About us > Board Members

Dr Caroline Trevithick, Chief Executive

Caroline has a wealth of experience gained over many years and in a variety of healthcare settings, at local, regional and national level. She has worked in NHS quality management/clinical governance since 1995. Caroline brings extensive knowledge of the NHS from the frontline services to senior and strategic level and her primary focus has always been quality, safety and patient experience. She has an extensive background in nursing management and leadership, most recently in 2020 she was appointed as the single Executive Director of Nursing, Quality & Performance and Deputy Chief Executive for all three CCGs in Leicester, Leicestershire & Rutland and retains her responsibility for all aspects of high quality, safe patient care. In July 2021 Caroline was delighted to be awarded an Honorary Doctorate by Loughborough University for her leadership of the LLR COVID Vaccination Programme. She believes that high quality, safe care should be the basis of all we do, to improve outcomes for patients and improve the cost effectiveness of the NHS, both of which are essential. Caroline came into post as the ICB's Chief Executive in November 2023. Outside of work, Caroline has a range of hobbies including dog walking, motorbiking and wild swimming

Paula Clark, Interim Chair

Paula is a former NHS Hospital Trust Chief Executive with over 30 years’ experience in the NHS including 20 years at CEO level at University Hospitals of the North Midlands, Dudley Group Foundation Trust and Burton Hospitals Foundation Trust. Alongside her NHS CEO roles, she has also worked at board level at a number of NHS networks and two universities. Since retiring from full time work in 2019, Paula was appointed as a Non-Executive Director for Benenden Health and continues to support them as an Independent Trustee for their Hospital Trust in Kent. Closer to home, Paula chaired a Community Interest Company, LLR Patient Care Locally which supports the local NHS system in LLR in delivering a range of out of hospital services. Her pre-NHS career was in sales, marketing, public relations and further education. A business school graduate, with a Master’s Degree in Business Administration, Paula also holds post graduate qualifications in marketing and coaching. Paula is also a charity Trustee for the RSPCA Woodside Animal Centre and Branch.

Rachna Vyas, Deputy Chief Executive / Chief Operating Officer

Rachna began her NHS career in Leicester City in 2005. Since then, she has had a variety of single commissioner posts working in the Leicester City area. She has also held a number of system lead posts covering elective and non-elective services within the Leicester, Leicestershire and Rutland footprint. As the LLR health and care system has developed, her transformation portfolio has developed into whole system transformation, across all sectors. Since June 2020, Rachna held the position of Executive Director for Integration and Transformation for the three CCGs in Leicester, Leicestershire and Rutland. In this role she was responsible for the design and delivery of transformed models of care at system level for urgent care, elective care, children’s services, all age mental health and learning disability services, as well as integration of services at place and neighbourhood level and Emergency preparedness for the LLR system. Rachna also holds an Honorary Lecturer position at the University of Leicester in recognition of ongoing work around health equity, and is also a Trustee for Growing Points, a charity focused on social mobility.

Alice McGee, Chief People Officer

Alice started her NHS career in 2007 as a national NHS Graduate Trainee on the HR programme. She has worked across a range of NHS organisations focussing on the People agenda, predominately in the Black Country and Birmingham. In 2020 Alice joined the Leicester, Leicestershire and Rutland CCGs as the Executive Director of People and Innovation focussing on transformation for our people, our population and the technology we use to deliver care. Alice is passionate about using insights from our population and our staff to drive strategy and decisions about how we deliver care ensuring that our success criteria is focussed on experience of working and living in Leicester, Leicestershire and Rutland.

Sarah Prema, Chief Strategy Officer

Sarah has had a career in the public sector since leaving school. Prior to 2001 this was in local authorities and since then she has worked in various roles in the NHS mainly within commissioning organisations. She joined Leicester City Clinical Commissioning Group in 2011 as Director of Strategy and Implementation where she had corporate responsibility for strategic development; operational planning; service redesign commissioning; and medicines optimisation. In 2020, Sarah was appointed as Executive Director of Strategy and Planning for the Leicester, Leicestershire and Rutland Clinical Commissioning Groups where she has corporate responsibility for strategic development; operational planning; strategic estates; strategic Business Intelligence; place planning; population health management; and health inequalities. In February 2022 Sarah was appointed to the role of Chief Strategy Officer in the Leicester, Leicestershire and Rutland Integrated Care Board.

Robert Toole, Chief Finance Officer

Robert has 20 years' experience as a Board Director with extensive experience in both the public and private sectors. This includes 20 years' experience within the NHS covering all major areas including multi-site acute; mental health and community; ambulance and NHS 111; and primary care. He has also been a System Improvement Director and Managing Director of an NHS subsidiary company providing estates and facilities, and procurement/supply chain services. He is a keen advocate of team development and training and ensuring the benefits realisation of service improvements. He previously worked at Rolls-Royce PLC and Carnaud Metal Box PLC. Role at Rolls-Royce including being a Commercial and Finance Director holding a global role based in the United States and previously in Europe with a multi-national French based company. He is a Fellow Chartered Management Accountant and enjoys keeping fit: cycling and skiing.

Dr Nil Sanganee, Chief Medical Officer

Dr Sanganee has been a GP since 2004, working as a Partner at Castle Medical Group in Ashby. Being passionate about medical education, he has also worked as a GP Trainer, Medical Student Tutor, GP Appraiser and Examiner for the Royal College of GPs. He has been a longstanding Board Member for West Leicestershire CCG (WLCCG) and since 2020, was the Vice Chair of the CCG, leading on a wide range of clinical pathways and driving improvements in the quality of care. In his role as Medical Director for the LLR Integrated Care Board, Dr Sanganee will oversee the Clinical Strategy and priorities for the transformation of high quality, accessible services within primary, community and hospital sectors to ensure that we are delivering the highest standards of care and achieving the best outcomes for our patients. He is keen to champion the role of a broad range of health and care professionals both at the frontline of patient care and in leadership roles across the system. Using his experience as a clinical leader in LLR, he will continue to listen and respond to patients’ views to improve the service that our citizens experience locally and to optimise the health of our population overall, whilst driving down inequalities in health and care outcomes.

Kay Darby, Chief Nursing Officer

Kay is a registered general nurse and registered mental health nurse and has a MMedSci in Clinical Nursing and an MSc in Health Services Management. She has worked at Executive Director and senior leadership level in multiple healthcare sectors including mental health, community services, acute services and GP led out of hours and NHS111. Kay's experience spans nursing, quality, governance, operations and strategy . She has interests in prevention and health inequalities, having recently led the vaccination programme. Kay lives in Leicestershire and is a keen traveller, enjoys walking, outdoor swimming and cooking and entertaining.

Angela Hillery, Community / Mental Health sector representative

Angela is the shared Chief Executive of two NHS Trusts, providing Mental Health and Community health services in Leicester, Leicestershire and Rutland (Leicestershire Partnership NHS Trust) and Northamptonshire (Northamptonshire Healthcare NHS Foundation Trust). She was appointed to LPT in July 2019, when NHFT provided a buddy trust support relationship to LPT. In April 2020 both trusts formed a group model recognising mutual opportunities to continue to learn together. Angela’s NHS career spans 33 years and she has led many leadership positions, including Director of Operations. She has also been listed in the HSJ Top 50 rated CEOs three times and was a finalist for 'Chief Executive of the Year' at the HSJ Awards. In July 2019 Angela was awarded an Honorary Doctorate from the University of Northampton for her leadership contribution. Alongside other CEOs, Angela is part of a pioneering East Midlands Alliance for mental health and learning disabilities, working together to improve the quality and effectiveness of services. Angela is committed to working in collaboration with system partners to create high quality, compassionate care and wellbeing for all.

Richard Mitchell, Acute sector representative

Richard re-joined UHL as chief executive in October 2021 having worked as the chief executive of Sherwood Forest Hospitals NHS Foundation Trust for four years. In 2020, SFHNFT was voted HSJ Acute/ Specialist Trust of the Year and its Acute site was rated Outstanding by the CQC. In 2021 the Trust finished third out of 119 NHS Acute Trusts in the NHS Staff Survey. Richard previously worked as deputy chief executive and chief operating officer for four years at UHL and before that, he worked at Imperial College Healthcare NHS Trust and Guy’s and St Thomas’ NHS Foundation Trust in senior management roles. Richard is married with two children and is the Chair of the East Midlands Cancer Alliance and Midlands Regional and Talent Leadership Board.

Anil Majithia, Non-Executive Member for Health Inequalities and Communities

Anil has held numerous roles as Chair, Vice Chair and Chair of Committees and has experience of working with board members from all walks of life. He has participated at board level since 2011 and has significant experience of governance and oversight, holding executive officers accountable. Anil is also currently a Non-Executive Director and lead Finance Non-Executive Director at George Eliot Hospital NHS Trust and chairs the George Eliot Hospital Charity. Additionally, he holds current Board roles as Member of the Corporation Board, Vice Chair and Chair of the Audit and Risk Committee at North Warwickshire and South Leicestershire College and is a Trustee/Director and Chair of the Pay and People Committee for LiFE Multi Academy Trust. Anil has also been working at Board level within the Not-For-Profit sector for the past 15 years.

Darren Hickman, Non-Executive Member

Darren was the Finance and Relationship Director for the Insurance Company of Santander Bank, until December 2019. During his 37 years at the bank, he gained a broad experience, holding a variety of executive positions including Operational Management, Marketing, IT and Change Management. Since, January 2014, he has served as a Non-Executive Director (NED) and Audit & Risk Chair for Leicestershire Partnership NHS Trust. Stepping down from this position to become the NED and Audit & Risk Chair for ICB. Since finishing his substantive career he has focused on NED and board advisory roles. The majority of these have been centred in the Midlands region, working for the Earl Shilton Building Society and Northampton Children’s Trust.

Pauline Tagg, Non-Executive Member

Pauline has had a long and successful career in the NHS and in 2022, celebrated her 50-year anniversary of working in the NHS. She worked in the acute sector for over 35 years as a nurse, midwife, and senior leader. During this time, she held executive nurse director posts in three NHS hospital trusts, the most recent being the University Hospitals of Leicester NHS Trust from November 2000, until she retired from her Executive career at the end of July 2008. Then followed a brief period of consultancy in the then Trent Region and Lay member roles in primary care in Leicestershire. In January 2009, Pauline was awarded an MBE for her contribution to healthcare in Leicestershire. Pauline joined East Midlands Ambulance NHS trust Board as a Non-Executive Director in 2011 and was appointed to the role of Chairman in November 2013 and will complete her last term of office at the end of July 2022. Pauline also held a Trustee role at LOROS for seven years until she joined VISTA (the local LLR charity for people with Visual impairment) as the Chairman of Trustees in January 2020. Pauline stood down as VISTA chair in April 2023 but continues to work closely alongside the organisation as a volunteer.

Dr James Ogle, Partner Member for Primary Medical Services

Dr Ogle has been a GP Partner at Ratby Surgery since 2015 combining his clinical work with leading a project for the development of Ratby Medical Centre which opened in 2023. He has been engaged with Hinckley and Bosworth Medical Alliance, a GP Federation in Hinckley and Bosworth District throughout this period other than a 2-year gap where he had roles within Medicines Prescribing and Urgent Care for the former West Leicestershire CCG between 2017-2019. Since 2019, Dr Ogle has been the Clinical Director for both Bosworth Primary Care Network and Hinckley and Bosworth Medical Alliance, before being elected as a Primary Care Lead for Leicestershire Place in 2022, which he combines with both his clinical director roles. He is committed to championing patient care closer to home through improving the development and improvement of Primary Care Services, with a focus on Primary Care Access and Community Based Services such as Phlebotomy and Wound Care. Outside of the NHS, he is an avid gardener and enjoys coaching his local U8 Football team.

Mike Sandys, Local authority sectoral representative

Mike Sandys is Director of Public Health (DPH) for Leicestershire County Council and Rutland County Council, being appointed to the post in February 2014. Mike has worked in public health since the early 90s in a number of public health intelligence, research and development, manager and consultant roles for both the NHS, local government and academia. Mike moved to the East Midlands in 2005. Before that he spent most of his career working across Greater Manchester and Merseyside. Mike’s public health interest lies in the health improvement capability of asset-based community development approaches, moving public health from a focus on disease and illness to one that recognises the context in which people live their lives. Mike is a passionate advocate for physical activity and is vice chair of the LLR Active Together partnership and a trustee of the national active partnerships body. During the COVID pandemic Mike played a leading role in the response from LLR organisations.

Laurence Jones, Local authority sectoral representative

Laurence has responsibility for the full range of adult social care, children’s social care and education services. He re-joined Leicester City Council in February 2024 having worked in Nottinghamshire for the last 15 years as a director of children’s social care leading on residential care, strategic safeguarding, early years and commissions amongst other areas. Laurence has led a number of regional collaborations to improve services and is an experienced Caldicott Guardian dealing with complex and sensitive information sharing.

Mark Andrews, Local authority sectoral representative

Mark Andrews has been Rutland County Council Chief Executive since August 2020. He has worked in local government for nearly 25 years, with over 18 years in senior leadership roles. He has successfully led a wide range of services in his career, predominantly in the Children’s and Adult’s sectors, for Nottingham City Council and Rutland County Council. He is currently a Leicester, Leicestershire and Rutland (LLR) Integrated Care Board (ICB) Board Member and Senior Responsible Officer for the LLR Workwell programme. He is also the East Midlands lead on the National Health and Care Sounding Board, the East Midlands SOLACE branch Health and Care lead and was the Department for Levelling Up, Housing and Communities Hospital Discharge Champion between Jul 2023-2024. Beyond health and care he is also the Senior Responsible Officer for Melton and Rutland Levelling Up Fund.