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the hospital consultant and specialist 4

News: TUC: HCSA sends wake up call


BrieďŹ ng: USA and EU free trade fears


News: Cardiff and Vale negotiations

HCSA 65 years on

September 2013 views | people | contacts bi-monthly journal of the Hospital Consultants and Specialists Association


editorial chief executive’s notes

the hospital consultant and specialist bi monthly magazine of the Hospital Consultants and Specialists Association Editorial: Eddie Saville Nick Wright 01256 771777 Any opinions and views expressed in this publication are not necessarily those of the Editor, Publisher, Sponsors or Advertisers of HCSA News. Where links take you to other sites, the Editor, Publisher and Webmaster cannot be held responsible for the content of those sites. HCSA News and related devices are protected by registered copyright. Layout by dennis@ ©2012 All Rights Reserved. Hospital Consultants & Specialists Association No reproduction of any material is permitted without express permission of the respective owners.

3 65 historic years The HCSA – like the NHS – is 65 4 news TUC: HCSA sends employers a wake up call 6 briefing USA and EU free trade fears 8 spotlight Gail Savage, HCSA employment advisor Cardiff and Vale negotiations 9 news AGM exhibition Consultant contract 10

HCSA contacts




Direct Debit

Welcome A very warm welcome to new hospital representatives: Dr Helen Read, consultant psychiatrist, Queen Elizabeth Hospital in Woolwich and Dr Mukesh Chugh, consultant anaesthetist, Altnagelvin Hospital in Londonderry. Vacancies remain in other areas, so if you are interested in becoming a hospital representative or joining the HCSA council please get in touch with the Overton office.

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This year marks the 65th birthday of the HCSA. Looking back we can see that in those early days hospital doctors felt the need to build a strong representative body to protect and promote their interests. Those same principles are what the HCSA still stands for. The challenges for us now may well be more complex but are not dissimilar to those in 1948. We have just returned from a very successful TUC Congress where our motions on whistle blowing and the Francis report were both carried unanimously. I was also pleased to have been re-elected to the TUC General Council for another year, continuing to give the HCSA influence and presence. We heard many good speeches and contributions from delegates, politicians and visitors. One of the most moving was from the president of the National Garment Workers Federation from Bangladesh, Amirul Haque Amin, who spoke about the tragedy of the Rana Plaza fashion factory collapse in which 1,133 workers were killed and over 1,400 injured. The government has announced proposed changes to the TUPE Regulations. The government plans to allow employers to renegotiate collective agreements just one year after a transfer. Presently no time limits are in place and it is the trade union position that TUPE transfers protect staff. The government have stated that changes must be agreed and any changes must not be overall less favourable to employees affected. We wait to be convinced. The Trade Union Congress will be raising concerns at a European level on this matter. Building and growing for the future are the objectives of the HCSA and as such we are now in the process of expanding our regional officer workforce and have just agreed to redesign the HCSA website. This is an exciting time to be with the HCSA, modernising and improving our core functions of communication and representation. Thank you to those members who responded to our president's letter on the Consultant Contract discussion. Following a decision by the BMA on the 18 September, we know that negotiations on the new contract will begin soon. On page 9 we reinforce our message that membership feedback is important, so if you haven’t already responded, please let us know what you think about the scope of the negotiations and how they may affect you.

65 Historic Years

The HCSA – like the NHS – is 65 Recently we came across several volumes of “The Consultant” – HCSA’s quarterly magazine which ran in the 1980s. Looking through the back issues it became clear that the reasons for establishing the association in 1944 remain as relevant today as they were then, when Mr HJ McCurrich and his colleagues first met to share their “growing dissatisfaction with the method of election of the representatives of the non-teaching hospitals on the Beveridge Committee.” So it was with the objective to consider and act on all matters affecting consultants and specialists that The Regional Hospitals’ Consultants and Specialists Association (RHCSA) was born. By October 1948, with the establishment of the NHS, times had changed. This was a highly charged time for consultants and specialists, who were working with temporary contracts whilst negotiations were taking place between the BMA and the Department. As the NHS bedded in, the Association settled into a role of promoting the regional consultants’ views to both the Central Consultants Committee of the BMA and directly to the Department. In 1957 the RHCSA gave evidence to the Royal Commission on Doctors’ and Dentists’ Remuneration whose report resulted in the setting up of the Doctors’ and Dentists’ Review Body. During the next decade the RHCSA campaigned for improvement in consultants pensions, highlighted issues such as undeserved negative publicity in the press and drew attention to the deteriorating conditions in peripheral hospitals through a campaign of letters.

During the 60s and 70s membership continued to increase as the threat to regional consultants and their standards intensified. RHCSA moved to the Old Court House, Ascot in 1971. Early in the 70s members voted overwhelmingly to become a registered trades union and membership continued to increase, and in 1974 membership was thrown open to all and the name changed to Hospital Consultants and Specialists Association. The 70s continued in dramatic fashion when the then social services minister, Barbara Castle, proposed new consultants’ contracts which would force consultants to abandon private practice. HCSA and BMA worked together on the issue which resulted in consultants and junior doctors withdrawing non-emergency services between January and April of 1975. The action was only called off when Barbara Castle said consultants opting for part-time NHS contracts could continue private practice.

the back of another existing member NALGO, NUPE, ASTMS - whom we had had to consult. As a result we became members of the TUC Health Services Committee at a time of trade union strife in the NHS and I was instrumental in ensuring that safety clauses in the TUC Guidance (In Place of Strife) protecting patients were included. I also had a seat on the regular meetings the Committee had with the Secretary of State when our concerns could be raised”.

Dr. Peter Ritchie

Dr. Alan Shrank

In 1979 after much debate, HCSA members voted overwhelmingly to affiliate to the TUC, and this happened on 1 October. Dr. Alan Shrank, HCSA President from 1984-1986, remembers this particular time in HCSA history: “…my abiding memory was the battle over joining the TUC. I worked hard trying to persuade HCSA Council members that the TUC was not just the Labour Party at work, and then I had to persuade the TUC Council that as a small but unique trade union we should be allowed to join in our own right and not on

As we moved into the 21st century, Dr. Peter Ritchie, HCSA President from 2004 to 2007 remembers his years fondly: “The HCSA was undergoing a distinct improvement in influence and reputation. We were able to attract high level speakers who were keen to interact and meet with us. Our standing within the Consultant & Specialist body on the ground was definitely growing and we were also being called regularly to give opinions in national press & TV.” Chief Executive/General Secretary Eddie Saville comments that “looking back on the history of the organisation shows how important our objectives are that the Council set earlier in the year. To increase our influence, gain more presence and improve our services. As we look forward to the future we are in a robust position to protect and promote the members we represent”.

The Consultant

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TUC 2013 reports

HCSA sends a wake up In her address to the 2013 Congress TUC general secretary Frances O’Grady said: “Let’s pledge that the NHS will once again become a public service run for people and not for profit. Let’s make adult social care a community responsibility by bringing it together with the NHS.” Shadow secretary for health Andy Burnham took this further when, in a fringe meeting on Whole Person Care, he made a commitment to repeal the Health and Social Care Act if Labour won the next general election. Advocating ‘one budget, one system, one service’ and citing a 66% increase over two years in the number of people over 90 years old being brought into A&E by ambulance, he said the current system could not deal with the pressure and put the situation down to the lack of social care.

Eddie Saville speaking at the Annual Trades Union Congress, 8-11 September 2013, Bournemouth. © John Harris/

“Foremost in the minds of HCSA members is the provision of high quality care that is safe, clinically effective and enhances the experience of all patients” 4 | the hospital consultant & specialist

For the HCSA delegation the most interesting and relevant part of the Congress was the health debate which discussed the future of the NHS and the Francis Report. HCSA were a key contributor to this debate, seconding an omnibus motion, Support for the NHS, which included the HCSA motion on the Francis Report The motion emphasised five key themes: Always put the patient first; Zero harm and patient safety; Creating outstanding leadership and working together as teams of professionals; Regulation, inspection and accountability and Metrics and outcomes. In the debate Eddie Saville said that putting patients first meant that NHS organisations will have to act on the findings and the 290 recommendations in the Francis report, and these must be implemented in a consistent way across the NHS. “Foremost in the minds of HCSA members is the provision of high quality care that is safe, clinically effective and enhances the experience of all patients” he said.

“We know that leadership was a key failing at Mid-Staffordshire and it is clear that it is clinical leadership that needs to come to the surface. Openness and transparency with patients and their relatives about their care and treatment is vital. “We believe that the Royal Colleges and also the appropriate unions and professional bodies should have a role in accreditation and hospital visits thus ensuring that quality standards in education, training and service provision are maintained. These visits will empower staff and give them the opportunity to speak openly and in confidence. “Current statutory reviews by Monitor and the CQC do not include measures that are covered by the Royal Colleges’ accreditation systems. “We continue to see reorganisations within the NHS, trust after trust are looking to change services, many resulting in cuts in staff including cuts in the number of consultants. Many of these reorganisations have little or no scrutiny in terms of clinical involvement - sadly it’s the balance sheet that matters not the impact on patient services. “It is important that both individual clinicians and trusts submit accurate and truthful data to the NHS on patient care, so that service quality can be monitored to produce outcome metrics”.

TUC 2013 reports

call to employers Safe to speak out The TUC backed the HCSA motion on whistle blowing moved by general secretary Eddie Saville and supported by the Chartered Society of Physiotherapy and the Association of Teachers and Lecturers. Hank Roberts from ATL gave a passionate speech in support of the motion, citing his own difficult experiences as a whistleblower, saying “justice delayed was justice denied.” Hank said that we need to use anything and everything in our power to ensure that incidents are not covered up, hushed up or people paid off and encouraged whistle blowers, especially in the health service, to keep it up. This motion is meant to be a wake up call to all those employers in the NHS who pay lip service to whistle blowing but see it as a diversion Eddie Saville told delegates. “In an ideal NHS there should be no need for a hospital consultant or specialist, or any other health care worker to blow the whistle. However, we do not have an ideal NHS. “There is fear in the NHS, it’s a fear of whistle blowing. Hospital doctors don’t go into medicine to become whistle blowers, nobody does. Their primary commitment is to provide high quality treatment and care. “However, when they see resources stretched, corners cut, stresses taking hold and quality and practice decline, it’s right that our members should raise objections in order to safeguard patient wellbeing. It’s then that the culture in the organisation hits. In many organisations it’s a culture that seeks to victimise rather than celebrate those who want to raise their concerns and speak out. “Survey after survey in the NHS and amongst doctors show the fear that exists; the perception that whistle blowing will impact badly on their jobs and careers; the possibility that they themselves will become the focus of an investigation becoming

isolated, unsupported – and in some quarters – seen as trouble makers. “It is the culture that Robert Francis described in his report about the tragic events at Mid-Staffordshire Hospital. And coupled with bullying and the use of gagging clauses, these three factors make up the toxic culture that exists in some parts of the NHS. “The evidence is there, last year the Medical Protection Society carried out a survey of doctors - almost half said ‘fear of consequences’ is why whistle blowing is so ineffective. “We have procedures that are lengthy and negative, and it’s the organisation that investigates itself - how can that be open and fair?” Eddie Saville told delegates that HCSA officers and reps regularly support members who are brave enough to blow the whistle and who, as a consequence, end up on sick leave, usually followed by a compromise agreement with its associated gagging clauses. “Unions in the NHS have worked hard to engage on this issue and we will continue to do so. But something needs to change. It’s time for something new and different, something that has teeth” he said. “Now, in the wake of the MidStaffordshire enquiry the Coalition Government created a new role, that of Chief Inspector of Hospitals. Elements of this role are to judge the quality of treatment, assess the care of patients and be open and transparent with the public. “We believe these responsibilities could be expanded to deal with cases of whistle blowing. This would be the clear blue water that is needed to give NHS staff the confidence to feel safe to speak out, a place where the Chief Inspectors enquiry would be independent, clinically led, and above all else robust enough to ensure accountability”. “We have guidance for employers and employees, we have charters that we all sign up to, there are the regulators that purport

to be committed to supporting doctors and other healthcare staff who blow the whistle. We have the law around public disclosure, countless helplines, hospital policies, we have the NHS constitution, we have even had TV exposes. Doctors still fear the consequences of whistle blowing and ultimately it’s the patients that suffer” It is time to act, we have a ticking time bomb. And it’s ready to go off. Send a strong message to all NHS staff that speaking out is the right thing to do and it is the trade union movement that strives to make it safe for them to do so.”

HCSA president John Schofield and general secretary Eddie Saville at the TUC. © John Harris/

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Free trade Should the NHS fear the Transatlantic Trade and Investment Partnership asks Peter Davies

Eddie Saville: ‘We see development of this treaty as being bad for NHS procurement. It’s an extension of the privatisation agenda’

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As the NHS celebrated its 65th anniversary in July, meetings were taking place far away in Washington DC that some policy analysts believe could profoundly affect its future. The occasion was the opening of negotiations on a free trade agreement between the United States and the European Union. Concerned observers argue that such a deal could heighten competition in the NHS and make it irreversible even if it proved to be against patients’ interests. The European Commission claims the transatlantic trade and investment partnership (TTIP) will be “the biggest bilateral trade deal ever negotiated” and add £73bn to the EU’s economy by liberalising trade, harmonising regulation and opening up markets. In previous free trade agreements, this has usually involved privatising public services. Some suspect the Health and Social Care Act 2012 was designed as a prelude to an EU-US trade agreement by encouraging much greater private sector involvement. Since its implementation the NHS has operated a more competitive market: clinical commissioning groups must routinely tender for almost all services, and private sector companies are bidding for ever more contracts. Now policy analysts are warning that under TTIP the NHS could be locked into competition for good – even if it were to prove a disaster. HCSA chief executive Eddie Saville says: “We see development of this treaty as being bad for NHS procurement. It’s an extension of the privatisation agenda. NHS services are fragmenting and privatising all the time. This treaty is going to compel that, making it virtually impossible to bring things back into the public sector. Not many people in the health sector know about it. We want our members to be aware this is on the horizon”. Trade treaties offer companies guarantees that their overseas investments will be

protected. Recent agreements have seen the development of “investor-state arbitration”, which gives companies the right to sue a government that acts in a way that could damage their profits. A policy decision or legislation that curtailed a company’s profit expectations could lead to a claim of “expropriation”. So a future government that wished to end competition in the NHS - or a CCG that wanted to return an outsourced service to an NHS provider – could face massive compensation claims. In the first 16 years of the North American free trade agreement, Canada, Mexico and the US faced 66 such claims costing several hundred million dollars in compensation and legal fees. In at least two cases in the EU, governments seeking to reverse privatisations have faced similar claims. Richard FitzGerald, a consultant radiologist at Royal Wolverhampton Hospitals NHS Trust, has raised concerns about the treaty’s potentially detrimental effect on the NHS with the European Commission. He wants healthcare to be formally excluded from the treaty negotiations, and says: “The effect of such extra investor protection through new international EU treaties, with risk of sizeable compensation to corporate healthcare companies if they did not win or forfeited a contract, would be to encourage commissioners with limited resources to favour companies with greatest legal firepower over patient interests. Corporate interests seem to take precedence over patient protection and their integrated healthcare in these EU free trade negotiations”. EU trade commissioner Karel De Gucht, in a letter to Dr FitzGerald, says: “TTIP is not aimed at changing the way in which the EU member states are organising their public health systems including… the role of private and public entities providing health services”. UK trade minister Lord Green has also pledged that “the further liberalisation of the procurement of health care services is not a focus within these negotiations”. So



Defend London’s NHS, Save Our Hospitals and No To Privatisation demonstration & rally called by a campaigning group of joint trade unions. © Stefano Cagnoni/reportdigital

“under TTIP the NHS could be locked into competition for good” does the NHS really have anything to fear? Official reassurances so far have fallen a long way short of formally excluding the NHS from the treaty’s terms. In fact, prime minister David Cameron said on the eve of the talks: “Everything is on the table with no exception”. By contrast, the French government won an explicit exclusion for media services in the negotiation mandate. Explicit exclusion is important, as the US is pressing for “negative listing” – anything not minutely defined as beyond the scope of the negotiations is assumed to be included. Even then, trade treaties create such legal minefields that exemptions might not be all they appear. Declarations in the preamble may be trumped by articles later on; certain sweeping provisions may apply across all service sectors. The danger for the NHS is that it may be caught up in provisions to liberalise public procurement – which undoubtedly is a major focus of the treaty. Clues to the EU’s negotiating stance on public procurement are contained in position papers leaked as the talks began. These disclose that it is “increasingly concerned” about the “advantages and privileges” state-owned organisations have over private sector competitors. One paper says: “For these reasons, the EU considers that rules should be developed to ensure a level playing field between state-owned or influenced companies and their competitors at all levels of government”. It adds: “The parties should jointly seek to identify the types of companies and behaviour that need to be addressed with a view to creating fair market conditions between private and public companies”. Lucy Reynolds, a research fellow at the London School of Hygiene and Tropical Medicine who has studied the impact of trade treaties on health services, comments:

“Sweeping implications for public welfare are concealed in anodyne phrases focused on maximising profits as the highest human aim”. For example, one paper pledges that the EU will implement competition policy “irrespective of the ownership status or nationality of the companies concerned”. That rules out the possibility of NHS preferred provider status, Dr Reynolds argues, while a commitment that “member states are not permitted to erect new national barriers to trade” effectively forbids an end to outsourcing and competition. “This does not give the impression of an honest process - as indeed past experience suggests, with corporate welfare consistently prioritised

over human welfare,” says Dr Reynolds. After the week-long opening session in July, the second round of TTIP talks will begin in Brussels in October while a third round is scheduled for Washington in December, when higher-level officials may be involved to provide ‘political oversight’. The intention is to conclude a treaty by the end of 2014, but trade negotiations are notorious for becoming protracted. Those concerned about TTIP’s impact on the NHS may therefore have to remain vigilant for quite some time to come. Peter Davies is a freelance writer

“Corporate interests seem to take precedence over patient protection and their integrated healthcare in these EU free trade negotiations”

the hospital consultant & specialist | 7


Gail Savage, HCSA Employment advisor Gail joined HCSA in July 2009 as employment advisor and over the last four years her services have been in high demand! The increase in concerns relating to job planning and contracts as well as general employment relations issues such as bullying, harassment and whistleblowing has kept our advisory service busy. So we asked Gail to tell us a bit about what makes her tick, her work and how it has changed since she has been at HCSA.

Tell us what you enjoy most about your work. Building relationships and being able to help give satisfactory closure to situations that are causing anxiety and stress to our members. Positive interaction with our members is essential in giving me the sense of achievement I desire for the end of my working day/week.

People tend to contact HCSA when they have a problem and need advice quickly – how do you manage to keep all the information you need at your fingertips? I would like to say that I have a fantastic memory but alas although it is pretty good we do have a logging system for all calls we receive at the Overton office which; enables all of the team to be aware of our members’ queries and concerns.

Have you seen an increase in the need for the advisory service over the last four years? Since I started in July 2009, there has certainly been an increase in the area of job planning issues and the commencement of revalidation has also brought its own anxieties. Unfortunately, the level of more complex concerns in relation to bullying and intimidation has also increased. At the forefront of our members minds is the desire to give absolutely first class patient

care, so worries over pensions, seniority levels and salaries and so forth need to be dealt with quickly and efficiently leaving members to get on with their day job. How do you see the future of the Advisory Service? As always the Advisory Service is here to support and assist our members through the employment issues that many of them face daily. I can see the Advisory Service increasingly supporting our members with the more complex concerns such as equality and diversity issues as well as the contractual and employment relations situations which we deal with on a daily basis. With our membership continuing to grow, we are soon to increase the number of regional officers in post, so that we continue to provide our members with the guidance they require on a one to one basis, within the time frame they have become accustomed too.

Unions challenge proposed redundancies at Cardiff and Vale Health Board Among 365 jobs put at risk when, on 26 June this year, the Cardiff and Vale Health Board submitted a statutory notice to the government were 19 specified as coming from medical and dental staffing reports Annette Mansell-Green. Immediately following this all recognised unions, including the HCSA, were formally notified that the statutory 90 day consultation period would commence. In practice this has meant that we have been involved in lengthy and complex consultations aimied at mitigating the possibility of any compulsory redundancies. 8 | the hospital consultant & specialist

This unwelcome announcement coincided with discussions with the NHS Employers and the Welsh government about savings that could be made across the whole of NHS Wales, with a view to avoiding redundancy situations. The background to this situation is that the Health Board’s operational plan for 2013/14 states that it has a statutory duty to break even financially or create a surplus. I have been representing the HCSA and along with the other trade unions have made it clear that in our view that issuing the statutory notice was unnecessary and premature as there had not then been any meaningful consultation on alternative ways to achieve savings. The HCSA have had a strong voice throughout the consultation period and will continue to do so. At the initial meeting I made it clear that it was unacceptable that such a notice should be given without the required information and consultation with the trade unions. Throughout the process there have been difficulties in obtaining relevant information

and assurances regarding the impact of the proposals on service delivery, quality and equalities. At the latest formal consultation meeting, I made strong representations on behalf of the HCSA that the Equality Impact Assessment process has not been properly undertaken and that this undermines confidence that the management are adhering to the required processes in order to ensure that redundancies are avoided and that future service delivery is not undermined. As I write we have reached a point where no HCSA members will be at risk of redundancy but we remain concerned about the detrimental impact upon our members in their ability to deliver a safe service with reduced resources. There is also a strong risk of job redesign through job plan reviews and consequent cuts to Pas. Although HCSA members are now saved from compulsory redundancy there remain major concerns about the impact of job losses for nurses, other health specialists and administration staff. It is clear that this will have a negative impact on consultants and specialists’ working arrangements.

update Congratulations!

Acute and general medicine exhibition As well as having our own stand, HCSA members are involved with AGM in different ways this year.

A look ahead St. Swithun himself couldn’t have predicted a more perfect day for the wedding of Sharon White to Steve George on 15 July. Staff at HCSA are delighted to congratulate the happy couple, who not only made a great team at HCSA but judging from the photo, will make a great team as Mr and Mrs George! Best of luck for the future from all at HCSA.

Over the last few months we’ve been putting the building blocks in place for our new website and we are now pleased to report that work has started. For the new site to get maximum use, it is essential that members help us to design and test it out during the build, so if you’d like to get involved in shaping the website please get in touch at

Dr Bernhard Heidemann has written a piece on education for the pre-show brochure and website, Dr Cindy Horst will be busy chairing a conference stream and Professor Ross Welch will be delivering two sessions on Managing the Pregnant Patient. Have you got your ticket yet? If not, don’t worry the HCSA discount runs right up to the conference. Members can purchase passes at £99 (reserved for clinical and NHS members only) – just use the promo code HCSA when registering.

Consultant contract: your point of view

Earlier in the month our president, John Schofield sent out a letter to members asking for feedback on the recently published draft “Heads of Terms Agreement on Consultant Contract Reform,” many thanks to those of you that have already responded.

Since that letter, the BMA have agreed to enter into negotiations with NHS Employers, a decision that we agree with as it will address the issues of pay progression, CEAs and 7 day working. There are many different facets to these issues which we hope will be highlighted during negotiations - the question of fair remuneration across the board, the health and wellbeing of consultants, equity in pay progression and a real sense that consultants are valued. Whilst we aren’t participating in the

negotiations we will do everything we can to ensure that the voice of HCSA members is heard. We have thousands of members who could be affected by any change to the consultant contract and we will make sure that our position is clearly understood by NHS Employers. Although we had a good response to the president’s letter asking for comment, it’s important that we all ensure we have our say on this matter, and we would urge those who have not yet responded to send in your comments to as soon as possible, so we can collate them and use them inform our message to members, employers and the profession as a whole. The report from the Doctors and Dentists Review Body and also the joint document produced by the British Medical Association and NHS Employers can be found on our website at: hcsa_library.php It is split into sections on the following topics: ● ● ● ● ●

These are important times, and whilst these negotiations will take many months regular membership engagement will be the order of the day.

Draft Heads of Terms 7 – day services Clinical Excellence Awards Pay progression Other Issues the hospital consultant & specialist | 9

HCSA contacts Executive Committee President Dr. John Schofield Chairman of Executive Professor Ross Welch Immediate Past President Dr. Umesh Udeshi Honorary Treasurer Dr. Mukhlis Madlom Honorary Secretary Mr. Gervase Dawidek Honorary Secretary Dr. Bernhard Heidemann Honorary Secretary Dr. Cindy Horst Honorary Secretary Dr. Claudia Paoloni Chairman – Ed & Stan S-C Prof. Amr Mohsen Independent Healthcare Mr. Christopher Khoo Education & Standards Sub-Committee Acting Chairman - Dr. Bernhard Heidemann Dr. Mukhlis Madlom Dr. C Morgan Mr. Olanrewaju Sorinola Dr. Bernhard Heidemann Dr. Umesh Udeshi Dr. Bernard Chang Dr. Hiten Mehta Mr. Christopher Welch Dr. T Goodfellow Dr. S Ariyanayagam Finance Sub-Committee Chairman Dr. M.M. Madlom Mr. M.J. Kelly [Trustee] Mr. R.M.D. Tranter [Trustee] Dr. R. Loveday [Trustee] Dr B. Heidemann

Dr. U. Udeshi Dr. J. Schofield Professor R. Welch

HCSA Officers and Staff General Secretary/Chief Executive Mr. Eddie Saville Manager, Northern Region Mr. Joe Chattin Business Manager Mrs. Sharon George Manager, Advisory Service Mr. Ian Smith Membership Secretary Mrs. Brenda Loosley Midlands Regional Officer Mrs. Annette Mansell-Green Employment Services Adviser Mrs. Gail Savage Head of Communications and Web Services Mrs. Jenifer Davis Temporary Accountant Mrs. Edidta Bom Office Telephone: 01256 771777 Facsimile: 01256 770999 E-mail: North East Area Dr. Paul D. Cooper, FRCA Dr. Olamide Olukoga, FFARCSI North West Area Dr. Magdy Y. Aglan, FFARCSI FRCA Dr. Syed V. Ahmed, FRCP Mr. Ahmed Sadiq, MRCOphth FRCS Mr. Augustine T-M. Tang, FRCS Deputy - Mr. Shuaib M. Chaudhary, FRCOphth FRCS Yorkshire and The Humber Area Dr. Mukhlis Madlom, FRCPCH FRCP Professor Amr Mohsen, FRCS(T&O) PhD Mr. Peter Moore, MD FRCS Dr John West

10 | the hospital consultant & specialist

East Midlands Area Dr. Cindy Horst, MB ChB DA FRCA Dr. Mujahid Kamal, MRCP FRCR West Midlands Area Dr. A.R. Markos, FRCOG FRCP Dr. Pijush Ray, FRCP Mr. Olanrewaju Sorinola, FRCOG Dr. Umesh Udeshi, FRCR East of England Area Mr. Rotimi Jaiyesimi, FRCOG LL.M (Medical Law) Mr. Andrew Murray, FRCS London Area Mr. Gervase Dawidek, FRCS FRCOphth Mr. Andrew Ezsias, FDS RCS FRCS South East Coast Area Dr. Paul Donaldson, FRCPath Mr. Ayman Fouad, MB BCh MSc MD MRCOG Dr. John Schofield, FRCPath Dr. Sriramulu Tharakaram, FRCP South Central Area Mr. Callum Clark, FRCS(Tr&Orth) Mr. Paul A. Johnson, FRCS, FDSRCS Mr. Christopher Khoo, FRCS Dr. Sucheta Iyengar, MRCOG South West Area Dr. Claudia C.E. Paoloni, FRCA Professor Michael Y.K. Wee, FRCA Professor Ross Welch, FRCOG Mr. Subramanian Narayanan, MRCOG Wales Mr. Simon Hodder, FDS FRCS Scotland Dr. Bernhard Heidemann, FRCA Mr. Sean Laverick, FDS FRCS Deputy - Dr. David Watson, FRCA, DipHIC Northern Ireland Dr. William Loan, FRCS FRCR Specialist Registrar National Representative Vacancy Non-Consultant Career Grade National Representative Mr Anthony Victor Babu Bathula, MS; DNB; FRCS; Dip Lap Surg; MBA (Health Executive)

join the association Hospital Consultants & Specialists Association Number One, Kingsclere Road, Overton, Basingstoke, Hampshire, RG25 3JA Tel: 01256 771777 Fax: 01256 770999 e-mail: website:

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