Dina Ahmed Mohamed Mahmoud FARRAJ

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.

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. •Quality of Clinic Letters •Medical Record Keeping •Completion of Risk Summaries •Adherence to Trust Policies and Guidelines on RIO field completion, Clustering, Diagnostic coding and Risk Assessment completion •Communication with Patients and 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 have a mentor who is approved by my responsible officer (or their nominated deputy).

Glossary V12

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

Glossary V12

9. Not to work as a locum/ in a fixed term contract.

Glossary V12

10. 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

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

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

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 my regional section 12 approval panel (or Scottish equivalent).

Glossary V12

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

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.

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

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.

a To get the approval of the GMC Adviser before accepting any post.

b To keep my professional commitments under review and limit my work if the GMC Adviser tells me to.

c To stop work immediately if the GMC Adviser tells me to and to get the approval of the GMC Adviser before returning to work.

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.

- Quality of Clinic Letters

- Medical Record Keeping

- Completion of Risk Summaries

- Adherence to Trust Policies and Guidelines on RIO field completion, Clustering, Diagnostic coding and Risk Assessment completion

-Communication with Patients and 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.

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.

To have a mentor who is approved by my responsible officer (or their nominated deputy).

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

Not to work as a locum

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

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.

To inform the following persons of the undertakings listed at 1 to 12:

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

g my regional section 12 approval panel (or Scottish equivalent).

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