The Board

As described in our constitution, the CCG is run by a governing body which we call the CCG Board. The Board is accountable to the members of the CCG (the GP practices) and will have responsibility for the commissioning of secondary health care across the Herts Valleys area and for assuring themselves of the quality and effectiveness of that healthcare in the interests of patients.

The Board holds a meeting in public every two months, with the the next meeting held on Thursday 2 April at 1:30 pm. Papers presented at these meetings can be found here
The meeting will be held at the Watermill Hotel, London Road, Bourne End, Hemel Hempstead HP1 2RH. 

Dr Nicolas Small, ChairDr Nicolas Small, Chair - I trained at St Mary's Hospital London, spending significant time in Paediatrics, Obstetrics & Gynaecology and Psychiatry before joining the Northwick Park Hospital GP Training scheme in 1995. I have been a GP Partner at Schopwick Surgery, Elstree since 1996 and as the practice has a strong educational ethos, quickly became involved in GP education. I was the GP Appraisal lead for Hertfordshire until 2012 and am also a GP Trainer. I have served on the Boards of Hertsmere PCT before Chairing Hertsmere's Commissioning Locality in 2006 and am now a member of Hertfordshire's Shadow Health & Wellbeing Board.

I am passionate about commissioning the highest quality care for patients, partly because of first hand experience of being a carer for my father for many years and I am especially interested in encouraging public and patient involvement in our CCG and I lead on training and education and represent Hertsmere locality.

In my spare time I enjoy holidaying in my motor home and am also a Health Coordinator for Pekingese Dogs - working in liaison with the Kennel Club to try and address some of the breed's health issues.

Dr Trevor Fernandes, Dr Trevor Fernandes - I qualified in Medicine from St. Thomas’s Hospital in London in 1988 and after much of my training at Hemel Hempstead and St Albans Hospitals, I have been a full-time GP at Parkwood Drive Surgery in Hemel Hempstead since February 1993.

Since in practice as well as seeing patients day to day, I have developed special interests in Palliative Care, Mental Health problems and Musculoskeletal Medicine. I am also a GP Trainer and Appraiser.

Over the years, I have been involved in fundholding, total purchasing, Dacorum PCG, Dacorum PCT and practice based commissioning. I am now Chair of Dacorum GP locality and a board member for Herts Valleys Clinical Commissioning Group. Currently my responsibility is the contract with West Herts Hospitals Trust, including chairing of the CCG Contracts and Commissioning Committee, Quality meetings with WHHT and the Clinical Partnership which involves GPs and Consultants as well as involvement in other areas including mental health, stroke care and palliative care. I believe that by working constructively with patients and hospital colleagues that we can provide the best possible care for local residents in a challenging financial environment. I am the stroke lead for the CCG and represent Dacorum locality.

I live in Dacorum with my wife Joanna who works at the Hospice of St Francis and my daughters Isobel and Francesca. I enjoy theatre, opera, cinema, tennis and have to work hard in a limited time at the gym to keep fit.

Keith-HodgeDr Keith Hodge - After attending Medical School in Cambridge and at King's College Hospital, London, I undertook my GP vocational training in Blackheath and Thamesmead, South London. I have been a partner at Fernville Surgery in since 1986. Over the years I have represented Dacorum GPs on the Hertfordshire LMC and had a long term interest in the provision of GP OOHs services, working sequentially with DacDoc, Harmoni and most recently Herts Urgent Care. Within HVCCG, I am the Urgent Care and 111 Clinical Lead and represent Dacorum locality.


Mike-Walton-125x125aDr Mike Walton - I trained at Birmingham University Medical School, and graduated with a passion for General Practice and the care that the NHS offers people. I moved to London to train as a GP in North London, after which a spent a while working in a hospice in Palliative Care. I then spent a few years working within London University – half my week was as a GP, the other half of my week as a lecturer in an academic General Practice department. I broadened my experience working overseas for two years in New Zealand as a junior psychiatrist before returing to the NHS and UK General Practice.

I have been a full-time partner at Harvey Group Practice, St Albans since 1999. I am a GP Trainer. I work one session a week in Learning Disability medicine. For many years I have been on the diabetes commissioning subgroup in West Hertfordshire (Herts Valleys Diabetes Commissioners). I believe that the public and patients, clinicians and high-calibre managers can work well together in the challenging area of commissioning in order to ensure that people in our area receive optimal and fair health care within the challenges of finite resources.  I am the Chief Clinical Information Officer and lead on diabetes and pathology for the CCG and respresent St Albans and Harpenden locality.

Dr Richard PileDr Richard Pile - I was born in Bristol and raised a proud, if slightly damp, Mancunian. After graduating from Nottingham University Medical School in 1996 I trained as a GP in Banbury, Oxfordshire, working for 2 years in hospital doing medicine, paediatrics, obstetrics and gynaecology, dermatology and A&E.

In August 2000 I joined Parkbury House in St Albans as a GP partner. I am a GP with a Special Interest (GPSI) in Echocardiography and Cardiology.

As well as working as a GP I do a weekly echocardiogram clinic for patients with suspected heart failure and am HVCCG's board lead for cardiology. I am also part of the team behind the Starpace website, which supports education in primary care.  I am the board lead for cardiology, telemedicine and vascular medicine and respresent St Albans and Harpenden locality.

Outside of work my interests include archery, cycling, running, real ale, pub quizzing and Manchester United.

Dr Clair MoringDr Clair Moring - After completing my training at Watford General Hospital, I became a GP Partner at Callowland Surgery in North Watford in 1996. I am especially interested in maternity and children's services as well as in palliative care.

My commissioning wish is to provide an equitable and responsive system that treats everyone equally and appropriately (and eliminates all forms!) and I am particularly interested in commissioning community care and prescribing.  I lead on matenity for the CCG and respresent Watford and Three Rivers locality.

Outside of work I enjoy walking, cycling, listening to music, going to the theatre and eating out.

Dr Romi EliadDr Rami Eliad - I qualified at Sheffield University and have been a GP partner at Garston Medical Centre for the last 23 years.

I am a GP trainer and appraiser, am on the board of the Watford and Three Rivers locality and have been a member of the Local Medical Committee for 14 years. Other positions I hold are Convenor of The GP Trainers' Workshop and I'm a school governor at a junior school in Watford. I joined the HVCCG board in August 2012.  I am the board lead for children and respresent Watford and Three Rivers locality.

My four children keep my wife and I busy when I'm not at work although I do try to find time for my hobbies which are cycling and jogging.

Dr Mike EdwardsDr Mike Edwards - I have been a GP for seventeen years and work at Fairbrook Medical Centre in Borehamwood. I believe it is critical that primary care clinicians are involved in the development, commissioning and provision of services for local people. I have an interest in musculoskeletal medicine. I am the West Hertfordshire Hospitals Trust contract quality lead and respresent Hertsmere locality.

Nicola-Bell-125x125Nicola Bell - Accountable Officer - I have worked in the NHS for 27 years in a variety of senior roles including Director of Primary Care with West Herts Community Trust between 1993 and 1999. I have also worked for NHS Direct, the Department of Health and was Deputy Chief Executive Officer at Bedfordshire PCT until 2010 before becoming Programme Director and establishing the Healthier Together Acute services review across Bedfordshire, Luton, Northants and Milton Keynes. Most recently I was Commissioning Support Service Executive Lead at Bedfordshire and Luton Cluster.

Alan-Warren-125x125Alan Warren - Chief Finance Officer - I have worked in the NHS for 36 years and have a wealth of experience in NHS finance roles including at the Bedfordshire and Hertfordshire Strategic Health Authority, as Finance Director of Bedford Hospital and most recently at NHS East of England.

Jan Norman, Board NurseJan Norman - Board Nurse - I trained as a nurse at St Mary’s in Paddington and worked there until I became a Medical Ward Sister at the Royal London Hospital in Whitechapel. I then moved to Hertfordshire and worked at East & North Herts as a clinical nurse specialist. In 2000 I moved to the Commission for Health Improvement where I undertook clinical governance reviews in acute, mental health and ambulance trusts. I then worked as a Director of Governance in an acute trust before taking up a role with the Healthcare Commission reviewing standards of care in both the NHS and the independent sector. In 2007 I became the Director of Nursing for NHS Northamptonshire and worked there until taking up my role in Herts Valleys CCG. I am passionate about ensuring we commission the best possible care for our community.

I live in St Albans and have 3 grown up children. I am a keen walker and also like swimming and yoga.

Dr Robert GhoshDr Robert Ghosh - Secondary Care representative - I graduated from Edinburgh University in 1988. My postgraduate training in Edinburgh and St Bartholomews Hospital London has led to specialty status in neurology, clinical neurophysiology, intensive care medicine and general medicine which formed the basis of my NHS consultant activities. Until March 2013 I was a clinical director for urgent care, chair of Clinical Effectiveness and lead for appraisal and revalidation at Homerton University Hospital NHS Foundation Trust, London. I am now the Divisional Clinical Director for Emergency, Acute and Primary Urgent Medical Care at Basildon and Thurrock University Hospital NHS Foundation Trust.

Paul Smith - Lay memberPaul Smith - Lay member - I have a first degree in accountancy and a Masters degree in Business Administration. I spent 28 years in various finance roles within the Ford Motor Company both in the UK and in Europe, most recently as Finance Director. I have also been on the Board of several companies during that time. After taking early retirement from Ford, I have been acting as Treasurer for Medicalert, a registered charity providing a life-saving identification system for individuals with hidden medical conditions and allergies. I was a non executive director of West Hertfordshire PCT and before becoming a non executive director of NHS Hertfordshire.

Stuart Bloom - Lay memberStuart Bloom - Lay member - I have been appointed as Lay member of HVCCG and I am also chair of the Performance and Delivery Committee.

I am an independent management consultant, and live in Bushey Heath, as well as Chair of The United Synagogue Community Cares Advisory Group, which provides support and expertise to more the 45 welfare groups throughout the United Synagogue network. I am also chair of Health Education East of England, which covers Norfolk, Suffolk, Cambridge, Peterborough, Essex, Hertfordshire and Bedfordshire.

I joined Hertsmere Primary Care Trust as a non-executive director in May 2003. I then became Chair of Hertsmere PCT in October 2004 and Chair of West Herts PCT in October 2006.  I was appointed to Chair of NHS Hertfordshire PCT in April 2011 when Hertfordshire moved to a single PCT.

Alison Gardner - Lay memberAlison Gardner - Lay member - I have over 30 years of professional public administration, management and consultancy experience, and have led and facilitated organisational development and change in an extensive range of circumstances.  For the first 22 years of my career I worked as a Civil Servant in a variety of UK Government Departments (MOD, Home Office, DTI).  For the dozen years or so since then, I have been running my own small business, providing change management, and organisational and personal development facilitation services, largely to public and third sector clients here and in the Republic of Ireland. Many of those clients have been organisations in the health sector.

I am now absolutely delighted to be able to bring the skills and experience I have acquired  to my role as our Lay Board Member with particular responsibility for ensuring that Patient and Public Involvement in our Commissioning activities is inclusive, diverse, well-signposted and has real, practical outcomes.

I am  a proud Lancastrian, but after being ‘posted’ down to work in Whitehall for the Home Office in 1992 I am equally pleased to call Redbourn home. I am a Parish Councillor in the village.

Travelling to see friends and family in Ireland and Finland is a regular part of my social life, as are watching rugby union and live (contemporary) music.  Back-room political activism, gardening and dog-walking complete the picture.

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Hemel One, Boundary Way
Hemel Hempstead, Herts. HP2 7YU

T. 01442 898 888

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