This is how the shape of consultation should be drawn.
I received this response from the James Paget Hospital University NHS Trust today (see "Local Doings" below):
Good morning Mike.
Thank you for the link to your blogg and for the critical eye, all comments are useful. The requirement to make reasonable adjustments for employees is provided for within our managing absence policy and within our recruitment and selection policy which are both comprehensive policies that have been agreed between ourselves and our negotiating bodies. These are already in existence and I believe well established which is why we have made only broad reference to employment policies within our DES. I can confirm that we do require all sub contractors to abide by our current polices when working on our site.
Deputy Director of HR
Thank you Liz, that's excellent.
The only reservation is the "when working on our site" bit. Some of my main concerns are about some of the practises of those commissioned bodies which work on their own sites; i.e. private nursing homes. I've asked Liz to comment on this too.