Kiran PATWARDHAN

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

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2. Not to work: a in a paediatric intensive care unit b in any role that includes providing paediatric intensive care

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3. To inform the following persons of the undertakings listed at (1) to (4): 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

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

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1. To notify the GMC within seven calendar days of signing these undertakings:

a. of the details of his current post, including his job title, job location and responsible officer (or their nominated deputy) information;

b. of the contact details for his employer and/or contracting body, including his direct line manager;

c. of any organisations where he has practising privileges and/or admitting rights;

d. of any training programmes he is in;

e. of the contact details of any locum agency he is registered with.

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2. To notify the GMC;

a. of any post he accepts, before starting it;

b. 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;

c. if he applies for a post outside the UK.

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

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4.a. To have a workplace reporter approved by his responsible officer (or their nominated deputy) and to inform the GMC of these arrangements;

b. Not to start / restart work until his responsible officer (or their nominated deputy) has approved his workplace reporter and this approval has been forwarded to the GMC.

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5. To only work in National Health Service posts in Paediatrics or Paediatric Intensive Care (PIC).

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6.a. To be closely supervised in PIC work by a clinical supervisor, as defined in the Glossary of undertakings and conditions. His clinical supervisor must be approved by his responsible officer (or their nominated deputy) and he must inform the GMC of these arrangements;

b. Not to start/ restart work in PIC until his responsible officer (or their nominated deputy) has approved his clinical supervisor and this approval has been forwarded to the GMC.

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7. Not to work in any locum posts in or undertake any out of hours works in PIC.

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8. To have a PIC mentor who is approved by his responsible officer (or their nominated deputy) for any work undertaken in PIC.

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9. To inform the following persons of the undertakings listed at 1 to 8:

a. his employer and/or contracting body;

b. his responsible officer (or their nominated deputy);

c. his immediate line manager at his place of work, at least 24 hours before starting work (for current posts 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 he has, or has applied for, practising privileges and/or admitting rights, at the time of application;

f. any locum agency or out-of-hours service he is registered with.

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

Glossary V12