Community Trust.

Lou maintains her nursing registration and has a strong patient- focused approach to commissioning services, recognising the importance of sustainable primary & community health and care to support out of hospital transformation.

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.

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


Debbie has been Director of Commissioning and Delivery since October 2016, and became a voting member of the Governing Bodies in common for both NHS Aylesbury Vale and NHS Chiltern CCG in February 2017. This role continues for the now merged NHS Buckinghamshire CCG from April 2018.

Debbie trained as a social worker at Oxford University and specialised in mental health social work. She progressed through social work team management into NHS general management, working at a senior level in several mental health and acute hospital Trusts.

Debbie has maintained her registration with the Health and Care Professions Council (HCPC) and has a particular interest in improving jointly commissioned services for children and young people, mental health and learning disabilities.

Debbie is also the CCG Accountable Emergency Officer which involves contingency planning in the event of major incidents, and is also a nominated governor of Oxford Health NHS Foundation Trust.

Nicola Lester – Director of Transformation

Nicola Lester

Nicola 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 began working in commissioning in 2009 and became a CCG Director in Buckinghamshire in 2012.

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 – Urgent Care

Dr Dal Sahota

Dr 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. 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 Juliet Sutton – Clinical Director Children’s

Following training at the Middlesex and UCH hospitals in London, Dr Sutton undertook a number of junior and senior house officer roles at Hemel Hempstead and St. Albans hospitals. She later enrolled in the GP Training scheme at Hemel Hempstead Hospital, eventually joining Popular Grove practice in Aylesbury as a partner in 1993.

Dr Sutton became involved in clinical commissioning from 2014, initially as clinical lead for Children, Young People and Maternity for NHS Aylesbury Vale CCG. Following the Federation of NHS Aylesbury Vale and NHS Chiltern CCG in July 2016, Dr Sutton focused her role on children’s commissioning and was later appointed as an additional voting member of the joint Executive Committee from September 2017. This role has continued with the merger of the CCG’s from 1 April 2018.

In addition to her CCG role, Dr Sutton is a visiting partner at a local nursing home, and supports external training for learning GP Registers. She is married with two children, and outside of work particularly enjoys travelling and walking.

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 NHS Buckinghamshire CCG Executive Committee, she represents her locality’s views and contributes to the functioning of the organisation.

Dr Malcolm Jones – South Clinical Locality Lead

Malcolm Jones

Malcolm 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 practice and decided to change tack by becoming a GP. He qualified as a GP in 2006, gaining merit in his MRCGP diploma. His entire GP career has been in Buckinghamshire.

Dr Toby Gillman – Lead GP for the AVCCG Central Locality

Dr Gillman is a partner at Meadowcroft Surgery in Aylesbury and became Lead for the NHS Aylesbury Vale CCG Central Locality in autumn 2017, a role which continues for NHS Buckinghamshire CCG following merger with NHS Chiltern CCG from April 2018. Prior to this he worked with the Individual Funding Request panel.   He also works as the Clinical Lead for Digital Transformation and has been involved in the rollout of a number of IT projects including AskNHS and Graphnet shared care records.

Gary Heneage – Chief Finance Officer

With an accountancy background and training, Gary Heneage joined NHS Buckinghamshire CCG as Chief Finance Officer (and QIPP Lead) from April 2018. He was previously Head of Finance for NHS England South Central region and as a statutory appointment automatically becomes a voting member of the CCG Governing Body. Prior to joining NHS England five years ago, Gary spent a decade as a Chief Finance Officer in the private sector.