NHS Nottingham and Nottinghamshire Integrated Care Board

Bill Shields

Executive Director of Finance

Bill has four decades of board-level experience and was previously Director of Finance across both Derby and Derbyshire and Nottingham and Nottinghamshire ICBs. Before this, he was Interim Chief Executive at Torbay and South Devon NHS Foundation Trust, appointed from his substantive post as Deputy Chief Executive and Chief Finance Officer at NHS Devon ICB. Bill has held a range of Chief Executive and Chief Finance Officer roles in the NHS and overseas. He has also served as Chair of the Audit Committee at the Chartered Institute of Public Finance and Accountancy and as President of the Healthcare Financial Management Association, where he currently chairs the Financial Recovery Group. In his current role Bill has executive lead responsibility for financial management and probity; financial recovery; technical contracting; investment shifts and sustainability; financial strategy, forecasting and planning; procurement programme costing; payment mechanisms – incentives, and spend and activity controls; digital transformation and General Practice information technology; business and operational planning, including demand and capacity.

Clair Raybould

Executive Director of Strategy and Citizen Experience

Clair brings over 30 years of experience in the private and public sectors to the ICBs, most recently as Interim Chief Executive at NHS Lincolnshire Integrated Care Board and, before that, as its Executive Director for System Delivery. She also served as NHS Lincolnshire ICB’s Accountable Emergency Officer, ensuring robust emergency preparedness, resilience and response across the system, and as Senior Responsible Officer for Planned Care, Cancer, Urgent and Emergency Care, and Women’s Health Champion. Clair’s leadership journey includes roles as Director of Operations at NHS Lincolnshire Clinical Commissioning Group, Chief Operating Officer at NHS South West Lincolnshire CCG, and positions in Primary Care Trusts and Strategic Health Authorities. Her operational and strategic expertise spans service redesign, emergency planning and clinically led transformation. She is known for practical, people-focused leadership and for building strong partnerships with clinicians, system partners and local communities. This supports her current portfolio priorities of population health strategic development and planning, alongside engaging and communicating with communities to understand experiences and what matters most to people living in and visiting the ICB’s geography. In her current role Clair has executive lead responsibility for population health strategy development and strategic planning; deep population engagement and deliberative service design and insights; strategic workforce planning; market development; strategic partnerships and provider development; development of Neighbourhood Health Teams and Integrated Health Organisations; health devolution; stakeholder management (including Voluntary Community and Social Enterprise, political stakeholders, academia, innovation); service configuration; and internal and external communications.

Dr Dave Briggs

Executive Director of Outcomes (Medical)

Dave is a qualified GP who worked as a GP principal with an interest in ear, nose and throat care before becoming Accountable Officer for East Leicestershire and Rutland Clinical Commissioning Group. In that role, Dave was the system lead for urgent and emergency care and for the Better Care Together System Programme. More recently, Dave has held roles within the Emergency Department as a practising clinician and as Medical Director for Professional Standards and System Improvement at NHS England and NHS Improvement Midlands. Across these roles, Dave has led and supported clinical improvement and outcomes for people across the Midlands. In his current role Dave is the ICB’s Senior Information Risk Owner (SIRO) and has executive lead responsibility for Population Health Management clinical application and clinical prioritisation, early intervention; immunisations and vaccinations; rural, coastal and city health inequalities; prevention; clinical stewardship; commissioning policy and thresholds; demand management, utilisation reviews / value; care pathway optimisation, research; evaluation and innovation; and medicines optimisation.

Helen Dillistone

Executive Director of Transition

Maria Principe

Executive Director of Commissioning

Maria is an experienced NHS leader with almost three decades of experience in commissioning, transformation and system delivery. As Chief Delivery Officer at Nottingham and Nottinghamshire Integrated Care Board, her substantive role, she is recognised for the strategic and operational leadership she provides across urgent and emergency care, elective recovery, mental health, cancer, diagnostics and primary care. Maria has extensive board-level experience, having led commissioning within the city of Nottingham. She played a key role in supporting financial turnaround and improving system sustainability during that period, including through her tenure as Turnaround Lead at Nottingham University Hospitals NHS Trust. She was also the lead for Nottingham and Nottinghamshire’s response during Covid. Maria holds an MBA in Law with a focus on contracting, bringing a strong commercial and governance perspective to her NHS leadership. This was also a significant factor in her successful development of the NHS System Analytics Intelligence Unit in Nottinghamshire. In her current role Maria is the ICB’s Emergency Preparedness, Resilience and Response Accountable Emergency Officer and has executive lead responsibility for data, analytics and intelligence, population health data, population health segmentation, forecasting and modelling; performance assessment and management of contracted services; market management; commissioning intentions; operational plan delivery and impact monitoring; joint commissioning (including neighbourhood health); and primary care.

Rosa Waddingham

Executive Director of Quality (Nursing)

Rosa joined the ICB’s executive team from her role as Director of Nursing at Nottingham and Nottinghamshire ICB, having previously held the same role at the CCG. She has had a varied career across different settings, including work in a third sector charity supporting the military internationally. Since returning to the UK in 2015, Rosa has held a number of roles within the Nottinghamshire system, all focused on achieving quality through partnerships, developing and embedding person-centred care, and providing system leadership. Rosa is an Honorary Professor in the School of Social Sciences at Nottingham Trent University and works closely with the Florence Nightingale Foundation and NHS Professionals, supporting advisory boards. She is passionate about people and person-centred approaches to care, and has undertaken executive leadership roles focused on learning disabilities, autism, Down’s syndrome, SEND and safeguarding. Rosa also supports a number of networks and mentoring programmes and works with Girlguiding UK to support and empower girls and young women. In her current role Rosa is the ICB’s Caldicott Guardian and has executive lead responsibility for Quality improvement methodologies and data driven risk-based interventions; Commissioning for quality; Clinical Governance/Quality strategy; Coproduction; Patient experience and complaints; Patient safety; Continuing healthcare; Infection Prevention Control; Local Maternity and Neonatal System / Maternity and Neonatal Voices Partnership; Children and young people (aged 0 to 25); Children and young people with special educational needs and disabilities (aged 0 to 25); Safeguarding (all-age), including looked after children and care leavers; Learning disability and autism (all-age); and Down syndrome (all-age).

Adrian Smith

Chief Executive, Nottinghamshire County Council

As Chief Executive of Nottinghamshire County Council, Adrian has overall responsibility for the council’s £1.1 billion budget. This supports the delivery of around 440 statutory and discretionary services to 800,000 people across Nottinghamshire, including children’s services, public protection, social care, highways, and services that support the area’s social, environmental and economic wellbeing. His role also includes responsibility for public health and for leading work to strengthen integration between health and care services. Adrian has been Chief Executive of Nottinghamshire County Council since September 2022. Before this, he spent seven years as Corporate Director of Place and has previously worked in other local authorities, including the London Borough of Lambeth and Cambridgeshire County Council. His experience spans cultural services, community safety, work with disadvantaged communities, environment and neighbourhood services, as well as corporate roles in policy, performance and organisational development. Adrian is a graduate of the Commissioning Academy and a Fellow of the Royal Society of Arts. He has also volunteered with several voluntary sector organisations.

Dr Kelvin Lim

Partner Member - GP

John Dunstan

Non-Executive Director

John is an experienced Chief Financial Officer and Finance Director, and a qualified chartered accountant. With FTSE 100 and major accounting firm experience, he has held executive roles in SME companies and non-executive roles in charitable trusts in the education sector. John’s experience spans strategy development, financial management and decision-making, audit and financial compliance, legal and taxation, data protection and compliance, operational planning and delivery, and process development. John qualified with Ernst and Young before holding a number of financial, operational and strategy roles at The Boots Company plc. Following four years with a retail start-up, John completed 15 years as Finance Director with Interflora. Alongside his executive career, John spent over 15 years involved with Greenwood Academies Trust, a Multi-Academy Trust and its predecessor entities, and was latterly Chair of the Audit Committee. He also served as Non-Executive Director at Our Learning Cloud, a wholly owned IT services spin-off from that organisation. John chairs the ICB’s Audit Committee in Common and Auditor Panel in Common and is the ICB’s Conflict of Interest Guardian.

Jon Melbourne

Chief Executive, Sherwood Forest Hospitals NHS Foundation Trust

Jon became Chief Executive at Sherwood Forest Hospitals in October 2025. He began his career in Nottinghamshire and has since held senior roles at University College London Hospitals NHS Foundation Trust, Guy’s and St Thomas’ NHS Foundation Trust, and Imperial College Healthcare NHS Trust. Throughout his career, Jon has led significant improvements in performance and culture, supported complex service reconfigurations, improved operational productivity and delivered transformational change programmes. Jon is committed to supporting colleagues to deliver high-quality care for patients. He brings extensive operational, financial and strategic leadership experience to Sherwood Forest Hospitals.

Jon Towler

Non-Executive Director

Jon graduated from Reims Business School in 1991 with a double degree in International Business Administration. He began his career in international sales management before moving into general management roles in the late 1990s, including eight years as a Director of the UK’s leading wholesaler of office products. Jon has been involved with the NHS for more than fifteen years, previously chairing both a Primary Care Trust and the East Midlands Ambulance Service. Since 2015, he has supported NHS commissioning in a non-executive capacity across multiple Clinical Commissioning Groups, before transitioning to NHS Nottingham and Nottinghamshire ICB in 2022. Jon chairs the ICB’s Joint Strategic Commissioning Committee and acts as the Boards’ Deputy Chair and Senior Non-Executive Member. Jon also chairs a national conservation charity, which brings together more than 100,000 people each year to protect and restore nature. Outside of work, Jon is married with two sons and lives in Nottinghamshire.

Margaret Gildea

Non-Executive Director

Margaret is a Human Resources professional with 30 years’ experience at Rolls-Royce, culminating in senior roles as Company Director of Learning and Development and Divisional Executive Vice President of HR. Since leaving Rolls-Royce in 2009, she has run her own business supporting organisations to deliver major change programmes. Margaret has been a Non-Executive Director with Derbyshire Healthcare NHS Foundation Trust since 2016, helping to develop the People First approach, which supported the Trust’s move to a CQC rating of Good. She was Chair of the Remuneration and Appointments Committee and People and Culture Committee at NHS Derby and Derbyshire ICB and chairs the ICB’s Joint Remuneration Committee. Margaret lives in Melbourne, South Derbyshire.

Mark Powell

Chief Executive, Derbyshire Healthcare NHS Foundation Trust (Mental Health member)

Mark became Chief Executive of Derbyshire Healthcare NHS Foundation Trust on 3 April 2023. Before joining the Trust, Mark was Managing Director and Deputy Chief Executive at Leicestershire Partnership NHS Trust. He lives in Derby and was appointed following a rigorous national recruitment process. Mark has more than 20 years’ NHS experience and previously worked for Derbyshire Healthcare NHS Foundation Trust as Chief Operating Officer, where he led the Trust’s initial response to the COVID-19 pandemic. His earlier roles include Executive Director of Operations at Burton Hospitals NHS Foundation Trust. He also has experience in public health, including developing community health improvement programmes for children with obesity, and in acute, community and mental health commissioning through a previous role at South Staffordshire Primary Care Trust. Mark is an Ordinary Member of the ICB Board, appointed by all three ICBs for his knowledge and experience of services relating to the prevention, diagnosis and treatment of mental illness.

Mehrunnisa Lalani

Non-Executive Director

Mehrunnisa has been a Non-Executive Director on the University Hospitals Birmingham Board for six years. She chairs the Trust’s People and Culture Committee and is a member of the Clinical Quality Committee. She brings over 20 years’ experience across local government, the voluntary sector and HM Prison Service. She completed her employed career with the Solicitors Regulation Authority, where she was Director of Inclusion and led a portfolio covering consumer affairs, corporate complaints and equality, diversity and inclusion. Mehrunnisa now works as a freelance organisational development consultant, specialising in cultural transformation, equality, diversity and inclusion, workforce development, conflict resolution and stakeholder relationship management. Her current roles include Equality, Diversity and Inclusion Strategic Lead for Coventry University Group, member of the British Association for Counselling and Psychotherapy’s Fitness to Practise, and member of the Post Office Scandal Research Advisory Group. Mehrunnisa began volunteering in her community and wider society at the age of 10, with her faith and upbringing helping to shape the values by which she lives. She continues to mentor and support individuals to thrive and progress in their careers. She is also a member of the Seacole Group and the Asian Professionals National Alliance NHS Group. Mehrunnisa has held a number of non-executive positions in the health and voluntary sectors within the East Midlands. She has served on Strategic Health Authorities, the Advisory Committee on Clinical Excellence Awards and the board of a Clinical Commissioning Group. Mehrunissa is the ICB’s Freedom to Speak Up Guardian. Nationally, she has been a member of the Doctors and Dentists Pay Review Body. She holds a Postgraduate Diploma in Health Studies, a Joint Negotiating Committee qualification in Youth and Community Work, and an MA in Health and Community Studies.

Sharon Robson

Non-Executive Director

Sharon has been a registered nurse for 44 years and is an experienced senior NHS leader. She has held a wide range of clinical leadership positions, including board-level executive and non-executive roles across the East Midlands. Sharon is recognised as a collaborative and inclusive leader with a strong focus on person-centred care and population health management. She brings extensive frontline clinical knowledge and experience to the ICB Boards, alongside a strong track record of improving the quality, safety and experience of healthcare services. Sharon was appointed to the NHS Lincolnshire ICB Board in August 2023 and currently chairs the ICB’s Joint Quality Committee.

Stephen Jackson

Non-Executive Director

Stephen is a qualified accountant with substantial knowledge of both the public and private sectors. He has significant and varied board-level experience in executive and non-executive roles, working in complex business, legal and statutory environments. After qualifying as an accountant, Stephen joined Bass plc and held several senior financial roles in the company’s headquarters and hotel subsidiaries. He has since held a wide range of senior roles, including five years in Hong Kong as Chief Financial Officer and Head of Development and IT for Holiday Inn Asia Pacific. He has also held senior financial roles in Belgium, Germany, South Africa, Spain and the USA. In 2003, Stephen joined Nottingham Trent University (NTU), where he held the post of Chief Financial and Operations Officer with overall responsibility for Finance, Estates, Commercial Development, Legal, Registry, IT and Governance Services. He was also appointed as a member of the Board of Governors and the Academic Board. Stephen left NTU in 2016 and joined Nottinghamshire Healthcare NHS Foundation Trust as a Non-Executive Director. He went on to become Vice Chair at Nottinghamshire Healthcare and to chair the Audit and Risk Committee. Stephen also acts as a Non-Executive Director or Governor with the following local organisations: Outside of work, Stephen is a keen participant and spectator of sports of all kinds and has a passionate interest in environmental issues. Stephen chairs the ICB’s Joint Finance Committee.