CLINICAL ACADEMIC STAFF ADDITIONAL INFORMATION This section is for completion by Clinical Academic Teaching or Research Staff only. The information requested here is required by the Higher Education Statistics Agency (HESA), which collects data from all universities regarding their staff. Staff are only known to HESA by a code number allocated by their first University employer. We are obliged under the Data Protection Act to maintain HR records as accurately as possible. We can only do this with your co-operation. Please therefore ensure that you notify us of any changes to the information you provide on this form. Thank you for your co-operation. Human Resources Name Regulatory Body Reason required by HESA: To identify the appropriate regulatory body for staff currently registered to practice in medical, health and social care professions. Please tick up to two codes in the table below which identify the regulatory bodies with which you are registered: General Medical Council (GMC) □ 01 General Dental Council (GDC) □ 02 General Optic Council (GOC) □ 03 The Nursing and Midwifery Council (NMC) □ 06 Health Professions Council (HPC) □ 07 General Osteopathic Council (GOsC) □ 12 General Chiropractic Council (GCC) □ 13 Royal College of Veterinary Surgeons (RCVS) □ 14 General Pharmaceutical Council (GPhC) □ 15 Healthcare Professional Specialty Reason required by HESA: To monitor the number of staff working in higher education institutions (HEIs) with particular clinical specialties. Please tick up to three codes in the table below which identify your healthcare professional specialty: Anaesthetics □ 01 Obstetrics & Gynaecology □ 02 Ophthalmology □ 03 Paediatrics & Child health □ 04 Pathology □ 05 Psychiatry □ 06 Radiology Surgery Physicians/Medicine Public health medicine Occupational medicine Dentistry General practice Infection/Microbiology Oncology Medical education Emergency medicine Others in medicine or dentistry Nursing Midwifery Health visiting Physiotherapy Radiography Occupational therapy Podiatry Speech & language therapy Art therapy Paramedic Orthoptics Prosthetics & orthotics Dietetics Healthcare scientists Pharmacy Clinical psychology Others □ 07 □ 08 □ 09 □ 10 □ 11 □ 12 □ 13 □ 15 □ 16 □ 17 □ 18 □ 21 □ 31 □ 32 □ 33 □ 34 □ 35 □ 36 □ 37 □ 38 □ 39 □ 40 □ 41 □ 42 □ 43 □ 44 □ 45 □ 46 □ 51 Clinical Sub-Specialty Reason required by HESA: To monitor the number of staff working in higher education institutions (HEIs) with particular clinical sub-specialties. Please tick up to three codes in the table below which identify your clinical subspecialty: Anaesthetics □ 101 Intensive care medicine □ 102 Pain management □ 103 Gynaecological oncology □ 201 Obstetrics & Gynaecology □ 202 Maternal & Fetal medicine □ 203 Reproductive medicine □ 204 Sexual & Reproductive health □ 205 Urogynaecology □ 206 Ophthalmology □ 301 Medical ophthalmology □ 302 Ophthalmic surgery Paediatrics Paediatric neurology Paediatric cardiology Neonatology Blood transfusion medicine Chemical pathology (including Clinical biochemistry) Clinical cytogenetics & Molecular genetics (Radiotherapy) Cytopathology Forensic pathology General pathology Laboratory haematology Histopathology (including Morbid anatomy) Immunopathology Neuropathology Paediatric pathology Child and adolescent psychiatry Forensic psychiatry General (Adult) psychiatry Old age psychiatry Psychiatry of eating disorders Psychiatry of learning disability Psychotherapy Clinical radiology (including Diagnostic radiology) Nuclear medicine Breast surgery Cardio-thoracic surgery (including Thoracic surgery) Colorectal surgery General surgery Gastrointestinal surgery Neurosurgery Oral & Maxillofacial surgery (where employed by the medical school) Otolaryngology (including ENT surgery) Paediatric surgery Plastic surgery Transplantation surgery Trauma & Orthopaedic surgery Urology Vascular surgery Acute medicine Allergy Audiological medicine Cardiology Clinical genetics Clinical haematology Clinical immunology □ 303 □ 401 □ 402 □ 403 □ 404 □ 501 □ 502 □ 503 □ 504 □ 505 □ 506 □ 507 □ 508 □ 509 □ 510 □ 511 □ 601 □ 602 □ 603 □ 604 □ 605 □ 606 □ 607 □ 701 □ 702 □ 801 □ 802 □ 803 □ 804 □ 805 □ 806 □ 807 □ 808 □ 809 □ 810 □ 811 □ 812 □ 813 □ 814 □ 901 □ 902 □ 903 □ 904 □ 905 □ 906 □ 907 Clinical neurophysiology Clinical pharmacology & Therapeutics Dermatology Endocrinology & Diabetes mellitus Gastroenterology (including Hepatology) General (Internal) medicine Genito-urinary medicine Geriatric medicine Neurology Palliative medicine Rehabilitation medicine Renal & Transplantation medicine (to include Nephrology) Respiratory medicine Rheumatology Sports & Exercise medicine Stroke medicine Toxicology Public health medicine (including Community medicine) Occupational medicine Endodontics Dental general practice Dental public health Oral medicine Oral surgery Orthodontics Paediatric dentistry Periodontics Prosthodontics Restorative dentistry Surgical dentistry Special care dentistry Oral & Maxillofacial surgery (where employed by the Dental school) Oral microbiology Oral pathology, Oral & Maxillofacial pathology Oral radiology, Dental & Maxillofacial radiology General practice Infectious diseases (Communicable diseases) Medical microbiology & Virology Tropical medicine Clinical oncology (including Radiotherapy) Medical oncology Medical education Surgical education Accident & Emergency medicine □ 908 □ 909 □ 910 □ 911 □ 912 □ 913 □ 914 □ 915 □ 916 □ 917 □ 918 □ 919 □ 920 □ 921 □ 922 □ 923 □ 924 □ 1001 □ 1101 □ 1201 □ 1202 □ 1203 □ 1204 □ 1205 □ 1206 □ 1207 □ 1208 □ 1209 □ 1210 □ 1211 □ 1212 □ 1213 □ 1214 □ 1215 □ 1216 □ 1301 □ 1501 □ 1502 □ 1503 □ 1601 □ 1602 □ 1701 □ 1702 □ 1801