Munawar AHMED

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 V13

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 V13

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

Glossary V13

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 V13

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. • Clinical Management • Operative and Technical Skills • Relationships with Patients • Working with Colleagues • Maintaining Professional Performance • Record Keeping 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 V13

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 V13

7. To only work in posts equivalent to CT1 level.

Glossary V13

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

Glossary V13

9. 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

Glossary V13

10. Not to work in any locum post or fixed term contract of less than 3 months' duration.

Glossary V13

11. Not to work: a out of hours b on call.

Glossary V13

12. a To be directly 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 V13

13. To share my performance assessment report 6 February 2015 with: 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 one working day 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 my workplace reporter and educational supervisor and clinical supervisor

Glossary V13

14. 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 V13

15. To inform the following persons of the undertakings listed at (1) to (16): 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 V13

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

Glossary V13

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

To only work in a National Health Service post at CT1 level, where his work will be closely supervised by a named consultant.

Glossary V12

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

Glossary V12

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

8. Not to work in any locum post or fixed term contract of less than 3 months duration.

Glossary V12

9. a To be closely 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

10. To share my performance assessment report 6 February 2015 with: 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 one working day 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 my workplace reporter and clinical supervisor

Glossary V12

11. 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

12. To inform the following persons of the undertakings listed at (1) to (13): 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

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

Glossary V12

1. To notify the GMC promptly of any post he accepts for which registration with the GMC is required and provide the GMC with the contact details of his employer.

Glossary V11

2. At any time that he is providing medical services, which require him to be registered with the GMC, to agree to the appointment of a workplace reporter nominated by his employer, or contracting body, and approved by the GMC.

Glossary V11

3. To allow the GMC to exchange information with his employer, or any contracting body for which he provides medical services.

Glossary V11

4. To inform the GMC of any formal disciplinary proceedings taken against him, from the date of giving these undertakings.

Glossary V11

5. To inform the GMC if he applies for medical employment outside the UK.

Glossary V11

6. To work with his responsible officer (or their nominated deputy), to formulate a Personal Development Plan, specifically designed to address the deficiencies in the following areas of his practice:

a.assessment

b. clinical management

c. relationships with patients

d. working with colleagues

e. maintaining professional performance

f. record keeping.

Glossary V11

7. To forward a copy of his Personal Development Plan to the GMC within three months of the date on which he gives these undertakings.

Glossary V11

8. To meet with his responsible officer (or their nominated deputy), on a regular basis to discuss his progress towards achieving the aims set out in his Personal Development Plan. The frequency of the meetings is to be set by his responsible officer (or their nominated deputy).

Glossary V11

9. To allow the GMC to exchange information about the standard of his professional performance and his progress towards achieving the aims set out in his Personal Development Plan with his responsible officer, (or their nominated deputy), and any other person involved in his retraining and supervision.

Glossary V11

10. At any time that he is employed, or providing medical services, which require him to be registered with the GMC, to place himself and remain under the supervision of an educational supervisor, as agreed by the GMC. His employer/responsible officer (or their nominated deputy) will be asked to assist in identifying a possible supervisor.

Glossary V11

11. To disclose the Assessors’ Report of the assessment of his professional performance to:

a. Any current and prospective employers, (at the time of application)

b. Any othe individual involved in his retraining and supervision.

Glossary V11

12. To agree to undertake an assessment of his performance, at a date specified by the GMC, unless notified by the GMC that this assessment is not necessary.

Glossary V11

13. To obtain the approval of the GMC before accepting any post for which registration with the GMC is required.

Glossary V11

14. To confine his medical practice to posts within the National Health Service and not undertake any private practice.

Glossary V11

15. To confine his medical practice to National Health Service posts at CT1 level, where his work will be directly supervised by a named Consultant.

Glossary V11

16. To agree to the direct supervision of his day to day work by a registered medical practitioner of consultant grade or equivalent (see Glossary for full definition).

Glossary V11

17. Not to undertake any locum posts of less than 3 months duration.

Glossary V11

18. To inform the following parties that his registration is subject to the undertakings listed at (1 ) to (17 ), above:

a. Any organisation or person employing or contracting with him to undertake medical work

b. Any locum agency or out-of-hours service he is registered with or applies to be registered with (at the time of application)

c. In the case of locum appointments, his immediate line manager at his place of work (at least 24 hours before starting work)

d. Any prospective employer or contracting body (at the time of application)

Glossary V11

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

Glossary V11