The Board

ICB Board

  • Rt. Hon. Paul Burstow, ICB ChairPaul was appointed as Independent Chair of the Hertfordshire and West Essex Sustainability and Transformation Partnership  in 2018 and guided our system to gain formal Integrated Care System  status in 2020.  Paul is passionate about mental health. As a Professor of Mental Health Public Policy at the University of Birmingham he led a national commission making recommendations for improving children’s mental health.  Paul was also chair of a NHS mental health trust in London for six years and has chaired the charitable organisation the Social Care Institute for Excellence since 2017.  Paul served as Minister of State for Care at the Department of Health from 2010-12 where he drafted ‘No Health Without Mental Health’ a cross-government mental health outcomes strategy for people of all ages. In his time at the Department of Health Paul also established health and wellbeing boards and led the consultation and drafting of the Care Act.  He served in parliament for 18 years until 2015 and was appointed to Her Majesty’s Privy Council in 2012.  Paul is married to Mary and has three grown up children.  He enjoys taking his dogs on country walks, cycling and cooking. 

  • Dr Jane Halpin, Chief Executive OfficerDr Jane Halpin is a qualified Public Health doctor with over 25 years’ experience in the NHS in the area, including roles as a Medical Director, PCT Chief Executive and NHS England Area Director.  She was most recently the accountable officer for Hertfordshire and west Essex’s three clinical commissioning groups.  Jane also has significant private sector experience and was previously the clinical lead for an international consultancy firm.  She is passionate about developing modern, joined-up, high quality health and care services for the benefits of residents and staff.  Jane lives in the local area, understands our health and social care challenges and opportunities, and has strong and positive relationships with partner organisations across the area.  In her spare time Jane is an enthusiastic gardener. 

  • Alan Pond, Chief Finance OfficerAlan Pond has been a Finance Director/Chief Finance Officer since 2001.  During this time he has worked for numerous NHS commissioning organisations, with over 30 years’ experience in the NHS in both provider and commissioner organisations and two years at the Department of Health.  He has a broad range of experience within the finance function and other areas, having been involved in strategy development and implementation and with direct operational responsibility for financial management, costing and pricing, contract negotiation, contract management and business case preparation.  Alan enjoys travelling and has taken up walking during the pandemic.  Alan lives in the local area and in his spare time enjoys travel, fine dining and walking off the added calories. 

  • Prof. Natalie Hammond, Director of Nursing and Quality

    Natalie, previuosly Executive Nurse at Essex Partnership University NHS Foundation Trust, has been in various nursing roles for more than 30 years.

    She is passionate about nursing and about driving improvement and she comes to us with a wealth of experience in a range of areas including patient safety, end of life, safeguarding and mental health.

    Natalie chairs the Mental Health and Learning Disability Nurse Directors’ forum. She holds an honorary professorship with the University of Essex and is a visiting professor with Anglia Ruskin University.

    Natalie’s skills and experience will enable her to play a key leadership role across the ICB and the wider system as we deliver our strategic objectives.

  • Dr Rachel Joyce, Director of Clinical and Professional Services

    Dr Rachel Joyce is a medical doctor, who is both a GP and a public health consultant by background. She has previously worked as a Director of Public Health and a Medical Director in Bedfordshire.  Rachel was appointed as the Clinical and Professional Director of Hertfordshire and West Essex STP in March 2019, a role she fulfilled part-time alongside her role as Medical Director at East and North Hertfordshire Clinical Commissioning Group.  From October 2020 until June 2022, Rachel was the Director of Clinical and Professional Services for the ICS and three Hertfordshire and West Essex CCGs.  Rachel lives in Hertfordshire and has particular expertise in clinical effectiveness (ensuring services are as safe and effective as possible), the redesign of services, wellbeing and the prevention and early identification of illness.  She is passionate about working with clinical and professional colleagues, patients and the public to find ways of improving treatment pathways for patients and getting better outcomes for patients and the Hertfordshire and west Essex population.  Rachel loves history and drives her family to distraction visiting historical and archaeological sites. 

  • Catherine Dugmore, Non-Executive MemberCatherine Dugmore is financially qualified and spent her early career at PwC in South Africa in several roles culminating in that of Audit Partner.  Since 2004 she has developed an extensive portfolio career as a Non-Executive Director, Chair and Vice-Chair in a range of complex public, charity and healthcare organisations, including being on the Board of Hertfordshire Partnership University NHS Foundation Trust, holding the positions of Senior Independent Director and Chair of Audit Committee.  Catherine has a deeply held belief in the importance of the NHS and social care and has a passion for equality and diversity.  She is currently a Board Member of Housing 21, a Board Member of Natural England and a Trustee at WWF-UK.  Catherine has also been Chair of the Audit Committee at North Middlesex University Hospital NHS Trust, Chair of the Trustees of Victim Support, and Chair of the Audit Committee at Action for Children and a Trustee of Royal Botanic Gardens, Kew. 

  • Professor Gurch Randhawa, Non-Executive Member

    Professor Gurch Randhawa has over 20 years’ experience as an NHS Board member in both Chair and Non-Executive Director roles.  Since 2005 he has been the Professor of Diversity in Public Health and Director of the Institute for Health Research at the University of Bedfordshire.  He has held a broad array of positions, including being a Non-Executive Director with Forestry England since 2019, and previous appointments as Non-Executive Director of the Human Tissue Authority 2010-2016; Member of the Academy of Medical Royal Colleges’ UK Donation Ethics Committee 2009-2016 and Chairman of NHS Bedfordshire and NHS Luton Cluster 2011-2013.  He was the Chairman of NHS Luton from 2001-2011.  Gurch has an interest in tackling health inequalities and has conducted research in a wide range of areas such as diabetes, kidney disease, transplantation, mental health, tele-health, social prescribing, and end-of-life care amongst diverse communities.  He is a Trustee of the Race Equality Foundation. 

  • Ruth Bailey, Non-Executive MemberRuth has 23 years of experience working in the public sector in strategy, delivery and human resources.  She was HR Director in the Cabinet Office, the Care Quality Commission and the Department of Housing Communities and Local Government between 2015 and 2021.  Ruth has extensive experience in workforce strategy, organisational change, leadership, talent and inclusion.  Ruth will chair the People Board and the Remuneration Committee for Hertfordshire and West Essex ICB.  She is passionate about linking the people and workforce initiatives to the performance outcomes we want to drive for patients, service users, carers and the population as a whole and will also ensure diversity and inclusion is considered in every decision taken.  Ruth is a Fellow of the Chartered Institute of Personnel Management and has a Masters in Business from Imperial College.  She is also Non-Executive Member on South West London Integrated Care Board and works both in the UK and internationally as an HR Consultant.  In her free time, Ruth enjoys running, yoga and travelling. 

  • Thelma Stober, Non-Executive Member

    Thelma Stober is an experienced public sector Solicitor and Commercial Mediator.  She previously served as Non-Executive Director for Herts Valleys CCG.  She heads the legal team at the Local Government Association, previously serving as Director of Legal Governance and Procurement and Monitoring Officer in local government, the Greater London Authority and the London Development Agency, where she played a leading role in bringing the 2012 Olympic and Paralympic games to London.   

    As Director of Corporate Law and Governance at the Equality and Human Rights Commission, she led several high-profile investigations, inquiries and legal actions.  Thelma suffered serious life changing injuries in terrorist attacks that took place in London in 2005, subsequently becoming a voluntary advocate, supporting and campaigning for families of victims and survivors of terrorism and other disasters, such as the Grenfell Tower Fire.  Thelma has worked on legislation for the rights of victims, developing the Government Victims Strategy and working with the United Nations.  She is a co-chair for the Grenfell Memorial Commission, and a Non-Executive Director and trustee of several charities and Deputy Lieutenant for Greater London.  

  • Profile photo of Nick Moberly, Non-Executive Member of the ICB Board.Nick Moberly is CEO of the MS Society UK and is a Non-Executive Director at NHS Property Services, and a Trustee at Christian Aid. He is also a Board Member of the MS International Federation, and Board Adviser for Dr Morton's Limited.

    Nick has previously worked at Board level in the NHS for 15 years, joining in 2003 as Director of Strategic Development at King’s College Hospital. While there, he worked to modernise the organisation. He played a key role in preparing the ground for the Trust’s successful application for Foundation Trust status.

    His nine years as CEO of the Royal Surrey County Hospital NHS Foundation Trust gave him valuable insight into collaborating with system partners. At this time, he also developed and grew the Trust’s portfolio of specialist cancer services and established the Trust as a leader in service redesign and continuous improvement.

    Earlier in his career, Nick worked with management consulting firm McKinsey & Co where he supported clients in the public sector. He was also First Secretary at the Foreign and Commonwealth Office.

Partner members: NHS Trusts and Foundation Trusts

  • Elliot Howard Jones, Chief Executive, Hertfordshire Community NHS TrustElliot joined the Trust as Interim Chief Executive in November 2020 and was confirmed to the post substantively in January 2022. He was previously Director of Performance and Improvement in the NHS England East of England regional team. In this role, he was Strategic Incident Director for the East of England and led the operational response and strategic planning for the COVID-19 pandemic across the region. He has also held senior positions in acute and mental health trusts, in commissioning and at the Department of Health.

  • Lance McCarthy, Chief Executive, Princess Alexandra Hospital NHS TrustLance joined the trust as chief executive in May 2017, moving from Hinchingbrooke Hospital where he was the chief executive officer (CEO) for nearly two years. Prior to this, he was the deputy CEO at North Middlesex Hospital for more than four years.

    Lance began as an economics graduate and has a wealth of experience within his NHS career, spanning over 25 years. He has worked in acute hospitals in a variety of general, performance and strategic management roles across a range of different hospitals and is a trustee for NHS providers. He is passionate about the NHS, healthcare and the provision of high-quality care for all.

  • Karen Taylor, Chief Executive, Hertfordshire Partnership University NHS Foundation TrustKaren became Chief Executive on 1 December 2021. She joined HPFT in 2012 and has held three Executive Director posts at the Trust, most recently Deputy Chief Executive and Executive Director of Strategy and Integration. Karen is the Accountable Officer for the Trust and carries full responsibility for the Trust's strategic direction, performance, planning, business management and development. She is also the Joint Chair for the Hertfordshire Mental Health, Learning Disabilities and Autism Collaborative and the Senior Responsible Officer for the Mental Health and Learning Disabilities Programme across the Hertfordshire and West Essex Integrated Care System.

    Karen began her career in 1998 on the NHS Management Training Scheme and has a breadth of experience across the NHS, holding a number of senior roles including Director of Operations of an acute hospital trust and Chief Operating Officer/Deputy Chief Executive of a community services trust. Karen is passionate about ensuring that people with mental health issues and learning disabilities can receive the care and support they need to help them live their best possible life.

Partner Members: Primary Medical Services

  • Dr Prag Moodley, GP

    Chair of the former East and North Hertfordshire CCG. Prag has been a GP for over 20 years and a GP Partner in Stevenage since 2004.  Prag took up the role of CCG Chair in September 2018, and has held various roles in CCG commissioning over the last ten years.  Prior to becoming CCG Chair, Prag’s Governing Body responsibilities were Mental Health and Learning Disabilities. 

  • Dr Ian Perry, GP

    Dr Ian Perry studied at Imperial College School of Medicine.

    He completed his GP training at West Middlesex University Hospital GPVTS (Hounslow & Richmond), including a Darzi Fellowship in Healthcare Management and Commissioning (Hounslow Clinical Commissioning Group) in 2013.

    He enjoys the responsibility of being a GP Partner at Maynard Court Surgery Waltham Abbey & Nazeing Valley Health Centre.

    He was elected by Epping Forest GP colleagues to the West Essex CCG Board, and also worked as the CCG’s Primary Care Development Clinical Lead through multiple work streams, including Older People’s Care, Frailty & End of Life Care, Medicines Optimisation and Information Technology.

  • Dr Nicolas Small, GP

    Nicolas trained at St Mary's Hospital London, and has been a GP Partner at Schopwick Surgery, Elstree since 1996. He represented the Hertsmere locality and was clinical lead for training and education.He is also especially interested in support for carers and making sure that patients and the public are fully engaged.

    In his spare time he enjoys holidaying in his motor home and he is also a Health Coordinator for Pekingese Dogs - working with the Kennel Club to try and address some of the breed's health issues.

Partner Members: Local Authorities

  • Owen Mapley, Chief Executive, HCC, Hertfordshire County Council

    Owen was appointed as Chief Executive of Hertfordshire County Council in January 2019 having spent the previous three years as the council’s Director of Resources. He moved into local government after spending eight years in the Senior Civil Service, where he held several Director roles at the Home Office, HM Courts Service and the Legal Aid Agency. Owen’s priority is the health and wellbeing of all the residents of Hertfordshire. He is eager to champion diversity and inclusion, and to ensure we have communities where everybody can thrive. In order to achieve this, Owen is committed to partnership working, to put the right building blocks in place: stable jobs, quality housing, good education and high-quality accessible health and social care. In his spare time, Owen is an enthusiastic cyclist and enjoys spending time with his wife and two children..

  • Lucy Wightman, Wellbeing, Director Public Health and Communities, Essex County Council

    Lucy joined the council in April 2022. Before, Lucy was the Joint Director of Public Health at North and West Northamptonshire Councils. She also held the post of Director of Population Health Strategy for NHS Northamptonshire CCG.

    Lucy started her healthcare career in nursing and remains a registered nurse (BSc Hons Nursing). She has both a MSc in Public Health and a MSc in Leadership for Health and Social Care, which comprised a dual clinical and management curriculum.

ICB Executive Team

  • Beverley Flowers,
Director of Integration and Systems TransformationBeverley Flowers was the ICS Director of Integration and Systems Transformation from 2020, having previously been the Accountable Officer for East and North Hertfordshire CCG from December 2015 until June 2020.  She was also the Joint Interim Executive Lead for the Hertfordshire and West Essex Sustainability and Transformation Partnership (STP), successfully leading it to full Integrated Care System (ICS) status.  Before this she held a range of NHS England, commissioning, partnership and contracting roles across health and social care organisations in London and the East of England.  Beverley is passionate about ensuring the development and delivery of high quality and responsive learning disability services and supporting the development of the voluntary sector and support for carers.  Outside of work, she enjoys reading and visiting historic buildings, especially churches, castles and stately homes. 

  • Elizabeth Disney, Director of OperationsBeginning her career as an NHS Graduate Management Trainee, Elizabeth has held several senior management roles in the UK and New Zealand with a focus on quality improvement, population health, operational management and commissioning.  Her most recent role was as Chief Operating Officer for BSW CCG which included acting as a Place Director for both Wiltshire and Bath and North East Somerset.  Before returning to the UK in 2017, Elizabeth spent seven years living in NZ, culminating in a role as Executive Director for Planning and Funding.  Elizabeth is passionate about quality and is an IHI trained Quality Improvement Advisor.  Elizabeth recently completed a PhD on the factors that impact partnership working between health and care organisations.  Elizabeth is the eldest of six siblings, a supporter of Accrington Stanley football club, avid music lover and keen orienteer. 

  • Avni Shah, Director of Primary CareAvni is a pharmacist by profession.  She has a Master’s degree in Public Health and has worked in the NHS across acute and community.  She has been the Hertfordshire and west Essex Director of Primary Care and Transformation from December 2020.  Avni has over 10 years’ experience in NHS commissioning, transformation and procurement across various programmes, initially in London before joining Herts Valleys CCG in 2013.  She is passionate about working collaboratively with all stakeholders with patients at the centre to co-design and transform services across organisation boundaries in order to continuously improve outcomes for our population. 

  • Frances Shattock, Director of Performance and DeliveryFrances brings a wealth of experience having previously worked at NHS England and NHS Improvement as Director of Strategic Transformation. At NHSE/I she was responsible for relationship management and oversight of performance which included four acute trusts, three mental health trusts, one community trust and five CCGs.  Prior to that she was Director of Delivery and Improvement at NHSE with oversight of 12 trusts and also worked at Deloitte for a number of years.

  • Tania Marcus, Chief People Officer

    Tania has been working in the local system since January 2021 and became Chief People Officer for the Integrated Care Board (ICB) in March 2022.

    Tania celebrated her 20th NHS anniversary in June 2022, having worked in a variety of HR roles along the way. 

  • Michael Watson, Chief of Staff

    Michael joined as Chief of Staff in April 2022. Previously, Michael was Chief of Staff for the Improvement Directorate at NHS England (NHSE), and before that worked in roles across NHSE and the voluntary sector, focusing on patient experience and safety and developing cultures that promote organisational improvement.

  • Adam Lavington, Director of Digital
TransformationAdam was previously Deputy Director of IT and Programme Management Office at Sheffield, Barnsley and Bassetlaw CCGs and Sheffield Health and Social Care Foundation Trust. He has 20 years’ IT experience in a range of roles in the private sector and health and social care settings. He joined the NHS in 2011 and has since been responsible for various operational IT and digital transformation roles predominately in primary care and mental health. He is passionate about IT and how digital can improve patient outcomes by providing clinicians with the appropriate technology to enable them to deliver the best possible care to patients. 

  • Sharn Elton
Place Director, East and North HertfordshireSharn is the ICB director for the East and North Hertfordshire Place. Sharn originally trained as a nurse and moved into general management in 2003, working in a variety of hospital services across surgery, medicine, women’s and children’s specialities. Through developing her networks beyond the hospital Sharn became interested in the broader aspects of health and subsequently moved to work for NHS England across Hertfordshire and the South Midlands in 2013. Sharn moved to East and North Hertfordshire CCG in 2015, initially, as the Director of Operations and then held the post of Managing Director until the inception of the ICB in July 2022 when Sharn became the Place Director for East and North Hertfordshire.

  • Matt Webb,
Place Director, South and West HertfordshireMatt joined the Hertfordshire and West Essex system in July 2021 as Transition Director for the creation of the ICB and the safe closedown of the 3 former CCGs. From July 2022 he has been Place Director for the South and West Hertfordshire area. Prior to this, Matt has over 30 years of NHS experience including spells as Finance Director of several NHS organisations and nearly 5 years as an Accountable Officer for a CCG.

  • Toni Coles, Place Director, West EssexToni is the ICB Director for the West Essex Place driving with local health and care partners the development and delivery local integrated health and care strategies to improve health outcomes.  Toni has spent her career in the NHS; starting out as a trainee accountant within an acute hospital moving into commissioning in 2003. Toni was appointed to her first executive role in 2008 as Director of Primary Care and Localities for the West Essex Primary Care Trust, since then she has held a number of executive director roles including Director of Strategy & Development and Director of Transformation & Delivery for West Essex Clinical Commissioning Group. These roles built on a background in NHS finance, commissioning and operational management. 

Other members

  • Joanna Marovitch
Chief Executive, Hertfordshire Mind Network

    Jo is the Chair of the VCFSE Alliance, through which voluntary, community, faith and social enterprise organisations in the area can bring their many talents and insights of the sector to support health creation and the wellbeing of the communities served by the ICS as an equal partner.  Jo is the Chief Executive at Hertfordshire Mind Network, a mental health charity providing mental health support, opportunity, advocacy & resources for people in Hertfordshire. Jo is committed to promoting the voice of those with lived experience of mental ill health, and identify and reduce hierarchy and power dynamics where they create barriers for people in the health & social care landscape.

    Jo is the Chair of the Hertfordshire & West Essex Suicide Prevention Steering Group, and previous roles have included Director of Patient Services & Director of Engagement at a Hertfordshire hospice, where Jo re-designed outpatient services and models of bereavement provision & counselling services – and Jo retains a passion for our charity hospices and the importance of good end of life and palliative care.  A psychodynamic therapist by training, Jo spends time each week doing client work & shadowing colleagues, staying close to and learning from the people we serve. 

Other attendees


    Phil Turncock,
Managing Director of
HBL ICT Shared ServicesAs a fellow of the British Computer Society, Phil has held senior ICT leadership positions in both the private and public sectors, including Royal Mail Group, CSC Ltd and the NHS, both acute and commissioning organisations. He currently has a dual functional executive director role for both the ICB and for Hertfordshire, Bedfordshire and Luton ICT (HBL ICT) Shared Services. This includes being executive sponsor for digital process innovation, accountable for and leading the digital portfolio within the ICB, transitioning from analogue to digital ways of working and conducting business. As the Managing Director of HBL ICT Shared Services Partnership, accountable for the provision of ICT services to six NHS organisations, plus 210 GP Practices across Hertfordshire and Bedfordshire, supporting 14,500 users across 350 sites.