NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest Reference Grade Location Hours / PA’s Salary Scale Closing Date MS/0715/02 Quote on all correspondence Consultant Hairmyres Hospital 10PAs per week (Part-time may be considered) £76,761 – £103,490 Friday 31st July 2015 Your Application Thank you for expressing an interest in the above post within NHS Lanarkshire. Please find all the relevant information attached to begin the application process. Should you require further information regarding this post you can contact the Medical Staffing team or make informal enquiries with the department using the contact details below. To ensure we can process your application as easily as possible please complete all the information required within the Application Pack and email with your CV. Contact Details Telephone Email 01698 377735 Pamela.Migues@lanarkshire.scot.nhs.uk Application Process To apply, please email your CV to the above, along with the attached completed Application Pack. Lanarkshire NHS 5 Recruitment Inserts.pdf Application Pack - Master Sept12.doc Additional Arrangements Informal enquiries regarding this post will be welcomed by:Mr. D Hume Director of Hospital Services 01355 584528 Mr. A Khan Associate Medical Director 01698 366174 Dr. A Mitchell Deputy Clinical Director 01355 585000 Mrs. L Sommerville Anaesthetic Secretary 01355 585724 Date when the post is Vacant The post is vacant immediately and a start date will be agreed with the successful candidate. NHS Lanarkshire For further information regarding NHS Lanarkshire and it’s hospitals, please visit our website:- www.nhslanarkshire.org.uk We are an Equal Opportunities Employer and Positive about Disabled People. Page 1 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest Integration of Health and Social Care Services Public Bodies (Joint Working) (Scotland) Act 2014 The Act above has made changes to the law that will create statutory Health and Social Care Partnerships in each local authority in cooperation with health boards to replace Community Health Partnerships (CHP’s). In Lanarkshire two Health and Social Care Partnerships have been developed, one each in North and South Lanarkshire and from April 2015 these replace existing CHP’s. Discussions between NHS Lanarkshire and the two Local Authorities are on-going in considering the range of services that will be managed through the Health and Social Care Partnerships. In both North and South a Shadow Integration Board is now in place. Integration Schemes have been submitted to Scottish Government for approval, on which a Joint Integration Board will be established. This service may in the future be included within this range. Management Structure The supporting operational and clinical management structures are focused on enhancing patient safety, quality improvement and local delivery at hospital level, with visibility of clinical leadership and support for individual professional accountability. Our Medical Managers will provide professional leadership to medical staff, ensuring that they are effectively developed, organised, integrated and managed to support the strategic aims of each Division and meet the needs of the patient. Management Structure Overview (Acute) Director of Acute Services Associate Medical Director COTE Director of Hospital Services Hairmyres Director of Hospital Services Monklands Director of Hospital Services Wishaw Director of Access Chief of Medical Services Hairmyres Chief of Medical Services Monklands Chief of Medical Services Wishaw Associate Medical Directors Clinical Directors Deputy CD's Leads Various Specialties Clinical Directors Deputy CD's Leads Various Specialties Clinical Directors Deputy CD's Leads Various Specialties Divisional Medical Director Page 2 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest POST INFORMATION The Department The department is part of the Surgical, Anaesthetic and Orthopaedic Directorate and provides anaesthetic services within the 8 theatre operating suite, which is located on the 2nd floor. Elective theatre sessions will be advised in a rota published in advance. The period of advance notice given will be determined by local agreement If any of their ‘normal’ direct clinical care sessions are not needed for any reason, Consultants will be required to be available during that time to fulfill another departmental commitment. Alternatively, by agreement with the Clinical Director (CD) or nominated deputy, the Consultant will make him or herself available for a commitment on a different day/time from that indicated in the indicative weekly work programme. Consultants will give the CD or nominated deputy at least 6 weeks advance notice of requests for re-scheduling of any fixed DCC commitment or other non-availability. The CD may agree to such requests at less than 6 weeks notice if DCC activities are not compromised There is a modern 10 bedded Adult ITU/HDU adjacent to the theatre suite which is the responsibility of the Anaesthetic department. Broadly, these are currently funded to permit 6 level 3 and 4 surgical level 2 beds. There is an additional 4 bedded medical and 4 bedded surgical level 1 facility within the hospital. A review of these facilities has begun and an expansion in bed number is likely in the future. All major forms of organ support are provided. There are currently 7 consultants with a daytime commitment to ICM. Our long term goal is to develop a stand-alone consultant rota for ICM. However, currently the ITU/HDU is staffed at night by a resident trainee with consultant cover from the whole department. NHS Lanarkshire has committed to the development of Advanced Nurse Practitioners in Critical Care to enhance the critical care team. We provide a rolling in-house programme of postgraduate ICM teaching and there are weekly meetings in the Department which are coupled with an educational/development forum. We have close links with the other 2 ICUs within NHS Lanarkshire, and there are monthly regional forums via teleconference. Page 3 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest We are fully engaged with the Scottish Patient Safety Programme and have appointed a dedicated Infection Surveillance Nurse to that end. The majority of our patients are admitted on the day of surgery and we are expanding the type of cases we can do as day cases. We are also actively embracing the ERAS concept and this is developing across several specialties. Virtually all our elective patients are seen preoperatively by an excellent pre-assessment service. The department is responsible for the Acute Pain Service which includes a Pain Specialist Nurse. NHSL have centralised Vascular surgery to Hairmyres hospital. As a result there is excellent communication and relationships between anaesthetists, interventional radiologists and cardiologists on site. There is a dedicated vascular theatre and access to a recently modernised interventional radiology imaging room. Ophthalmology is also centralised to Hairmyres hospital where there are 9 local and 3 general anaesthetic lists per week. The Anaesthetic department is situated on the 2 nd floor. All the consultants have an office (shared). There is also an office for the SAS / trainee staff. There are excellent IT facilities. Departmental CME meetings are held monthly when all elective surgery is cancelled. We also run regular M&M meetings during the CME. Three times a year, the 3 Lanarkshire hospitals hold joint CME afternoons which are followed by the Lanarkshire Anaesthetists Group Meeting. There is a dedicated daily CEPOD list and there are 7 trauma lists weekly. Weekend duties are split between CEPOD and trauma. There is also an evening CEPOD list from 5-9pm and surgery commencing after this time is generally limited to ‘life and limb’ only. Going forward, there is a possibility that 3 session working days may be introduced to both Intensive Care and certain theatres. These discussions are at a very preliminary stage. Page 4 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest POST INFORMATION The Post We wish to recruit an enthusiastic doctor, committed to quality improvement, who has a general interest and who may also consider daytime sessions in Intensive Care. We will do our best to cater for any subspecialist interest. Presently, the on call rota consists of a first-on consultant who covers the resident ITU/HDU trainee after 5pm and overnight and theatre work after 9pm. The 2nd-on senior, who may be consultant or SAS, works in the evening or weekend CEPOD list and is available to the 1st on, as back-up if required. Currently first on call duties are split between 14 consultants. Second-on is split between 15 consultants and 1 SAS doctor. The first on consultant is not scheduled for clinical duties the following day. The second does have clinical duties as the frequency of being called back is extremely low. The post is offered as 10 PAs. 2.5 PA’s allocated to predictable and unpredictable on call on the 1st and 2nd rota. 1 PA is allocated for perioperative care to enable theatres to start promptly at 08:45 and to allow for occasional over-runs. 1 PA is allocated for SPA which does not need to be undertaken within the hospital. It would also be expected that an SPA review take place within the 1st year. This leaves 5.5 PA’s for Direct Clinical Care sessions. Elective theatres are currently allocated 2 PAs per day. Theatre sessions are likely to be a mix between general surgery, vascular, ECT, orthopaedics, trauma, CEPOD, gynaecology, ophthalmology, ENT, urology and pre-assessment. However any specialist interest, including ITU could possibly be accommodated. The exact configuration of sessions will be determined following appointment when a job plan will be issued as part of the contract. The precise details of the job plan will be dependent on the successful candidate’s subspecialty training and interests. The job is offered as a full-time post on a 10 PA basis but applications will be considered from those wishing to work less than full-time. If fulltime up to 2 EPA’s may be available to undertake additional outpatient and/or procedure sessions or management activity. Page 5 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest All new substantive Consultants are initially offered a minimum of 1 PA for SPA duties but this will be reviewed within 6 months (or earlier if required) of appointment and revised upwards if additional responsibilities have been undertaken. Additional SPA time (up to 2.5 PA’s in total) can be incorporated into the job plan depending on the time required to support the successful candidate’s professional activities and the needs of the service. NHS Lanarkshire is supportive of applications from individuals with well developed ideas for improving services who are able to demonstrate a commitment to quality improvement, patient safety (including human factors training), Medical Education and Research & Development. Applicants wishing to commence on more than 1 PA for SPA duties should discuss proposals with the identified Lead contact and Service Medical Manager (Associate Medical Director or Divisional Medical Director). General Provisions You will report to Clinical Director, who will agree your job plan. Health and Safety You are required to comply with NHS Lanarkshire Health and Safety Policies. Junior Medical Staff You will be responsible for the training and supervision of Junior Medical staff who work with you, and you will be expected to devote time to this on a regular basis. In addition, you will be expected to ensure that staff have access to advice and counseling. If appropriate, you will be named in the contracts of Doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such Doctors on their career. Page 6 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest Resources The following resources are available:Consultants Dr A Mitchell Dr G Haldane Dr V Watson Dr Yatish Rangappa Dr M Crawford Dr T McLennan Dr D Allen Dr Duffty Dr J Edgar Dr S Gambhir Dr K Reynolds Dr McConnell Dr Farrell Dr Julia Kerr Dr Nina Tatarkowska Special Interest Deputy Clinical Director Anaesthetic lead clinician, General & ICM, Lead Clinician Acute Pain Lead Clinician ICM Lead for M&M General, paediatric lead & ICM General & ICM Rota organiser, General & ICM General, Undergraduate training lead & ICM General, Pre-assessment College Tutor & General General, Trauma Lead Pre-assessment & General Lead Clinician day Surgery & General Undergraduate training lead General General consultant & ICM Associate Specialists Specialist Registrars on rotation from the West of Scotland Training Scheme. Trainees Secretarial Support: WTE Senior Secretary 1 9 9 1 Page 7 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest DUTIES AND RESPONSIBILITIES Main Duties The main duties and responsibilities of your post include: Work Programme The provision of anaesthesia as outlined above. The days on which these clinical commitments take place will be fixed as far as possible though it is expected that you will be flexible with your duties in keeping with other members of the department. There will be some movement of days depending on the on-call arrangements but notice of changes will be given in accordance with NHS Lanarkshire policies. Contribution to the consultant on-call rota covering ITU / HDU Contribution to the evening and weekend CEPOD (emergency surgery and trauma) As required under Section 3 of the Terms and Conditions of Service, the duties and responsibilities are supported by a job plan and work programme detailed as follows: Job Planning/Programmed Activities The job is offered as a full-time post on a 10 PA basis but applications will be considered from those wishing to work less than full time. If full time, up to 2 EPAs may be available to undertake additional outpatient and/or procedure sessions or management activity. 2.5 PAs recognise existing predictable and unpredictable emergency work. 1 PA is a basic anaesthetic practice allowance which recognises pre-, post-, and peri-operative work or its ICU equivalent (early start/late finish) as appropriate The remaining PAs recognise fixed DCC commitments The job plan will be dependent on the successful candidate’s subspecialty training and interests. A minimum of 1 SPA will be included in the job plan but please refer to the guidance above under the general description of the post. Page 8 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest On taking up post a Job Plan will be agreed between the person appointed and the Clinical Director/Associate Medical Director. This job plan is subject to review at least once a year by the post holder and the Clinical Director/Clinical Lead as noted in the terms and conditions. The procedures set out in the ‘Terms & Conditions of Service’ must be followed if it is not possible to agree a job plan, either initially or at an annual review. The timetable is indicative and subject to negotiation with the Clinical Director / Associate Medical Director. The core 10 PA working week will be based on 9 PA’s of Direct Clinical Care (DCC) duties and 1 PA of SPA time for a full-time post-holder. The indicative weekly timetable included in the work programme shows likely elective PA’s within the 10 PA post and indicated the location where each activity will be undertaken and the type of work involved. Fixed Commitments Days Monday Hours AM PM Tuesday AM PM Wednesday AM PM Thursday Friday In addition, other activities not occurring at fixed times. AM PM AM PM Type of Work Theatre session Location Hairmyres theatre ITU session / Theatre ITU session / Theatre Theatre session Theatre session- every 2nd week Hairmyres ITU / theatre Hairmyres ITU / theatre Hairmyres theatre Hairmyres theatre Theatre session Hairmyres theatre Reviewing new admissions. Discussing referrals, in patient and out patient with Colleagues (daily). Discussing management/investigation of patients with colleagues in other appropriate Clinical Support Services Ward Referrals, Discussing patient management/ reviewing patients with doctors in training and Nursing Staff out with formal ward rounds. Speaking to GP’s, outpatients re results. Vetting Fast Track clinic referrals/ allocating appointments (daily) if applicable CPD and Appraisal Audit Page 9 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest Audit and research The successful candidate will be expected to participate in audit processes and there is an active clinical audit department available to assist. NHS Lanarkshire is ambitious to build a portfolio of research projects backed by enthusiastic and dynamic individuals. It has an active Research and Development department and would welcome discussion regarding a potential research interest. Continuing Professional Development Study leave is available within the terms and conditions of service with the approval of the Clinical Director/Clinical Lead. The appointee will be required to fulfill such demands for continuing professional development as the Royal College of Anaesthetists (or other relevant bodies) may make. Honorary Academic Status If involved in undergraduate teaching status can be applied for. Applications can be made via the Hospital Sub-dean and then to the appropriate academic department within the University. Page 10 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest PERSON PROFILE Essential Attributes Qualifications MBChB or equivalent. FRCA (or equivalent). Useful Higher Degree or other Diploma. ALS Provider. Current full registration with GMC with a licence to practice. Training Inclusion on GMC’s Specialist Register in Anaesthetics or within 6 months of CCT or CESR (CP) at interview. In possession of CCT in Anaesthetics or CESR at the time of interview or in an established training programme and within six months of CCT (i.e. pending exam). Joint /Dual accreditation Anaesthesia and Critical Care (or equivalent) *Only for ICU post Training at ST/SPR level communication, teaching management. Experience within establishments UK in or training Human Factors Training. Experience Airway fellowship (for general post only) Wide general experience in Well developed subspecialty Anaesthesia and Intensive Care interest. including experience in routine paediatric anaesthesia and Administrative / Management knowledge and skills in paediatric experience. resuscitation. (For recognition as able to fulfill an Intensivist role clear evidence of enhanced training in critical care would be essentially required) Page 11 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest Recent and relevant experience and personal qualities to work in a busy unit dealing with the high turnover of planned and unscheduled admissions. Ability to supervise the clinical work of doctors in training and relevant staff in other disciplines. Confident with indirect supervision of varying grades of doctors in training. Audit/Research Publications Teaching Previous experience in organising NHS Services or equivalent. Understanding of the principles of Experience and interest in Audit of medical audit. Anaesthesia/Critical Care practice and experience of design of audit Evidence of contribution to audit at least at local level. Research within Anaesthesia and Critical Care. Awareness of principles of research with an ability to critically analyse Involved in design of research medical literature. relevant to Anaesthesia and Critical Care. Willingness to participate in multicentre studies applicable to Anaesthesia and national audit. Presentations relevant to the practice Previous publications relevant to the of Anaesthesia/Intensive Care. practice of Clinical Anaesthesia. Presentations at national meetings relevant to the practice of Anaesthesia. Previous involvement in the delivery Interest in and commitment to of undergraduate or postgraduate teaching and training. teaching. Experience of providing problemExperience of providing supervision based teaching. and or mentorship Experience of organising teaching programmes. Formal training educational/clinical supervision. in Page 12 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest Knowledge and Skills Broad based knowledge and skills in Further educational diagnosis and clinical management diploma’s, etc within the Specialty and encompassing most sub-disciplines. Good IT skills. Disposition Committed to Quality Patient Care. certificates, Problem solver/diplomat/counsellor. Able to be understanding of and A natural leader. sensitive to the needs of patients. Excellent communication skills (verbal and written) Ability to work under pressure. Ability to work effectively multidisciplinary team. in a Responsive to change and innovation, promoting a culture for organisational development. A flexible approach to duties, which satisfies the needs of the Service in a changing environment. Ability to demonstrate reflective practice with evidence of regular appraisal with clear Personal Development Plan relating to Continuing Professional and Personal Development. Good time management and organisation. Demonstrates commitment enthusiasm to service delivery. and Page 13 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest Managerial Knowledge of service provision at a Involvement in service re-design. local level. Involvement in project delivery. Awareness of the principles and core practices involved in service Involvement in NHS-related management, project management meetings. and effective meetings. Leadership Awareness of the principles of team Evidence of role as leader within leadership and effective people groups. management. Commitment to the Values of NHS Lanarkshire:Fairness, Respect, Quality, Working Together. Other Satisfactory medical clearance by Preference to work in a District NHS Lanarkshire Occupational Health General Hospital. Service. Current full driving licence. Satisfactory PVG Check. Fluent in medical English and evidence of ability to communicate in stressful situations. The post requires physical dexterity. Uncorrected visual or hearing defect would be incompatible with the nature of the work. Prepared By:Approved By:Dr. A Mitchell Mr. A Khan Deputy Clinical Director Associate Medical Director June 2015 June 2015 If there is any reason why a disabled person should not be considered suitable for this post, please provide details: Name Designation Date Page 14 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest TERMS AND CONDITIONS a) This appointment is offered on the Terms and Conditions of the new Consultant Contract. Additional NHS Lanarkshire Policies which support the Contract are listed below and are available on request: Additional & External Duties Fee –Paying Work in the New Consultant Contract On-Call Availability and Payment of Supplement Generic Objectives Resident On-Call Duties Waiting List/Additional Sessions b) This appointment is superannuable under the NHS Superannuation Scheme, which is contracted out of the State Earnings Related Pension Scheme (SERPS). All new eligible employees commencing employment from 1 March 2013 onwards will automatically become a member of the pension scheme and your remuneration will be subject to deduction of superannuation contributions, current personal contributions range from 5% for the lowest earners to 14.5% for the highest. Levels of contributions and scheme regulations are subject to change, any changes will be communicated to you or can be found on the SPPA website. Contributions are taken from your pay before tax, so you get tax relief on any amount you pay. This can reduce the actual amount that you pay between approximately 3.5% and 5.1% depending on your contribution rate, earnings level and personal rate of tax. In addition to personal contributions NHS Lanarkshire will contribute 13.5%. In accordance with recent legislative changes, new eligible employees commencing from 1 March 2013 onwards will automatically be enrolled in the pension scheme. After considering the benefits and personal circumstances, you can if you wish opt out of the scheme. To opt-out, you must complete an opt-out form which is available on the Scottish Public Pensions Agency website and return this to the Payroll Department, Kirklands Cottage, Kirklands Hospital. Should you choose to opt-out in accordance with these changes you will be enrolled into the scheme again every 3 years (June 2016, 2019 etc). Under the NHS Superannuation Scheme Regulations pension records for short term appointments, such as Bank Staff and the equivalent kind of contracts for other staff groups, may remain open for short breaks in pensionable employment up to but not more than 3 months from the date on which they last paid contributions. During this period the member will continue membership in qualifying but not pensionable terms. Where the period of break exceeds 3 months, membership of the scheme will be closed and leaver information will be submitted to the Scottish Public Pensions Agency. Page 15 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest From 1 April 2015 the NHS Pension Scheme is changing in line with other public pension schemes. All those joining the scheme for the first time from 1 April 2015 will join the new scheme. Existing members who are not protected will transfer to the new scheme, with benefits in previous scheme(s) preserved. The new scheme will be based on a proportion (1/54th) of the member’s pensionable earnings each year. The pension will be the sum of each year’s value built up over the length of the member’s career and revalued each year in line with the rate of inflation. This is called a Career Average Related Earnings scheme. Normal pension age will be linked to the member’s individual state pension age. Some existing members of the scheme will be protected, more information is available on the SPPA website. Further information on the scheme, protection and/or members guides are available at www.sppa.gov.uk Alternatively contact an advisor of The Scottish Public Pensions Agency (SPPA) Tel: 01896 893000. c) The employment is subject to 3 months’ notice on either side subject always to the appeal and other provisions of paragraphs 10.4 & 10.5 of the Terms and Conditions of Service of Hospital Medical and Dental Staff and Doctors in Public Health and the Community Health Service Consultant Grade. d) Reimbursement of certain telephone charges may be payable on application to NHS Lanarkshire. The successful candidate must be contactable throughout any on-call period. e) The successful candidate, if not already employed by the NHS Lanarkshire, will be required to complete a medical questionnaire to obtain medical clearance from the Occupational Health Physician. f) The successful candidate will be required to complete a disclosure Scotland PVG (Protecting Vulnerable Groups Scheme) form. No approach will be made without written permission of the successful applicant who will be asked to sign and complete a Disclosure PVG application, giving authorization for the check to be undertaken. g) NHS Lanarkshire does not negotiate salary placements. On commencement the salary will be in line with paragraph 5.1 of the terms and conditions of the new consultant contract. Appointees start on the scale minimum except in the circumstances of paragraphs 5.1.2 – 5.1.7 of the terms and conditions of service. h) From 1st April 2014 the starting salary for the post is £76,001 per annum (based on 10 Programmed Activities per week). The successful candidate’s total salary will be dependent on his/her previous service history. Remuneration for any extra programmed activities will be dependent upon the job plan agreed at the time of appointment. Page 16 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest i) Dependent upon present place of residence, NHS Lanarkshire may require the successful candidate to undertake to remove home to a distance acceptable to NHS Lanarkshire, normally within 10 miles of the base Hospital, in which case removal expenses will be payable in accordance with NHS Lanarkshire Policy. In some cases, however, a residence more than 10 miles distant from the base hospital will be acceptable and in this case removal expenses will be subject to the prior approval of the Associate Medical Director for such a residence. The position will be made clear to the successful candidate on application Page 17 NHS Lanarkshire – Information Pack POSITION: Consultant in Anaesthesia with a Generalist interest IMMIGRATION Overseas Doctors and Dentists Changes to Immigration Impact of Change Further Information For the purpose of immigration status, overseas doctors and dentists are those who, regardless of where they obtain their primary medical/dental qualification, are not nationals of the European Economic Area (EEA). A list of EEA countries is attached. On 7th March 2006 the Department of Health announced changes to the immigration rules for postgraduate doctors and dentists. The changes came into effect on 3rd April 2006 and mean that all doctors and dentists who wish to work in the UK from outside the EEA will need to meet the requirements of an employment category such as the work permit provisions. New applications for permit-free training visas will no longer be granted for doctors undertaking training posts Non-EEA doctors and dentists will still be able to come and train in the UK and are still eligible to apply, in open competition for training posts provided all the other eligibility criteria is met. However, training posts will now be considered employment for immigration purposes. Work permits will only be issued where there is a specific post for the overseas doctors that cannot be filled by someone from the EEA. The changes in immigration requirements for trainee doctors and dentists are a result of a Scottish Executive Health Department announcement and immigration issues are the remit of the Home Office. Clarification and further information can be accessed from the following:Home Office Work Permits EEA Countries www.ind.homeoffice.gov.uk www.ukba.homeoffice.gov.uk/workingintheuk/ Austria Greece The Netherlands Belgium Hungary Norway Bulgaria Iceland Poland Cyprus Republic of Ireland Portugal Czech Republic Italy Romania Denmark Latvia Slovakia Estonia Liechtenstein Slovenia Finland Lithuania Spain France Luxembourg Sweden Germany Malta UK NB – Switzerland is not in the EEA, Swiss Nationals have the same rights as EEA nationals. Page 18