Faculty of Medicine



Faculty of MedicineAssociate Professor in Paediatric Immunology & Infectious DiseasesHonorary Consultant in Paediatric Immunology & Infectious Diseases, University Hospital Southampton NHS Foundation TrustParticulars of AppointmentThe Faculty of Medicine, supported by University Hospital Southampton NHS Foundation Trust (UHS) wishes to appoint an Associate Professor in Paediatric Immunology & Infectious Diseases. This academic post will function within the Clinical and Experimental Sciences Academic Unit on the General Hospital campus. The successful candidate will have a strong record of research and publication, and will be expected to develop their own programme of research with support from clinical and laboratory-based colleagues, winning support from major national funding bodies. It is expected that the person appointed will contribute to the academic leadership within the Faculty and enhance the quality of our research, enterprise and teaching. Clinical duties will enhance the existing practice of the Department of Child Health in University Hospital Southampton NHS Foundation Trust. The UniversityThe University of Southampton is a leading research-intensive University, a member of the Russell Group and one of the top 100 universities worldwide. We deliver an excellent educational experience, world-leading research and we are known for successfully commercialising that research through enterprise. This is an exciting time to join the University of Southampton. We have an aspirational University Strategy (see southampton.ac.uk/strategy), setting out our ambitions over the next five years. The strategy involves achieving a top 10 place in the UK for research, which we will achieve by investing in the highest quality staff and facilities. We are also transforming the education offer available to undergraduate and postgraduate students across the University, providing greater flexibility and modular courses, with a strong international focus. The Faculty of MedicineThe creation of the Faculty of Medicine has enabled us to build upon strong foundations of basic research and clinical translation.? Working with colleagues across the University and in the local NHS we have strengthened our position as a renowned centre for translational research, leading innovative learning and discovery for better health across the lifecourse. ?In this context, we are looking to appoint an outstanding senior academic to develop and lead a major programme of funded clinical research in the field of Infectious Diseases.Key to the success of the Faculty of Medicine is the delivery of high-quality education for undergraduate and postgraduate students, building on our?partnership in biomedical research with University Hospital Southampton NHS Foundation Trust and fostering new collaborations with the physical sciences, including chemistry, engineering and computing. The new senior academic in Infectious Diseases will play a key role in these developments.The Academic Department of Child HealthThe Academic Department of Child Health extends across all the academic units of the university school of medicine including Clinical and Experimental Sciences, Human Development and Health and Cancer Sciences.Child Health Academic StaffNeonatal MedicineProfessor Howard Clark, Professor of Child Health, Head of Surfactant Biology Research GroupProfessor A D Postle, Professor of Developmental BiochemistryDr Alan Hunt, Senior Scientist, (Surfactant Biochemistry)Dr Jens Madsen, Research Lecturer in Child HealthPaediatric and Neonatal NeuroscienceProfessor Colin Kennedy, Professor in Paediatric NeurologyProfessor Fenella Kirkham, Professor in Paediatric NeurologyDr CM Hill, Associate Professor in Community Paediatrics and Sleep MedicineDr Brigitte Vollmer, Associate Professor in Paediatric Neurology and Neonatal NeurologyPaediatric RespiratoryProfessor Graham Roberts, Professor in Paediatric Respiratory MedicineProfessor Jane Lucas, in Paediatric Respiratory MedicineDr Woolf Walker, Consultant in Paediatric Medicine and Wessex NIHR CRN Clinical Lead for PaediatricsPaediatric Immunology & Infectious DiseasesProfessor Saul Faust, Professor in Paediatric Infectious Diseases, Director, NIHR Wellcome Trust Clinical Research Facility, Wessex CRN Clinical Lead for Division 3.Dr Hans de Graaf, Senior Clinical Research Fellow in Paediatric Clinical Trials / Consultant in Paediatric RheumatologyDr Katrina Cathie, Consultant in General Paediatrics and Paediatric Clinical TrialsPaediatric OncologyDr Juliet Gray, Associate Professor of Paediatric OncologyPaediatric Gastroenterology and NutritionProfessor Alan Jackson, Director of NIHR BRU for Nutrition, Diet and LifestyleDr Mark Beattie, Hon Senior Lecturer in Paediatric GastroenterologyDr Alison Leaf, Consultant Academic Neonatologist, Neonatal NutritionPaediatric Surgery and OphthalmologyMr Nigel Hall, Associate Professor of Paediatric SurgeryMr Jay Self, Associate Professor of Paediatric OpthalmologyHuman Development and HealthProfessor Karen Temple, Professor of Clinical GeneticsProfessor David Wilson, Professor of GeneticsProfessor Sarah Ennis, Professor of GeneticsPaediatric EndocrinologyDr Justin Davies, Hon Senior Lecturer /Consultnat in Paediatric EndocrinologyMedical EducationWe currently offer four Bachelor of Medicine (BM) programmes: BM4, a four-year graduate-entry programme which accepts 40 students per year; the standard five-year programme, BM5, for around 200 students including approximately 30 from BM6, a widening access programme which involves studying for an extra initial year; and a five-year European programme, the BM(EU), designed for 24 bilingual (German-English) students a year and run in partnership with a healthcare provider in Germany. Students gain practical experience from the very beginning, having contact with patients in a variety of clinical settings from the first few weeks and continue to build upon this through clinical placements, developing their skills in the community and in hospitals across southern England, Jersey and – in the case of the BM(EU) – central Germany. Upon graduation from the BM5, BM(EU) and BM6 programmes, as well as a Bachelor of Medicine, Bachelor of Surgery (BMBS) degree students are awarded a Bachelor of Medical Sciences. BM5 and BM(EU) students also have the possibility of gaining an intercalated master's degree by taking an additional year of study.In addition to the undergraduate BM programmes the Faculty provides four Masters Degree programmes in:AllergyDiabetes Best PracticeGenomic MedicinePublic Health pathwaysResearch and EnterpriseThe Faculty of Medicine has a clear research strategy to investigate the biomedical basis of common human diseases and to translate this into clinical practice. The Faculty’s research is delivered through four Academic Units:Cancer Sciences Clinical and Experimental SciencesHuman Development and HealthPrimary Care and Population SciencesAll research is organised and managed by these Academic Units, each of which has clear evidence of international excellence. Each carries a significant degree of devolved responsibility for its research budgets and grants, space, equipment and personnel. The Faculty of Medicine Enterprise Strategy is fully embedded with the University Enterprise Strategy with a multi-faceted strategy to provide a step change to its enterprise and innovation culture, delivering global outreach, community engagement, innovative healthcare and policy. We work with all stakeholders from industry and pharma to health providers and the community.Working in close partnership with University Hospital Southampton NHS Foundation Trust, translational research is delivered through the Southampton Centre for Biomedical Research, bringing together the NIHR Wellcome Trust Clinical Research Facility, Wessex Investigational Sciences Hub, the UoS Clinical Trials Unit, NIHR Biomedical Research Centre in Nutrition Lifestyle, NIHR Biomedical Research Unit in Respiratory Medicine, Research Units in Cardiovascular, and Bone and Joint Disease, and the Cancer Research UK, Experimental Cancer Medicine Centre. Clinical and Experimental Sciences (CES) Academic UnitThe Academic Unit is based within the South Laboratory & Pathology Block of Southampton General Hospital. The building (5 floors) has undergone a ?10.5 million refurbishment funded by the Wellcome Trust and the Scientific Research Infrastructure Fund (SRIF). There are currently 53 principle investigators and an additional 34 research staff, mostly grant funded (MRC, BBSRC, Wellcome Trust, NIH, National Asthma Campaign and other organisations). The research interests form a 2-dimentional lattice in which process-orientated studies of infection, immunity, allergy inflammation, fibrosis and repair are pursued in organ-based settings of lung, liver skin and gut. These are best appreciated by visiting the web site (?) where the senior investigators, group interests, recent publications and other links are presented and frequently updated. Core facilities include a FACS suite, biomedical imaging unit, histochemistry unit, Category III containment facility and the NIHR translational research facilities detailed above. The NIHR WTCRF is one of only 4 publically funded MHRA phase 1accredited CRFs in the UK. There is equipment to match this research, an efficient infrastructure of administrative staff and good management integration within the Academic Unit and between Academic Unit and Faculty of Medicine. The Molecular Microbiology group sits within this Academic Unit and currently comprises of 5 members of academic staff: clinical Professor (R Read); non-clinical Professor (I. Clarke), Reader (S.Clarke), Senior Lecturer (Christodoulides) and Lecturer (McCormick). Basic research within the University Molecular Microbiology group is focused on the study of host - parasite relationships and the interaction, at the molecular level, between infectious agents and their target cells. The research follows several complementary themes: "molecular genetics" where the emphasis is on the development of molecular systems for the manipulation of viral and bacterial genomes, the "pathogenesis of infectious diseases" and vaccine development/disease prevention strategies. There is expertise in infection proteomics, epidemiology, molecular diagnostics, public health, primary care, environmental microbiology, biofilms and studies of host-pathogen relationships. There are internationally-recognised groups in noroviruses, hepatitis C virus, chlamydia, gonococci, meningococcal and pneumococcal infections and MRSA (all at the forefront of the health agenda) with expertise in epidemiology, molecular diagnostics, public health, primary care. There are excellent opportunities for collaboration and translational research through sharing of clinical data and samples and staff expertise. There are significant cross faculty collaborations forged by members of the Academic Unit, including areas of proteomics, stem cell and developmental biology, bioengineering and electronics. Such collaborations are strongly encouraged by the University and the successful candidate will be well placed to exploit similar opportunities. CES Academic Staff Dr Michael Ardern-JonesAssociate Professor in DermatologyProf S Hasan ArshadProf In Allergy & Clinical ImmunologyProf David BaldwinProfessor in PsychiatryDr Delphine BocheAssociate ProfessorDr Roxana CarareAssociate ProfessorDr Myron ChristodoulidesReaderProf Howard ClarkProfessor of Child HealthDr Tristan ClarkAssociate Professor in Infectious DiseasesProf Ian ClarkeProfessor in Molecular MicrobiologyDr Stuart ClarkeAssociate ProfessorDr Jane CollinsAssociate ProfessorProf Donna DaviesProfessor in Resp, Cell & Molecular BiologyProf Ratko DjukanovicProfessor of MedicineDr Paul ElkingtonAssociate Professor in Respiratory MedicineProfessor Saul FaustProfessor of Paediatric Immunology & InfectionProf Martin FeelischProfessor of Experimental Medicine & Integrative BiologyDr Ian GaleaAssociate Professor in NeurologyDr Srini GoverdhanAssociate Professor in OphthalmologyProf Michael GrocottProfessor of Anaesthesia & Critical CareDr Hans Michael HaitchiAssociate Professor in Respiratory MedicineProf Eugene HealyProfessor of DermatologyDr Catherine HillAssociate Professor in Child HealthDr Timothy HinksAssociate Professor in Respiratory MedicineProf Stephen HolgateProfessor of ImmunopharmacologyDr Judith HollowayAssociate ProfessorProf Clive HolmesProfessor in Biological PsychiatryMr Parwez HossainAssociate Professor in OphthalmologyProf Peter HowarthProfessor of Allergy & Respiratory MedicineProf Colin KennedyProfessor in Neurology & PaediatricsProf Salim KhakooProfessor of HepatololgyProf David KingdonProfessor of Mental Health Care DeliveryProf Fenella KirkhamProfessor of Paediatric NeurologyDr Peter LackieLecturerDr Helena LeeClinical Lecturer in OphthalmologyProf Andrew LoteryProfessor of OphthalmologyProf Jane LucasProfessor of Paediatric Respiratory MedicineDr Jens MadsenAssociate ProfessorDr Christopher McCormickLecturer in ImmunologyDr Timothy MillarLecturer in PharmacologyDr Tracey NewmanSenior LecturerProf James NicollProfessor of NeuropathologyDr Sylvia PenderAssociate ProfessorProf Robert PevelerProfessor of Liason PsychiatryProf Anthony PostleProfessor in Developmental BiochemistryDr Ashley PringleAssociate ProfessorDr Arjuna RatnayakaLecturer in Vision SciencesProf Robert ReadProfessor of Infectious DiseasesProf Luca RicheldiProfessor of Interstitial Lung DiseaseProf William RocheProfessor of PathologyMr Rami SalibAssociate ProfessorDr Anthony SampsonAssociate ProfessorDr Tilman Sanchez-ElsnerAssociate ProfessorDr James SelfAssociate ProfessorProf Nicholas SheronProfessorial FellowDr Julia SinclairAssociate ProfessorDr Karl StaplesLecturerDr Emily SwindleLecturer in PharmacologyDr Marc TebrueggeClinical Lecturer in Child HealthDr Joanne TodClinical Lecturer in GastroenterologyDr Pandurangan VijayanandAssociate ProfessorDr Brigitte VollmerAssociate ProfessorDr Andrew WallsReaderDr Jane WarnerAssociate ProfessorDr Thomas WilkinsonReader in Respiratory MedicineDr Sandrine Willaime-MorawekLecturer (Stem Cells/Brain Repair)Dr Susan WilsonAssociate ProfessorDr Christopher WoelkReader in Genomics and BioinformaticsRelationships with the National Health ServiceUniversity Hospital Southampton NHS Foundation Trust (UHS)The Trust provides acute healthcare services for Southampton area (population 550,000). This covers an area bordering on the Solent and extending to the boundary of Winchester in the north, the Wiltshire border in the west and the River Hamble in the east. In addition, many specialist services are provided to a much wider area extending to Chichester, Portsmouth, Winchester, Basingstoke, Salisbury, Bournemouth and Poole, Dorchester, the Isle of Wight and the Channel Islands. These include the defining services of the Trust in cancer, neurosciences, respiratory, gastrointestinal, women and children and cardiothoracic. Southampton forms one of the two teaching hospitals in the South Central Health Authority Region and, as a Calman-Hine Regional Cancer Centre, provides comprehensive cancer services for a large population of 3+ million.Southampton General Hospital (SGH) has 1,200 beds and Princess Anne Hospital (PAH), part of the same Trust, has 124 beds.UHS – Department of InfectionClinical ServicesThe Department of Infection currently operates an infectious diseases service with 8 consultants (5 Medical Microbiology, 1 Virology, 2 Medical Microbiology/Infectious Diseases). A clinical Professor of Infectious Diseases has been appointed (Professor Read) and the service is currently being gradually expanded to create an inpatient infectious disease service. Hitherto, the department has developed strengths in antimicrobial stewardship, clinical infection liaison across all care groups and management and prevention of healthcare associated infection. The Department of Infection is closely integrated with all clinical care groups and consultants lead infection services to individual areas by agreement. Considerable infection liaison takes place at ward level and consultants give advice and accept consults on all aspects of infection management. A central activity is leading a highly successful system of combined infection and pharmacy ward-rounds, which occur in all care groups. All consultants, whether employed by UHS, the Health Protection Agency (HPA) or University, are expected to work together as a team in providing the clinical service which is headed by the UHS Clinical Lead. Since October 2010, the Department of Infection has adopted a consultant led and delivered service model.Further development of the out-patient parenteral antibiotic (OPAT) service is regarded as important for UHS in order to release bed days and improve patient experience. UHS also wishes to develop further its clinical infection service to include admission of infectious diseases patients under sole or joint care of infection consultants. Further clinical developments of the service will be inclusive of all consultant staff, ensuring the skills of all consultants can be used to the full to the benefit of patient care whilst maintaining cohesiveness of the department under single leadership. Infection Prevention and ControlUHS has identified Infection Prevention as a priority. Statistical feedback control chart monitoring of MRSA and Clostridium difficile infection has been used for some time by the Infection Prevention Team to feed back performance to divisions. Laboratory data-warehousing advances now enable sophisticated analysis of hospital-acquired infection issues at ward, care group and divisional level. Feedback of this analysis encourages ownership of HCAI issues, rapidly identifies hotspots and facilitates a co-ordinated response combining targeted infection control antimicrobial control support. The Infection Prevention Team comprises the Infection Control Doctor (also known as the Director of the Infection Prevention Unit), Lead Infection Prevention Nurse and a number of ICNS, supported by administration staff. The Infection Control Doctor (ICD) is accountable to the Director of Infection Prevention and Control (DIPC), who is the Director of Nursing (Judy Gillow), for their infection prevention work. The Lead Nurse reports to the Infection Control Doctor. The ICD is appointed by the DIPC. The ICD will review their position with the DIPC 3 years into appointment and annually thereafter, at which point the post will be subject to revalidation, or if agreed, offered for application by other infection consultants. Infection prevention and control service provision in the community is provided by separate Community Infection Control teams. Diagnostic ServicesPathology sits within Division D (Cardiovascular and thoracic, Neurosciences, Radiology and pathology, Trauma and orthopaedics). Currently, all diagnostic microbiology laboratory services are provided to UHS, local PCTs and GPs by the HPA (PHE) on a contract basis. Arrangements for provision of diagnostic microbiology services are in the process of being reviewed as part of the Pathology Modernisation Programme. A pathology consortium has been formed between the six main Trusts and providers in the region (Southampton, HPA, Portsmouth, Winchester, Isle of Wight and Basingstoke) to manage the future service. The current management arrangements are consistent with the recommendation of the Strategic Review of Pathology Services (1994), notably paragraphs 4.22-4.26The Southampton HPA Laboratory is accredited by CPA. Workload for 2010-11was 610,000 specimens with approximately 30% from General Practice.? Bacteriology work comprises 386,000 specimens of which 25,000 are blood cultures, 5,200 tissues and fluids and 3,600 CSFs. Virological/serological examinations comprise 191,000 specimens and the laboratory performs 30,000 in house molecular diagnostic assays.? The laboratory also performs some 42,000 Chlamydia NAATS tests.The laboratory budget is approximately ?3 million and is currently managed by the HPA Clinical Services Lead with input from the UHS Clinical Lead.A full range of diagnostic microbiological services is provided including bacteriology, mycobacteriology, virology, mycology and parasitology. The laboratory is highly automated and fully interfaced with the pathology computer system. The molecular diagnostic service is housed in a purpose-built suite of rooms, and offers a wide range of diagnostic services, with further assays under development. As the South East Regional HPA Laboratory, Southampton currently provides diagnostic services for a range of public health microbiology including regional influenza molecular diagnostics and food and environmental microbiology. Department of Infection NHS/HPA staff Dr A BasarabUHS Consultant in InfectionDr G JonesUHS Consultant in Infection, Infection Control DoctorDr T YamUHS Clinical Lead, Consultant in Infection, Deputy Infection Control DoctorDr J Sutton Consultant in InfectionDr E Pelosi HPA Consultant VirologyDr H SchusterHPA Consultant in InfectionDr Sarah Glover UHS Consultant in InfectionProf Robert Read University Professor and Hon Consultant PhysicianTrainee Medical Staff 2-3 ID/Medical Microbiology STRs, 1 ID/GIM STRUHS Paediatric Infectious Diseases, Allergy and Immunology DepartmentThe Paediatric Allergy and Immunology Department was established as a clinical academic service of international reputation from 1980 to 2006 by Professor John Warner. In 2006, Infectious Diseases and Immunology was embedded as a clinical academic speciality and in 2008 the allergy service became part of the formal NHS clinical service. This post further augments the team, adding to the1WTE equivalent NHS paediatric infectious diseases and immunology consultant and the 1WTE Professor in Paediatric Immunology and Infectious Diseases currently delivering the clinical service. Currently, there are 3 antibiotic stewardship ward rounds per week during which all children on intravenous antibiotics within the Children’s Hospital are reviewed. There is a weekly infectious diseases (including HIV and tuberculosis) and immunodeficiency clinic, with a monthly paediatric immunology clinic. A consult service is provided to the wider children’s hospital including PICU, NICU, acute paediatrics, respiratory, gastroenterology, endocrinology, surgery and orthopaedics (including spinal surgery), ENT, paediatric oncology and haematology, renal, cardiology and cardiothoracic, neurology and neurosurgery and to general paediatric and primary care colleagues across Wessex. The post-holder would be expected to provide consultant of the week cover 1 in 3 weeks (2 in 3 weeks provided by Dr Sanjay Patel). There is also an informal 24/7 on-call rota providing telephone advice to the Children’s Hospital and to the region.The postholder will be expected to support the expansion of the paediatric outpatient parenteral antimicrobial therapy (P-OPAT) servicewhich was introduced in June 2011. The focus of the current service is tertiary patients from across the region on long courses of intravenous antibiotics. This will enable the Trust to provide safe, high quality, cost effective care in the community, to children who would otherwise have needed to remain in hospital.This new post is 50% funded by the University of Southampton and 50% by expansion of the p-OPAT service, and to deliver key quality improvements across children’s services (antimicrobial stewardship and P-OPAT)Current consultant staff include:Prof Saul FaustProfessor and Hon Consultant in Paediatric Immunology and Infectious Diseases (Clinical Lead for Infectious Diseases / Immunodeficiency), Southampton NIHR WTCRF DirectorDr Sanjay Patel Consultant in Paediatric Immunology and Infectious DiseasesDr Mich Lajeunesse Consultant in Paediatric Allergy and Immunology and Hon. Senior Clinical Lecturer in Child Health (Clinical Lead for Allergy)Dr Emma Grainger-Allen Consultant in Paediatric AllergyConsultants providing additional support to paediatric AII service:Clinical ImmunologyProf Tony Williams Professor of Translational Medicine and Hon Consultant in Clinical ImmunologyDr Efrem Eren Consultant in Clinical ImmunologyConsultants providing care to young people with HIV transitioned to adult servicesDr Elizabeth Foley Consultant in HIV and genitourinary medicine, Solent NHS TrustClinical Microbiology (UHS and Health Protection Agency SE Regional Laboratory)As outlined abovePaediatric Respiratory AllergyProf Jane Lucas Professor of Paediatric Respiratory Medicine and Hon. Consultant in Paediatric Allergy and Respiratory Medicine)Prof Graham RobertsProfessor in Paediatric Allergy and Respiratory Medicine and Hon.Consultant in Paediatric Allergy and Respiratory Medicine)NursesMs Joanna Hancock Clinical Nurse Specialist in Paediatric Immunology (Band 7, 0.6 fte)Ms Helen GreenPaediatric ID / OPAT nurse specialist (0.6 fte)Ms Sara ReesPaediatric ID / OPAT nurse specialist (0.6 fte)Mrs Lyndsay BrownPaediatric Allergy Nurse (Band 6, 0.4 fte)HIV community support is provided by Ms Katrina HumphriesSolent PCT HIV services.Professional Relationships The successful candidate will be expected to work in liaison with:The UHS Clinical Lead for their NHS commitments, the HPA Laboratory Clinical Services Lead, the Infection Control Doctor, other senior staff including Consultant Infectious Disease Physicians and Microbiologists, Consultant Virologist, Clinical Scientists, BMS staff, the CCDC, and the Director of Public Health. consultant clinicians and their junior staff at UHS regional colleagues in secondary caregeneral practitioners in the catchment area of the Southampton Laboratory and wider Wessex region for tertiary childrens’ care.Health Protection Units within the catchment of the SE Regional HPA laboratory (the local HPU is based in Whiteley).the Infection Control Nurses and DIPCthe Chief Executive and other senior staff of UHS, and other Trusts serviced by the laboratories and clinical infection servicesenior nursing, paramedical and administrative staff in the above Trustsmembers of UHS / University of Southampton School of Medicine with responsibility for postgraduate / undergraduate medical educationConsultant pharmacist and clinical pharmacistsGovernanceIt is expected that the post holder will actively contribute to Trust clinical governance activities, participate in Continuing Professional Development (CPD) and audit of their clinical and the Department of Infection’s activity, and participate in departmental Morbidity Mortality meetings. Time and facilities will be available for CPD and audit. General ProvisionsSouthampton University Hospitals NHS Trust expects all medical and dental staff to work within the guidelines of the “General Medical Council Guide - Good Medical Practice”.Subject to the provisions of the Terms and Conditions of Service, the post-holder will be expected to observe the Trust's agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of the Trust. In particular, where the post-holder manages employees of the Trust, he/she will be expected to follow the local and national employment and personnel policies and procedures. The post-holder will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of his/her patients to be able to contact him/her when necessary.All medical and dental staff employed by the Trust or providing clinical care in the Trust are expected to comply with its Health and Safety Policy and procedures and mandatory training requirements.Job Planning and AppraisalIt is recognised that the clinical work programme will take time to settle into a regular pattern. The job plan will be reviewed regularly with the UHS Child Health lead for Paediatric Immunology & Infectious Diseases, with input from Child Health Care Group leads and managers as required. Currently no funding is available for on-call activity. The appointee will be appraised annually jointly with the University of Southampton. 2.5 PAWard Work1.5PAInfectious diseases clinic 1PASPA Other DutiesFrom time to time it may be necessary for the post-holder to carry out such other duties as may be assigned, with agreement, by the Trust. It is expected that the post-holder will not unreasonably withhold agreement to any proposed changes. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download