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Our Executive Management Team 

Liz Rugg - Chief Executive   

Liz RuggLiz has worked in a variety of clinical and managerial roles within Medvivo. She began her career as a Physiotherapist and joined Access to Care in 2008. Initially employed as an Access to Care Clinician, Liz dealt with referrals from health care professionals. Liz soon progressed to Clinical Lead with responsibility for the SPA team, including the GP Out of Hours service. She led on the implementation of the Pathways computer system, and was key in transforming the out of hours service following the introduction of the 111 service.

Liz was promoted to Associate Director in 2013 and subsequently to Director of Urgent & Intermediate Care in 2015. Her responsibilities include service design and development, workforce and capacity planning, performance management and governance. Working closely with Commissioners, Liz developed Medvivo’s unique Urgent Care @ Home scheme and has since expanded this to include palliative patients. The values of the NHS Constitution are always at the forefront of her service development plans and designs.

The passion and commitment Liz has for this business means she was the ideal choice to take over as Managing Director in February 2018. Liz took up the combined role of Chief Executive in March 2020.

Michelle Reader - Chief Operating Officer

Michelle ReaderMichelle has worked in a variety of clinical and managerial roles within a number of healthcare settings. She began her career as a registered mental health nurse and qualified as an Ambulance Paramedic in 1995.

Michelle came to work in Wiltshire in 2007 when she led on the development, facilitation, co-ordination and performance management of the Bath, Swindon and Wiltshire Urgent Care Network and its work programme across health and social care. Accountable to the Executive Commissioning Leads, she worked with many organisations to transcend traditional boundaries, helping to identify commissioning priorities for urgent care development.

Michelle is committed to improving patient care and is a Specialist Advisor for the Care Quality Commission. She is responsible for developing frameworks, processes and systems to ensure that Medvivo continues to provide person-centred effective, safe and equitable services of the highest quality. Michelle expertly led the mobilisation of the new BaNES, Swindon and Wiltshire Integrated Urgent Care Service.

Dr Sue Lavelle - Medical Director

Dr Sue LavelleSue previously worked as a partner for five years at Merchiston Surgery, Swindon, and then worked as a locum GP in other Swindon practices before she moved to Jubilee Field Surgery in 2008, where she worked for 10 years as a salaried GP.

In 2008 we welcomed Sue to Medvivo as a sessional GP where she soon took on additional responsibilities, such as becoming a Clinical Supervisor for GP registrars.

In May 2018, Medvivo began to deliver the Integrated Urgent Care contract for Wiltshire, Swindon and Bath and North East Somerset and Sue soon became a key member of the Senior GP Clinical Navigator Team and a year later, she became the GP Clinical Lead for Swindon and six months later joined the Medvivo Executive Team as Medical Director.

Simon Lucas - Chief Information Officer

Simon LucasSimon is the Director of IM&T for the Medvivo Group and initially joined Wiltshire Medical Services in January 2012. Simon’s career in IM&T began within the private sector, deploying and supporting systems used within national distribution centres throughout the UK. Simon then joined the NHS in 1998 as a Desktop Support Technician and over 14 years progressed to Head of IT Operations. During the 14 years spent within healthcare information technology Simon has accumulated a wealth of strategic and operational system knowledge which has shaped current IM&T service delivery.

Simon is responsible for the seamless delivery of IM&T throughout the Medvivo Group which includes all infrastructure components, telephony solutions, operational systems implementation and support, integration and system interoperability, informatics and reporting. Ensuring operational and back-office systems are designed and supported to support rapidly expanding service delivery.

As well as the technical element described above, Simon is an accredited ISO 27001 Lead Implementer and responsible for Information Governance and Data Protection throughout the Medvivo Group.

Geno Johnson - Finance Director 

Geno JohnsonGeno joined Medvivo as Finance Director in July 2023 and has over 18 years of finance and accounting management experience across a broad range of sectors including the NHS and private healthcare.

After graduating from Coventry University, he joined the NHS finance graduate scheme in 2005 and became a chartered management accountant (CIMA) in 2008.

His expertise lies in financial planning, budget management, continuous improvement and strategic decision making, ensuring the delivery of high quality patient care while maintaining fiscal responsibility.

Geno has joined Medvivo from Circle Health Group where he provided financial leadership and support to several hospitals. Outside of work Geno enjoys cycling, motorbiking and volunteers in the local community. 



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