LONDON SCHOOL OF HYGIENE & TROPICAL MEDICINE DEPARTMENT OF INFECTIOUS AND TROPICAL DISEASES University College London Hospitals NHS Foundation Trust Hospital for Tropical Diseases, Division of Infection Senior Clinical Appointment in Infectious Diseases & Tropical Medicine/Consultant Physician in Tropical Medicine Applications are invited for a Senior Clinical Academic/Consultant Physician in Tropical Medicine to work 80% of their time in the Department of Infectious and Tropical Diseases at the London School of Hygiene & Tropical Medicine (LSHTM) and two programmed activities at the Hospital for Tropical Diseases (part of the University College London Hospitals Trust). Part of the University of London, the LSHTM is the largest institution of its kind in Europe with a remarkable depth and breadth of expertise encompassing many disciplines. The School was ranked one of the top 3 research institutions in the country in the Times Higher Education’s 'table of excellence', which is based on the 2008 Research Assessment Exercise (RAE), ahead of the London School of Economics, Oxford, Imperial and University College, London. The institution also achieved the largest increase in ranking compared with 2001 of any of the top 10 institutions in the RAE rankings. The School was awarded the 2009 annual Gates Award for Global Health, both the first academic institution to win the award and the first British winner. The successful candidate will have a certificate of completion of specialist training in infectious diseases and preferably also tropical medicine; substantial experience of clinical medicine in resource-limited settings; a proven track record of successful research in the fields of tropical medicine or public health and proven experience of teaching at postgraduate level. The post provides an opportunity to be involved in the exciting development and growth in research activities within the Department, to maintain an active clinical profile at the Hospital for Tropical Diseases, and to take a major role in the teaching programme at the School, with particular responsibility for directing the Diploma of Tropical Medicine and Hygiene course. Starting salary will be on the Clinical Senior Lecturer/Reader scale, commensurate with experience and type of consultant contract held. Potential candidates are encouraged to contact the Head of Department, Infectious and Tropical Diseases, Professor Simon Croft (e-mail: simon.croft@lshtm.ac.uk Telephone: +44 20 7927 2637 or the Head of the Clinical Research Unit, Dr. Alison Grant (e-mail: Alison.grant@lshtm.ac.uk Telephone +44 20 7927 2304 or 2256). Applications should be made via our website http://jobs.lshtm.ac.uk. The reference for this post is AG01. Only applications in the format outlined in the further particulars will be considered. Closing date for applications is 7 August 2009. Any queries regarding the application process may be addressed to jobs@lshtm.ac.uk quoting the reference number. “The London School of Hygiene & Tropical Medicine is committed to being an equal opportunities employer.” LONDON SCHOOL OF HYGIENE & TROPICAL MEDICINE DEPARTMENT OF INFECTIOUS AND TROPICAL DISEASES UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST HOSPITAL FOR TROPICAL DISEASES, DIVISION OF INFECTION SENIOR CLINICAL APPOINTMENT IN INFECTIOUS DISEASES & TROPICAL MEDICINE/ CONSULTANT PHYSICIAN IN TROPICAL MEDICINE Units: Clinical Research Unit (CRU) Hospital for Tropical Diseases (HTD) Responsible to: CRU Unit Head (Dr Alison Grant) Clinical Director, Division of Infection, UCLH (Dr Vanya Gant) FURTHER PARTICULARS 1. The London School of Hygiene & Tropical Medicine The London School of Hygiene & Tropical Medicine has an internationally excellent reputation in public health and tropical medicine, is a leading postgraduate medical institution in Europe and is Britain's national school of public health. It was ranked in the top three UK research institutions in the 2008 Research Assessment Exercise. A special strength of the School's research is its multi-disciplinary nature: leading researchers have backgrounds in public health medicine, epidemiology, clinical medicine, infectious diseases, chemotherapy, biochemistry, immunology, genetics, molecular biology, entomology, statistics, demography, health economics, public health engineering, medical anthropology, health promotion, environmental health management, and health policy. 2. Department of Infectious and Tropical Diseases (Head: Professor Simon Croft) The Department encompasses all the laboratory-based research in the School as well as that on the clinical and epidemiological aspects of infectious and tropical diseases. The range of disciplines represented in the department is very broad and inter-disciplinary research is a feature of much of the activity. The spectrum of diseases studied is wide, including major groups with a focus on malaria, tuberculosis, HIV/AIDS and other sexually transmitted diseases, eye disease, vaccine development and evaluation, and vector biology and control. The Department is organised into four research units: Immunology, Pathogen Molecular Biology and Biochemistry, Disease Control and Vector Biology and Clinical Research. There is close interaction between scientists in different research teams. The Department has strong overseas links which provide a basis for field studies and international collaborations in developed and developing countries. The Department provides a stimulating environment for research and postgraduate teaching at the Masters and doctoral level. The School offers 22 one year full-time taught courses leading to the Master of Science (MSc) degree of the University of London and the Diploma of the London School of Hygiene and Tropical Medicine (DLSHTM). The Department of Infectious and Tropical Diseases runs or contributes substantially to ten of these courses. In addition, the Department is responsible for the three-month Diploma in Tropical Medicine and Hygiene (DTM&H) and offers a range of specialist short courses lasting usually one or two weeks. Four MSc courses are offered by Distance-based Learning, including one on Infectious Diseases. Two doctoral training programmes are available: MPhil/PhD degrees are designed for those who wish to go on to a full time research career, while the DrPH is designed for those who expect their careers to be more in the practice of public health. 3. Clinical Research Unit (Head: Dr. Alison Grant) The Unit has broad research interests including mycobacterial infections (tuberculosis and leprosy), sexually transmitted diseases, HIV/AIDS, malaria, prevention of blindness, acute respiratory infections, clinical parasitology and travel medicine. Several members of the Unit practise clinical medicine at the Hospital for Tropical Diseases (part of the University College London Hospitals NHS Trust), but the research is multidisciplinary, extending from basic laboratory science (immunology and molecular biology) through clinical medicine to epidemiology and public health, and there is extensive collaboration with other units in the School, in the UK and overseas. Members of the Unit conduct research in a number of countries in Africa and Asia including Zambia, Zimbabwe, Uganda, The Gambia, Kenya, Tanzania, South Africa, India, Nepal and China. The Wellcome Trust Bloomsbury Centre for Clinical Tropical Medicine is based in the Unit, and provides a valuable source of training fellowships for clinicians seeking research training in Tropical Medicine and Infectious Diseases. The Unit is also the base for the Wellcome Trust Clinical PhD programme which awards three PhD fellowships per year in Clinical Tropical Medicine. 4. University College London Hospitals NHS Foundation Trust UCLH is one of the largest and most complex public sector organisations in the UK. It has played a leading role in the reform of the NHS, by becoming one of the first NHS Foundation Trusts as of 1 st July 2004. The Trust has recently completed the first phase of the most ambitious £422m PFI project in the NHS and is leading in research and development role in biomedicine, jointly with University College London. UCLH is also a founding member of UCL Partners, one of five newly formed UK Academic Health Science Centres, which includes LSHTM as an associate member. Infectious Diseases is one of seven research themes at UCLP and the successful post holder would be expected to contribute to the development of this theme. HTD is managerially within the Division of Infection (Clinical Director: Dr Vanya Gant) which is part of the Medicine Board (Medical Director: Dr Paul Glynne). Appraisal and job planning will be jointly conducted by LSHTM and UCLH line managers and will form the basis for detailed discussions of contributions to service and personal professional development. The successful candidate will demonstrate evidence of commitment to delivering a high quality clinical service with patient safety at the heart of this. The Trust is a group of central London hospitals, which include: The Eastman Dental Hospital The Elizabeth Garrett Anderson and Obstetric Hospital [EGA] The Heart Hospital The Hospital for Tropical Diseases [HTD] The National Hospital for Neurology & Neurosurgery [NHNN] The Royal London Homeopathic Hospital University College Hospital [UCH] At UCLH we have around 1000 beds. The new University College Hospital and The Elizabeth Garrett Anderson and Obstetrics Hospital, and the Rosenheim Wing have approximately 700 beds; The Heart Hospital has 88 and the National Hospital for Neurology & Neurosurgery has 207. The _ Trust is closely associated with University College London (UCL), London’s Global, multi-faculty university. The Royal Free & University College Medical School (RFUCMS), which is one of the highest rated medical schools in the country, forms the largest element of the UCL Faculty of Biomedical Sciences (FBS), which was formed on 1st August 2006. FBS comprises the former Faculty of Clinical Sciences, four postgraduate Institutes (Ophthalmology, Neurology, Child Health, Eastman Dental) and the Wolfson Institute for Biomedical Research. This structural change further enhances the exceptionally strong base of research and teaching in Biomedicine at UCL. The clinical activity of FBS is delivered by 14 Divisions and Institutes: Division of Medicine, Cancer Institute, Division of Surgical and Interventional Sciences, Division of Population Health, Division of Infection and Immunity, Institute for Women’s Health, Ear Institute, Division of Medical Education, Division of Research Strategy and the five Institutes listed above. The Divisions/Institutes are situated on three main sites - the Bloomsbury Campus, the Royal Free Campus, and the Whittington Campus - and operate mainly in conjunction with four central London National Health Service Trusts and primary health care practices. There are also strong academic links with NHS Trusts in Greater London and the South East. RFUCMS in its present form was created in 1998 by the merger of two major institutions - UCL Medical School and the Royal Free Hospital School of Medicine. It comprises the Faculty of Biomedical Sciences and that part of the Faculty of Life Sciences which provides the basic science teaching for the medical undergraduates. It also offers a wide range of graduate programmes and houses many interdisciplinary research teams. The Medical School has consistently received one of the highest ratings in the UK in the HEFCE research assessments undertaken during the last twelve years. Professor Edward Byrne is Dean of the Faculty of Biomedical Sciences and Vice-Provost Health and Professor Ian Jacobs is Dean for Health Services Research, UCL and Partners. Professor Raymond MacAllister is Vice Dean for Research, Professor Jane Dacre is Vice-Dean for Medical Education and Professor Irwin Nazareth is Vice Dean for Population Health, Professor Humphrey Hodgson is Vice-Dean RFUCMS and Campus Director of the Royal Free Campus and Professor David Patterson is the Whittington Campus Vice-Dean RFUCMS and Campus Director. The Trust has an arrangement with the Medical School to provide clinical teaching for the MBBS undergraduate programme, for which purpose it receives NHS funds from the Workforce Development Confederation. The Trust is recognised by the University of London for this purpose. The successful candidate for this Consultant post will be eligible to become an Honorary Senior Lecturer of UCL on the understanding that he/she will participate in undergraduate teaching, including acting as an examiner, and support and facilitate research activities in the Division of Infection. S/he will take direction in these activities, via the academic lead, from the Divisional Director. The agreement to define the Honorary Senior Lecturer's responsibilities and associated programmed activities in relation to teaching time and research will be negotiated jointly between the post holder, the Medical School (via the Division/Institute Director and/or the Vice-Dean/Campus Director) and the NHS Trust. It will form part of the successful candidate’s job plan. The award of the Honorary Senior Lecturer contract will be dependent upon a request being submitted by the Division/Institute to Medical School Administration. The services we provide UCLH provides high quality accident and emergency, general medical and general surgical services to the people who live, work and visit north central London. In addition, the hospital group is home to many specialist services, which attract patients from all over the UK. Some of the key services are: Cancer services Cardiac services Infectious diseases Neurosciences Oral health Women’s health. Our Staff The Foundation Trust has a combined staff of 6,000. Roughly 17% are doctors and dentists, 32% nurses or midwives and 51% are allied healthcare professionals, scientific and technical staff, managers, administrators and support staff; other key services such as catering, portering and domestic services are provided by our external partner, Interserve. Our Patients Every year we treat close to 60,000 patients in hospital, either as inpatients or day cases. We also see nearly 500,000 outpatients per year. The majority of our patients are from our closest health authority areas: Camden, Islington, Kensington, Chelsea, Westminster and Haringey and the north Thames area in general. New Hospital The Trust’s new 16-storey, state-of the-art hospital was named University College Hospital by the Secretary of State for Health in 2004, and opened to provide health care service in June 2005. A new purpose-built "Elizabeth Garrett Anderson (EGA) Wing" to house Women Services officially opened in 2009. Investment in new medical equipment such as IT systems to provide records, test results and X-rays electronically has been made. A new high-tech pathology building close to the new hospital on Hampstead Road is to be built. This investment represents the most significant programme of improvements ever seen in the NHS at a single site. The Trust will be able to treat patients in a state of-the-art hospital environment of which we can be proud. This includes embracing modern technology and techniques to ensure that the Trust continues to fulfill its part in meeting the health needs of both local residents and those from further a field requiring specialist care. Further information about the Trust, its strategic direction and hospitals can be found on the UCLH Website @ www.uclh.nhs.uk Please see Annex for general information relating to terms and conditions of service at UCLH. 5. Hospital for Tropical Diseases HTD moved from St Pancras Hospital to UCLH in 1999 and on to the 8 th floor of the new UCH tower in June 2005. The ward is shared with a separate team looking after HIV patients and has 43 beds with 16 negative pressure rooms. The inpatient service consists of two firms each with a consultant, three registrars, one core medical trainee and one foundation trainee. Each firm admits around 600 patients per year, half of which are returning travellers and migrants and half are patients with community acquired infections and general medical problems. There are a dozen consultants who spend one month on service at a time when they provide daily leadership of the team, supervise the registrar-led telephone advice line and are on call for specialist tropical advice on alternate 24 hour periods. Consultants on service are expected to attend daily including at weekends and are paid category A on call supplement at medium frequency level. HTD also has a walk-in tropical service on the 2nd floor of the Mortimer Market Centre nearby which sees around 2000 patients a year, a dozen specialist outpatient clinics with over 3000 patients, many referred from out of London, and a NHS travel clinic which is run on semi-commercial basis with 5000+ attendances per year. Consultants supervise the trainee-led walk-in clinic during their month on service. There is no commitment to the travel clinic other than to provide emergency cover. 6. Responsibilities of the post Research Activities The post holder will be expected to have an active research programme, preferably based overseas, for which s/he obtains external funding. This should be in the field of Tropical Medicine/Infectious Diseases and consistent with the research interests of the Department. Laboratory space will be made available at the School if required. The post holder will be expected to play an active part in running the Bloomsbury Wellcome Trust Centre for Clinical Tropical Medicine, and to encourage and supervise junior colleagues wishing to gain research experience. Teaching Duties The post holder will direct the DTM&H course and contribute to the MSc Tropical Medicine & International Health and other elements of the LSHTM teaching programme as requested, including supervising research degree students. There will also be some commitment to undergraduate teaching at UCLH whilst on clinical service. If not already demonstrated, the successful applicant will need to acquire the basic level of competency required by the London Deanery to provide clinical supervision of postgraduate doctors in training. Clinical Duties The post holder will provide on average two months on clinical service per year and have the option of establishing a weekly outpatient clinic. Each consultant is expected to take on an aspect of service management appropriate to their expertise and level of involvement with the hospital. S/he will be expected to attend weekly audit meetings and teaching rounds at the HTD when in the country. A provisional job plan based on 2 Programmed Activities (including DCCs & SPAs) of clinical duties has been agreed. Details of clinical duties are included in the Annex. 7. Essential skills and qualifications (i) Certificate of completion of specialist training in infectious diseases (ii) Diploma of Tropical Medicine and Hygiene (iii) Higher degree (MD or PhD) (iv) Extensive experience of clinical medicine in a tropical setting (iv) Proven experience of teaching at postgraduate level (v) Proven experience of mentoring junior researchers (vi) Experience of research leadership in tropical medicine or international health (vii) (viii) Proven ability to attract large competitive research grants Proven record of high quality research by publications in peer-reviewed journals (ix) Proven ability to work well in teams; excellent communication skills; and an ability to interact and work in a multicultural environment (x) Experience of collaboration in multidisciplinary research (xi) Understanding of the priorities for delivering a high quality clinical service at HTD 8. Desirable skills and qualifications (i) Experience of clinical work in more than one developing country (ii) Evidence of administrative experience (iii) Certificate of completion of specialist training in tropical medicine 9. Salary and conditions of appointment This appointment will be offered as a without duration contract. The starting salary will be on the School's scale for Clinical Academics with Honorary Consultant Contract, according to qualifications and experience. How to Apply We encourage you to apply for this post online at our website jobs.lshtm.ac.uk. The reference for this post will be AG01. Online applications will be accepted by the automated system until midnight on 7 August 2009. Applications should also include a CV, a covering letter and the names and email addresses of 3 referees who can be contacted immediately if shortlisted. If you are unable to apply online, please contact us at jobs@lshtm.ac.uk or telephone 020 7927 2201. The supporting statement section should set out how your qualifications, experience and training meet each of the selection criteria. Please provide one or more paragraphs addressing each criterion. The supporting statement is an essential part of the selection process and thus a failure to provide this information will mean that the application will not be considered. An answer to any of the criteria such as “Please see attached CV” will not be considered acceptable. Please note that if you are shortlisted and are unable to attend on the interview date it may not be possible to offer you an alternative date. “The London School of Hygiene & Tropical Medicine is committed to being an equal opportunities employer.” Annex: Guide to HTD consultants’ month on service Consultants on service spend most of the time on the ward delivering clinical care to admitted patients, providing specialist opinions on referrals, supporting leadership development for junior doctors and delivering education to medical students The working day starts at 8am and the first two hours are for handover, specialist training, supervision, audit meetings and dynamic case discussions The two HTD teams admit on alternate days in a fixed pattern M/W/FSS/Tu/Th irrespective of which consultant is on call You should see all new admissions within 24 hours On call consultants take the external calls from 5pm to 9am. The clinic SpR gives you a brief telephone handover at 5pm and then patches through the HTD mobile. Please make a brief record of each consultation. You may have to come in overnight You are expected to come in at the weekend and do a focused ward round You are required to do a formal twice weekly ward round and in addition to review patients on a daily basis following discussion with the ward registrar. The emphasis is on supporting the registrar to take a leadership role; it may be that consultant reviews are better for training and service if done in the afternoon You should be available throughout the week to discuss and review patients To strengthen training we have a popular daily post-take ‘ID Morning Report’ from 9.15 – 9.45am chaired by the day admitting consultant Please encourage medical students to take an active role and integrate them in to the firm. About 6 hours of each clinical week will be spent teaching students Half of all e-portfolio assessments must be done by a consultant; each one takes about 20 mins to complete – please offer to do one each day Consultant PA allocation 1 month on ward = 1 PA This consists of 0.75 direct clinical care and 0.25 supporting professional activities as detailed in the timetable below. Outside of months on service consultants are expected to attend audit meetings and HTD rounds when in the country and to maintain an up to date CPD folder. This generally accounts for 0.5PA time weekly when averaged throughout the year. Timetable Monday Tuesday Wednesday Thursday Friday 0800 Ward Team Meeting Infection Teaching Tropical Grand Round Audit & Governance Walk-in & Calls Review 0900 Board Round Board Round Board Round Board Round Board Round 0915 ID Morning Report ID Morning Report ID Morning Report ID Morning Report ID Morning Report 0945 Consultant Ward Round 1100 Consultant Ward Round Medical Students Medical Students Consultant Ward Round Medical Students 1200 Consultant Ward Round Microbiology Bench Round Microbiology Bench Round Consultant Ward Round Microbiology Bench Round Social MDT Meeting Radiology Meeting Consultant Reviews Consultant Reviews Consultant Reviews Consultant Reviews Consultant Reviews Consultant Reviews Consultant Reviews Consultant Reviews Ward Handover Ward Handover Ward Handover Ward Handover 1300 1400 HTD Round 1500 Consultant Ward Round Microbiology Seminar 1600 1700 Ward Handover 1730 Histology Monthly CPD cases Monthly General requirements at UCLH: Clinical Governance The post-holder will comply with the Trust’s clinical governance requirements and participate in related initiatives where appropriate. This will include participating in clinical audit and review of outcomes, working towards achievement of national and local performance management targets, complying with risk management policies, and participating in the consultant appraisal process. The post-holder will also be responsible for maintaining satisfactory patient notes and, when relevant, for entering data onto a computer database in accordance with the rules and regulations of the Data Protection Act. Confidentiality All employees and honorary appointees are required to exercise discretion and maintain confidentiality at all times. Conflict of Interest All applicants to any post within the Trust are required to declare any involvement directly with any firm, company or organisation, which has a contract with the Trust. Failure to do so may result in an application being rejected or, if discovered after appointment, that such information has been withheld, this may lead to dismissal. Criminal Record In view of the nature of the work this post is exempt from the provision of Section 4 (2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exemption order 1975). Applicants are, therefore, not entitled to withhold information about convictions including those which for other purposes are “spent” under the provisions of the Act. You are, therefore, required to declare any pending prosecutions or convictions you may have, even if they would otherwise be regarded as “spent” under this Action and any cautions. In the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by the Authority. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies. The Trust will check with the police for the existence and content of any criminal record of the successful applicant. Information received from the police will be kept in strict confidence. The disclosure of a criminal record, or other information, will not debar you from appointment unless the selection panel considers that the conviction renders you unsuitable for appointment. In making the decision the Trust will consider the nature of the offence, how long ago and what age you were when it was committed and any other factors which may be relevant, including appropriate considerations in relation to the Trust’s published Equal Opportunities Policy. Failure to declare a conviction, caution or bind-over may, however, disqualify you from appointment, or result in summary dismissal/disciplinary action if the discrepancy comes to light. If you would like to discuss what effect any conviction you have might have on your application, in confidence, for advice, please contact a Senior Officer in the Human Resources Department. Data Protection In accordance with the Data Protection Act (1998), the Trust is authorised, if required to do so, to obtain, process and/or use information held on a computer in a fair and lawful way. The Trust is authorised to hold data only for the specific registered purpose and not to use or disclose it in anyway incompatible with such purpose. It is further authorised to disclose data only to authorised organisations as instructed. Equality and Diversity To comply with the Trust’s Equal Opportunities Policy and treat staff, patients, colleagues and potential employees with dignity and respect at all times. Health and Safety Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974), to ensure that agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors. Hepatitis B All employees who perform “exposure prone procedures” should be immunised against Hepatitis B. Antibody response should be checked on a regular basis. If successful in being appointed to a post, all employees MUST report to the Occupational Health Department within two weeks of starting in post. Failure to comply with this, or the new regulations pertaining to Hepatitis B, may result in an employee being suspended from duty. For further information, either contact the HR Department or the Occupational Health Department. All matters discussed will remain confidential. Insurance Policy The trust accepts no responsibility for damage to or loss of personal property with the exception of small valuables handed to their officials for safe custody. Staff are therefore recommended to take out an insurance policy to cover personal property. Ionising Radiation Use Under the Ionising Radiation (Medical Exposure) Regulations 2000 the Trust is obliged to maintain a register of all persons entitled to act as “Practitioners” or “Operators” (i.e. to justify or to carry out a medical exposure) and to keep records of their training. If your post includes the responsibilities of either “Practitioner” or “Operator” as defined by these regulations you must provide the Trust with evidence of training. This should include evidence of completion of an approved training course plus details of practical experience. Please note that if, during the course of your duties, you refer a person for a medical exposure you are obliged to provide sufficient relevant clinical information to the Practitioner to justify the use of Ionising radiation. You are expected to follow any guidelines for such referrals, which the Trust provides. Job Sharing UCLH has a job sharing policy under which all posts are open to job sharing, with or without a partner. No Smoking UCLH operates a “No Smoking Policy” which does not allow smoking at work, in trust buildings, entrances or grounds. Smoking is a Health and Safety issue, and all staff have a responsibility to ensure that smoking does not occur in public areas or entrances and to be aware of, not only health risks, but also the risks of unnecessary fire alarm activation. The trust has a comprehensive staff support programme for staff who wish to give up smoking. For more information, contact the stop smoking services Manager. Public Transport and Car Parking Car Parking facilities at the Trust are limited. The current car parking policy and permit allocation policy has recently been revised and permit applications should be directed to the Head of Staff Services. Recruitment & Selection All employees who are responsible for recruiting new staff are required to have completed recruitment and selection training before they can be involved in any recruitment process. Relocation Expenses Assistance may be given to newly appointed Consultants with part of the cost of their removal expenses, providing (generally) this is their first appointment in the National Health Service and also that the removal is necessary to comply with UCLH requirements concerning the place of residence. Residential Criteria It is considered acceptable for new employees to commute a distance of approximately 25 miles to the hospital unless there are exceptional circumstances or job requirements that prevent this. Trust staff must be able to contact a consultant by telephone. Service Commitment UCLH expects its employees to communicate with colleagues, patients and visitors in a polite and courteous manner at all times and to adhere to the UCLH Service Commitment "Putting Patients First" and adopt a professional approach to customer care at all times. Staff Involvement The Trust is committed to involving staff at all levels to improve patient services and working lives. The Trust continually strives to improve internal communication systems and encourage staff involvement in organisational and service developments – including business planning – to enable staff to influence discussions which affect them and their working conditions. Staff Nursery/Crèche UCLH has childcare provision at three nurseries for employees. The nurseries are based in the following areas: The Mousehole nursery (23 Devonshire St.) The Fig Tree (4 St. Pancras Way) Places at these nurseries are available for babies and children aged 4 months – 5 years. If a place is not immediately available, names will be placed on a central waiting list.