all 29 gp practices are member practices of north tyneside...

All 29 GP Practices are member practices of North Tyneside CCG

All 29 GP Practices hold either a GMS, PMS or APMS contract with NHS England

27 GP Practices are shareholders of TyneHealth, the North Tyneside GP federation

2 GP Practices are members of TyneHealth, the North Tyneside GP federation

As at 28 Janaury 2015

Version 5 28/01/15

49 Marine Avenue Forest Hall Medical Centre Redburn Park Medical Centre

Appleby Surgery Garden Park Surgery Spring Terrace Health Centre

Battle Hill Health Centre Lane End Surgery Swarland Avenue Surgery

Beaumont Park Marine Avenue Medical

CentreVillage Green Surgery

Bewicke Medical Centre Monkseaton Medical Centre Wellspring Medical Practice

Collingwood Surgery Nelson Health Group West Farm Surgery

Dr Smith & Partners Park Parade Surgery Whitley Road Health Centre

Dr Young & Partners Park Road Medical Practice Wideopen Medical Centre

Drs Preston and Austin Portugal PlaceWoodlands Park Medical

Centre

Earsdon Park Surgery Priory Medical Group

Practice Name

Date completed: 05.01.15

Declarations of Interest- individual practice

PRACTICE NAME SELF/STATUS COMPANY/ORGANISATION DETAILS OF INTEREST

49 MARINE AVENUE Practice North Tyneside CCG Member practice

Practice Tyne Health (Provider Organisation) shareholder

Dr Justine Norman Self 49 Marine Avenue Surgery GP partner; nothing else to declare

Dr Julia Fisher Self 49 Marine Avenue Surgery GP partner; practice representative on Council of Practices

Dr Imran Rizwi Self 49 Marine Avenue Surgery GP partner; nothing else to declare

Dr Catherine Murray Self 49 Marine Avenue Surgery GP partner; GP representative to Tynehealth

Dr Angela Kapoor Salaried GP 49 Marine Avenue Surgery Salaried GP; nothing to declare

PRACTICE NAME: 49 MARINE AVENUE

Print Name:

Signature: Justine C NormanJustine C NormanJustine C NormanJustine C Norman 5.1.15

CERTIFICATION:

I declare that the information I have given on this form is correct and complete. I understand that if I either; knowingly

provide false information or, fail to disclose information in relation to potential or actual conflicts of interest I may be liable

for prosecution under the Fraud Act 2006. I understand that this information may be used by the NHS for the purpose of

verification, investigation, detection and prosecution of fraud.

Justine C Norman

Date completed: 07/01/15



APPLEBY SURGERY Practice Tyne Health (Provider Organisation) Shareholder

Dr Andrew Bates Self Appleby Surgery GP Partner

Dr Stephen Proctor Self Appleby Surgery GP Partner

Dr Stephen Proctor Self Health Education North East Training Programme Director

Dr Stephen Proctor Wife Forum Family Practice, Cramlington GP Partner

Dr Rachel Firth Self Appleby Surgery GP Partner

Dr Rachel Firth Husband Central Gateshead Medical Group GP Partner

Dr Rachel Firth Husband Gateshead Community Based Care Shareholder

Dr Rebecca Hart Self Appleby Surgery GP Partner

Mr Leslie Miller Self Appleby Surgery

Practice Manager

North Tyneside Practice Manager representative on

Newcastle & North Tyneside LMC

Elected Member of North Tyneside Council

Member of the Conservative Party

PRACTICE NAME: APPLEBY SURGERY

Print Name:

Signature: Date: 7/1/15

CERTIFICATION:





Leslie Miller, Practice Manager

Date completed: 16 01 15



BATTLE HILL HEALTH CENTRE

Battle Hill Health Centre Practice Freeman ClinicsOwned and run by Freeman Clinics - Board members can

be found on www.freemanclinics.co.uk

Battle Hill Health Centre Practice Tyne Health (Provider Organisation) member

Dr Jeremy Bruce Self Battle Hill Health Centre Salaried GP, Nothing to declare

Dr Hermangi Ullal Self Battle Hill Health Centre Salaried GP, Nothing to declare

Dr Susannah Thompson Self Battle Hill Health Centre Salaried GP

Dr Susannah Thompson Self Newcastle Universty GP Lecturer

Dr Susannah Thompson Self Northumbria Healthcare Bank Staff

Dr Anna Hazell Self Battle Hill Health Centre Salaried GP, Nothing to declare

Dr Matilda Releveld Self Battle Hill Health Centre Salaried GP, Nothing to declare

Dr Mary Gayed Self Battle Hill Health Centre Salaried GP

Rachel Shakir self Freeman Clinics, Battle Hill Health Centre Interim Managing Director, Nothing to declare

Yvonne Scotland self Battle Hill Health Centre Health Centre Manager, Nothing to declare

PRACTICE NAME: BATTLE HILL HEALTH CENTRE

Print Name:

Signature: signed copy on filesigned copy on filesigned copy on filesigned copy on file Date: 16 01 15

Yvonne Scotland

CERTIFICATION:


provide false information or, fail to disclose information in relation to potential or actual conflicts of interest I may be

liable for prosecution under the Fraud Act 2006. I understand that this information may be used by the NHS for the

purpose of verification, investigation, detection and prosecution of fraud.




BEAUMOUNT PARK Practice Tyne Health (Provider Organisation) shareholder

Susan Harrison Self Beaumont Park Medical Group Practice Manager

Dr C Burrell-Stella GP Partner Beaumont Park Medical Group/Norprime GP Partner

Dr A McMenzie GP Partner Beaumont Park Medical Group/Norprime GP Partner

Dr G Rae GP Partner Beaumont Park Medical Group/Norprime GP Partner/LMC chief Excecutive Officer

Dr V Tut GP Partner Beaumont Park Medical Group GP Partner

Dr C Gittins GP Partner Beaumont Park Medical Group GP Partner

PRACTICE NAME: BEAUMOUNT PARK

Print Name:


CERTIFICATION:





Angela McMenzie

Date completed : 21 01 15



BEWICKE MEDICAL CENTRE Practice Tyne Health (Provider Organisation) shareholder

Dr R D Thornton Self Bewicke Medical Centre GP Partner

Dr R D Thornton Daughter South Tyneside NHS Foundation Trust Junior doctor (core medical training)

Dr G J Vaughan Self Bewicke Medical Centre GP Partner

Dr G J Vaughan Spouse Northumbria Heath Care NHS Foundation Trust District Nurse

Dr S J S Coomber Self Bewicke Medical Centre GP Partner

Dr S J S Coomber Spouse Newcastle upon Tyne Hospitals Foundation Trust Staff Nurse (ITU)

Dr A Petrie Self Bewicke Medical Centre GP Partner

Dr A Petrie Spouse Newcastle upon Tyne Hospitals Foundation Trust Consultant Neurosurgery

Dr A Petrie Spouse Newcastle Nuffield Hospital Consultant Neurosurgery

Dr S Cooke Self Bewicke Medical Centre GP Partner

Dr S Cooke Spouse City Hospitals Sunderland NHS Foundation Trust Consultant Gastroenterology

Dr K Richardson Self Bewicke Medical Centre GP Partner

Dr K Richardson Spouse Northumberland, Tyne and Wear NHS FT

Consultant Old Age Psychiatrist, Clinical Director of

Infomatics, Clinical Director for Older People's inpatient

care

Dr K Richardson Spouse Royal College of Psychiatry Infomatics Lead

PRACTICE NAME: BEWICKE MEDICAL CENTRE

Print Name:

Signature: signed copy on filesigned copy on filesigned copy on filesigned copy on file 21 01 15

Dr R D Thornton

CERTIFICATION:


provide false information or, fail to disclose information in relation to potential or actual conflicts of interest I may be liable for

prosecution under the Fraud Act 2006. I understand that this information may be used by the NHS for the purpose of





COLLINGWOOD SURGERY Practice Tyne Health (Provider Organisation) shareholder

Dr Dave Tomson Self Collingwood Surgery GP Partner

Dr Di Jelley Self Collingwood Surgery GP Partner

Dr Di Jelley Self

NHS England

Clinical Appraisal Lead for GP Appraisal NHS England

CNT&W and DDT Area Teams and GP Revalidation Advisor

Health Education North East (HENE)

Dr Liz Harrison Self Collingwood Surgery GP Partner/Urgent Care Lead for CCG

Dr Liz Harrison Self Tyne Health (Provider Organisation) Director

Dr Dawn Linford Self Collingwood Surgery GP Partner

Dr Dawn Linford Self NdUc Undertakes OOH sessions

Dr Lesley Ashton Self Collingwood Surgery GP Partner

Dr Will Tapsfield Self Collingwood Surgery GP Partner

Dr Kathryn Hall Self Collingwood Surgery GP Partner/Palliative Care Lead for CCG

Dr Kathryn Hall Mother North Tyneside Council Elected Councillor and Member of HWB

Dr Kathryn Hall Husband Gateshead OOH Undertakes OOH sessions

Dr Jane Derry Self Collingwood Surgery GP Partner

Dr Amit Chatterjee Self Collingwood Surgery GP Partner

Dr Tom Payne Self Collingwood Surgery GP Partner

Dr Tom Holland Self Collingwood Surgery GP Partner

Dr Tom Holland Self Connect IMATT Work one session/week

Dr Tom Holland Self NdUc Undertakes OOH sessions

Dr Tom Holland Wife Northumbria HCT & Neoorthodonist Ashington Dentist

PRACTICE NAME: Collingwood Surgery

Print Name:


CERTIFICATION:





Alice Southern

Date completed



Dr Smith and Partners Practice Dr Smith and Partners GMS providers


Dr A J Chalmers self Dr Smith and Partners partner

Dr A J Chalmers self Norprime shareholder

Dr D M Smith self Dr Smith and Partners partner

Dr D M Smith self Norprime shareholder

Dr V K Karn self Dr Smith and Partners partner

Dr V K Karn self Norprime shareholder

Dr V K Karn Husband Queen Elizabeth Hospital, Gateshead. Consultant Anaesthetist

Dr M Beattie self Dr Smith and Partners partner

Dr M Beattie self NHS 1-1-1 North of Tyne Clinical Lead

Dr M Beattie wife Brunton Park Medical Centre Practice Nurse

PRACTICE NAME: Dr Smith and Partners

CERTIFICATION:

Print Name: Dr Andrew Chalmers

Signature: Andrew ChalmersAndrew ChalmersAndrew ChalmersAndrew Chalmers 08/01/2014








DR YOUNG AND PARTNERS Practice Tyne Health (Provider Organisation) shareholder

Practice North Tyneside CCG member practice

Practice Health Education NE training practice

Dr Simon Young self North Tyneside CCG member of council of practices

Dr Simon Young self FME, Northumbria Police employee -due to terminate 31/3/15

Dr Simon Young self Practice GP partner,no other interest

Dr Eugenie George self Practice GP partner,no other interest

Dr Barnaby Rookwood self Health Education NE appraiser

Dr Barnaby Rookwood self FME, Northumbria Police employee -due to terminate 31/3/15

Dr Barnaby Rookwood self Practice salaried Dr

Dr Barnaby Rookwood self NESG mentoring facilitator

PRACTICE NAME: DR YOUNG AND PARTNERS

Print Name:

Signature: electronically verified by Dr S Young Date: 13/1/15





CERTIFICATION:

Simon Young




DRS PRESTON AND AUSTIN Practice Tyne Health (Provider Organisation) shareholder


Dr Preston Self DRS PRESTON AND AUSTIN GP Partner, Husband of Partner

Dr Austin Self DRS PRESTON AND AUSTIN GP Partner, Wife of Partner

Mrs R Ross Self DRS PRESTON AND AUSTIN Practice Manager, Daughter of Partners

PRACTICE NAME: DRS PRESTON AND AUSTIN

Print Name: Rebecca Ross

Signature: 05/01/2015

CERTIFICATION:





Date completed : 27/01/15



EARSDON PARK SURGERY Earsdon Park Medical

Practice

Practice Freeman clinics EP is owned by Freeman Clinics Limited. Details of all

Board Members can be found on

www.freemanclinics.co.uk

Practice Tyne Health (Provider Organisation) Member

Dr R Keogh Self Earsdon Park, Freeman Clinics Salaried GP, Nothing other to declare

Dr C Chapman Self Earsdon Park, Freeman Clinics Salaried GP, Nothing other to declare

Linda Smith Self Earsdon Park, Freeman Clinics Practice Manger. Nothing other to declare.

Rachel Shakir Self Earsdon Park, Freeman Clinics Interim Managing Director, nothing to declare

PRACTICE NAME: EARSDON PARK SURGERY

Print Name:

Signature: Linda SmithLinda SmithLinda SmithLinda Smith 27/01/2015

Linda Smith

CERTIFICATION:










FOREST HALL MEDCIAL GROUP Dr Leslie Gordon Self Forest Hall Medical Group GP Partner, nothing else to delcare

Dr Paul Sabourn Self Forest Hall Medical Group GP Partner, nothing else to delcare

Dr Paul Sabourn Spouse Forest Hall Medical Group GP Partner, Dr Susan Smith

Dr Susan Smith Self Forest Hall Medical Group GP Partner, nothing else to delcare

Dr Susan Smith Spouse Forest Hall Medical Group GP Partner, Dr Paul Sabourn

Dr Simon Kirk Self Forest Hall Medical Group GP Partner, nothing else to delcare

Dr Simon Kirk Spouse Dental Hosptial Dentist, nothing else to declare

Dr Alison Crossley Self Forest Hall Medical Group GP Partner, nothing else to delcare

Dr Alison Crossley Civil Partner Northumbria Health Care Consultant Gastroenterology Northumbria Health Care Trust

Dr James Lunn Self Forest Hall Medical Group

GP Partner,

member of the CCG safety and quality committee

Conservative party member and campaigner

Dr James Lunn Spouse Gas House Lane Pratice, Northumberland Salaried GP, nothing else to declare

Johan Reynolds Self Forest Hall Medical Group Practice Manager, nothing else to delcare

Johan Reynolds Spouse Forest Hall Medical Group Consultant Dermatologist, RVI notihing else to declare

PRACTICE NAME: FOREST HALL MEDCIAL GROUP

Print Name:

Signature: original on file original on file original on file original on file 27/01/2014

Johan Reynolds

CERTIFICATION:








GARDEN PARK SURGERY Practice Tyne Health (Provider Organisation) shareholder


Dr K P Abraham Self Garden Park Surgery GP Partner, nothing else to delcare

Dr Vini Dewan Self Garden Park Surgery GP Partner, nothing else to delcare

Dr Vini Dewan Husband SVPS Healthcare Owner/Director

Dr Priya Sandhu Self Garden Park Surgery GP Partner, nothing else to delcare

Dr L Clement Self Garden Park Surgery GP Partner

Dr L Clement Self Trinity Medical Centre Salaried GP

Dr C Allison Self Garden Park Surgery GP Partner, nothing else to delcare

Dr C Allison Husband Newcastle upin Tyne Hospitals FT Consultant paediatric cardiologist

PRACTICE NAME: GARDEN PARK SURGERY

Print Name:

Signature: original signed copy held on file Date: 15/1/15

CERTIFICATION:





Dr V Dewan




LANE END SURGERY Lane End Surgery Practice Tyne Health (Provider Organisation) shareholder

Dr Caroline Sprake Self Lane End Surgery GP Partner

Dr Caroline Sprake Self Newcastle University Associate Sub-Dean for Community & Primary Care

Dr Caroline Sprake Self Northumbria Healthcare FT GP Respiratory Advisor on COPD Programme

Dr Caroline Sprake Self North Tyneside CCG Clinical Director

Dr Linda Masson Self Lane End Surgery GP Partner

Dr Richard Davis Self Lane End Surgery GP Partner

Dr Richard Davis Self Connect Physical Health GPwSI. Tier 2 MSK services

Dr Richard Davis Self Lane End Surgery Practice Representative Council of Practices

Dr Richard Davis Spouse Newcastle Hospitals FT Consultant Pain Clinic / Clinical Director

Dr Meenu Amonkar Self Lane End Surgery Salaried GP

Dr Meenu Amonkar Spouse Northumbria Healthcare FT Consultant Breast Surgeon

Dr Meenu Amonkar Self Newcastle University GP Tutor

Dr Helen Flett Self Lane End Surgery Salaried GP

Dr Helen Flett Spouse Northumbria Healthcare FT Consultant Anaesthetist

Dr Rebecca Hamilton Self Lane End Surgery Salaried GP

Dr Rebecca Hamilton Self Newcastle Hospitals FT Hospital Practitioner in A&E

Dr Laura Corrigan Self Lane End Surgery Salaried GP

Dr Laura Corrigan Self HM Courts & Tribunal Service medical judge, member of social entitlement chamber 1st tier tribunal

PRACTICE NAME: LANE END SURGERY

Print Name:

Signature: origianl signed copy on fileorigianl signed copy on fileorigianl signed copy on fileorigianl signed copy on file Date: 15 01 15

Dr Caroline Sprake

CERTIFICATION:

I declare that the information I have given on this form is correct and complete. I understand that if I either; knowingly provide false

information or, fail to disclose information in relation to potential or actual conflicts of interest I may be liable for prosecution under the

Fraud Act 2006. I understand that this information may be used by the NHS for the purpose of verification, investigation, detection and

prosecution of fraud.




MARINE AVENUE MEDICAL CENTRE Practice Tyne Health (Provider Organisation) shareholder

Dr Richard Scott Self GP Partner Marine Avenue Medical Centre, Whitley bay

GP Partner and GP Trainer for NVTS/Northern Deanery.

Attend Council of Practice Meetings for the CCG and serve

as a member of the audit committee.

Northern Doctors Urgent Care/NDMS

Northern Doctors Urgent Care/NDMS sessional Out of

Hours/Ad-hoc work.

Newcastle Clinic, Jesmond Some medico-legal/private medical examinations/reports.

Dr Buchanan Self GP Partner Marine Avenue Medical Centre GP Partner

Dr Robson Self GP Partner Marine Avenue Medical Centre GP Partner

Dr McLean Salaried GP Marine Avenue Medical Centre Salaried GP

Sunderland Royal Hospital A&E Middle Grade

North Tyneside CCG Clinical Lead New Models of Care/Urgent Care

PRACTICE NAME: MARINE AVENUE MEDICAL CENTRE

Print Name:

Signature: Date: 19 01 15





CERTIFICATION:

Sylvia McKeag-Smith




MONKSEATON MEDICAL CENTRE Practice Tyne Health (Provider Organisation) shareholder

Practice Newcastle University We host medical student training

Practice Northumbria Healthcare Trust NHT rent part of our building.

Dr Andy Lawson self Project Answer/NTW trust

GP Specialist in addictions for NTW at Project Answer, on

behalf of MMC

Dr Andy Lawson self MMC GP Partner

Dr Nick Lawson self MMC GP Partner

Dr Nick Lawson self Northumbria Healthcare Trust Works for Northumbria Healthcare Trust part time

Dr Nick Lawson self Tyne Health Chairman

Dr Nick Lawson wife Newcastle Hospitals Trust Works in Falls and Syncope service

Dr Helen Coundon self MMC GP Partner

Dr Helen Coundon self Postgraduate Deanery GP appraiser

Dr Helen Coundon self Northumbria GPTP Training programme director

Dr Helen Coundon self CCG CCG lead medicines management

PRACTICE NAME: MONKSEATON MEDICAL CENTRE

CERTIFICATION:

Print Name: Dr Andy Lawson

Signature: Date 12.01.15








Nelson Medical Group Practice Tyne Health (Provider Organisation) shareholder

Dr A Sadeghzadeh Self Nelson Medical Group GP Partner

Dr A Sadeghzadeh Self NDUC Self employed by NDUC

Dr W S Tufton Self Nelson Medical Group GP Partner

Dr W S Tufton Self NDUC Self employed by NDUC

Dr Westgarth Self Nelson Medical Group GP Partner

PRACTICE NAME: Nelson Medical Group

Print Name:






CERTIFICATION:

Lara Hills




PARK PARADE SURGERY Practice Tyne Health (Provider Organisation) shareholder

Dr Chris Lee self Park Parade Surgery GP partner

Dr Chris Lee Wife Newcastle, Tyne & Wear NHS FT Staff grade Dr in Neurorehabilitation

Dr Brian Smith self Park Parade Surgery GP partner; nothing else to declare

Anne Johnston self Park Parade Surgery Practice manager; nothing else to declare

PRACTICE NAME: PARK PARADE SURGERY

Print Name:

Signature: original signed copy in master file Date 06/01/15

CERTIFICATION:





Dr C J Lee

Date completed: 8 January 2015



PARK ROAD MEDICAL PRACTICE Park Road Medical Practice North Tyneside CCG


Dr Kate Carding Self Park Road Medical Practice GP partner

Dr Kate Carding Self NEPCSA GP appraiser

Dr John Matthews Self Park Road Medical Practice GP Partner

Dr John Matthews Self CCG Chair of CCG

Dr John Matthews Self Wallsend Memorial Hall & People's Centre Trustee (provider of community services)

Dr John Matthews Self Health Education North East GP Trainer

Dr Rachel Bailey Self Park Road Medical Practice GP Partner

Dr Kerry Burnett Self Park Road Medical Practice GP Partner

Dr Kerry Burnett Self Health Education North East GP Trainer

PRACTICE NAME: PARK ROAD MEDICAL PRACTICE

Print Name:

Signature: original copy on file original copy on file original copy on file original copy on file Date: 8th January 2015





CERTIFICATION:

Sandra Dowling




PORTUGAL PLACE HEALTH CENTRE Practice North Tyneside CCG member practice


Dr Angus McColl self Portugal Place Health Centre GP Partner, nothing else

Dr Caroline Fawcett self Portugal Place Health Centre GP Partner

Dr Caroline Fawcett husband NTW NHS Foundation Trust Prof of Clinical Psychology

Dr Martin Wright self Medical Director CCG see details already submitted by Dr Wright

Dr Patricia Foxen self Portugal Place Health Centre GP Partner, nothing else

Dr Fraser Dickson self Portugal Place Health Centre GP Partner

Dr Fraser Dickson wife North Durham University Trust Consultant GU Medicine

Dr Tamsin Scott self Portugal Place Health Centre GP Partner, nothing else

Dr Joo Li Ng self Portugal Place Health Centre GP Partner, nothing else

Karen Iliadis self Tyne Health director

PRACTICE NAME: PORTUGAL PLACE HEALTH CENTRE

Print Name:

Signature: Date: 19th January 2015

CERTIFICATION:





karen iliadis




Priory Medical Group Practice North Tyneside CCG Member practice


Dr John Roberts Self Priory Medical Group GP Partner; Musculo Skeletal Clinic, Norprime

Dr Tony Stephenson Self Priory Medical Group GP Partner

Dr Kathryn Hundredth Self Priory Medical Group GP Partner

Dr Ian Donkin Self Priory Medical Group GP Partner

Dr Janet McCallum Self Priory Medical Group GP Partner

Dr Judith Wills Self Priory Medical Group GP Partner

Cynthia Jackson self Priory Medical Group Practice Manager; nothing else to declare

PRACTICE NAME: Priory Medical Group

Print Name:






CERTIFICATION:

completed by Cynthia Jackson, Practice Manager




REDBURN PARK MEDICAL CENTRE Redburn Park Medical Practice North Tyneside CCG Member practice


Dr Alexis Gandy Self Redburn Park Medical Centre GP Partner

Dr Alexis Gandy Self GP Teamnet Director

Dr Alexis Gandy Husband GP Teamnet Managing director of GP Teamnet

Dr Tim Pearson Self Redburn Park Medical Centre GP Partner Nothing else to declare

Dr Mark Tones Self Redburn Park Medical Centre Partner

Dr Mark Tones Wife Village Green Surgey Salaried GP, no other interest to declare

Dr Martina McDonnell Self Redburn Park Medical Centre Salaried GP, Nothing else to declare

Dr Katherine Lilford Self Redburn Park Medical Centre Salaried GP

Dr Katherine Lilford Mother Gateshead NHS Trust Community Matron

Dr Katherine Lilford Father in Law Co Durham and Darlington NHS Trust Associate specialist orthopeadics

PRACTICE NAME: REDBURN PARK MEDICAL CENTRE

CERTIFICATION:

Print Name: Dr Mark Tones

Signature: M TonesM TonesM TonesM Tones Date: 20/01/2015







SPRING TERRACE MEDICAL CENTRE Practice Tyne Health (Provider Organisation) shareholder

Practice North Tyneside Council Provision of enhanced GP Services to The Cedars

Practice North Tyneside CCG Provision of GP Services to Princes Court Nursing Home - Albert Wing

Dr Clare Scarlett Self North Tyneside CCG Learning Disabilities Lead

Dr Clare Scarlett Self North Tyneside CCG Macmillan Lead

Dr Clare Scarlett Self Newcastle North & East CCG Learning Disabilities Lead

Dr Clare Scarlett Self Newcastle West Learning Disabilities Lead

Dr Clare Scarlett Self Spring Terrace Health Centre GP Partner

Dr Adelle Pears Self Spring terrace Health Centre GP Partner, no other interest to declare

Dr Sheevaun Chaudhri Self Spring Terrace Health Centre GP Partner, no other interest to declare

Dr Orla Collins Self Health Education North East Training Programme Director

Dr Orla Collins Self Spring Terrace Health Centre GP Partner

PRACTICE NAME: SPRING TERRACE MEDICAL CENTRE

Print Name:

Signature: original held on file original held on file original held on file original held on file Date: 15 January 2015

CERTIFICATION:

I declare that the information I have given on this form is correct and complete. I understand that if I either; knowingly provide false

information or, fail to disclose information in relation to potential or actual conflicts of interest I may be liable for prosecution under the

Fraud Act 2006. I understand that this information may be used by the NHS for the purpose of verification, investigation, detection

and prosecution of fraud.

Catherine Addy

Date completed 21/01/2015



SWARLAND AVENUE SURGERY Practice Tyne Health (Provider Organisation) shareholder

Dr Naeem Iqbal SELF North Tyneside CCG GP Partner and Clinical lead for ENT for the CCG

Dr Naeem Iqbal SELF Swarland Avenue Surgery GP Partner and norprime Shareholder

Dr Naeem Iqbal SELF GATDOC GP Parnter and GATDOC Sessional GP

Dr Clare Mears SELF Swarland Avenue Surgery GP Partner and norprime Shareholder

Dr Helen Dahl SELF Swarland Avenue Surgery GP Partner and norprime Shareholder

Dr Helen Dahl SELF NDUC GP Partner and NDUC Sessional GP

Dr Helen Dahl FATHER Nuffield Hospital Father is a dermatologist at the Nuffield

John Snaith SELF Broadway medical Centre Newcastle West CCG/Newcastle Federation

PRACTICE NAME: SWARLAND AVENUE SURGERY

CERTIFICATION:

Print Name: John Snaith

Signature: signed copy provided signed copy provided signed copy provided signed copy provided Date: 21 Janaury 2015





Date completed 09/01/15




Dr Jane Riddle Self Village Green Surgery GP Partner

Dr Mark Westwood Self Village Green Surgery GP Partner

Dr Mark Westwood Self Newcastle Hospitals NHS Trust Clinical Assistant Neurology Trial

Dr Mark Westwood Spouse Northumbria Healthcare NHS Trust Physiotherapist

Dr Peter Olley Self Village Green Surgery GP Partner

Dr Peter Olley Spouse The Rothbury Practice (GP surgery) Practice Manager

Dr Ruth Evans Self Village Green Surgery GP Partner

Dr Ruth Evans Self Action Foundation Director

Dr Ruth Evans Self Taking Part Workshops CIC Director

Dr Aliya Soomro Self Village Green Surgery GP Partner

Dr Aliya Soomro Spouse Newcastle Hospitals NHS Trust Consultant Urologist

Dr Aliya Soomro Son St James Hospital Leed Foundation Doctor

Mr Philip Horsfield Self Village Green Surgery Practice Manager, Non GP Partner

Dr Alasdair Wallace Self Village Green Surgery GP Partner

Dr Alasdair Wallace Self Connect Primary Healthcare MSK GPwSI Employed - 1 session per week

Dr Alasdair Wallace Spouse Northumbria Healthcare NHS Trust Consultant Geriatrician

Dr Pipin Singh Self Village Green Surgery GP Partner

Dr Pipin Singh Mother Harrowside Medical Centre (Blackpool) GP Partner

Dr Rebecca Pedlow Self Village Green Surgery Employed GP

Dr Rebecca Pedlow Spouse Redburn Park Medical Practice GP Partner

Dr Rachael Fraser Self Village Green Surgery Employed GP

Dr Wasim Baqir Self Village Green Surgery Employed Pharmacist

Dr Wasim Baqir Self Northumbria Healthcare NHS Trust Research & Development Pharmacist

Dr Wasim Baqir Self Blue River Consulting Occasional consultancy work

Dr Wasim Baqir Self Bradford University Honorary Contract - Research Fellow

Dr Wasim Baqir Self Pharmaceutical Industry Advisory Board member - occasional work

PRACTICE NAME: VILLAGE GREEN SURGERY

Print Name:

Signature: PM HorsfieldPM HorsfieldPM HorsfieldPM Horsfield Date: 09/01/15

Philip Horsfield

CERTIFICATION:

I declare that the information I have given on this form is correct and complete. I understand that if I either; knowingly provide

false information or, fail to disclose information in relation to potential or actual conflicts of interest I may be liable for

prosecution under the Fraud Act 2006. I understand that this information may be used by the NHS for the purpose of





WELLSPRING MEDICAL PRACTICE Practice Tyne Health (Provider Organisation) shareholder

Dr Nigel Findlay Self Wellspring Medical Practice GP Partner; nil else to declare

Dr Liz Keller Self Wellspring Medical Practice GP Partner; nil else to declare

Dr Isabel McQueen Spouse Newcastle upon Tyne Hospitals FT Consultant Radiologist

Dr Isabel McQueen Self Wellspring Medical Practice GP Partner; nil else to declare

Dr Sallyann Ritchie Self Wellspring Medical Practice

GP Partner; director CareFirst;

appraiser NHS Commissioning board

Dr Sallyann Ritchie Sister Northumbria Healthcare NHS Trust Consultant in A&E

Dr Sallyann Ritchie Brother County Durham and Darlington NHS Trust Specialist Registrar Cardiology

Dr Sallyann Ritchie Spouse Bluekeep Building Control Director

Dr Sallyann Ritchie Father Newcastle upon Tyne Hospitals FT Honorary Consultant Neurology

Dr Sallyann Ritchie Sister in law County Durham and Darlington NHS Trust Specialist Registrar Radiology

Mrs Liz Brittlebank Spouse Cumbria Partnership NHS Trust Medical Director

PRACTICE NAME: WELLSPRING MEDICAL PRACTICE

Print Name:

Signature: signed copy on filesigned copy on filesigned copy on filesigned copy on file Date: 5/1/15

Liz Brittlebank, Practice Manager

CERTIFICATION:

I declare that the information I have given on this form is correct and complete. I understand that if I either;

knowingly provide false information or, fail to disclose information in relation to potential or actual conflicts of

interest I may be liable for prosecution under the Fraud Act 2006. I understand that this information may be used

by the NHS for the purpose of verification, investigation, detection and prosecution of fraud.




WEST FARM SURGERY Practice West Farm Surgery Member practice


Dr Rob Morrison Wife West Farm Surgery Practice Nurse

Dr Joanne Lee Self West Farm Surgery GP Partner

Dr Joanne Lee Spouse Childrens Services, North Tyneside Council Commissioning Manager

Dr Silke Westphal Self West Farm Surgery GP Partner

Dr Silke Westphal Spouse Gosforth Memorial GP Partner

Dr Kate Grisaffi Self West Farm Surgery GP Partner, northing else to declare

Dr Elaine Loo Self West Farm Surgery Salaried GP

Dr Elaine Loo Spouse RVI Ophthalmology Registrar/Research Fellow

Mrs Sharon Curry Self West Farm Surgery Practice Manager, nothing else to declare

PRACTICE NAME: WEST FARM SURGERY

Print Name:

Signature: original signed copy in master file Date: 05/01/15

CERTIFICATION:





Dr Rob Morrison




WHITLEY ROAD HEALTH CENTRE Practice Tyne Health (Provider Organisation) shareholder

Dr A J McManners Self Dr McManners and Partners GP Partner nothing else to declare

Dr S A Richardson Self Dr McManners and Partners GP Partner nothing else to declare

Dr D J Summers Self Dr McManners and Partners GP Partner nothing else to declare

Dr D W Colvin Self Dr McManners and Partners GP Partner nothing else to declare

Dr S J Pearson Self Dr McManners and Partners GP Partner nothing else to declare

Dr S J Pearson Self Tynehealth Board member

Dr E M Davidson Self Dr McManners and Partners GP Partner nothing else to declare

Dr L D Sayers Self Dr McManners and Partners GP Partner nothing else to declare

PRACTICE NAME: WHITLEY ROAD HEALTH CENTRE

Print Name:

Signature: singed copy on filesinged copy on filesinged copy on filesinged copy on file Date:17 01 15

CERTIFICATION:





Lynne Dodgson




WIDEOPEN MEDICAL CENTRE Practice Tyne Health (Provider Organisation) shareholder

Dr Christopher David May Self Northumbria Police Police surgeon

Dr Christopher David May Self Shasun Occupational Health Doctor

Dr Christopher David May Self Wideopen Medical Centre GP Partner

Dr Paul Thomas Morris Self Piramal Occupational Health Doctor

Dr Paul Thomas Morris Self Wideopen Medical Centre GP Partner

Dr Amanda Louise Liddle Husband Freeman Hospital Cardiothoracic surgeon

Dr Amanda Louise Liddle Self Wideopen Medical Centre GP Partner; nothing to declare

Dr Juliet Reid Husband Sunderland Hospital Consultant Anaesthetist

Dr Juliet Reid Self Wideopen Medical Centre Salaried GP; nothing to declare

Dr Alastair Urwin Self Wideopen Medical Centre Salaried GP; nothing to declare

Dr Hannah McQuillen Self Wideopen Medical Centre Retainer GP; nothing to declare

Elizabeth Hayes Husband Gillie and Partners Optician

Elizabeth Hayes Self Wideopen Medical Centre Practice Nurse

PRACTICE NAME: WIDEOPEN MEDICAL CENTRE

Print Name:


P T Morris

CERTIFICATION:








WOODLANDS PARK MEDICAL CENTRE Practice Tyne Health (Provider Organisation) shareholder

Dr E Lackey Self Woodlands Park Health Centre Salaried GP

Dr E Lackey Husband NHS North Tyneside CCG Clinical Director of Planned and Unplanned care

Dr E Lackey Husband Woodlands Park Health Centre Partner

Dr E Lackey Self Self Employed Locum at various practices in North East

Dr E Lackey Self Newcastle Home Office

Medical member of the first tier social entitlement

chamber of the Department of Justice

Dr E Lackey Self

'The Health and Wellbeing of the Working Age

Population Member of special interest group

Dr E Lackey Self North East Sessional GP Group Member

Dr E Lackey Self GP Magazine Financial remuneration for medical journalism

Dr E Lackey Self Doctors.net Member

Dr E Lackey Self Onmedica Member

Dr E Lackey Sister Dental Practice NHS Employed Dentist

Dr E Lackey Brother-in-Law Dental Practice NHS Employed Dentist

Dr E Lackey Self Children's Liver Disease Foundation Charity Fundraiser

Dr E Lackey Daughter

Newcastle Upon Tyne Hospitals NHS Foundation

Trust Patient at various clinics at RVI

Dr E Lackey self NHS North Tyneside CCG Dementia Clinical Lead

Dr E Lackey self Map of Medicine Review of Clinical Information

Dr E Lackey self CKS CKS website author

Dr E Lackey self Care Quality Commission CQC inspector

Dr S Lackey Self Woodlands Park Health Centre Partner

Dr S Lackey Self NHS North Tyneside CCG Clinical Director of Planned and Unplanned care

Dr S Lackey Spouse Woodlands Park Health Centre Salaried GP

Dr A Kaura Self Woodlands Park Health Centre Partner

Dr A Kaura Husband Wreckinton Health Centre Partner

Dr H Moor Self Woodlands Park Health Centre Partner

Dr H Moor Husband Sunderland Royal Hospital ENT Surgeon

Dr H Moor Husband Spire Hospital, Washington ENT Surgeon

Dr Alan McCubbin GP Newcastle and North Tyneside LMC Elected Member

Dr Alan McCubbin GP Woodlands Park Health Centre Partner

Dr Alan McCubbin Spouse Coquet Medical Group Amble Partner

Dr Alan McCubbin Spouse Northumberland LMC Treasurer

Darren Berry Self Tyne Health (Provider Organisation) Non Executive Director

PRACTICE NAME: Woodland Park HC

Print Name:

Signature: orignical signed copy on fileorignical signed copy on fileorignical signed copy on fileorignical signed copy on file Date: 16 01 15

CERTIFICATION:





Dr Alan McCubbin

all 29 gp practices are member practices of north tyneside...

Documents