Conflicts of Interest

What is a Conflict of Interest?
A conflict of interest is defined as a set of circumstances by which a reasonable person would consider that an individual’s ability to apply judgement or act, in the context of delivering, commissioning, or assuring taxpayer funded health and care services is, or could be, impaired or influenced by another interest they hold.
NHS England
Managing Conflicts of Interest
We are committed to managing any actual or potential conflicts of interest that arise in the course of business in a manner that demonstrates the highest degree of transparency, probity and accountability.
The ICB’s Constitution and Standards of Business Conduct Policy sets out the ICB’s arrangements for managing conflicts of interest throughout its decision making and commissioning processes. They also set out the expectations that apply to its ICB Board Members, staff and others involved in the work of the ICB. The arrangements described in the policy are in-line with relevant legislation and statutory guidance concerning the management of conflicts of interest.
Register of Interests
Our policy describes the robust arrangements we have implemented to ensure that the ICB’s decisions are not influenced (or perceived to be influenced) by conflicted individuals. These arrangements include excluding individuals from participating in discussions and decisions where it is considered that the conflict is significant.
Our full register of declared interests for all ICB staff is available on request by emailing nnicb-nn.interests@nhs.net.. Below are the declared interests of the ICB’s ‘decision-makers’ (staff who have a material influence as to how money is spent); which are namely:
- Members of our Board and its committees; and
- Members of ICB Groups with delegated financial decision-making authority.
The information in the table below was published on 24 April 2025.
Conflict of Interest Guardian

John Dunstan, Non-Executive Director and Chair of the Audit Committee is the ICB’s Conflict of Interest Guardian. He is responsible for providing impartial and unconflicted advice and judgement to the ICB Board, further strengthening the scrutiny and transparency of the ICB’s decision making processes. As the Conflicts of Interest Guardian, John:
- Is the conduit for anyone with concerns relating to conflicts of interest;
- Is a safe point of contact for employees or workers of the ICB to raise concerns in relation to conflicts of interest;
- Supports the rigorous application of the principles and policies for managing conflicts of interest;
- Provides independent advice and judgment where there is any doubt about how to apply conflicts of interest policies and principles in individual situations;
- Provides advice on minimising the risks of conflicts of interest.
To contact John directly please email: nnicb-nn.ics@nhs.net
| Name, designation and membership of ICB decision-making groups. | Declared Interests |
| Dr Kathy McLean, Chair Member of: ICB Board Joint Remuneration and Human Resources Committee Joint NED Remuneration Panel | Financial Interests Director at Kathy McLean Ltd. Advisor at Lio (formerly Oxehealth)Ltd. Occasional Advisor to the Care Quality Commission. Chair of The Public Service Consultants Ltd. Chair of the Integrated Care System Network Board at the NHS Confederation. Non-financial Professional Interests Member of the Workforce Policy Board at NHS Employers. Chair of the national negotiation committee for staff and associate specialists on behalf of NHS Employers. Trustee of the NHS Confederation. |
| Dr Amanda Sullivan, Chief Executive Member of: ICB Board Joint Commissioning Executive Group (Chair) Joint Strategic Commissioning Committee Joint Transition Committee | Non-financial Personal Interest Registered patient at Hillview Surgery. |
| Rosa Waddingham, Director of Nursing Member of: ICB Board Joint Quality and Service Improvement Committee Joint Finance and Performance Committee Joint Commissioning Executive Group | Non-financial Professional Interests Member of the Advisory Board at NHS Professionals. Chair of the Members’ Advisory Group at the Florence Nightingale Foundation. Honorary Professor at Nottingham Trent University. Division Commissioner for Grantham and the villages / Charity Trustee of GirlGuiding Lincolnshire South Indirect Interest Son is a Dispensing Manager at Specsavers, Bingham. |
| Dr Dave Briggs, Medical Director Member of: ICB Board Joint Quality and Service Improvement Committee Joint Strategic Commissioning Committee Joint Commissioning Executive Group | Non-financial Professional Interest Member of the British Medical Association. |
| Jon Towler, Non-Executive Director and Vice Chair Member of: ICB Board Joint Strategic Commissioning Committee (Chair) Joint Transition Committee (Chair) Joint Remuneration and Human Resources Committee Joint Finance and Performance Committee | Financial Interest Chair of The Conservation Volunteers. Non-financial Personal Interest Registered patient at Sherwood Medical Practice. Indirect Interests Family members are registered patients at Major Oak Medical Practice. |
| Bill Shields, Director of Finance Member of: ICB Board Joint Finance and Performance Committee Joint Commissioning Executive Group Joint Transition Committee | Non-financial Professional Interests Chair of the HFMA Financial Recovery Group Vice-Chair of the HFMA ICB CFO Forum Chair of the 360 Assurance Management Board |
| Clair Raybould, Executive Director of Strategy and Citizen Experience Member of: ICB Board Joint Strategic Commissioning Committee Joint Quality and Service Improvement Committee Joint Commissioning Executive Group | Non-financial Personal Interest Registered patient at Tasburgh Lodge Practice, Lincolnshire. |
| Maria Principe, Acting Director of Delivery and Operations Member of: ICB Board Joint Strategic Commissioning Committee Joint Finance and Performance Committee Joint Commissioning Executive Group | Financial Interest Owner of Boho Beauty. Non-financial Personal Interest Registered patient at Bilsthorpe Surgery, Nottinghamshire Indirect Interest Son is employed as a helpdesk technician at Sherwood Forest Hospitals NHS Foundation Trust |
| John Dunstan, Non-Executive Director Member of: ICB Board Audit Committee (Chair) Auditor Panel (Chair) Joint Finance and Performance Committee Joint Transition Committee | Financial Interests Director and Owner of John Dunstan Limited, a private unlisted company that provides strategic and financial services Contracted via John Dunstan Limited as Chief Finance Officer for KnowCarbon, a carbon footprint consulting company in Ireland. Non-financial Personal Interest Registered patient at Lombard Medical Practice, Newark. |
| Stephen Jackson, Non-Executive Director Member of: ICB Board Joint Finance and Performance Committee (Chair) Audit Committee Auditor Panel | Financial Interests Non-Executive Director at Derbyshire Health United Community Interest Company (left role on 1 November 2025 and entry will be removed from the register on 30 April 2026). Joint Owner and Chief Executive Officer at Imperial Business Consulting Ltd. Non-Executive Director at Birmingham Women’s and Children NHS Foundation Trust. Non-Executive Director at Futures Housing Group. Non-financial Professional Interests Non-Executive Chair at Nottingham Business Improvement District. Governor at Nottingham High School. Governor at Portland College. Non-financial Personal Interest Registered patient at Ravenshead Surgery. Indirect Interests Spouse is a Non-Executive Director at Nottingham Ice Centre. Spouse is a Non-Executive Director at Nottingham City Transport. |
| Mehrunnisa Lalani, Non-Executive Director Member of: ICB Board Joint Quality and Service Improvement Committee Joint Strategic Commissioning Committee Joint Remuneration and Human Resources Committee | Financial Interests Fitness to Practice Panel Member at the British Association for Counselling and Psychotherapy. Equality, Diversity and Inclusion Strategic Lead at Coventry University Group. Director at Sara (Leicester) Limited. Non-financial Personal Interest Member of the Post Office Scandal Research Advisory Group. Indirect Interests Brother is employed by iBC Healthcare, which provides specialist support and bespoke accommodation to adults with complex care needs |
| Dr Kelvin Lim, Primary Care Partner Member Member of: ICB Board | Non-financial Professional Interest Clinical Lead for various projects at Primary Integrated Community Services (PICS), a provider of local health services in Nottinghamshire. Non-financial Personal Interest Registered patient at Eastwood Primary Care Centre, Nottinghamshire. |
| Margaret Gildea, Non-Executive Director Member of: ICB Board Joint Remuneration and Human Resources Committee (Chair) Joint Quality and Service Improvement Committee Joint Transition Committee | Non-financial Professional Interests Chair of Melbourne Assembly Rooms, a voluntary not-for-profit organisation operating a community leisure centre. Trustee of Foundations Independent Living Trust Limited, supporting local authorities and home improvement agencies with home adaptations. |
| Sharon Robson, Non-Executive Director Member of: ICB Board Joint Quality and Service Improvement Committee Joint Strategic Commissioning Committee ·Audit Committee Auditor Panel | Indirect Interest Niece employed by NHS England as a Quality Lead covering maternity and neonatal services across the East Midlands regional team. |
| Jon Melbourne, NHS Trust/Foundation Trust Partner Member Member of: ICB Board | Financial Interests Chief Executive of Sherwood Forest Hospitals NHS Foundation Trust. Director and Shareholder of Ten Five Four Homes Limited. |
| Mark Powell, Ordinary Member – Mental Health Member of: · ICB Board | Financial Interest Chief Executive of Derbyshire Healthcare NHS Foundation Trust. Non-financial Professional Interest Treasurer at Derby Athletic Club. |
| Adrian Smith, Local Authority Partner Member Member of: ICB Board | Financial Interest Chief Executive of Nottinghamshire County Council. |
| Helen Dillistone, Executive Director of Transition Member of: Joint Transition Committee Joint Commissioning Executive Group | No relevant interests declared. |
| Tom Diamond, Director of Population Health Strategy Member of: | Pending – interests currently being updated due to change in role |
| Rebecca Neno, Director of Quality Safety and Improvement Member of: | Pending – interests currently being updated due to change in role |
| Marcus Pratt, Director of Finance – System, Strategy & Planning Member of: | Pending – interests currently being updated due to change in role |

