Nicholas Richard GILLHAM

1. To notify the GMC if I apply for a post outside the UK.

Glossary V16

2. Not to carry out elective shoulder surgery.

Glossary V16

3. To personally ensure the following persons are notified of the undertakings listed at 1 to 4: a my responsible officer (or their nominated deputy) b the responsible officer of the following organisations: i my place(s) of work, and any prospective place of work (at the time of application) ii all my contracting bodies and any prospective contracting body (prior to entering a contract) iii any organisation where I have, or have applied for, practising privileges and/or admitting rights (at the time of application) iv any locum agency or out-of-hours service I am registered with v If any organisation listed at (i – iv) does not have a responsible officer, to notify the person with responsibility for overall clinical governance within that organisation. If I am unable to identify the correct person, to contact the GMC for advice before working for that organisation. c my immediate line manager and senior clinician (where there is one) at my place of work, at least 24 hours before starting work (for current and new posts, including locum posts).

Glossary V16

4. To allow the GMC to disclose the above undertakings to any person requesting information about my registration status.

Glossary V16

1. To notify the GMC within seven calendar days of signing these undertakings: a of the details of my current post, including my job title, job location and responsible officer (or their nominated deputy) information b of the contact details for my employer and/or contracting body, including my direct line manager c of any organisation where I have practising privileges and/or admitting rights d of any training programmes I am in e of the contact details of any locum agency I am registered with

Glossary V12

2. To notify the GMC: a. of any post I accept, before starting it b. if any formal disciplinary proceedings against me are started by my employer and/or contracting body, within seven calendar days of being formally notified of such proceedings c. if I apply for a post outside the UK.

Glossary V12

3. To allow the GMC to exchange information with any person involved in monitoring my compliance with my undertakings.

Glossary V12

4.a. To have a workplace reporter approved by my responsible officer (or their nominated deputy) and to inform the GMC of these arrangements. b. Not to start/restart work until my responsible officer (or their nominated deputy) has approved my workplace reporter and this approval has been forwarded to the GMC.

Glossary V12

5.a. To design a personal development plan (PDP), approved by my responsible officer (or their nominated deputy), with specific aims to address the deficiencies in the following areas of my practice. Operative/Technical Skills Record Keeping Relationships with Patients Working with Colleagues b. To give the GMC a copy of my approved PDP within three months of the date I agree these undertakings. c. To give the GMC a copy of my approved PDP on request. d. To meet with my responsible officer (or their nominated deputy), as required, to discuss my achievements against the aims of my PDP.

Glossary V12

6.a. To have an educational supervisor approved by my responsible officer (or their nominated deputy) and to inform the GMC of these arrangements. b. Not to start/restart work until my responsible officer (or their nominated deputy) has approved my educational supervisor and this approval has been forwarded to the GMC.

Glossary V12

7. To get the approval of the GMC before starting work in a non-NHS post or setting.

Glossary V12

8. To get the approval of my responsible officer (or their nominated deputy), and to inform the GMC of the approved arrangements before working: a. as a locum/in a fixed term contract b. out-of-hours c. on-call.

Glossary V12

9. Not to work in any locum post or fixed term contract of less than 12 weeks duration.

Glossary V12

10.a Not to carry out shoulder surgery unless directly supervised by a clinical supervisor. My clinical supervisor must be approved by my responsible officer (or their nominated deputy) and I must inform the GMC of these arrangements. b. Not to carry out shoulder surgery until these arrangements have been approved and the GMC has been informed of these arrangements. c. To maintain a log detailing all shoulder surgery, which must be signed by the clinical supervisor. d. To give the GMC a copy of this log on request.

Glossary V12

11.a. To be supervised in all my posts by a clinical supervisor, as defined in the Glossary for undertakings and conditions. My clinical supervisor must be approved by my responsible officer (or their nominated deputy) and I must inform the GMC of these arrangements. b. Not to start/restart work until my responsible officer (or their nominated deputy) has approved my clinical supervisor and this approval has been forwarded to the GMC.

Glossary V12

12. To undertake an assessment of my performance, on a date given by the GMC, unless notified by the GMC that this assessment is not necessary.

Glossary V12

13. To inform the following persons of the undertakings listed at (1) to (14): a. my employer and/or contracting body b. my responsible officer (or their nominated deputy) c. my immediate line manager at my place of work, at least 24 hours before starting work (for current and new posts, including locum posts) d. any prospective employer and/or contracting body, at the time of application e. the responsible officer of any organisation where I have, or have applied for, practising privileges and/or admitting rights, at the time of application f. any locum agency or out-of-hours service I am registered with.

Glossary V12

14. To allow the GMC to disclose the above undertakings to any person requesting information about my registration status.

Glossary V12