Shabana KHAN

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

Glossary V15

2. To personally ensure the GMC is notified: a of any post I accept, before starting it; b that all relevant people have been notified of my undertakings in accordance with undertaking 14; c 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; d if any of my posts, practising privileges or admitting rights have been suspended or terminated by my employer or contracting body before the agreed date, within seven calendar days of being notified of the termination; e if I apply for a post outside the UK.

Glossary V15

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

Glossary V15

4. a To have a workplace reporter appointed by my responsible officer (or their nominated deputy). b Not to work until: i my responsible officer (or their nominated deputy) has appointed a workplace reporter ii I have personally ensured that the GMC has been notified of the name and contact details of my workplace reporter.

Glossary V15

5. a To design a personal development plan (PDP), with specific aims to address the deficiencies in the following areas of my practice; • Assessment • Clinical Management • Working with colleagues b To get my PDP approved by my responsible officer (or their nominated deputy); c To give the GMC a copy of my approved PDP within three months of the date I agree these undertakings; d To give the GMC a copy of my approved PDP on request; e To meet with my responsible officer (or their nominated deputy), as required, to discuss my achievements against the aims of my PDP.

Glossary V15

6. a To have an educational supervisor appointed by my responsible officer (or their nominated deputy). b Not to work until: i my responsible officer (or their nominated deputy) has appointed my educational supervisor ii I have personally ensured that the GMC has been notified of the name and contact details of my educational supervisor.

Glossary V15

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

Glossary V15

8. To only work in acute medicine at the level of ST4 or below.

Glossary V15

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

Glossary V15

10. a Not to work in any locum post or fixed term contract of less than 3 months duration, unless; b the locum post or fixed term contract is in the same department as my substantive post, and under the same clinical and educational supervision arrangements.

Glossary V15

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 appointed by my responsible officer (or their nominated deputy). b Not to work until: i my responsible officer (or their nominated deputy) has appointed my clinical supervisor and approved my supervision arrangements. ii I have personally ensured that the GMC has been notified of the name and contact details of my clinical supervisor and my approved supervision arrangements.

Glossary V15

12. To personally ensure my performance assessment report dated 12 October 2015 is shared with: 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); d my workplace reporter and educational supervisor and clinical supervisor.

Glossary V15

13. To undertake an assessment of my performance, if requested by the GMC.

Glossary V15

14. To personally ensure the following persons are notified of the undertakings listed at 1 to 15: 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 V15

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

Glossary V15

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 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: • Assessment • Clinical Management • 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 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 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

8. To share my performance assessment report dated 12 October 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 V12

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

Glossary V12

10. To only work in posts in acute medicine at the level of ST4 or below.

Glossary V12

11. 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

12. a Not to work in any locum post or fixed term contract of less than 3 months duration, unless; b the locum post or fixed term contract is in the same department as my substantive post, and under the same clinical and educational supervision arrangements.

Glossary V12

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

Glossary V12

14. 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

15. 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 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.

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.

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

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.

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. • Assessment • Clinical management • 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.

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.

7. 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.

8. To share my performance assessment report dated 12 October 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.

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

10. To work only in a training post.

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.

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

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

14. 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.

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