Our Team

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The Trafford Local Care Organisation leadership team oversee the work of the organisation and is responsible for the long term development of community based care in the city. They have a wealth of experience of managing services in Trafford and beyond that they bring to TLCO. The team also provide these roles across Manchester Local Care Organisation as part of the joint leadership arrangements across both LCOs. The exception to this is the Director of Adult Social Services role which is linked to the local authority area of Trafford only. The leadership team are supported by a small but dedicated corporate team who lead on our various pieces of work.

You can contact any member of the team via our email address communications@manchesterlco.org

Patricia Davies

Chief Executive
A Community Nurse and HR professional by background, Patricia joins us from Shropshire Community Health and has over 25 years leadership experience in NHS community and integrated system working.

Mark Edwards

Director of Performance and Operations
Mark is responsible for day to day operations across the services TLCO and MLCO provide. Alongside ensuring continuity of services, his portfolio includes ensuring new models of care are implemented to transform and improve care.
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Layla Alani

Director of Nursing and Professional Lead
Layla is the professional lead for Nurses and AHPs within the MLCO and TLCO. She is responsible for the delivery of high quality and safe care ensuring patients and service users have the best possible experience whilst in our care. Layla joined us in April 2024 from Warrington and Halton Teaching Hospitals NHS Foundation Trust where she has worked as the director of governance and deputy chief nurse. Layla is an experienced nurse leader and has worked across medical and surgical specialities within acute and community settings including neurology, neurosurgery, end of life care and trauma & orthopaedics. Layla is a Florence Nightingale scholar with a particular interest in health prevention, research and quality improvement.
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Karim Adab

Medical Director
Karim is a practicing GP in Manchester. As Medical Director, he is responsible for leading the clinical strategy of MLCO and TLCO, aiming to improve population health and wellbeing by turning the strategy into reality. Karim became Medical Director in December 2024.

Richard Spearing

Managing Director
Richard works with colleagues to develop and oversee the delivery of the overall values, strategies, accountabilities and operational plan for TLCO. He is also responsible for the day to day running of adult community health services.

Vicki Hall

Director of Workforce & OD
Vicki joined the LCOs in October 2024, previously Director of HR at St Mary’s Hospital.
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Nicola Marsden

Assistant Director for Children’s Community Health Services
Nicola is responsible for the operational and strategic management of Children’s Community Health Services across TLCO (and MLCO), working to achieve the vision for every child in Trafford to have the best health possible.
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David Pearson

Interim Finance Director
David joined the LCOs in December 2024 as interim Finance Director. He previously worked as Deputy Finance Director with Manchester Royal Infirmary.

Maggie Kufeldt

Interim director for Adults and Wellbeing at Trafford Council
Maggie is a Trafford resident and knows Trafford and GM really well. She has a depth and breadth of Adults Social Care and Partnerships experience (previous DASS in six councils) with a strong track record of delivering change and improvement.