When CCGs were established in 2013 the aim was to embed clinical expertise into commissioning health services. As such, our organisational and governance structures have been designed to ensure that we are a clinically-led organisation with family doctors and other medical leads at the heart of our decision making.
The main way of achieving this is through our Governing Body, which includes six local GPs, a secondary care doctor, two lay members, the Director of Public Health and three accountable officers (one of whom is the Chief Nurse). There are also representatives from Healthwatch Southampton, Southampton City Council and the CCG Executive Team as non-voting members.
Our Governing Body meetings are held in public and local people are welcome to attend.
Sue has been our Clinical Chair since April 2015, having been a GP representative for the CCG since October 2013.
Sue graduated from Southampton Medical School in 1982, and apart from 18 months working elsewhere as a junior doctor, she has lived and worked in the city ever since.
Sue joined Regents Park Surgery as a full time partner in 1988 and continues to work in the practice. She is our GP Board Lead for Better Care Southampton and primary care development.
Her clinical interests include women's health and management of substance misuse.
Dr Mark Kelsey trained in Southampton and has been a GP in the city since 2005. He is our GP Board lead for communications and engagement and information technology and is Deputy Clinical Chair of the Governing Body.
He has been on the Governing Body since the formation of the CCG in 2013. He has a great interest in IT and programming having previously worked part time for a medical software company. He is also the clinical lead for the Hampshire Health Record, one of the most advanced clinical record sharing systems in the NHS.
Dr Chris James has been a full time partner at the University Health Service at the University of Southampton since 1991 and is our Governing Body lead for urgent and planned care.
He has had a long time interest in sports medicine and since 2002 has been the company doctor to the English National Ballet. He has also worked as a GP with special interests in lower limb orthopaedics in a local multidisciplinary team.
Chris first became involved in change management in health care in 1995, leading a group of GPs in the centre of Southampton to become one of the first 40 Primary Care Groups (a pilot for local health care commissioning) nationally. Since then, he has been involved in a number of local health care management changes with roles such as Primary Care Group Chair and Primary Care Trust Modernisation Lead.
At a national level, Chris was Vice Chair of NHS Alliance for a number of years, and a founding board member of the NHS Research and Development Programme for Service Delivery and Organisation. In the past, he was also a member of the Primary Care Advisory Board for the National Programme for Information Technology and the Department of Health Musculoskeletal Service Framework Reference Group.
Dr Richard McDermott has been a partner with Bitterne Park Surgery since 1997 where he specialises in diabetes, heart disease and child health. He is our GP Board lead for quality and is an appraiser for GPs in Southampton.
In the past he has been involved with a number of projects across Southampton and Hampshire including being a GP advisor to the Hampshire Health Record.
Dr Ian Ward joined our Governing Body in April 2016 and is our GP prescribing lead.
Ian trained in Southampton and started working as a GP in the city in 2000. He works part time at Bitterne Park and also as a freelance GP. Ian also spent five years abroad working as a Medical Director for an NGO (Non-Governmental Organisation) in the Sahara Desert in West Africa, returning to Southampton in 2012.
He is interested in pre-hospital emergency and event medicine, and is also one of the Southampton FC crowd doctors. He has been a volunteer with St John Ambulance for over three decades.
Ian is a founding member of "Q", a national quality improvement initiative, and is on the Wessex Patient Safety Collaborative Steering Group.
Dr Pritti Aggarwal joined our Governing Body in April 2017 and is our lead for TARGET.
Pritti trained in Cardiff and previously worked as a surgeon, she started working as a GP in Southampton in 2005 and now works part time at practices around the city. Her main role is with the University of Southampton as one of the module leads for primary medical care students and lead for faculty development for primary medical care.
Pritti has worked with the CCG since 2013, supporting our System Delivery Team to make changes to services that support and diagnose people with Deep Vein Thrombosis and work to provide GPs improved access to CT KUB and cystoscopy (scans of the kidneys, ureters and bladder) amongst other changes.
Dr Richard Day has been a consultant geriatrician at Poole Hospital since 1988 with an interest in intermediate care, and is our secondary care representative on the Governing Body.
Richard qualified in 1978 from St Mary’s in London and worked as a junior doctor in London, the north, and as a senior registrar in Southampton. He is a non-executive director of Care South, a charity providing residential care in the south of England. Richard’s interests are in drugs, prescribing and intermediate care.
June Bridle has been lay member of the CCG Governing Body (with an interest in governance) since the CCG was established.
June has always been interested in politics and was elected to represent the Sholing ward as a Southampton City Councillor in 1995. Her main interests were in health, education, planning and development. She served as Leader of the Council from 1999 and retired in 2008. Whilst working with the Improvement and Development Agency she carried out numerous reviews of other councils throughout the country. She also worked as a reviewer with the Audit Commission inspecting councils in London.
This work gave June a valuable insight into good governance, scrutiny and effective commissioning, and their impact on performance.
June served as a non-executive director of Southampton Primary Care Trust from 2002 to 2006 and returned in 2008 to act as the Chair of the then emerging provider, which has now become Solent NHS Trust.
John Richards has been Chief Executive Officer since the CCG was established and worked with the Southampton, Hampshire, Isle of Wight and Portsmouth cluster of Primary Care Trusts (PCTs) as CCGs were being developed.
A former PCT Chief Executive with approaching 20 years’ experience leading commissioning organisations, John is passionate about supporting clinical leaders to own the quality and cost of healthcare, creating common purpose and leading with integrity and authenticity. He is determined to bring NHS and local authority leadership together to join up care. He is also interested in working with communities to build resourcefulness.
Hampshire born and bred, John studied social anthropology at Cambridge and joined the NHS in 1988 after a brief career in the Welsh Office. From 1991 to 2006 he worked in south west Hampshire, becoming Chief Executive of Eastleigh and Test Valley South PCT in 2002 and of New Forest PCT in 2004. John then moved to be Chief Executive of NHS Plymouth until 2011.
James Rimmer has been the Chief Finance Officer since the CCG was established and is also Deputy Chief Executive for the CCG.
James joined the NHS in 2001 as part of the highly regarded NHS Finance Graduate Training Scheme. He has held numerous senior finance roles working in both the commissioning, and providing arms of the NHS.
James is a professionally qualified accountant, a Fellow of the Chartered Institute of Management Accountants (CIMA), holding a Master’s Degree in Business Administration and an Honours Degree in Accounting and Finance.
As the Chief Financial Officer James is responsible for ensuring the CCG meets all of its statutory duties in relation to finance, providing expert financial advice to Governing Body Members. He also leads on performance and is the CCG Lead Director for our relationship with NHS South, Central and West Commissioning Support Unit; (our back office support services provider).
On Behalf of NHS Clinical Commissioners James Co-Chairs the Finance Working Group with Paul Baumann, the Chief Financial Officer of NHS England. The finance working group allows engagement between CCG Chief Finance Officers and the NHS England senior finance team on various national issues. James is also a member of the NHS England Allocations Steering Group, which is responsible for providing advice on the overall direction of NHS funding allocations.
James is also a Trustee of the Healthcare and Financial Management Association (HFMA) and Chair of their Audit & Finance Committee, a 3 year term from December 2016. HFMA is a registered charity and the only professional body in the UK dedicated to setting and promoting the highest standards in financial management and governance in healthcare, encompassing a membership community that represents a third of all finance staff working in UK healthcare.
Stephanie Ramsey - Director of Quality and Integration (Chief Quality Officer and Chief Nurse), NHS Southampton City CCG
Stephanie Ramsey has been Director of Quality and Integration and Chief Nurse since the CCG was established. Her post is a joint appointment with Southampton City Council.
Stephanie leads on strategic development and system redesign across areas that benefit from integrated commissioning. This includes leadership of the Integrated Commissioning Unit (ICU) which is a joint commissioning team comprising CCG and Council staff (established October 2013).
Stephanie is also our chief nurse and provides corporate leadership for key programmes of work including corporate and clinical governance, quality and safety, medicines management, continuing healthcare, safeguarding, patient experience and patient/public engagement. She is a nurse, midwife and health visitor and has graduate and postgraduate degrees in health psychology and management. Stephanie has several years’ experience in leadership roles for a range of NHS community care providers and has worked on secondment in the voluntary sector.
Peter Horne spent 18 years in the Army as an infantry officer where his appointments covered a broad spectrum from combat operations and personnel policy to strategic procurement and training and development.
He moved to the NHS in 2005, initially as a divisional operations director within London Ambulance Service. Following this, he spent time within the regional tier of the NHS with responsibility for the management of performance, before taking up a post within local commissioning organisations in Hampshire.
Peter now heads up the Systems Delivery Directorate, responsible for commissioning acute services for adults in both elective and urgent care.
Lesley Gilder is a representative of Healthwatch Southampton (HWS), the local body representing the patient voice. Having representation from Healthwatch on the Governing Body is vital to bringing the patient voice and a city-wide perspective to influence decision-making.
Lesley is the lead link between HWS and the CCG Governing Body. She is also a member of the CCG Clinical Governance Committee. Lesley has a background in representing patients and was a member of Southampton LINk, HWS's predecessor organisation.
Over the last two years she has been engaged in a variety of projects related to health and social care and has undertaken Patient Led Assessments of the Care Environment (PLACE) for Solent NHS Trust and University Hospitals Southampton NHS Foundation Trust (UHSFT) and taken part in the Clinical Assessment Scheme for UHSFT.
Lesley's professional career has spanned both management and research most recently as a senior manager in the Library and Information Service at Southampton University and previously as a researcher in a nationally funded Library Management Research Unit. Lesley is also Vice President and Chair of Solent Credit Union.
For more information about Healthwatch Southampton visit their website
Councillor David Shields is a member of the Council’s Cabinet, with portfolio for health and sustainable living. He chairs the city’s Health and Wellbeing Board and, along with representing the Council on the CCG Governing Body, he is a member of Solent NHS Trust’s Council of Governors. In addition he now serves on the CCG/ NHS England Primary Medical Care Joint Commissioning Committee.
David is an active campaigner for health and social care issues and has been the elected member for the Freemantle ward for four years.
He also plays an active part in regional and national networks to promote policies to improve people’s health and wellbeing and ensure greater public involvement in shaping publicly-funded care services. He was a founder member of the Care Quality Commission’s (CQC’s) Healthwatch England Committee (from October 2012 – June 2014). He is currently vice chair of the South East Councils Adult Social Care Committee and supports the Local Government Association with its national programmes of work on Health and Wellbeing Board leadership and putting Health in All Policies.