App 158580460 19467815 6027626 ALL

Job ref: 220-EIM-MED-006 Job title: Locum Palliative Care Consultant
Application for employment
Application for: Locum Palliative Care Consultant Job ref: 220-EIM-MED-006

Closing date: 13-Feb-2024 Application submitted: 13-Feb-2024 20:03
Application ID: 158580460 Applicant: Gayatri Rika Beaumont
Personal details
Answers given in this part of the form are to help the Recruitment Centre to manage your application.
If you have any difficulty completing this form please ask someone to help you.
We would like to take this opportunity to thank you for applying.
Personal details
Title Dr
Forename Gayatri
Middle name(s) Rika
Surname Beaumont
Address Flat 3 The Power House
70 Chiswick High Road
City / town London
County Chiswick
Country United Kingdom
Postcode W4 1SY
Email [email protected]
Work telephone 0207787100
Mobile telephone 07916336856
Home telephone 02087471479
UK National
Insurance number
First available date April 2024
for employment
Disclosure of information
a) Are you related to No

a member or
employee of
Whittington Health
NHS Trust?
Relations name
Relations post
Relationship
b) Are you currently No
subject to any
disciplinary action?
If yes, please give
details
c) Have you ever No
been dismissed from
previous
employment?
Post dismissed from
Date dismissed
Reason for dismissal
Application: 158580460 [Vacancy: 6027626] Page 1 of 16

Rehabilitation of Offenders Act 1974
The Rehabilitation of Offenders Act helps rehabilitated ex-offenders back into work by allowing them not to declare criminal convictions after the rehabilitation period set by the Court
has elapsed and the convictions become "spent". During the rehabilitation period, convictions are referred to as "unspent" convictions and must be declared to employers.
Before you can be considered for appointment we need to be satisfied about your character and suitability
Whittington Health NHS Trust aims to promote equality of opportunity and is committed to treating all applicants for positions fairly and on merit regardless of race, gender, marital
status, religion, disability, sexual orientation and age. We undertake not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared.
If you are applying for a post involving access to persons in receipt of health services, your offer of employment may be subject to a satisfactory disclosure from the Disclosure and
Barring Service. Failure to reveal information relating to any convictions could lead to withdrawal of an offer of employment.
Have you any unspent criminal convictions or bindovers, or any cautions, warnings or reprimands?
No
If yes, please give details
The position you are applying for has been identified as being an 'eligible position' under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 [the Exceptions Order]
and, in certain circumstances, the Police Act 1997. As such, it meets the eligibility criteria for a standard or an enhanced disclosure to be requested through the Disclosure and
Barring Service (DBS).
As such you are required to declare any convictions, cautions and reprimands that are not covered by the 'filtering' rules.
Have you at any time received or had pending a criminal conviction, caution, warning, reprimand or bind-over (known as a spent conviction)
that is not covered by the 'filtering' rules?
No
Protection of Vulnerable Groups Act Lists
Does your name appear on the Protection of Children or Vulnerable Adult lists?
No
Pre-screening: Internal/external
Before being given access to the online application form, the applicant was asked the following.
Are you currently an employee of Whittington Health NHS Trust?

No
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Choose your immigration status

I have 'Indefinite Leave to Remain in the UK' with no time limit
If you wish to provide any additional information regarding your right to work/immigration status, please do so here
Residence Permit Settlement No time limit UK 14-10-2022 RW0428574
Declaration
The following will result in disqualification or dismissal:
i. Canvassing a member or senior officer of the Trust

ii. Failure to disclose a relationship with a member or employee of the Trust.
iii. The provision of false information either expressly or implicitly.
iv. Failure to reveal information relating to any convictions including, in some circumstances, spent convictions.
I certify that the above information is correct.
(For signing at interview) Signed:________________________________________ Date:_________________
I am making an online application. By marking this box I indicate that I agree with the above declaration and that I will sign
printed copies of this application form on request.
Yes
Page 2 of 16 Application: 158580460 [Vacancy: 6027626]


Application questions
This part of the form will be used during short-listing. Your answers will be assessed against the requirements given in the Person Specification. We strongly advise you to ensure
that your answers show how your skills and experience match the requirements of the post that are given in the Person Specification.
Personal statement
Please use this space for a personal statement of up to 400 words

I have over 10 years experience in Palliative Medicine in England. I completed Core Medical Training and MRCP UK in 2011, and Specialist Training
in Palliative Medicine to ST6 level with the SCE Palliative Medicine in 2020. I submitted CCT in Palliative Medicine via the Portfolio pathway in
November 2023. I deliver complex symptom management for the frail elderly and patients with organ failure, neurodegenerative diseases and
advanced cancer diagnoses.
I am trained in trauma-informed talking therapies which help with complex advanced planning conversations, carer support and MDT working.
I use validated patient outcome measures (IPOS) and other OACC Suite tools from my MSc module training at King’s College, London. I was
awarded the “IPOS Champion” at The Royal Marsden NHS Trust as a training registrar.
In my current post, I set up an IT web-based platform for sharing digital project information and maintaining written clinical handover of patients’
clinical care in real time. This has improved efficiency in team working and after-hours handover while maintaining confidentiality. I led an audit on the
adherence of diabetes management towards the end of life. The audit loop shows adherence to safe clinical practice against 2022 national guidance.
The outcome of the audit will initiate the use of technological advances of non-invasive blood sugar measurements.
I completed a systematic review to update local guidance on the use of denosumab for skeletal-related events as part of MSc Module at King’s
College, London in evidence-based guidance development. I received a distinction for this piece of work. I led a trust-wide audit on the hidden
mortality and cost of low falls, and this was presented at a national specialist meeting. Change management from the audit and the reduction in
patient morbidity and bed occupancy led to trust savings. I met educational targets for the same service by setting up interventional skills laboratory
teaching for medical students and junior doctors.
I advocate for doctors with differential attainment due to disability. I promote inclusive practices to improve healthcare outcomes for patients from
diverse backgrounds with complex health needs. As a result of my teaching initiative on Autism aimed at Doctors at Royal Trinity Hospice, National
Autism Training is now mandatory training in line with national objectives for the NHS. I lead reflective practice Balint Groups to promote healthy
teamwork and will present data from the pilot at the next Hospice UK national meeting.
Education and Training - Schools / Colleges / Universities
Place of study University of Sydney
Subject / qualification Grade / result Date obtained
MBBS Honours 2001
Place of study King’s College London
BSc Neuroscience 2:1 Hons 1994
Place of study Royal College of Physicians
MRCP (UK) Pass 2011
Place of study Royal College of Physician

SCE Palliative Medicine Pass 2020
Higher professional qualifications
If you have other higher professional qualification(s) please complete the following section.
Qualification MRCP UK
Date obtained April 2011
Qualification SCE Palliative Medicine

Date obtained November 2020
Qualification FRACS I
Date obtained September 2004
Training Courses Attended
Please give details of other formal training courses attended and dates. (E.g. ATLS, Basic Clinical Skills, CRISP)
Basic Life Support Resuscitation Council 2023
Oxford Pain and Symptom Management Course Oxford centre for Education and Research in Palliative Care (attended in parson) July 2023 CPD 16
Palliative Care Congress: Sustaining each other, growing together Association for Palliative Medicine Edinburgh (attended virtually) 17th March 2023
Mental health and palliative care: Equipped to care Royal Society of Medicine Nov 2023 RSM PLS0150/01
Mental illness and palliative care: Practical approaches and innovative solutions, Royal Society of Medicine London (In Person) November 2022 RSM
PLR0150/01 CPD 6
Medicine 2022: Royal College of Physicians annual conference London (attended virtually) March 2022 CPD 16
Peer Leadership Training in Balint Groups, The British Balint Society Sept 2023 – Sept 2024
Dialectic Behaviour Therapy Accreditation Level 1 Association for Psychological Therapies 2019
Faculty of Medical Leadership and Management New Consultant Leadership March 2024
Educational supervisor workshop and accreditation - 28/29 June 2021 – ONLINE Royal College of Physicians, UK ref 134480 2021
Managing Conflict with Colleagues Course Medical Defence Union, 2022 • Conflict Resolution Medical Defence Union, 2022
Leadership and Management in the NHS Chelsea and Westminster NHS trust 2017
Proposed Further Qualifications
Please provide details of any proposed further qualifications

King’s College London Palliative Care MSc Research Module 2023
Oxford Pain and Symptom Management Course Oxford centre for Education and Research in Palliative Care (attended in parson) July 2023 CPD 16
Palliative Care Congress: Sustaining each other, growing together Association for Palliative Medicine Edinburgh (attended virtually) 17th March 2023
Mental illness and palliative care: Practical approaches and innovative solutions, Royal Society of Medicine London (In Person) November 2022 RSM
PLR0150/01 CPD 6
Medicine 2022: Royal College of Physicians annual conference London (attended virtually) March 2022 CPD 16
Primary professional registration
Professional body General Medical Council

Registration no 6089502
Expiry / renewal date 31/12/2024
Are you on the No
Specialist Register?
If you have answered
'Yes' please give date
of entry

If you have answered 28/11/2023

'No', then please
confirm your CCT
date (this needs to be
within 6 months of
the scheduled
interview date for
this post)
Are you "Licensed to I am registered with the GMC and I am "Licensed to Practice"
Practice" by the
GMC?
Any other information relevant to your registration such as sections of register or restrictions on practice.
I am waiting to get approval for the specialist registrar from Royal Trinity Hospice
Submission for CCT meets Palliative Medicine 2010 (2014) curriculum with all documents as required submitted by the 28th November (Previoulsy
CESR) route.
Passed appraisal in November 2023
Revalidation of professional registration
Please provide details of your current or most recent Designated Body and Responsible Officer along with the date of your most recent appraisal and the
date your Revalidation is due - if this has been given to you.
Name of current or Chelsea and Westminster Hospital NHS foundation trust

most recent
designated body
Responsible officer's Dr
title
Responsible officer's R
first name(s)
Responsible officer's Chan
surname
Job title Responsible Officer
Address 1 369 Fulham Rd, Chelsea,
Address 2
Address 3
City / Town London
County / State
Postcode SW10 9NH
Email address [email protected]
When was the date of November 2023
your last appraisal?
When is your November 2027
revalidation due
date?
If you are successful in obtaining this position will you continue to hold a national training number?
No
Do you believe your Responsible Officer will be the Responsible Officer at Whittington Health NHS Trust?
Yes
If you are unable to provide any of the above details please give your reasons why.
Other relevant professional memberships
Include in this section any other relevant professional registrations or memberships. For example, the Royal Societies.
Professional body
Membership or
registration type
Membership or
registration or PIN
number
Expiry or renewal
date
Please give details of any specialist registrations recorded under this body
Are you currently the subject of a fitness to practise investigation or proceedings by a licensing or regulatory body in the UK or in any other
country?
No

Have you been removed from the register or have conditions been made on your registration by a fitness to practise committee or the
licensing or regulatory body in the UK or in any other country?
No
Present or recent employment history
Start date November 2023

End date January 2024
Job title Hospice Doctor
Please give details of the specialties and duties undertaken
1 in 10 1st on call to hospital, hospice and community settings.
Inpatient unit 12-14 (total 26 bedded unit) Clerking, admissions and discharge of patient. Teaching junior doctors, nurses and medical students.
Community outreach. Complex symptom management and advanced care planning discussions. Multidisciplinary teem meetings and twice daily
handovers. Led and supervised completion of audit cycle. Piloted a novel educational initiative. Journal clubs. Continuous Professional Development
in line with Royal College of Physician and local NHS trust appraisal.
Employer name Royal Trinity Hospice
Employer address 1 Clapham Common North
Employer address 2 Royal Trinity Hospice
Employer city/town 30 Clapham Common North Side
Employer Greater London
county/state
Employer postcode SW4 0RN
Telephone number 0207 787 1000
Reason for leaving
End of fixed term contract
Employment prior to above starting with most recent
Employer name Royal Trinity Hospice

Employer address 1 30 Clapham Common North Side
Employer address 2
Employer city/town London
Employer
county/state
Employer postcode SW4 ORN
Job title Specialist Trainee LDN Specialist Trainee LDN/094/6089502/C
Start date April 2020
End date 31/10/2022
Reason for leaving
Remained in post
Senior registrar independently working and seek advice from senior doctors as appropriate. Leading ward rounds, admission discharges
and IDT meetings within 26 bedded hospice unit. Working a 35 hour week with 1 in 5 first on call experience across palliative care / care of
the elderly / general practice / oncology / haematology/organ failure and advanced neurological disease. Trained and mentored doctors and
multidisciplinary staff. Used validated outcome measures (IPOS) and OACC suite of skills.
Employer name St John’s Hospice/Health Education England

Employer address 1 60 Grove End Rd,
Employer address 2 London
Employer
county/state
Employer postcode NW8 9NH
Job title ST6
Start date March 2021
End date 31/03/2022
Reason for leaving
Rotated to Royal Trinity Hospice
Senior registrar independently working and seek advice from senior doctors as appropriate. Leading ward rounds, admission discharges
and MDT meetings within 14 bedded hospice unit. Working a 35 hour week with 1 in 5 first on call experience across palliative care / care
of the elderly / general practice / oncology / haematology/organ failure and advanced neurological disease and homelessness, refugee
population and addiction. Trained and mentored doctors and multidisciplinary staff. Led teaching schedule and delivered on line teaching to

imperial college students and participated in multi site Journal Club with imperial college. Participated in risk management and clinical
governance meetings. Research governance ethics meeting participation . Managed staff rota and junior doctor recruitment. Outpatient
clinics with advanced respiratory disease and cardiac failure with St Mary's Imperial NHS Trust. Collaborative working for complex pain
management with Acute Pain interventional team at Imperial College NHS Trust.
Employer name Royal Trinity Hospice/Health Education England

Employer address 1 30 Clapham Common North Side
Employer address 2
Employer United Kingdom
county/state
Employer postcode SW10 9NH
Job title ST5 Palliative Medicine Specialist Palliative LDN/094/6089502/C
End date 15/03/2021
Reason for leaving
Rotation in training
Registrar independently working and seek advice from senior doctors as appropriate. Leading ward rounds, admission discharges and
MDT meetings within hospital inpatient unit. Working a 35 hour week week cross palliative care / care of the elderly / general practice /
oncology / haematology/organ failure/ advanced neurological disease. Used validated outcome measures and AKPS. Trained and
mentored doctors and multidisciplinary staff. in symptom management and complex family dynamics. 1 in 5 first on call weekend rota.
Completed and passed with distinction SCE in palliative medicine November 2020.
Employer name Chelsea and Westminster NHS Trust/HEE

Employer address 1
Employer address 2
Employer city/town
Employer
county/state
Employer postcode SW10 9NH
End date 09/03/2020
Reason for leaving
Rotation of training placement
Registrar independently working and seek advice from senior doctors as appropriate. Leading ward rounds, admission discharges and
MDT meetings within hospital inpatient unit. Working a 35 hour week week cross palliative care / care of the elderly / general practice /
oncology / haematology/organ failure/ advanced neurological disease. Used validated outcome measures and AKPS. Trained and
mentored doctors and multidisciplinary staff. Led teaching schedule and OSCE teaching to year 3 imperial college students. Participated in
Oncology and HIV interdisciplinary team meetings. Led audit on death and discharge documentation amongst doctors.
Employer name Royal Marsden Hospital NHS trust

Employer address 1 Fulham Road
Employer address 2
Employer city/town Chelsea
Employer
county/state
Employer postcode SW3 6JJ
Start date October 2017
End date 10/03/2019
Reason for leaving
Rotation of post
Registrar in Palliative Medicine training working collaboratively with specialist inpatient nurses and consultants. Admission and discharges
and MDT meetings within hospital inpatient unit. Worked a 35 hour week week cross palliative care and oncology . Voted IPOS champion

Used validated outcome measures and AKPS for service management. Formal teaching for doctors and multidisciplinary staff. Participation
in multidisciplinary teaching with Acute Pain team. Updated guidance with palliative pharmacy on opiate guidance in the trust. 1 in 5 1st on
call rota
Employer name Meadow House Hospice

Employer address 1 Ealing Hospital
Employer address 2 Uxbridge Road
Employer city/town
Employer
county/state
Employer postcode UB1 3HW
Job title Palliative Medicine RegistrarLDN/094/6089502/C
End date 01/10/2017
Reason for leaving
Rotation of post
Registrar in Palliative Medicine working on inpatient unit of 14 bedded NHS hospice plus six months working in the community Hounslow,
Ealing and Brent with community MDTs . Admission and discharges and MDT meetings within hospital inpatient unit. Working a 24 hour
week . Led Quality Improvement and completion of Audit on safe electronic prescribing of inpatient patient discharge summaries to safe
discharge of patients to home. Training and revalidation of nursing staff.
Employer name Full or Part Time Student

Employer address 1 King’s College London
Employer address 2 Cicely Saunder’s Institute
Employer city/town Denmark Hill
Employer
county/state
Employer postcode SE5 9RS
Job title Student
Start date April 2014
End date 01/10/2015
Reason for leaving
Training board recommendation
Trainee Advisor Professor Koffman 5 x MSc Modules in Palliative Medicine Research Methods and Statistics in Palliative
Care/Biology and Management of Symptoms in Advanced Disease/ Service
Organisation and Policy in Palliative Care/ Psychosocial, Cultural, Ethical and
Spiritual Issues/ Applying Epidemiology in Palliative Care King’s College London, UK
Employer name St Barnabas Hospice

Employer address 1 Titnore Lane
Employer address 2
Employer city/town Worthing
Employer
county/state
Employer postcode BN12 6NZ
Job title Specialist Trainee Palliative Medicine KSS
End date 01/09/2014
Reason for leaving
Rotation and process of diagnosis disability
Registrar in Palliative Medicine working on inpatient unit of a 20 bedded charity hospice. Admission and discharges and MDT meetings
within hospice inpatient unit. Full time working with 1 in 5 on call.. Updated clinical guidance on constipation. Symptom management and
advanced care planning. Completion of Applied Therapeutics for Palliative Medicine Royal Society of Medicine, London June
2014National Advanced Communication Skills Training Programme National Cancer
Action Team RCP ref 87334 NHS England 2014

Employer name The Peace Hospice

Employer address 1 London Deanery Hammersmith Hospital/ROyal Brompton Hospital/Hillingdon Hospital
Employer address 2 Imperial College NHS TRust, Hammersmith Hospital
Employer city/town
Employer
county/state
Employer postcode
Job title Core Medical Trainee 1 and 2
Start date August 2008
End date 01/10/2012
Reason for leaving
Completed core medical training
6 Months maternity leave
Rotated through 6 months rotations as SHOs in Cardiology, Aged care, renal, stroke, acute medicine, acute oncology with periods of acting
up as registrar and participation in outpatient clinics. 6 months Maternity leave, obtained MRCP UK 2011
Presentations
Please give details of presentations that you have given at national or international meetings.
National Peer Reviewed Poster Presentation and Publication 1st Author
“Minor falls – the underestimated morbidity, mortality and cost in Trauma” G Beaumont,
J Sheehan J, A J Grabs ANZ Journal of Surgery, May 2004: 74. (Suppl) A 132 – A 136

Teaching
Please give details of your teaching experience.

Objective Structured Clinical Examination teaching 3rd Year Medical Students
Imperial College, Faculty of Medicine, London 2019
UK Postgraduate Teaching in Palliative Medicine
Updates on the Oxford Advanced Pain and Symptom Management Course Journal
Club Presentation Royal Trinity Hospice, London Sept 2023
•Clonidine for refractory symptoms in Parkinson’s Disease Journal Club Presentation
Royal Trinity Hospice, London July 2023
International Visiting Doctors’ Ward Round Teaching Palliative Medicine at Royal
Trinity Hospice Inpatient Unit, London 2023
Frailty and the Role of Palliative Services Consultant Level Teaching St John’s Hospice
Unit, London Feb 2022
Suicides among people diagnosed with severe health conditions, England Office of
National Statistics Journal Club Presentation, Royal Trinity Hospice, London 20th April
2022
Neuropathic Pain Junior Doctor Teaching St John’s Hospice/Imperial NHS trust Feb
2022
Nausea and Vomiting Junior Doctor Teaching St John’s Hospice/Imperial NHS trust
June 2021
Tenesmus a Systematic Review October 2021 Imperial College Journal Club Meeting,
St John’s Hospice Oct 2021
Advanced Care Planning and End of Life Care in patients with ICD Imperial College
7
Journal Club Presentation, Royal Trinity Hospice June 2021
Management of Anxiety in End-of-Life Care Royal Trinity Hospice Sep 2020
Utilization of Robotic Pets in Dementia Care Chelsea and Westminster NHS Trust Jan
2020
Antipsychotic use in End-of-Life Care Chelsea and Westminster NHS Trust May 2019
Management of Pain in adult patients Royal Marsden Hospital Joint Pain and
Symptom Management Meeting 2018
Use of Methadone in the management of high cervical metastatic bone fracture
Royal Marsden Hospital Joint Pain and Symptom Management Meeting July
2018
UK Undergraduate Medical Teaching in Palliative Medicine
St George’s Hospital Medical Student Teaching Year 3 Ward Round/ Reflective
Practice Balint Groups Royal Trinity Hospice Inpatient Unit Feb – Present 2023
UK Teaching Accreditation of Clinical Nurse Specialists in Palliative Care
Blood results interpretation Royal Trinity Hospice Dec 2020
Neuropathic Pain Meadow House Hospice Aug 2017
Chronic Obstructive Pulmonary Disease Meadow House Hospice Aug 2017
Opioids in renal failure Meadow House Hospice Aug 2017
Overview of Pain Meadow House Hospice Aug 2017
Diabetes at the end-of-life Meadow House Hospice July 2017
Nausea and Vomiting Meadow House Hospice July 2017
Management of Pruritis (Itchy Skin) Meadow House Hospice May 2017
Management of Diarrhoea and Fistula Meadow House Hospice April 2017
Management of Dry Mouth and Other Mouth Care Issues Meadow House Hospice
March 2017
What is Specialist Palliative Care? Meadow House Hospice March 2017
Management
Please give details of your management experience.

Leading Balint Groups Royal Trinity Hospice 2023
Peer Leadership Training in Balint Groups, The British Balint Society Sept 2023 – Sept
2024
• Information Technology Management and Leadership: PARA champion: A Quality
Improvement Project digital data management on MS Teams for multidisciplinary
team working Royal Trinity Hospice, Sept 2023 – Feb 2024
• Leading Multidisciplinary Team Meetings and Clinical Governance Meetings Royal
Trinity Hospice 2021 and at St John’s Hospice London, 2021 – 2022
• Leading Rota Management and Doctors Business Meeting St John’s Hospice 2021
2022
• Managing Consultant Level ward rounds 10-14 bedded Palliative Care Units St John’s
Hospice, Royal Trinity Hospice 2021 – 2022
8
UK and Australian Accredited Procedural Skills Teaching
• Accredited Advanced Trauma Life Support Instructor, The Whittington Hospital
Postgraduate Training Centre London 2008
• Accredited Advanced Trauma Life Support Instructor the Royal Brisbane Hospital
Animal Model Teaching Laboratory Brisbane, Queensland Australia 2008
• Trauma Skills Laboratory Teaching Director: Implemented and Taught Focussed
Assessment with Sonography for Trauma, Tracheostomy insertion, Chest Drain
Insertion, St Vincent’s Hospital Skills Lab, University of NSW, Sydney Australia 2004

Clinical audit experience
Please give details of clinical audits that you have been involved with an explanation of your roles.
Projects: Audit and Quality Improvement Projects/Presentations
• Quality Improvement Project: Multidisciplinary inpatient team working using MS Teams
digital data management at Royal Trinity Hospice, London Pilot October 2023 – Nov
2023
• Quality Improvement Project: Balint Group Leadership of Peer Doctors and Medical
Students at Royal Trinity Hospice, London 2023
• Re-Audit: Diabetes in End-of-Life Care Royal Trinity Hospice November 2023
• Audit Supervision Project: Diabetes in End-of-Life Care Royal Trinity Hospice 2021
• Audit Project: A re-audit of discharge summary completion for deceased adult inpatients
at The Chelsea and Westminster Hospital NHS Trust over a 3-month period from 1st
March 2019 until 31st May 2019
• Re – Audit Project: ePRO discharge documentation reaudit Meadow House Hospice,
London 2017
• Audit Project: Assessment of electronic prescribing discharge documentation (ePRO)
against standards set by the Royal College of Physicians Meadow House Hospice,
London 2016
Publications
Please give details of your publications (peer reviewed and others excluding abstracts).
National Peer Reviewed Poster Presentation and Publication 1st Author
•
“Minor falls – the underestimated morbidity, mortality and cost in Trauma” G Beaumont,
J Sheehan J, A J Grabs ANZ Journal of Surgery, May 2004: 74. (Suppl) A 132 – A 136
Research projects & grants
Please give details of your research projects and grants awarded.

LABORATORY RESEARCH:
2000 “Analysis of TH1 and TH2-like CD4 cells in Human Allergic Disease”
The Kolling Institute, The Royal North Shore Hospital, University of Sydney. Full-time research scholarship funded by The Australian Medical
Research Council. Supervisor: Dr. Brian Baldo
Research Assistant
“Flow Cytometry Analysis of CD8+/CD38+ T cells in Paediatric Long-Term Survivors of HIV”
Department of Paediatric Haematology/Oncology
Cornell Medical School, The New York Hospital, New York, USA
Supervisor: Professor Susanna Cunningham Rundles
1994 BSc Honours Project

“The Effects of all-trans Retinoic Acid on the Development of the Hindbrain of the Chick Embryo in Ova “
Department of Developmental Biology
King’s College, London
Supervisor: Professor Malcolm Maden
5 x MSc Modules in Palliative Medicine Research Methods and Statistics in Palliative Care/Biology and Management of Symptoms in Advanced
Disease/ Service Organisation and Policy in Palliative Care/ Psychosocial, Cultural, Ethical and Spiritual Issues/ Applying Epidemiology in Palliative
Care King’s College London, UK April 2014
Trauma Skills Laboratory Teaching Director: Implemented and Taught Focussed Assessment with Sonography for Trauma, Tracheostomy insertion,
Chest Drain Insertion, St Vincent’s Hospital Skills Lab, University of NSW, Sydney Australia 2004
Relevant Conferences / Meetings Attended
Please give details of any relevant conferences or meetings that you have attended.
• Oxford Pain and Symptom Management Course Oxford centre for Education and Research in Palliative Care (attended in parson) July 2023 CPD
16
• Palliative Care Congress: Sustaining each other, growing together Association for Palliative Medicine Edinburgh (attended virtually) 17th March
2023
• Mental illness and palliative care: Practical approaches and innovative solutions, Royal Society of Medicine London (In Person) November 2022
RSM PLR0150/01 CPD 6
• Medicine 2022: Royal College of Physicians annual conference London (attended virtually) March 2022 CPD 16
Supporting information
Please read the job description and person specification carefully and make full use of this section, to provide further information in support of your application.
Please be sure to include:
i. The reasons why you are applying for the post.

ii. Details of any relevant experience gained either in a paid or voluntary capacity.
iii. Details of any training, education or other interests relevant to the post.
iv. Details of Personal Attributes you have to support your application.
Supporting information
I/Reasons for applying to this post
The Whittington Trust was where I had my first employment as a clinical fellow in my first post in the NHS. I enjoyed working within the diverse
population the Whittington served and the wonderful teaching experience I received from clinical staff I worked with. The Whittington has a reputation

for inclusive clinical leadership and I hope to have the ability to gain leadership experience and receive mentorship as I complete my New Consultant
Training programme with the FMLM.
I hope to maintain my clinical capabilities towards completion of CESR (now portfolio) CCT route submitted in November 2023 Palliative Medicine. I
am able to deliver symptom management for the frail elderly and patients with organ failure, neurodegenerative diseases and advanced cancer
diagnoses. I demonstrate leadership through effective interpersonal relationships in multidisciplinary team work and coordinate holistic patient care
and discharge planning with the community services in the local area. I know to demonstrate effectiveness of service through using validated
outcome measures and adherence to good clinical practice through audit, and to participate in any national benchmarking measures. While I am very
much of the idea that I will concentrate on providing excellent clinical care, I have lessons from working at an Outstanding CQC rated service and
under mentorship of inclusive leadership which I can bring to the current clinical team.
II/ Details of any Relevant Experience Gained in Paid or Voluntary Capacity
I have over 10 years experience in Palliative Medicine in England supported by specialist training in palliative medicine with a training number in the
NHS. I completed Core Medical Training and MRCP UK in 2011, and Specialist Training in Palliative Medicine to I have over 10 years experience in
Palliative Medicine in England. I completed Core Medical Training and MRCP UK in 2011, and Specialist Training in Palliative Medicine to ST6 level
with the SCE Palliative Medicine in 2020. I submitted CCT in Palliative Medicine via the Portfolio pathway in November 2023. Audit projects I have
lead which resulted in change of team management include Management diabetes at the end of life in line with Diabetes UK national guidance and
electronic prescribing discharge summaries in line with Royal College of Physicians good practice guidance for safe discharge.
III) Details of any training, education or other interests relevant to the post
I am enrolled in the FMLM New Consultant training programme to help with leadership goals. I have completed conflict resolution training with the
MDU and On the Job Teaching Educational Supervision course with the Royal College of Physicians. I lead Balint Groups, and present positive
educational feedback for conducting them within the Hospice organisation at Hospice UK. Other further training include accreditation in advance
specialist psychological talking therapy Dialectical Behaviour Therapy.
IV) Personal Attributes
My specialist interest is the overlap of mental health and palliative medicine. As a portfolio doctor I account for and advocate for this population of
patients. Inclusivity includes being accountable for my own health and supporting and managing my disability effectively through education and
collaborative team working. Through my initiative, I implemented mandatory training on Autism for all employees for in line with the NHS standards. I
participate several compassionate initiatives in the local community including outreach talks on death and dying and running death cafes.
Inter Authority Transfers
If you currently work in the NHS and your application for this post is successful it will speed up the pre-employment checks process and help to ensure
that you are paid from the correct grade if you are prepared to give your consent to the Trust obtaining details of your previous NHS continuous service
records via Inter Authority Transfer process. (This will only be done if you are offered a post)
Do you give consent to the Trust obtaining details of your previous NHS continuous service records via the Internal Authority Transfer
Process?
I give my consent
Pre-screening questions
Questions asked before the application form was opened.
Do you have full GMC registration?

Yes
Clinical Log Book (compulsory if available)
If you have a training log-book detailing your experience of undertaking operations or medical practices you should use this facility to attach a copy.
Please note that the information on this form will be used to decide whether or not you meet the criteria for shortlisting: therefore it is important that you complete this form accurately
and in full.
If you wish to attach your log-book then it must be in one of the following file formats: PDF, DOC, DOCX, RTF or TXT.
Please note that if you are attaching log books or other documents, you must ensure that no names or patient information's are stated on any of the submissions as this
would be a breach of Trust and GMC Patient Confidentiality guidance
Upload your Log-book (essential if available)
Declaration
I am making an online application and confirm that the information that I have provided in this application is to the best of my knowledge correct and
complete. I understand and accept that if I withhold information or provide false or misleading information this may result in my application being
rejected, or if I am appointed, to disciplinary and/or dismissal. By marking this box I indicate that I agree with the above declaration and that I will sign
printed copies of this application form upon request. I understand that if I wish to withdraw my consent at any time after completing this declaration I
can do so by contacting the Recruitment Centre
Yes


References
References
If you are successful, prior to appointment, we will take up as many references as needed to cover all activities, including periods of employment and full time education,
that you have undertaken over the past three years. Any offer will be subject to these being satisfactory. Please ensure that you provide full contact details for your Employer/Line
Managers or Course Tutors for each activity. Please include their work email address where possible to avoid any unnecessary delays.
If during the last three years you have any periods in which you have not been in either employment or full-time education please provide details of someone who can provide a
character reference for you to cover this period. Character references should be provided by a person of standing in the community such as a Teacher, Health Care Professional (i.e.
Doctor, Physiotherapist, Registered Nurse), Minister of Religion, Police Officer or Solicitor. Character references should only be used in EXCEPTIONAL circumstances to cover
periods of time when you have not been in either employment or education.
Please use the "Add another" button below to add as many referees as required to meet the above requirements. Periods that referees cover may overlap but there should
not be any gaps over the past three years.
Referee's title Dr
Referee's first Samantha
name(s)
Referee's surname Lund
Referee's Royal Trinity Hospice
organisation name
Job title Medical Director
How do they know Employer / Line Manager
you?
Address 1 30 Clapham Common North Side
Address 2
Address 3
City / Town London
County / State United Kingdom
Postcode SW4 ORN
Telephone no. +44 202
Mobile no.
Can the referee be Yes
approached prior
to the interview?
Period this March 2020
reference covers
from:
Period this February 2024
reference covers
to:
What name will the
referee know you
by if different from
your current
name?
Why has your
name changed?
Referee's title Dr
Referee's first Jayne
name(s)
Referee's surname Wood
Referee's Royal Marsden Hospital
organisation name
Job title Clinical Lead
How do they know Employer / Line Manager
you?

Address 1 The Royal Marsden NHS Foundation Trust, ≈, London, SW3 6JJ
Address 2 Fulham Road,
Address 3
City / Town London
County / State
Postcode SW3 6JJ
Telephone no. 02033158000
Mobile no.
Can the referee be Yes
approached prior
to the interview?
Period this October 2017
reference covers
from:
Period this April 2019
reference covers
to:
What name will the
referee know you
by if different from
your current
name?
Why has your
name changed?


Equal opportunities
Equal opportunities
As a large, public employer we have a legal duty to monitor our recruitment and selection processes to ensure that all applicants are treated fairly.
The information that we collect is stored in a secure database and is only used for statutory monitoring purposes. Please note that any monitoring reports produced from the
database do not include any data that will link to named individuals. Furthermore, our staff involved in the recruitment and selection process do not have access to this part of your
application form.
There are two exceptions to the above. The first relates to some of the information about disabilities, and this is explained below. The second is that for successful applicants
some of the monitoring information will be stored against their permanent staff record. This information is recorded for all of the organisation's employees to ensure that the profile
of the staff we employ reflects the community in which we are based.
The Equality Act 2010 protects people against discrimination on the grounds of:
• their age and sex.

• their race which includes colour, nationality, ethnic or national origin.
• their religion or belief, including a lack of any belief.
• their sexual orientation, be it bisexual, gay, heterosexual and lesbian.
The Equality Act 2010 also protects people who are married or in a civil partnership.
General questions
Gender Female
Marital status Married
Date of Birth 02/10/1972
Ethnic Origin
Ethnic origin does not mean nationality, but normally refers to the people or culture with which a person's immediate family identify.
I would describe my Mixed White & Asian

ethnic origin as
follows:
Equality and Diversity Monitoring
Do you have a sexual Persons of the opposite sex (Heterosexual)

orientation towards:
Do you now or have No
you ever identified as
trans or
transgender?
Please indicate your Buddhism
religious belief:
Disability
The answer to the question about the Guaranteed Interview Scheme is presented to the lead short-lister before they make the final decision on who to
invite to interview. This is done so that we can meet our obligation as a 'Disability Confident' employer to invite to interview any applicant, who has a
disability, who meets the essential criteria for a post that they have applied for. If you are invited to interview you will need to let us know if you will need
any special help or adaptations.
Do you consider yourself to have a disability?

Yes
Guidance on types of disabilities
• Physical impairment, such as difficulty using your arms or mobility issues which means using a wheelchair or crutches
• Sensory impairment, such as being blind/having a serious visual impairment or being deaf/having a serious hearing impairment
• Mental health condition, such as depression or schizophrenia
• Learning disability/difficulty, (such as Down's syndrome or dyslexia) or cognitive impairment (such as autistic spectrum disorder)
• Longstanding illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy
• Other is anything that does not fall into one of the categories detailed above
If you are selected for interview you will have the chance to let the recruitment centre know about any particular needs you have. This will enable us to offer you a fair interview if,
for example, you have a speech difficulty or need a wheelchair accessible room.

I would describe my main disability as:

Other / Not specified
If you have a disability, do you wish to be considered under the Guaranteed Interview Scheme if you meet the minimum criteria as specified in
the Person Specification?
Yes
How did you learn of this vacancy?
Please state where you first saw this post advertised

www.jobs.nhs.uk
Privacy notice

Privacy notice
Your data is being collected by Whittington Health NHS Trust, whose privacy notice can be found here.
The data controller for this information is Whittington Health NHS Trust. This application tracking system is provided by Civica UK Ltd
(https://www.civica.com/en-gb/product-pages/trac/) as a data processor.
To make an enquiry, a request for your personal information held as part of this process, or to arrange for any mistakes to be corrected, you may
contact either the team who are handling your application or the Data Protection Officer ([email protected]).
https://www.whittington.nhs.uk/default.asp?c=33205

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Job ref: 220-EIM-MED-006 Job title: Locum Palliative Care Consultant

Application for employment

Application for: Locum Palliative Care Consultant Job ref: 220-EIM-MED-006

a) Are you related to No

Application: 158580460 [Vacancy: 6027626] Page 1 of 16

Rehabilitation of Offenders Act 1974

Are you currently an employee of Whittington Health NHS Trust?

Choose your immigration status

The following will result in disqualification or dismissal:

i. Canvassing a member or senior officer of the Trust

I certify that the above information is correct.

(For signing at interview) Signed:________________________________________ Date:_________________

Page 2 of 16 Application: 158580460 [Vacancy: 6027626]

Application for: Locum Palliative Care Consultant Job ref: 220-EIM-MED-006

Please use this space for a personal statement of up to 400 words

Education and Training - Schools / Colleges / Universities

Place of study University of Sydney

Subject / qualification Grade / result Date obtained

MBBS Honours 2001

Place of study King’s College London

Subject / qualification Grade / result Date obtained

BSc Neuroscience 2:1 Hons 1994

Place of study Royal College of Physicians

Subject / qualification Grade / result Date obtained

MRCP (UK) Pass 2011

Place of study Royal College of Physician

Application: 158580460 [Vacancy: 6027626] Page 3 of 16

Subject / qualification Grade / result Date obtained

SCE Palliative Medicine Pass 2020

Higher professional qualifications

Qualification SCE Palliative Medicine

Training Courses Attended

Proposed Further Qualifications

Please provide details of any proposed further qualifications

Primary professional registration

Professional body General Medical Council

Page 4 of 16 Application: 158580460 [Vacancy: 6027626]

If you have answered 28/11/2023

Revalidation of professional registration

Name of current or Chelsea and Westminster Hospital NHS foundation trust

Other relevant professional memberships

Application: 158580460 [Vacancy: 6027626] Page 5 of 16

Present or recent employment history

Start date November 2023

Employment prior to above starting with most recent

Employer name Royal Trinity Hospice

Employer name St John’s Hospice/Health Education England

Page 6 of 16 Application: 158580460 [Vacancy: 6027626]

Employer name Royal Trinity Hospice/Health Education England

Employer name Chelsea and Westminster NHS Trust/HEE

Employer name Royal Marsden Hospital NHS trust

Application: 158580460 [Vacancy: 6027626] Page 7 of 16

Employer name Meadow House Hospice

Employer name Full or Part Time Student

Employer name St Barnabas Hospice

Page 8 of 16 Application: 158580460 [Vacancy: 6027626]

Employer name The Peace Hospice

Application: 158580460 [Vacancy: 6027626] Page 9 of 16

Please give details of your teaching experience.

(For signing at interview) Signed:________________________ Date:_