Nusrat Jamal SIDDIQI

1. He must personally ensure that the GMC is notified of the following information within seven calendar days of the date these conditions become effective: a of the details of his current post, including: i his job title ii his job location iii his responsible officer (or their nominated deputy) b the contact details for his employer and any contracting body, including his direct line manager c of any organisation where he has practising privileges and/or admitting rights d of any training programmes he is in e the contact details of any locum agency or out-of-hours service he is registered with.

Glossary V15

2. He must personally ensure the GMC is notified: a of any post he accepts, before starting it b that all relevant people have been notified of his conditions, in accordance with condition 6 c if any formal disciplinary proceedings against him are started by his employer and/or contracting body, within seven calendar days of being formally notified of such proceedings d if any of his posts, practising privileges or admitting rights have been suspended or terminated by his employer before the agreed date within seven calendar days of being notified of the termination e if he applies for a post outside the UK.

Glossary V15

3. He must allow the GMC to exchange information with his employer and/or any contracting body for which he provides medical services.

Glossary V15

4. a. In respect of head or neck cancer work: i He must only undertake head or neck cancer work as sanctioned by his Responsible Officer. ii Any surgical procedures must be pre-approved and signed off in writing after consideration by a relevant Multi-Disciplinary Team. iii The sign off in writing must be provided by another senior member, at Consultant level who is a registered medical practitioner, of the Multi-Disciplinary Team. b He must keep a log enclosing a copy of the Multi-Disciplinary Team sign off for every case where he has undertaken head or neck cancer work to be signed by his Responsible Officer or his clinical supervisor. c He must give a copy of this log enclosing a copy of the Multi-Disciplinary Team sign off to the IOT at his next review hearing.

Glossary V15

5. a He must be supervised in all of his head or neck cancer work by a clinical supervisor, as defined in the Glossary for undertakings and conditions. His clinical supervisor must be appointed by his responsible officer (or their nominated deputy). b He must not commence head and neck cancer work until: i his responsible officer (or their nominated deputy) has appointed his clinical supervisor and approved his supervision arrangements ii he has personally ensured that the GMC has been notified of these arrangements. c He must provide a report from his clinical supervisor in advance of or at his next review hearing.

Glossary V15

6. He must personally ensure that the following persons are notified of the conditions listed at 1 to 5: a his responsible officer (or their nominated deputy) b the responsible officer of the following organisations i his place(s) of work and any prospective place of work (at the time of application) ii all his contracting bodies and any prospective contracting body (prior to entering a contract) iii any organisation where he has, or has applied for, practising privileges and/or admitting rights (at the time of application) iv any locum agency or out-of-hours service he is registered with v if any organisation listed at (i to iv) does not have a responsible officer, he must notify the person with responsibility for overall clinical governance within the organisation. If he is unable to identify this person, he must contact the GMC for advice before working for that organisation. c his immediate line manager and senior clinician (where there is one) at his place of work, at least 24 hours before starting work (for current and new posts, including locum posts).

Glossary V15