Appendix 1 The University of Nottingham University of Nottingham Medical School School of Life Sciences Nottingham

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1 Appendix 1 The University of Nottingham Described by the Times Good University Guide 2017 as the nearest Britain has to a truly global university The University of Nottingham has award-winning campuses in the UK, China and Malaysia and hosts a global academic community in all three countries. The University has an institution-wide commitment to embedding an international dimension across all of our activities enabling us to produce graduates who are empowered to excel in a challenging global environment and deliver genuinely world-changing research. Our reputation for world-class research has yielded major scientific breakthroughs such as Nobel-winning MRI techniques, drug discovery, food technologies and engineering solutions for future economic, social and cultural progress. Already ranked among the UK s elite universities and global polls for research excellence, our reputation for world-class research has been further enhanced with the 2014 results of the Research Excellence Framework (REF). In addition to scoring highly in quality rankings covering major disciplines in science, engineering, the social sciences, medicine, business and the arts, it is Nottingham s research power rankings which demonstrate the impressive volume of excellent research which is carried out. We are now ranked 8 th in the UK on a measure of research power which takes into account both the quality of research and the number of research-active staff who made REF returns, confirming Nottingham s place in the top tier of the world s elite higher education institutions. The main University campus is set beside a lake, in an extensive belt of woodland, parks and playing fields. The 330 acre University Park Campus is the focus of life for more than 32,000 students and houses the majority of the University s academic schools and many of the central Services. The Jubilee campus is situated 2 miles away from the University Park, and provides extra capacity. The University Medical School is situated next to the University Park. Together with the University Hospital, it forms the Queen s Medical Centre (QMC). University of Nottingham Medical School Nottingham has a strong reputation for both clinical medicine and teaching. As one of the most popular medical schools in the country, it is able to select excellent students and produce and attract good junior doctors. The School of Life Sciences is composed of three research Divisions and a Division of Teaching and Learning. Research Divisions span biological and biomedical research with focuses on: Genetics, Ecology and Evolution; Immunology; Physiology and Pharmacology; Microbes and Microbial Engineering; Immunology; Molecular Cell Biology and Development and Neuroscience. The School has strong links with the School of Medicine and the Biomedical Research Centre, the School of Physics and the Sir Peter Mansfield Imaging Centre, the Schools of Biosciences, Chemistry and Engineering, Pharmacy. Nottingham Central within the East Midlands, Nottingham is a vibrant and prosperous city with something to offer everyone. It is one of the UK s leading retail centers and has a huge variety of restaurants, bars and nightclubs which attract people from all over the UK. Culturally, it has good theatres, an arena which attracts both national and international performers and a range of historical interests relating to subjects such as the lace industry, Lord Byron and DH Lawrence. Nottingham is also known for sport, being the home of Trent Bridge Cricket Ground, Nottingham Forest and Notts County Football Clubs, the National Water Sports Centre and the Nottingham Tennis Centre. There is a good network of roads with easy access to the M1 and the A1, a fast frequent rail service to London and other major cities. Nottingham East Midlands Airport is only eighteen miles away. The city is set within a county of outstanding natural beauty which includes Sherwood Forest, Wollaton Park, lively market towns and wonderful historic buildings. Housing is relatively inexpensive and, in addition to the two Universities, there are excellent schools and colleges available.

2 To find out more about Nottingham, use the following links: Nottingham County Council Tourism University of Nottingham Zoopla (Guide to local properties) My Nottingham (information on schools, term dates, school transport etc.) Appendix 2 Nottingham University Hospitals NHS Trust (NUH) VISION Our vision for the future of our hospitals is 'working together to be the best for patients'. WHO WE ARE NUH has three campuses Queen s Medical Centre (QMC), Nottingham City Hospital and Ropewalk House. We provide general hospital services to the 2.5 million residents of Nottingham and its surrounding communities and specialist services to a further 3-4 million across the region. We are one of the largest employers in the region, with 15,000 people making up team NUH. We have 1,500 volunteers and over 14,000 public members. The Trust s annual turnover is 940million. We have approximately 1,700 beds (90 wards). QMC is our emergency care site, where our Emergency Department, Major Trauma Centre and Nottingham Children's Hospital are located Nottingham City Hospital is where we largely care for patients with long-term conditions and run our elective services. This includes our centres for cancer, haematology, heart disease, urology, respiratory medicine and elective orthopaedics In Ropewalk House we provide a range of outpatient services, including hearing services We have maternity and neonatal units at QMC and City Hospital. On average we see: 71,006 outpatient appointments a month 16,386 outpatient appointments a week 3,277 outpatient appointments a day 89 elective patients a day 1,932 elective patients a month 318 daycase patients a day 6,892 daycase patients a month 2,123 patients pass through the doors at QMC a day 536 Emergency Department patients a day 557 patients a day (elective, day case and emergency) ACHIEVEMENTS We are at the forefront of many research programmes and new surgical procedures. In partnership with The University of Nottingham we host a Biomedical Research Centre carrying out vital research into hearing, digestive diseases, respiratory, musculoskeletal disease, mental health and imaging. As a teaching trust we have a strong relationship with The University of Nottingham and other universities across the East Midlands, playing an important role in the education and training of doctors, nurses other healthcare professionals. We are part of the London 2012 Olympic legacy and offer services at the National Centre for Sport and Exercise Medicine - East Midlands, based at Loughborough University. Page 2 of 5

3 VALUES AND BEHAVIOURS: Known as 'we are here for you' our values describe the NUH way of doing things. 'We are here for you' is our promise to patients that all day, every day, we will do our very best to ensure: you are cared for politely and respectfully by kind and helpful staff, who have taken the time to listen to you and keep you informed at every step you are safe in clean and comfortable facilities, with highly professional teams who work together to make sure you are in safe hands you are confident in your treatment provided by well-trained, skilled and compassionate teams, who involve you in your care and appreciate the value of your time Our values: caring and helpful safe and vigilant clinically excellent accountable and reliable best use of time and resources Innovation for patients THOUGHTFUL PATIENT CARE Caring And Helpful Polite, respect individuals, thoughtful, welcoming Helpful, kind, supportive, don t wait to be asked Listening, informing, communicating CONTINUOUS IMPROVEMENT Accountable And Reliable Reliable and happy to be measured Appreciative of the contribution of others Effective and supportive team-working Safe And Vigilant Best Use Of Time & Resources Clean hands and hospital so patients Simplify processes, to find more time to are safe care Professional, so patients feel safe Eliminate waste, investing for patients Honest, will speak up if needed to keep patients safe Making best use of every pound we spend Clinically Excellent Innovation For Patients Best outcomes through evidence-led Empowerment to act on patient feedback clinical care Improvement led by research and Compassionate, gentle, see whole evidence person Teaching the next generation Value patients time & minimise waiting Clinical Immunology and Allergy Department and Immunology Laboratory Management Arrangements in the Nottingham University Hospitals NHS Trust The management of the Nottingham University Hospitals NHS Trust is organised via a structure of five Divisions, which contain all the clinical departments. The laboratory sits within the Cancer and Associated Specialities (CAS) Division and the Clinical Immunology and Allergy department sits within the Medicine Division Clinical work related to out-patients and in-patient care sits within the Clinical Immunology and Allergy department, whereas all the laboratory work sits within the CAS Division. The immunology laboratory is part of an integrated blood sciences department (biochemistry, haematology and Immunology) which sits within the CAS Division at NUH. It is currently CPA accredited and is currently undergoing a UKAS visit, with preliminary good feedback. The Immunology laboratory is currently based on A Floor West Block at QMC Campus. The laboratory is part of the original building of Queens Medical Centre built in 1977 and was refurbished in The immunology laboratory provides services to NUH, University Hospital Leicester, Kings Mill Hospital and Derby Hospitals and also provides Consultant input Page 3 of 5

4 (non-sessional) to Kings Mill Hospital (UKAS accredited). The Immunology laboratory provides an extensive repertoire of tests, with a large autoimmune section to support the superregional vasculitis clinical service. The Clinical Pathology laboratories perform 1,646,053 tests per annum including ANA 20,020, TTG antibodies 29,036, ANCA 6,674, ENA screen 5,079, functional antibodies 3,643, lymphocyte markers 4,836, myositis profile/autoimmune myositis antibodies 918 and Total IgE 4,742 per annum. We have a panel of 240 different specific IgE allergens. Major laboratory equipment includes Beckman Coulter Navios flow cytometer, AQUIOS flow cytometer, INOVA slide processor for immunofluorescence work, two DS2 s for ELISA work and Unicap 250 for allergy, BIOFLASH for autoantibody work and Euroblot one. Other laboratory services within NUH include microbiology, histopathology and molecular diagnostics. All NUH laboratory work is supported by the Winpath laboratory system software and Q-pulse software for quality management. The laboratory participates in appropriate external quality assurance. The Clinical Immunology and Allergy department is within the Medicine Division at NUH. There is a Clinical Lead (currently Dr Julie McHale, Consultant Rheumatologist) who covers both the Rheumatology and Clinical Immunology and Allergy Departments. The clinical service manages an extensive number of patients with immunodeficiency, allergy and autoinflammatory disease. The department sees 1041 new patients (307 Immunology, 734 Allergy), 1905 follow-ups (725 Immunology, 1180 Allergy) and addition 1,152 day cases (944 Immunology, 208 Allergy) per year. We manage 128 patients with immunodeficiency on immunoglobulin replacement with 82 of these on our home therapy programme. Immunology and allergy outpatients, allergen immunotherapy and challenges are currently seen in Clinic 2 outpatients at QMC campus. There is also a day care unit at QMC campus which provides care for immunoglobulin replacement and biologicals. The department does not manage any in-patients and patients that require admission will be admitted under appropriate speciality with input from Immunology and Allergy as required. The Clinical Immunology and Allergy department have a monthly governance and mortality morbidity meeting. The department has registration status for both UK Primary Immunodeficiency Network (UKPIN) and Improving Quality Allergy Services (IQAS). The department participates in TRIAC (Trent Regional Immunology and Allergy Consortium) which involves writing and using guidelines, audit and educational activities. The centre provides registrar higher specialist training in immunology, approved by the GMC through the JRCTB. We currently have 2 training numbers and NUH is a popular place to train, we often have a waiting list for trainees to transfer from another training scheme. STAFF The post is administrated through CAS and the Line Manager is Dr Peter Prinsloo Pathology (CAS Division) Consultants Dr Elizabeth McDermott (Consultant Immunologist and Clinical Lead for Immunology Laboratory)) Associate Specialist Dr Anwar Abdel Registrar Dr Evon Boules Clinical Scientist Rebecca Gama Paulo Immunology Laboratory Manager Catherine Sims Pathology Management Dr Peter Prinsloo (Clinical Lead for Blood Sciences) Dr Jilean Bowskill, General Manager Pathology Dr Simon Roe, Divisional Director Keith Oliver, Divisional General Manager Lesley Reilly, Divisional Nurse Clinical Immunology and Allergy Department (Medicine Division) Consultants Dr Elizabeth Drewe (Consultant Clinical Immunologist) Dr Gnanasegaram Gnanakumaran (Consultant Allergist) Page 4 of 5

5 Dr Prashantha Vaitla Registrar Dr Rachael O Brien Specialist Nurses 4 Clinical Nurse Specialists (totalling 3 WTE) Administration There are 2 fulltime secretaries and several support staff Management Dr Julie McHale (Clinical Lead Rheumatology, Clinical Immunology and Allergy) Dr Elizabeth Drewe (Deputy Clinical Lead Rheumatology, Clinical Immunology and Allergy) Dr Alun Harcombe, Divisional Director Jen Beaumont, Divisional General Manager Lorraine Hourd, Divisional Nurse Conditions of Service and Governance The successful candidate will be offered an Honorary Contract with the Nottingham University Hospitals NHS Trust under the terms and conditions. When undertaking clinical duties on this basis within the Trust, the person appointed will be expected to adhere to local policies and procedures and to take note of the standing orders and financial instructions of the Trust. Nottingham University Hospitals NHS Trust is committed to the development of Clinical Governance. The approach taken is to develop actions plans at a directorate level. Each member of the medical staff is expected to take an active role in clinical governance activities within their directorate and each directorate has a Consultant nominated as Clinical Governance lead. The activities include (but are not restricted to) audit, incident reporting, review of complaints, risk management, CPD and Evidence Based Practice. Professional Standards The Clinical Director is managerially responsible for all activity and personnel in the directorate in which the appointee will work. The Medical Director, Dr Keith Girling, has overall responsibility for the professional performance of clinicians, including of those holding Honorary Contracts with NUH. All clinicians are expected to comply with management arrangements in place, to follow the guidelines on practice laid down by the General Medical Council s Maintaining Good Medical Practice, and to be accountable to the Trust for their actions and the quality of their work. A yearly Joint Clinical and Academic Appraisal is carried out. The University of Nottingham strongly endorses Athena SWAN principles, with commitment from all levels of the organisation in furthering women s careers. It is our mission to ensure equal opportunity, best working practices and fair policies for all. Page 5 of 5