This Practice Note contains a list of common medical abbreviations and symbols that can be found in clinical records. ° Not Present or No abnormality (eg J° “No jaundice”) +/- Uncertain/equivocal + Present/positive reading ++ Moderately present +++ Significantly present # Fracture ↑ Increasing, up → Constant, normal ↓ Decreasing, down Δ Diagnosis Diff Δ or ΔΔ Differential diagnosis = Equivalent to ∴ Therefore 1/7 One day 2/52 Two weeks 3/12 Three months A or AJ Ankle jerk/reflex AAA Abdominal aortic aneurysm AAL Anterior axillary line ABG Arterial blood gas ACL Anterior clavicular line or Anterior cruciate ligament A.d As directed A/E Air entry to lungs or Accident & Emergency AF Atrial fibrillation AFB Acid fast bacillus AFP Alpha-fetoprotein AI/R Aortic incompetence/regurgitation AoR Aortic valve replacement AS Abdominal system or Aortic stenosis ASQ Ages and stages questionnaire (children's development) ATCH Adrenocorticotrophic

[insert date] [insert name and address of doctor] Private and confidential Dear [insert doctor’s name] Request for report on [insert employee’s name and date of birth] We are writing to apply for a report on the medical condition of our employee [insert name of employee], who we understand is a patient of yours. [Insert name of employee] has worked with us since [insert date] as a [insert job title][ and we enclose a copy of the relevant job description]. We need this report on [insert name of employee] in order to [assess their fitness for and likely return to work AND/OR establish if there is any underlying health reason for their frequent absences from work AND/OR plan the work in their department, and assess the impact of their absence from or resumption of duties on workflow and resources AND/OR assess the effect of their condition on their

Date: [insert date] Employee name: [insert name] Employee date of birth: [insert date of birth] Employee address: [insert address] Employer name: [insert name] Private and confidential To: [insert name of doctor] I understand that my employer wishes to obtain a medical report from you in order to: • [assess my fitness for and likely return to work; • establish if there is any underlying health reason for my frequent absences from work; • plan

[insert date] [insert employee’s name and address] Private and confidential Dear [insert name] Consent to obtain medical report from your doctor Following [your meeting with [insert name] on [insert date]], we would like to request your consent to our obtaining a written report from your [GP OR consultant] about your health. This process may involve the need for you to undergo a medical examination. We need to take this step to enable us to [assess your fitness for and likely return to work AND/OR establish if there is any underlying health reason for your frequent absences from work AND/OR plan the work in your department, and assess the impact of your absence from or resumption of duties on workflow and resources AND/OR assess the effect of your condition on your day-to-day activities AND/OR consider the range of reasonable adjustments we may need to make AND/OR consider any short-term measures we

As an employee, you have certain rights under the Access to Medical Reports Act 1988 (AMRA 1988) where we want to apply for a medical report for employment (or insurance purposes) from your GP or consultant, or from another medical practitioner who is (or has been) responsible for your clinical care. These are separate from the data protection rights you have under the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018 (DPA 2018). This document sets out your rights under AMRA 1988: • you have the right to have access to any medical report obtained about you for employment or insurance purposes; • you have the right to be notified that we propose to apply for a medical report concerning you and that we require your consent to do so; • you have the right to withhold your consent to that proposal; • where you give your consent, you have the right to state that you wish to have access to the report before

[insert date] [insert name and address of doctor] Private and confidential Dear [insert doctor’s name] Request for medical report on [insert employee’s name and date of birth] We are writing to apply for a report on the medical condition of our employee, [insert name]. [Name of employee] has worked with us since [insert date] as a [insert job title][ and we enclose a copy of their job description]. We need this report on [Insert name of employee] in order to [assess their fitness for and likely return to work AND/OR establish if there is any underlying health reason for their frequent absences from work AND/OR plan the work in their department, and assess the impact of their absence from or resumption of duties on workflow and resources AND/OR assess the effect of their condition on their day-to-day activities AND/OR consider the range of reasonable adjustments

Date: [insert date] Employee name: [insert name] Employee date of birth: [insert date of birth] Employee address: [insert address] Employer name: [insert name] Private and confidential To: [insert name of doctor] I understand that you are [an occupational health professional OR doctor] [employed by OR wholly independent of] my employer. I confirm that I am not and never have been a patient of yours or under your clinical care. I understand that my employer wishes to obtain a medical report from you in order to:

[insert date] [insert employee’s name and address] Private and confidential Dear [insert name] Consent to medical report by [Company doctor] [Following your meeting with [insert name] on [insert date], we OR We] would like to request your consent to our obtaining a written medical report on you from [the Company doctor]. This may involve the need for [the Company doctor] to carry out a medical examination of you, or to have access to your medical records[ covering the period from [insert date] to [insert date]] from your GP or consultant and, if necessary, discussing them with your GP or consultant. We need to take this step to enable us to [assess your fitness for and likely return to work AND/OR establish if there is any underlying health reason for your frequent absences from work AND/OR plan the work in your department,

This Practice Note sets outs the issues an employer will need to consider when seeking medical reports on employees and prospective employees. Before obtaining a medical report, an employer will need to consider the legislative requirements: • for processing personal data and special category data (special categories of personal data, formerly ‘sensitive personal data’) under Assimilated Regulation (EU) 2016/679, UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018 (DPA 2018) • for consent from the employee or prospective employee under the Access to Medical Reports Act 1988 (AMRA 1988), and • if the medical report is being prepared before an offer of employment has been made, under the Equality Act 2010 (EqA 2010) The employer’s application for a medical report is likely to vary depending on: • the purposes for which the report is being sought—see Data protection below • whether the medical practitioner who will prepare the report is, or has been, responsible for the individual’s clinical care—see Access to medical reports—AMRA 1988 below • the medical practitioner’s

This Practice Note considers a qualifying employee’s right, under section 64 of the Employment Rights Act 1996 (ERA 1996), to be paid for up to 26 weeks while suspended from work by the employer on certain medical grounds. It explains the limited scope of the right to pay during medical suspension, entitlement, the qualifying service required, exclusions from the right, how the pay is calculated and the employee’s remedies in the event of non-payment. It also notes issues to consider regarding the dismissal of a replacement for a medically suspended employee. An employee is entitled, under ERA 1996, s 64, to be paid for up to 26 weeks while suspended from normal duties by the employer, on certain prescribed medical grounds. These medical grounds are very narrow. The aim of the legislation is to ensure that employees in particularly high-risk types of employment (such as those involving exposure to dangerous chemicals, lead or radiation) do not lose out financially if, although capable of work, they have to be temporarily suspended or moved to other jobs to safeguard their

Any substance or combination - presented as having properties for treating or preventing disease in humans; or - which may be administered to humans either with a view to restoring, correcting or modifying physiological functions by exerting a pharmacological, immunological or metabolic action, or to making a medical diagnosis.

Introduction This medicinal products regulatory due diligence questionnaire relates to the proposed purchase by [insert buyer name] (the Buyer) of the [entire share capital of [insert name of target company] Limited incorporated in England and Wales under number [insert company number] (the Company) OR [insert description of the business to be acquired] (the Business) as a going concern, together with certain assets used in the Business] from [insert seller name] (the Seller) (the Proposed Acquisition). This questionnaire is designed to enable the Buyer, the Buyer’s solicitors and other professional advisors to obtain the legal information relating to the medicinal products UK and EU regulatory compliance of the [Company OR Business] which the Buyer requires to assist in the valuation of the [Company OR Business] and with the negotiation of the Proposed Acquisition. Please answer every question fully. Please provide your answers in italics underneath each question and provide copies of all relevant documentation, ensuring that all answers and documents are clearly marked by reference to the appropriate paragraph of this questionnaire. We reserve the right