Year 6 provides the long-awaited the opportunity to spend an 8 week period undertaking a clinical elective of your choice. Early planning is key to a successful elective and the Medical School’s formal application process for elective approval begins in the first term of Year 5.
- Aims and objectives
- Elective approval – why and what
- Planning your elective
- Gathering documents likely to be required by your host institution
- Host institution agreements
- UCLMS approved destinations
- UCLMS’ elective approval process – 4 steps
- Elective approval deadlines
- Duration of your elective and definition of a clinical placement
- Configuration of your elective
- Observational, non-hands-on clinical and research placements
- Other types of placement
- Language requirements
- Evidence of satisfactory completion of course requirements
- Departure dates
- Penalties for breaching undertakings in your elective approval submissions
- Students re-sitting finals in June
- Travel health and occupational health requirements
- Elective bursaries
- Emergencies and incidents
Aims and objectives
The aim of the clinical elective is to deepen knowledge of subjects relevant to the MBBS curriculum, that are of particular interest to you, in different clinical and cultural environments.
Your elective must include a clear clinical element, under the general supervision of a suitably qualified clinician, over a minimum 6 week period. Satisfactory completion of the elective, and submission of all related sign-offs, is a requirement for the award of the MBBS degree.
The objectives of the elective are to:
- Develop organisational skills, and as an independent learner formulate a well thought out self-directed period of study.
- Witness medical practice, and enhance professional skills, preferably in an environment not already encountered during previous MBBS studies.
- Increase relevant clinical experience in an area of particular interest to the student.
- Broaden cultural experience in the UK or further afield
The specific programme of study, and scope of experience, will be developed by you in discussion with your elective host institution. The elective counts towards MBBS clinical requirements and so must principally be patient-facing and hands on, although observational and non-clinical elements may be included where they are clearly clinically relevant, and alongside a clinical placement form a coherent 8 week elective. We strongly encourage you to consider your elective for the experience it will give you as a clinician rather than as an exercise in building your CV.
Electives are taken in one of two blocks after Finals. Your elective block will be allocated during the first term in Year 5.
Elective approval – why and what
The GMC licences UCL's MBBS degree as a primary medical qualification for the purposes of provision registration on the basis of regulations which state that the programme contains 'not less than 104 weeks in clinical placements with an elective for which arrangements must be approved by the Divisional Tutor or nominee'
For your elective to be approved and for the Final Exam Board to confirm your degree award in June, your elective must satisfy the conditions set out on this website and detailed in the online elective approval application forms, and you must submit evidence of satisfactory completion of an approved elective and of your post-finals SSC by the deadlines given.
The pre-elective forms, and the administrative process underlying them, are designed to assess the heath and safety aspects of elective placements as required by UCL, and reasonably to ensure that the placement will offer an experience that can be counted towards the MBBS programme requirements.
The process has been designed to be pragmatic, enabling most students to pursue an elective placement of their choice overseas. Given that the Medical School cannot inspect each placement directly, we rely on students filling in the pre-electives honestly and as accurately as they can, along with information available to us in the UK, and any reports by previous UCL Medical Students.
The health and safety elements focus on risks beyond those that students may encounter in a clinical placement in the UK. Where additional risks are identified, for example HIV exposure without ready access to post exposure prophylaxis, students are required to take steps to mitigate this, for example take post exposure prophylaxis with them.
Beyond the placement itself, we also take account of Foreign and Commonwealth Office travel guidance, and do not approve elective placements in locations where they have cautioned against travel.
With regard to the experience a placement offers, we require the host institution to state that they will provide a clinical elective placement (or equivalent). Where UCL medical students have not previously been to a particular institution, we ask the student to provide additional evidence that it is a locally recognised healthcare provider. Where UCL Medical School has previously been made aware of concerns about experience provided by a placement, we will either discuss this with the student and or decline approval of the placement.
Despite the pre-elective process, we recognise that plans may not work out as expected. Students are specifically advised to contact either the travel insurance provider (for emergencies or incidents) and or UCL Medical School (for non-emergency concerns or general advice about your placements).
As UCL medical students undertake their elective after their final examinations, and are about to enter clinical practice, we anticipate that they will behave professionally and seek advice from UCL Medical School if they have concerns.
Planning your elective
Early planning is key to a successful elective; to maximise chances of securing places at popular destinations; to allow for delays in communications with remote destinations in developing countries; and to allow time to gather the support documentation requested by host institutions.
The Medical School discourages students from using commercial companies who arrange electives on behalf of healthcare students. In any event, any elective arrange through a commercial company must fulfil all the Medical School's academic and health and safety requirements.
Please note that the Medical School will not approve elective placements that have been organized via Medics Away due to concerns regarding their validity.
Here are some useful link for planning your elective:
Gathering documents likely to be required by your host institution
Your host institution will ask for various documents as part of their offer process and we advise you to check early what you’re likely to be asked to provide. We will generate letters confirming your student status and Medical School recommendation routinely as we approve each stage of your elective approval submission. Should you need additional documentation, please request the documents below from firstname.lastname@example.org or follow the guidance relating to DBS and OH clearances as soon as you can.
Our list of commonly requested documents is below and we ask when you request documents from us that you specify as much detail as possible about your host institution’s requirements so that we can be sure that our letters cover everything you need.
Documents can be collected from the Student Offices or scanned and sent to you by email. Please allow a 2 week turnaround time for your documents to be produced.
1) Verification of student status / letter of good standing / letter of recommendation.
Our standard document includes:
- confirmation that you’re a full time registered medical student at UCL with your year of study and expected date of qualification
- confirmation that the elective is a compulsory component of the course
- confirmation of proficiency in written and oral English and that the MBBS at UCLMS is taught entirely in English
- confirmation of completion of core clinical placements in medicine and surgery and your final exams
- confirmation that you will be covered by UCL’s public liability insurance and UCL’s travel and personal health insurance
- a note that you will be required to take out separate professional indemnity insurance if required
- confirmation of good standing and our recommendation
2) Academic reference
- for many institutions, the verification of student status letter is sufficient, however if your institution requires an academic reference, we will ask the Divisional Tutor or a Student Support Tutor to provide one for you.
3) Academic transcript
- institutions which ask for an academic transcript require a certified copy with the Medical School stamp on each page, rather than the version that you can generate yourself from Portico.
4) Personal protective training and use of PPE
- this sets out the training attended in the Clinical Skills Centre and the skills acquired
5) USLME step 1 exemption letter
- this is usually required for electives in the US and explains that UCL medical students have exemption from taking the USLME step 1 exam as the first 2 years of our undergraduate medical degree programme are equivalent to USLME step 1.
6) Visiting electives programme
- some institutions require evidence that UCLMS operates an incoming electives programme as a condition of making an offer to a UCL student
Host Institution Agreements
- Some institutions ask UCLMS to sign and certify application forms or agreements or other certification. Please submit these as early as possible so that we can advise whether or not we’re able to sign these documents for you and please be aware that sometimes we’re not in a position to sign all that’s asked.
- Many institutions require evidence of DBS clearance and you may be asked to submit your DBS certificate issued on entry to Medical School. If you no longer have your certificate, we can provide a letter certifying your DBS status on admission.
- A small number of institutions require a DBS certificate issued within 12 or 24 months of the date of your placements. Please check with your destination whether this is necessary BEFORE requesting a new check and then you will need to follow UCL’s guidance and download an authorisation form. The authorisation form will need to be signed by the Head of Medical Student Support and taken in person to the DBS signatory in UCL’s Student Centre.
- Some institutions require completion and certification of their own OH form or evidence of OH clearance by UCL and you will need to liaise with UCL Workplace Health for these documents. Please email email@example.com or refer to Workplace Health
UCLMS approved destinations
This list sets out all elective destinations approved by the Medical School to-date for reference and ideas. The list sets out whether each destination is considered to be low (Group A) or medium/high (Group B) in terms of clinical risk and high, medium or low in terms of personal safety risk, which is important when you submit your application for your elective to be approved as it determines health and safety requirements and whether approval can be granted. The list also sets out destinations which have a requirement for a mandatory appointment with the Electives Lead to discuss your plans. New destinations are added to the list as and when approved.
Personal safety risk is assessed against FCO travel warnings: low risk - no FCO warnings; medium risk – some parts of the country are unsafe; high risk – most if not all of the country is covered by an FCO travel caution.
Students seeking to travel to medium risk and high risk countries are recommended to discuss their choice with the Electives Lead before finalising their decision, students seeking to travel to high risk countries are required to discuss their choice with the Electives Lead.
If your proposed destination doesn’t yet appear, you will need to submit additional information to enable the Medical School to determine whether the destination is safe and whether plans to take an elective there can be given approval. The elective approval process will guide you through the additional requirements, which for medium/high risk countries will include a statement from your proposed host institution that standard precautions in healthcare are observed. If your new destination is approved, you will be required to confirm when you take up your placement that the experience is satisfactory and that the placement can be recommended to other students.
UCLMS’ elective approval process – 4 steps
The requirements for elective approval depend on the country and institution in which you are organising your elective. Destinations which have been approved by the Medical School are divided into two groups depending on the level of clinical risk as set out in the list of approved destinations above.
- Group A - Low Clinical Risk
- Group B - Medium / High Clinical Risk
Please refer to the Approved Destinations Country List to see whether your planned destination appears, to which group it belongs and whether there is a requirement for a mandatory appointment. If your destination does not appear in this list, you will be asked in step 2 of the approval process to provide information about the institution to enable the Electives Lead to assess whether the destination can be approved.
4 steps guide you through the elective approval process, with information submitted and documents uploaded via Cognito forms.
The 4 steps must be completed by the given deadlines to allow time for the Medical School to process everyone’s application and for approval to be granted before the first departure date.
Step 1 (Year 5): Student acknowledgement of elective regulations and initial plans
- Student acknowledgement of elective regulations and initial plans – this step guides you through the regulatory requirements necessary for your elective to fulfil the programme requirements for your MBBS degrees to be awarded
Step 2 (Year 5): Student submission of provisional plans
- Student submission of provisional plans – this step asks you to set out your proposed plans so that we can confirm that your elective will fulfil programme requirements and health and safety requirements
- If you subsequently change your plans, please email firstname.lastname@example.org to ask us to re-activate your Step 2 details so that you can enter your new plans for Step 2 approval
Step 3 (Year 6): Medical School approval of placement
- Medical School approval of placement – this step asks you to confirm your plans and to upload a letter from your host institution confirming that you have been accepted for 6 weeks of clinical placement time. If your destination is in a medium/high risk country and has not previously been approved by the Medical School, you will also need to upload confirmation that your host institution observes universal precautions.
Step 4 (Year 6): Medical School approval of elective (Travel Arangements, Risk Assessment and Declaration)
Medical School approval of elective – this step asks you to confirm your travel dates and to complete a risk assessment to ensure that all regulatory and health and safety requirements are met so that UCL travel insurance can be put in place for you. This step requires you to confirm compliance with control measures including:
- Ensuring that you are fully immunised either via your GP, travel clinic or UCL Occupational Health Service
- Undertaking to check the FCO website for travel advice for your approved destination and changing your plans if a travel advisory is issued
- Subscribing to FCO travel advice alerts or following FCO Travel on Facebook and Twitter during your elective for travel advice updates
Elective approval deadlines
Deadlines 2019-2020 (For students in Year 5)
STEP 1 Wednesday 18th December 2019, 5pm
STEP 2 Sunday 5th April 2020, 5pm
Deadlines 2019-2020 (For students in Year 6)
STEP 3 Block 1 – Wednesday 6th November 2019, 5pm.
Block 2 – Wednesday 20th November 2019, 5pm.
STEP 4 Block 1 - Sunday 8th December 2019, 5pm.
Block 2 – Wednesday 8th January 2020, 5pm.
Deadlines 2020-2021 (For students in Year 5)
STEP 1 Sunday 13th December 2020, 5pm
STEP 2 Sunday 11th April 2021, 5pm
Deadlines 2020-2021 (For students in Year 6)
STEP 3 Block 1 – Wednesday 11th November 2020, 5pm.
Block 2 – Wednesday 25th November 2020, 5pm.
STEP 4 Block 1 - Wednesday 9th December 2020, 5pm.
Block 2 – Wednesday 6th January 2021, 5pm.
These deadlines are in place to give all students an equal opportunity to arrange a placement which complies with the MBBS regulations, and allow for the required documents to be processed in time for the elective to be signed off. If your elective plan does not comply with the standard elective requirement but you feel you have an exceptional case, we recommend that complete Step 2 as soon as possible, as you may need to amend your plans should your initial proposal not prove suitable and in time to meet the Step 3 deadline.
Duration of your elective and definition of a clinical placement
Your elective is taken in an 8 week block after Finals. You must spend a minimum of 6 weeks in placements, usually as a single centre hands-on clinical placement, with 2 weeks allowed for travel to and from your elective destination and for completion and submission of elective coursework, and an elective report form to be signed by your educational supervisor. We may exceptionally approve split or non-hands on clinical elements to your elective, however you may be required to use more of the elective block for placements.
Entirely Hands-On Clinical Placements
The Medical School’s baseline definition of a clinical placement is that: “Under the general supervision of a qualified clinician, students are able to take a history and perform a physical examination, participate in the clinical team meetings and patients’ case discussions/conferences, and have the opportunity to observe specialist procedures”. Where this is unclear from the information you submit, you will need to provide written confirmation from your host institution that the placement fulfils this definition.
Configuration of your elective
6 to 8 weeks in a single centre is the normal expectation for an elective placement, however split electives as set out below are approved in certain circumstances. It is understood that there will be a period of settling into a placement, and this will be longer for placements overseas than in the UK.
The split elective configurations have been designed so that they can all reasonably be considered equivalent to a single centre 6 week placement. You may use the full 8 weeks of your elective block for placements, but the following configurations are the minimum.
6 weeks at a single host institution and associated hospitals in a Group A or B country.
4 + 2 or 3 + 3 weeks at different institutions in the same Group A or B country (i.e. same healthcare environment), or in a Group A or B country and the UK (i.e. a familiar healthcare environment) where the primary institution does not offer a full 6 week placement.
4 + 3 weeks at different institutions in different countries (Group A or B) where the primary institution does not offer a full 6 week placement.
Observational, non-hands-on clinical and research placements
Any student considering an elective of this nature must make an appointment to discuss their plans with the Academic Lead for Electives, Dr Declan Chard, by emailing email@example.com before submitting Step 2 of their elective approval process as these electives require exceptional approval.
These types of placements will only be considered where the placement is clearly relevant to clinical medical or surgical practice. Examples that will be considered are clinical observerships, placements in non-hands-on medical specialities such as Forensic Medicine, Public Health, Radiology and Histopathology, clinically relevant research, and medical leadership and management.
Mindful of the goals of your MBBS studies, which are to help you become a “highly competent and scientifically literate clinician”, placements with commercial organisations whose primary goal is not the provision of clinically indicated care, such as financial institutions or management consultants, will not be considered.
You will be required to use the full 8 weeks of your elective block, in the following configurations:
4 week observational, non-hands-on clinical, or research placement, in a Group A or B country + 4 weeks of a hands on clinical placement in the same Group A or B country.
6 week observational, non hands on clinical, or research placement, in a Group A or B country + 2 weeks of a hands on clinical placement (either in the same group A or B country, or in the UK) + 2 weeks of an additional hands on clinical experience normally credited during the preceding year or by the end of year 6 term 1 at the very latest.
This additional hands on clinical credit must be approved in advance by the Electives Lead, taken with the permission of your named educational supervisor responsible for each MBBS placement during which you wish to take additional clinical experience and who accepts responsibility for supervising the additional experience, recorded and signed off in your ePortfolio, and you must have accrued the necessary amount by the time you submit stage 3 of your elective approval application.
Other types of placement
In instances where an individual student has very specific reasons for wishing to include some non-clinical experience in their elective which fits in with well-established career intentions, including health care management or leadership in a health care setting (e.g World Health Organisation, Large NHS Trust or Clinical Commissioning Group, but excluding commercial organisations whose primary work is not the delivery of healthcare), or where a student has identified a research placement that will provide an exceptional and unique experience and fits in with well-established career intentions, as demonstrated during their previous MBBS studies, the student must make an appointment to discuss their plans with the Electives Lead to ascertain whether the School can justify making an exception.
For an exception to be granted, the student must have an excellent academic and clinical record throughout the course; must have completed all preceding clinical placements at institutions which are quality assured by UCLMS (so excluding SSCs abroad); must have undertaken clinical SSCs (so excluding PALS).
If you are planning to arrange your elective in a country where the main language of medical communication is not English, you will need to investigate with your elective supervisor the level of language needed for you to be able to participate fully in a clinical placement.
For your elective to be approved, you will need to declare that both you and your host supervisor are satisfied that your language skills are sufficient.
Evidence of satisfactory completion of course requirements
You will need to provide evidence of satisfactory completion of your approved elective, as set out in your declaration for final approval, by the deadlines given by in order for the Final Exam Board to be able to confirm your degree award. You will need to have submitted your:
Elective Clinical Attachment Report form, graded and signed by your named Elective Supervisor and Post Elective Report
Students in Elective Block 1 should not plan their departure until after 5pm on Friday of the week that finals results are released. This is because they will be required to attend to attend a compulsory Student Support Appointment if they fail.
If you fail to attend your meeting you will be issued a Concerns over Professional Behaviour(s) form (CoPB) which will be reported to the Final Examination Board in June. Students with two or more CoPBs will be in Group 2 for discussion at the Board.
Students in Elective Block 2 should not plan to depart until after they have completed and been signed off from Prep For Practice.
Penalties for breaching undertakings in your elective approval submissions
For the MBBS degrees to be confirmed, students must fulfil the elective requirements as set out and as declared in their application for final elective approval submissions.
Any student who is found to have breached the elective requirements or undertakings given in the approval process or to have made false declarations about their elective will be issued a Concerns over Professional Behaviour(s) form which will be reported to the Final Examination Board in June, and may be investigated under the Medical School’s Fitness to Practice procedures and reported to the GMC.
Students re-sitting finals in June
Students who fail Finals in March will be advised to shorten their elective placement and to follow an adjusted post-finals programme of study comprising a 4 week elective, a 4 week Prep for Practice SSC, and a 4 week Preparation for Examinations placement designed by MBBS academic leads and hosted at an associated Trust.
Details and arrangements will be provided nearer them time by the Year 6 team, but you should let the elective approval team know of any changes to the dates or location of your elective.
Your elective block is 8 weeks long, of which 2 weeks are allocated for travel to and from your elective destination, and 6 weeks for the placement itself. You should not plan your outbound or return journey outside of your elective block, and you will be required to sign a register on the last and first days of your preceding and ensuing blocks.
Depending on your destination, the 2 weeks allocated for travelling time may be taken prior to the start of your 6 week placement, at the end of your 6 week placement, divided between the start and finish of your 6 week placement, or to travel between placements where a split elective has been approved, providing that your travel arrangements allow you to complete your preceding UCLMS placement before travelling, to take up your elective placement and complete a full 6 weeks and to arrive back in the UK in time to take up your next UCLMS placement on the 1st Monday.
If it is logistically very difficult for you to travel to or from your elective placement in time, or where you have another good reason for travelling slightly before or after the elective block (for example prohibitive travels costs), then you may be allowed to do so but only if you request and receive authorised absence approval for this.
If you travel outside your elective block without approval, then this will raise a concern over your professional behaviour.
It is also important that we are fully and accurately informed about your travel plans so that we may contact you if necessary should an emergency situation arise. Please note that UCL’s travel insurance only covers you for your approved elective, and not unauthorised early or late travel.
Finally, please be aware when planning your return journey that the MBBS Graduation Ceremony is usually held in the first or second week of July. The date for the ceremony is determined by UCL in February each year, which means that block 2 students will need to book their return flights before the date of the ceremony has been set. This is outside the control of the Medical School and we’re not able to provide the date until UCL releases it.
Travel health and occupational health requirements
Your personal travel health requirements will depend on your destination and you must ensure that you are fully immunised via your GP, a travel clinic or UCL Workplace Health and meet any costs yourself. You will be asked to confirm that you have taken travel health advice and list the immunisations taken for your approved destination in Stage 4 of the elective approval process.
UCL Workplace Health undertake to provide services and immunisations at a non-profit price, however you may approach any provider of your choice. (The Medical School does not hold information about providers or costs). Please be aware that UCL Workplace Health charge a cancellation fee for failure to attend an appointment unless notice is given on a working day at minimum 24 hours’ before the scheduled appointment time and failure to pay charges by their deadline is reported to the Medical School.
PPE and PEP
All students taking electives in Group B countries are required to take their own PPE and a starter pack of PEP. For PEP, UCL Workplace Health advise that OH guidelines require a 1 hour consultation with a full travel risk assessment, explanation of PEP and what do to in the event of exposure.
Some host institutions require visiting elective students to submit a copy of their OH record and you will need to obtain this from UCL Workplace Health. Please contact firstname.lastname@example.org.
UCL Public Liability Insurance:
- UCL’s insurance provides public liability cover for fully registered medical students during supervised clinical electives which have been approved by the Medical School, within and outside the UK
- Zurich Municipal
Host Institution Insurance - Clinical Negligence
Host institution clinical negligence insurance provides cover, at many elective destinations, for clinicians who act as supervisors for visiting elective students, but this is not always the case and students should check with their individual host institution and take out personal clinical/medical malpractice insurance where supervision of elective students is not covered by the institution.
Personal Insurance - Professional Indemnity Insurance/Medical Malpractice/Medical Negligence:
- Is strongly recommended for all students for all destinations outside the UK
- Is available free of charge for student members through the MDU and the MPS, but through policies which are essentially advisory and which rely on electives being properly supervised and so are of use only to students whose elective supervisor is covered by the institution’s clinical negligence insurance
- Is a requirement where the host institution’s clinical negligence insurance does not extend to visiting elective supervision or is stated as a condition of the elective, in which case students need to purchase personal medical negligence insurance appropriate for their chosen destination. Students visiting the US should take advice from their host institution. Students visiting countries other than the UK or US may find suitable cover via the International Helpers Trust
Access to the Online Enrolment Form is via the following login:
- Click on the "Participate" button
- Click on the “Enrol” button Username: medmissions
- Password: mpl and click "Next"
Personal Insurance - Travel and Health Insurance
- Is required for all destinations outside the UK
- Is provided through UCL’s own insurers and paid for by UCL
- Does not require an application as the information needed is taken from the elective approval form and submitted to UCL by the Medical School
- Is issued based on the risk assessment submitted as part of the elective approval process
- Is valid only for UCL business only, which means your elective and associated travel, as declared on your elective approval. If you travel outside of your approved elective, this will not be covered and you must arrange your own insurance.
- Includes a 24 hour helpline which is your first point of contact in the event of a medical emergency
Please check the UCL Study Abroad Insurance website for full details.
You will be issued a policy document containing information about your insurance cover and how to access help in case of an emergency which you should take with you when you travel.
Students must not sign any statements or waivers by which UCL may become liable for damage to property, personal injury or death caused during a placement. Similarly, the Medical School cannot sign any statements or waivers as UCL insurance operates only to the 'extent' that UCL are legally liable and not 'every' potential claim will be covered by the policy wording.
If an institution asks for a waiver form to be signed, the Medical School’s advice is that you contact the elective coordinator at your proposed host institution to explain this and ask if there are other ways in which UCL students can demonstrate that they fulfil the insurance requirements.
Please explain that you will have in place the insurances below for which you will be able to present confirmation and copies of the following policies if needed:
- UCL Public Liability Insurance - This includes cover for approved elective periods outside the UK
- UCL Personal Travel and Health Insurance
- Professional Indemnity Insurance/Medical Malpractice Insurance (from whichever provider you choose)
- UCLMS Elective bursaries - The application process for our internal Medical School bursaries opens from April/May of Year 5 to the end of September of Year 6. Our Scholarships and Bursaries Committee meets in October to determine the awards.
- Medcial Schools Council - External Elective bursaries - The application process and timelines for these bursaries varies and details are published against each award.
Emergencies and incidents
For emergencies and incidents of any kind, your first point of contact is UCL’s travel insurance provider on their 24 hour emergency hotline +44 (0) 208 608 4100 as set out on your travel insurance certificate. The insurance company is best placed to give advice on actions needed locally to manage incidents, as well as to give advice about potential insurance claims. Please also let the Medical School know by emailing email@example.com including the words “Elective Emergency” in the subject line and copying the email to firstname.lastname@example.org.
Emergency telephone contact with the Medical School may be made during working hours on +44 (0) 207 679 0859 and out-of-hours via UCL Security on +44 (0) 20 7679 2108.
Full advice from UCL about actions to take in the event of an emergency or incident whilst studying abroad
For non-emergency concerns or general advice about your placement, please contact the Medical School by emailing email@example.com.
Occasionally students find it difficult to adjust to medical practice in different environments and conditions or face traumatic clinical experiences during their elective. In such instances, students are encouraged to contact the Medical School’s Electives Lead, Dr Declan Chard in confidence for support and advice. Please email firstname.lastname@example.org in the first instance and please book an appointment on your return via email@example.com if you think it would be helpful to discuss any such incidents in person.