Our governing body

Dartford, Gravesham and Swanley Clinical Commissioning Group has a governing body made up of local GPs, a registered nurse, public health representatives and independent lay members, all working with a network of health professionals across the area.

Our members:

Dr Sarah MacDermott

Chair and GP Member

Dr Sarah MacDermott was elected as a GP Member and Chair.

She has been a GP for more than 25 years and has also worked for the CCG as clinical advisor in mental health to raise the profile and fully embrace the ideal of no health without mental health.

Whilst acting as clinical advisor she has overseen the development of an all age, cross Kent pathway for neurodevelopmental disorders including autism and ADHD. Additionally, she has helped in the recommissioning of mental health services for children and young people and has been involved in the commissioning of a cross Kent eating disorder service. As part of her work in dementia and older people’s mental health, she has also helped develop and coordinate a dementia hub which is now operating in Southfleet.

Dr Sarah MacDermott and her husband who is a consultant at Darent Valley Hospital, moved to Kent in 2000 and they enjoy spending time with their children, hiking and cycling. Sarah also enjoys knitting to help switch off and relax.

Ashley West

Deputy Chair and Independent Lay Member (governance)

Accountant Ashley West is deputy chair of the NHS Dartford, Gravesham and Swanley Clinical Commissioning Group.

He is also chair of the audit committees across Dartford Gravesham and Swanley and Swale Clinical Commissioning Groups.  He also acts the Conflicts of Interest Guardian and Governing Body representative for emergency preparedness, resilience and response across both CCGs.

He is the chairman of D W Holdings Ltd, is lay member for governance and holds several other non-executive director positions including non-executive chairman of Medway Community Estates Ltd.

He is a non-executive director of East Thames Group, a £96 million social housing organisation based in Stratford and is chairman of its risk and audit committee.

He was recently appointed chairman of the audit committee for the Kent Police and Crime Commissioner and Chief Constable. He is a member of the governing council of the University of Kent.

Last year he stood down as chairman of mhs homes Ltd, the largest social housing group in Medway, after nine years on the board.

During his 40-year career he has held a range of high level finance positions in the manufacturing, service and banking industries and has considerable experience as a group finance director of listed companies, initiating many turnaround strategies.

He is married with three adult daughters. In his spare time he enjoys cricket, tennis, music, the theatre, travel and fine arts.


Glenn Douglas

Glenn Douglas

Accountable Officer

Glenn was appointed accountable officer by all eight clinical commissioning groups in Kent and Medway in March/April 2018. He is also chief executive of the Kent and Medway Sustainability and Transformation Partnership.

Glenn has a wealth of senior leadership experience in the NHS in hospital trusts and health authorities. He was chief executive of the Maidstone and Tunbridge Wells NHS Trust from October 2007 to September 2017. Prior to this he was CEO of both Ashford & St Peters Hospitals and Eastbourne Hospitals. He has worked in finance and operational management in Sussex, Kent and Manchester. He is an accountant by profession.

Glenn’s shared accountable officer role covers the clinical commissioning groups of: Ashford; Canterbury and Coastal; Dartford, Gravesham and Swanley; Medway; South Kent Coast; Swale; Thanet; and West Kent.

Ian Ayres

Ian Ayres

Managing Director

Ian is Managing Director for Dartford, Gravesham and Swanley; Medway; Swale; and West Kent clinical commissioning groups. Prior to March 2018 Ian was Accountable Officer for NHS West Kent Clinical Commissioning Group.

He joined the NHS in 1995 working with GPs in south west London, leading a large total purchasing project. He then worked as a chief executive officer in the first wave of primary care trusts (PCTs), as a director of operations for a strategic health authority, and was a chief executive of two other PCTs.

He worked for BUPA Health Dialogue in 2007 as a management consultant and re-joined the NHS two years later as Deputy Chief Executive officer and Director of Commissioning Development at NHS Norfolk.

Dr Mike von Fraunhofer

GP Member

Dr Mike von Fraunhofer qualified as a GP in 1990 in Manchester. He did his hospital and General Practice training in Stockport. He became a GP principle in 1994, at a three partner surgery in Heald Green South Manchester. Whilst there he was a GP trainer, a GP appraiser and an Occupational Health Physician to Tameside Hospital Acute Trust.

After 14 years, in 2008, Dr Mike von Fraunhofer relocated and became a partner at the Lighthouse Medical Practice in Eastbourne, East Sussex.  Whilst there, he again became a trainer and an appraiser. He was voted onto the Eastbourne Hailsham and Seaford CCG governing body in 2012. In this role he was the Primary Care lead and oversaw the development of the Primary Care Strategy, the re-configuration of the Community Paediatric services and the procurement of the Children’s Integrated Therapy Service, whilst also having oversight of the performance of the 22 practices in the CCG.

After 7 years, in 2015, he moved to become a partner at Devon Road surgery South Darenth. He was also appointed a Senior Appraiser for NHS England (South East) and was voted onto the Dartford Gravesham and Swanley CCG Governing Body Board in June.

Dr Mike Beckett

Independent member, secondary (hospital) care doctor

Dr Mike Beckett represents secondary (hospital) care on the governing body of the NHS Dartford, Gravesham and Swanley Clinical Commissioning Group.

He qualified from Kings College Hospital Medical School in London and has been a consultant in emergency medicine at West Middlesex University Hospital since 1987.

He is also the clinical tutor for the hospital and is interested in how doctors are trained for the changing health service.  He is an examiner for the College of Emergency Medicine exit exam and is one of the editors of the Emergency Medicine Journal.

In his spare time the father-of-five enjoys sailing small boats along the north Kent coast. He and his wife, also a doctor, have a cottage in Faversham. Their son and daughter-in-law live in Sevenoaks.

Rosemary Bolton

Independent lay member (Patient Engagement)

Rosemary Bolton is an independent member for patient and public engagement for the NHS Dartford, Gravesend and Swanley Clinical Commissioning Group. She has worked in the NHS in acute and primary care for 36 years and was Director of Human Resources and Organisational Development for an acute trust for five years.

More recently, she has focused on service improvement, working with patients and clinicians to improve services.  She is now working as a part-time management consultant and is a director of a software development company.

She is married and has a son in his early 20s. She likes walking and gardening. She is involved in charitable work.

Mike Gilbert

Company Secretary (non-voting member)

Mike Gilbert is company secretary for NHS Dartford, Gravesend and Swanley Clinical Commissioning Group (CCG). He has worked in health and social care management for the past 15 years following a successful career in the Royal Air Force in personnel management. On leaving the RAF he joined the South Thames NHS Regional Office as assistant business manager.

After working at the Social Services Inspectorate and a brief return to the NHS Regional Office he joined East Kent Hospitals in 2001 as assistant director for women, children and clinical support services. He was also deputy site manager at Kent and Canterbury Hospital, Canterbury.

In 2004, he joined the Eastern and Coastal Kent Primary Care Trust’s service improvement team as the lead for strategic business planning and contract performance management.  In 2007 he joined the Kent and Medway contracting and performance team as assistant director before becoming deputy director.  He was appointed company secretary with NHS Dartford, Gravesham and Swanley CCG in December. He is also company secretary for Swale CCG.

He lives in Sittingbourne with his wife and two children and is actively involved in Swale Scouts. He enjoys motor racing, gardening and DIY. He does not have a vote on the governing body.

Gary Jessop

Independent Lay Member – Business Standards and Primary Care

Gary Jessop is the Independent Lay Member for Business Standards. He is also a member of the Audit Committee and Remuneration Committee

In his role as Business Standards ‘protector’ Gary is responsible to the Governing Body for overseeing compliance with all forms of business standards, including conflicts of interest.

Gary worked for 40 years in the City of London as a bank executive but is now relishing the opportunity to apply his experience and skills to the CCG. He is a staunch supporter of the NHS and is proud to serve on the CCG for the benefit of the community.

He is married with three grown up daughters and has one grandson. In between the demands of his family (taxi and repair services mainly) Gary enjoys gardening and DIY.

Dr Gaurav Asal

GP Member

Dr Gaurav Asal was elected GP member in June 2017.

He graduated from Barts and the London Medical School in 2007 and qualified as a GP in 2012 after completing his GP training in Darent Valley Hospital.

He has been a salaried GP at the White Horse Surgery and walk-in centre in Northfleet since 2014 and is also involved in the training of medical students from King’s College in London.  His further interest is in medical research with the National Institute for Health Research.

Furthermore, he has postgraduate diplomas from the Royal College of Paediatrics and Obstetrics and Gynaecology, respectively.

Dr Gaurav Asal is very keen to improve end of life care and the care of those with mental health issues within the area.

Dr Amritpal Gill

                                                                                         GP Member

Dr Amritpal Gill was elected as a GP Member in June 2017.

He became a qualified GP in 2007 after completing his undergraduate training at Guy’s, King’s and St Thomas’ Medical School.

He became a partner at Oakfield Health Centre, Gravesend in 2010. Since that time he has also completed his Postgraduate Certificate  in Strategic Leadership and Medical Education, from the University Of Kent, to become a GP Trainer/Educator. He was also appointed as a GP Appraiser by NHS England, South East Area Team from April 2016. This complements the GP Trainer/Educator role well.

In addition, he is a Director of the local GP Federation Group: DGS Health Ltd. This was set up in 2015 by local GP practices within the locality. The purpose of which is to try and establish, better and innovative collaborative working  within the GP practices to meet the challenges of primary care.

Outside of work he is kept busy with a young family and he enjoys playing football and tennis.​


Dr Julie Taylor

                                                                             GP Member

Dr Julie Taylor was elected to the Governing Body in October 2018.

Dr Taylor has a background in research and performance management in the public sector. Her first degree was in psychology and she undertook 3 years postgraduate research into substance abuse. She worked as an NHS Manager for 5 years before leaving in 2004 to study medicine on the Swansea Graduate Entry Programme as a mature student.  After completing her GP training in Wales, she returned to her home town in 2013. Initially, Dr Taylor worked as a GP Partner at Jubilee Medical Group (Longfield and New Ash Green) but is now a GP Partner at The Orchard Practice in Dartford. Her clinical interests are the care of people with and beyond cancer, including end of life care, and diabetes.

She is also interested in the development of primary care, through quality improvement processes and exploring new ways of working.


Gail Arnold

Deputy Managing Director for DGS and Swale CCGs.

Paula Wilkins

Chief Nurse 

Paula is Chief Nurse for Dartford, Gravesham and Swanley; Medway; Swale; and West Kent clinical commissioning groups. Prior to joining West Kent CCG as their Chief Nurse in April 2017 Paula worked for NHS England (Kent, Surrey & Sussex)as their Deputy Director of Nursing.
Paula trained as a Nurse at St Bartholomew’s Hospital, London and qualified in 1987. She worked St Thomas’ Hospital as a Sister and Guys and St Thomas’ Hospital (GSTT) as a Nurse Specialist in Haematology & Head of Nursing. In 2006 Paula left her role as Head of Nursing at GSTT and moved to Hospice in the Weald where she was their Nursing Director until 2014.
Paula has a Masters Degree in Collaborative Leadership.

Reg Middleton

Chief Finance Officer

Reg Middleton is West Kent, DGS and Swale CCG’s Chief Finance Officer and is responsible for providing financial advice and supervising financial control and accounting systems. He was previously Deputy Finance Director at West Kent Primary Care Trust. He has more than 30 years’ experience in the NHS, working at a wide range of organisations in Kent and Sussex.

He studied at Liverpool John Moores University and is a member of the Chartered Institute of Public Finance and Accountancy. He is married and has two children.
He spends his spare time with his family and enjoys walking and watching football.

Caroline Becher

Independent Member (Nursing)

Caroline Becher (RGN, BSc Hons) trained at Guys Hospital London. She was a major scholarship winner by exam supporting her degree studies in Nursing.

More recently she gained experience at executive level as Director of Nursing in three acute Trusts, two of these gained Foundation Trust status.

Since retirement she was keen to remain engaged with the NHS  and has been a non- executive director for a community and acute Trust.

Currently she is a freelance Nursing and Management consultant conducting assignments for Trusts in the South of England. Alongside this she is a Trustee of ‘Scotts’, an organisation that provides residential and daily support services for users who have learning disabilities.

In Caroline’s free time she enjoys being with her family, playing club tennis, golf and skiing and watching cricket at all levels. She loves music and plays the guitar alongside growing her own vegetables on her allotment.​

Governing body meetings

Meeting dates and locations can be viewed here. Related documents are available in our publications section.

Our commissioners cover the following areas:

  • Mental Health and Integrated Care
  • Urgent Care, End Of Life Care and Care Homes
  • Long term conditions (incl. Respiratory, Cardiology, Diabetes)
  • Planned Care (incl. Surgical specialties, pain, physio and Outpatients) and Cancer
  • Medicines Optimisation, Medicines Management & Prescribing
  • Specialist Assessments and Placements team

Email: dgs.ccg@nhs.net

Phone: 03000 424 903

Please ensure the subject of your email includes one of the above programme areas so that it can be directed to the correct person.

You can find out more about the roles and responsibilities of CCG governing bodies here.