Latest notices
Health Safety and Wellbeing – July Safety Focus
Attached are the Safety Focus for July 2026.
We are now publishing two editions each month, allowing us to cover all safety classifications in Riskman and introducing new topics for emerging risks, particularly those linked to upcoming construction activities.
The focus topics for this month are:
• Animals and Insects
• Situational Awareness
Please print and display this notice on your safety board. You can print the attachments by clicking on the images above.
Stayalert,Staysafe!
Campus Operations
Focus on Fire Safety
Please find attached an important fire safety communication regarding our workplaces.
While this information has been issued primarily in response to a recent inspection at TUH, it serves as a timely reminder for all staff to ensure that the areas in which we work remain compliant with fire safety requirements and regulations.
Thank you for taking the time to review this information and for your ongoing commitment to maintaining a safe workplace.
Psychosocial Hazards – Awareness and Reporting
In 2023, the Queensland Government introduced the Managing the risk of psychosocial hazards at work Code of Practice 2022 alongside enhanced Work Health and Safety legislation. These changes place greater emphasis on identifying, assessing, and managing psychosocial risks in the workplace to protect the psychological health and wellbeing of workers.
What is a psychosocial hazard?
A psychosocial hazard is a hazard that arises from, or relates to, the design or management of work, the work environment, workplace interactions or workplace behaviours that may cause psychological harm, regardless of whether physical harm may also occur. Psychosocial hazards can arise from systems of work, work practices, workplace environments, workplace behaviours, or be associated with specific tasks or roles.
Examples of psychosocial hazards include:
• High and/or low job demands
• Low job control
• Low role clarity
• Poor organisational change management
• Low recognition and reward
• Poor organisational justice
• Remote or isolated work
• Poor environmental conditions
• Fatigue
• Inadequate support
• Bullying
• Exposure to traumatic events
• Occupational violence and aggression
• Harassment, including sexual harassment
• Poor workplace relationships and interpersonal conflict
Reporting psychosocial hazards
While we develop and implement our new psychosocial risk management platform, it is important that staff continue to identify and report psychosocial hazards and incidents through RiskMan . Reporting psychosocial hazards helps us:
• Identify emerging risks and trends
• Implement appropriate controls and support measures
• Meet our legislative obligations
• Foster a psychologically healthy and safe workplace
If you identify a psychosocial hazard, or experience or witness a psychosocial incident, please submit a report via RiskMan as soon as practicable. To assist staff with reporting, a How to guide for Reporting Psychosocial Incidents in RiskMan has been developed. Please share this with colleagues and display in your work area.
Townsville
Prizes
• EARLY BIRD DRAW: Family pass to NQ Elite Rodeo on 14 August, drawn 12 August
• $250 voucher to Watermark and + $150 voucher for Bloom Room
• 2. Family movie pass thanks to BCC Townsville and $100 VISA gift card
• Four tickets to NQ Cowboys vs Raiders + $50 Osk gift voucher
• Dr Natasha Cook Travel Essentials Pack from Refresh NQ
• Gift basket of goodies - pamper package full of hand selected premium toiletries and bottle of rosé
Win great prizes – total prize pool $1,292. Closes 24 August 2026.
Townsville Book Fair 22 - 23 August
We need your pre -loved books! The Townsville Book Fair is on again – 22-23 August at Willows Shopping Centre. Donate your gently used books to our donation hubs!
Donations can also be made to one of our drop-off locations:
• Amazing Grace Early Learning Centres (North Ward or Railway Estate)
• Avanti Health Care
• Mary Who Bookshop
• Brighter Lives Gift Shop – small donations
• Willows – donation bins near Coles and Woolworths
• Blackhawks Stadium – Near Brothers Leagues Club
Thank you to Willows, Grace, Ryan Catholic College and Mendi Blackhawks for your support.
Support the Shine Lawyers & Brighter Lives Charity Golf Day
The Shine Lawyers & Brighter Lives Charity Golf Day is back on Friday, 28 August, bringing our community together to raise vital funds for healthcare across North Queensland.
We're currently seeking support through event sponsorship. A range of sponsorship opportunities are still available, including:
• Platinum Sponsor
• Silver Sponsor
• Competition Sponsor
• Breakfast Sponsor
• Morning Tea Sponsor
• Trip Home Sponsor
Sponsorship is a fantastic opportunity to showcase your business while making a meaningful difference for local patients and families.
If you or your organisation would like to be part of this fantastic event, we'd love to hear from you. Please contact Brighter Lives to discuss the available opportunities brighterlives@health.qld.gov.au
Strengthening Recruitment Integrity – Mandatory Conflict of Interest Declarations
To support fair, transparent, and defensible recruitment practices, Queensland Health and the Public Sector Commission have introduced updated guidance and resources to assist employees in identifying, declaring, and managing conflicts of interest throughout recruitment and selection processes. These resources have been developed in response to sector feedback and provide clearer guidance on identifying actual, perceived and potential conflicts of interest, making consistent declarations, applying practical mitigation strategies, and managing complex recruitment scenarios involving relationships and influence.
What This Means for THHS
ConℎictofInterestDeclarationsareamandatoryrequirementforeveryrecruitmentandselectionprocess conductedwithinTHHS. All panel members, hiring managers and decision-makers involved in a recruitment process must complete a Conflict of Interest in Recruitment Declaration, regardless of whether a conflict is identified. This requirement ensures recruitment decisions remain transparent, and free from actual or perceived bias, while strengthening confidence in our recruitment practices.
Mandatory Before Shortlisting
To align with Queensland Health and Public Sector Commission requirements:
• All relevant participants involved in a recruitment process must complete a Conflict-of-Interest Declaration.
• Any actual, perceived, or potential conflicts of interest must be declared and accompanied by appropriate management or mitigation strategies.
• The delegated decision-maker must review and approve declarations and mitigation arrangements.
• Shortlisting must not commence until all declarations have been completed and approved. Recruitment processes cannot proceed, including shortlisting activities, until conflict of interest risks have been appropriately assessed and managed.
• Completed declarations must be retained on the recruitment file and submitted with the Selection Report as part of the final recruitment documentation.
Understanding Conflicts of Interest
A conflict of interest may be:
• Actual – where a personal interest directly conflicts with recruitment responsibilities.
• Perceived – where it could reasonably appear that a personal interest may influence decision-making.
• Potential – where a conflict may arise in the future.
Conflicts can arise from family relationships, friendships, previous reporting lines, financial interests, professional associations, prior complaints, performance management matters, or other circumstances that may affect, or appear to affect, impartiality.
Importantly, having prior professional knowledge of an applicant or serving as a referee does not automatically create a conflict of interest. However, these circumstances must be declared so they can be appropriately assessed and managed.
Why This Is Important
Recruitment and selection processes within the Queensland public sector must be conducted in a way that promotes integrity, fairness, and public confidence. The updated guidance supports panel members and decision-makers to exercise sound judgement, make transparent decisions and consistently manage recruitment risks across all stages of the recruitment process.
The new resources have been designed to help employees navigate real-world recruitment situations with greater confidence, consistency, and accountability.
Action Required
The mandatory Conflict -of -Interest Declaration requirement will apply to all new recruitment and selection processes commencing from 1 September 2026. Recruitment processes that have already commenced prior to this date may continue under existing arrangements to avoid disruption to current recruitment activity. All recruitment actions initiated on or after 1 September 2026 must comply with the new declaration, assessment, approval, and record-keeping requirements outlined above.
For further information, guidance materials, and access to the declaration forms, please visit THHS QHEPS Conflict of Interest resources page or contact Recruitment and Appointment Services.
Training, Education and Research
Organisational Development
For further information, please contact Organisation Development: THHS-Learning@health.qld.gov.au/
Understanding Intergenerational Teams
In today’s workplace, five generations work side by side - each shaped by different life experiences, values and expectations. At THHS, Gen Z and Millennials make up more than half of our workforce, bringing new perspectives, skills and ways of working.
Program objectives:
• Understand the key traits, values and motivators of different generations, especially Gen Z and
• Millennials.
• Recognise and challenge assumptions or biases that can impact inter-generational teamwork.
• Apply practical communication and engagement strategies to work more effectively across
• generations.
• Reflect and commit to one small action that strengthens inter-generational relationships at
• THHS.
Click to register now
Build Your Leadership Workshop
The Build Your Leadership Workshop provides participants with the next step on from ‘Ignite Your Leadership’ and builds people and team leadership skills.
Program Objectives:
• Examine the mindset shift from Leader of Self to Leader of Others
• Learn and evidence-based framework to develop flexible leadership and when to use each style
• Learn and evidence-based framework to lead a team, create a positive workplace culture and build
• Performance
Click to register now
Essential Communication Skills for the Workplace
This programme is designed to provide staff with tools, strategies and techniques to assist in achieving effective two-way communications and positive relationship development.
It encompasses the following four (4) x 4-hour modules:
• Communication Foundational Skills
• Giving and Receiving Feedback
• Foundational Skills for Negotiating
• Dealing with Difficult Conversations
It is recommended the modules are undertaken in order, with Communication Foundational Skills prerequisite to all other modules.
Click to register now
Positive Performance Management – Developing People Management Skills
This program will equip line managers with tools, processes and frameworks to demonstrate good, day-to-day people performance management within the requirements of the Public Service Commission Directive 02/24 (Positive Performance Management) and HR Policy G9 to develop a good workplace culture.
Click to register now
Centre for Leadership Excellence (CLE) Statewide Capability Development Program
The Centre for Leadership Excellence’s Statewide programs are available to all Hospital and Health Service employees including emerging, aspiring and experienced leaders and managers in Queensland Health. Statewide programs are offered as facilitated programs delivered virtually, offering formalised training opportunities to develop leadership skills, capability and enhance career pathways.
Programs include:
• Business Partnering
• Conversations That Make a Difference
• Effective Writing Skills
• Essential Coaching Skills
• Manage4Improvement
• Maximising Stakeholder Relationships
• Step Up Leadership Program
• Take the Lead
• Wellbeing & Resilience
• Wellbeing Leadership
• Workload, Email and Meeting Management
Click to register now
Oncoming courses:
Procedural Skills Workshops
Drop-in, hands-on skills sessions using part-task trainers, delivered in a safe and supportive learning environment.
Time: 1600 – 1730hours
Where: Clinical Simulation Centre
• CVAD (31 August ) – provides competency-based program to educate clinical staff in the management of CVAD’s. Book in via LOL: Course: CVAD - Central Venous Access Device Care and Maintenance | THHS-LOL
Clinical Simulation Centre
Emergency Management of Severe Burns (EMSB) Course - Townsville
Trauma Service - Education Opportunities
Cannington Lecture Theatre, TUH
Develop the knowledge and practical skills required to assess, stabilise and manage severe burn injuries in emergency and acute care settings
• Be ready ~Act Fast ~ Save Lives
• Hands on training + expert Led Learning, Real scenarios, Practical skills
• Assessment MCQ + Simulation – Certificate on Completion
Start Date: 08 August 2026
Start Time: 7:30am
End Time: 5:45pm
Venue: Townsville University Hospital, QLD
Contact Name : ANZBA Courses
Contact Email : courses@anzba.org.au
Click the ‘Find Out More ’ button for details about the event and to register now.
Disability Awareness Training Webinar Series 2026 – Session 7
Multicultural Communities
Cannington Lecture Theatre, TUH
Our cultural and language backgrounds shape how we view and experience the world. This includes our interactions with healthcare. Join us as we speak with those from a range of cultural backgrounds to learn more about the diversity with which disability is understood and experienced across Queensland communities, and how we can do better to remove systemic bias and barriers.
Click the ‘Find Out More ’ button for details about the event and to register now.
Queensland Trauma Symposium - 20 and 21 August 2026
RBWH Education Centre
Royal Brisbane and Women’s Hospital Butterfield Street, Herston, Brisbane
The Queensland Trauma Symposium is excellent opportunity for multidisciplinary trauma care providers to collaborate at a professional level, educate on current practices and discuss ideas for the future of trauma care. Proudly hosted by RBWH Trauma Service and Jamieson Trauma Institute.
Click the ‘Find Out More’ button to register now.
Critical Care Advanced Airway Course
CAN’T INTUBATE CAN’T OXYGENATE (CICO)
Registration is now open for the CICO Workshop – 18th September 2026
Thecourseislimitedto12participants: 6 medical and 6 nursing.
Outline: Using a combination of interactive lectures, skills stations and simulationbased learning, participants will develop and practise the skills, knowledge and attitudes required to recognise and manage a CICO crisis.
Duration: 5 hours (0800 to 1300 hours)
Location: Clinical Simulation Centre, Plant Level Acute Block, TUH.
Registration & enquiries: ICU Secretariat: ICU, North Block, Townsville University Hospital.
Phone: (07) 4433 7997
Email: TSV -ICU-ESO@health.qld.gov.au
Formally recognised for CPD by: CICM (SHLR), ANZCA, FACEM, CICM Trainee Course Accreditation – CICO ICU Workshop/Advanced Airway Skills
Policies and Procedures
Are you using the most recent template for your policy, procedure or standing order development / review?
It is important to use the current version to make sure you align with the governance expectations for documents within the THHS. Do Not save templates on local drives. All templates can be found on the Policies & Procedures Home Page along with useful guides to step you through the process.
Please note that any document submitted without adhering to the processes outlined in Policy, procedure and standing orders management THHSCOR140803 and the Checklist for document submission will not be progressed by the Policy and Procedure Unit.
All policies, procedures and Standing Orders are available on the Policies & Procedures Home Page .
New / Updated / Rescinded
THHSCLI120560v7 | Antenatal and postnatal routine pathology screening by midwives | Townsville HHS | TPPU | Procedures
Replaced: v6
Target Audience: THHS Midwives
THHSCLI201457v3 | LAI BPN for consumers dependent on opioids | Townsville HHS | TPPU | Procedures
Replaced: v2
Target Audience: THHS nursing, medical and pharmacy staff involved in the handling, prescribing and administration of LAI BPN
THHSCLI120604v5 | NPC pathologyy requests | Townsville HHS | TPPU | Procedures Replaced: v4
Target Audience: All NPCs and Pathology Staff within the Townsville Hospital and Health Service (THHS)
THHSCLI251687v1 Nursing and Midwifery Workforce Services (NMWS) – Emergent Workforce Management | Townsville HHS | TPPU | Procedures
Replaced: New
Target Audience: THHS Nurse and Midwifery Unit Managers (NUM/MUMs), managers accessing NMST for daily staffing/contracts, or any NMST employees
Clinical Forms
Are you using the CURRENT version? It is very important that you are using the current version of a clinical form. To ensure you print the current version, DO NOT save these forms to your local drive or photocopy these forms. If you need to continually refer to a form, you may ‘Add to Favourites’ in your web browser.
All clinical forms used within Townsville HHS can be found on the Clinical Forms webpage.
New / Reviewed Clinical Forms
• Behaviour Support Plan 00200:1198v3
• Care Plan Review Checklist 00200:1461v1
• Children’s Early Warning Tool (CEWT) Post -MET Modified Escalation and Observation (MEO) Plan SW1195v2
• Comprehensive Geriatric Assessment 00200:1462v1
• Health Care Substitute Decision Maker (HCSDM) Identification Checklist 00200:1469v1
• Maternal Birth Clinical Pathway Community Extension SW317v7
• Neonatal Clinical Pathway SW232v10
• Neonatal Clinical Pathway Clinical Events/Variances (Additional Page) SW232bv4
• Neonatal Clinical Pathway Community Extension SW318v7
• Neonatal Clinical Pathway Ongoing Care (Additional Page) SW232av7
• Restrictive Practice Substitute Decision Maker (RPSDM) Identification Checklist 00200:1282v2
New Guideline on the Patient Flow and Support Unit webpage Guideline 8 – Requesting an inpatient bed Kidney Transplant Recipient
Enterprise Risk Management Training
Strengthen Patient Safety & Operational Resilience with Enterprise Risk Management Training
Enterprise risk management isn’t just for leaders — it’s for everyone. Learn how to recognise and respond to risk in your role. Whether you work in clinical services, operations, administration or leadership, this training shows you how enterprise level risk is identified, assessed and managed across THHS — and how you can confidently contribute.
Why attend? You will learn how to:
• Identify risks early in your work area
• Make more confident, risk-informed decisions
• Link risks to THHS objectives and service outcomes
• Use practical tools to assess and treat risk
• Contribute to a safer, more resilient organisation
Start Here (Quick Online Module 30 mins)
Risk Management Basics | THHS-LOL
A short introduction to the THHS Enterprise Risk Management Framework and core concepts. Register via: Risk Management Basics | THHS-LOL
Interactive Workshops (Face -to-Face & Microsoft Teams)
Risk Management Essentials (2.5 hrs)
Build practical skills to apply the ERM Framework in your role. Ideal for risk owners and staff involved in risk management activities. Register via: Course: Risk Management Essentials | THHS-LOL (health. qld.gov.au)
Next Sessions:
• 23 September 2026
• 18 November 2026
Build Your Knowledge (Short Targeted Modules)
Strategic Risk Management (20 mins) for senior leaders and directors Register via: Strategic Risk Management | THHS-LOL
Risk Management Toolkit Sessions 8 short videos (10 mins each) focused on specific enterprise risk management processes Register via: Risk Management Toolkit Sessions | THHS-LOL
For further information, please contact the Enterprise Risk Team at THHS-EnterpriseRisk@health.qld.gov.au
Using a Surefuser+ device for palliative care? New infusion forms now available New Surefuser™+ subcutaneous medication infusion forms are now available to support clinicians to deliver safe and effective palliative care. Developed by PallConsult specifically for the Surefuser™+ device, the statewide forms provide guidance on prescribing, device preparation, priming, monitoring and troubleshooting. The forms complement the existing Surefuser ™+ learning package , helping clinicians build the skills and confidence to safely set up, commence and monitor subcutaneous infusions.
Due to an update to the statewide rollout schedule, Townsville HHS will now go live with IWFM Stage 4 in March 2027. This revised timeframe provides the benefit of additional time for local readiness activities, including targeted outreach and Q&A sessions to support our teams ahead of go-live. More information will be shared as replanning progresses.
To help staff get ready, there are a few things you can do now:
• Line Managers and Roster Creators & Maintainers - complete the Introduction | Business Foundations eLearning.
• Add IWFM to your device - Android | Apple (iOS)
• Read IWFM benefits for Employees | Line Managers and myHR Single Sign On fact sheet
• Keep checking QHEPS and IWFM Newsletters for updates.
Staff Noticeboard
Leecare eMR will go live at Parklands RACF on Wednesday 19 August. Leecare will replace CareLynx , paper medication charts and the finance system Manad. Please be patient with your colleagues at Parklands RACF during this period.
For more information search ‘Leecare’ on THHS QHEPS.
Improving Service Performance, Capacity and Sustainability
Project Snapshot
Key Focus Areas:
Clinical Redesign Healthcare Improvement (HIU) Collaborative Program
Executive Sponsor: Adrianne Belchamber
January 2026 through to December 2028
Delivering 87 Recommendations across four major projects
Project: Surgical Services - Delivering 13 strategic recommendations through a structured program of work designed to align perioperative services with best practice.
Project Lead: Idris Kamara SG Director Surgery
• Strengthening Governance and Leadership
• Improving Theatre Efficiency and Flow
• Enhancing Data Integrity
• Strengthening Regional and Associated Services
• Building Workforce Capacity and Capability
Where are we now
• Current Phase: Stabilisation
• Overall status: On Track
• Progress: 37% complete
Key Achievements:
• Implemented clear governance and escalation pathways, enhancing accountability, decision-making, and oversight across perioperative services.
• Strengthened data capture and validation processes within SurgiNet, improving data integrity and the quality of operational and performance reporting.
What’s happening Next
• Work is underway to establish the SMO (Senior Medical Officer) Portfolio Leads model, providing clear clinical leadership across key perioperative domains
• Work will focus on enhancing coordination between the Emergency Department (ED), Intensive Care Unit (ICU), and perioperative services to improve patient flow
• Implementing initiatives to streamline theatre workflows, improve utilisation, and support timely patient movement through the perioperative pathway.
For further information see the attached Surgical Services Implementation Plan by clicking the ‘ F ind out M ore’ button.
Healthcare Standards & Patient Safety Newsletter
Check out the most recent newsletter from the Healthcare Standards & Patient Safety Teams. Click the links below to read the newsletters:
Issue 5 – July 2025 Parkinson’s Disease Medication
Issue 6 - August 2025 Change in Behaviour - Could it be Delirium?
Issue 7 - September 2025 World Patient Safety Day 2025 Issue 8 - October 2025 Communicating for Safety
Issue 9 - January 2026 - 2025 Safety & Quality Wrapped
Issue 10 – March 2026 – Delirium & Cognitive Impairment
Issue 11 – May 2026 – Patient Safety Net
Read the latest Patient Safety Newsletter “Safety Matters” by clicking the ‘ F ind out M ore’ button.
HHS Medication Newsletter
The most recent editions of the Townsville HHS Medication newsletter are out now. Click the links to read them:
Feb Medication newsletter | February 2025 | Townsville HHS | Newsletter
March Medication newsletter | March 2025 | Townsville HHS | Newsletter
May Medication newsletter | May 2025 | Townsville HHS | Newsletter
July Medication newsletter | July 2025 | Townsville HHS | Newsletter
March Medication newsletter | March 2026 | Townsville HHS | Newsletter
Read the latest Patient Safety Newsletter “Safety Matters” by clicking the ‘ F ind out M ore’ button.
Townsville
S/4Hana Updates
The Food Service has updated several material numbers to streamline our processes and improve efficiency. These updates are designed to enhance our service delivery and ensure that we continue to meet the highest standards. Stay up to date by utlising the link below for ordering food services for your teams. Stay up to date by utilising the link below for ordering food services for your teams.
Please see below updated information:
• Address number list for catering consumables.
• s4hana order catering consumables Mar 24.
Update Your S/4HANA Substitutions Before Leave
As you prepare for upcoming leave, please take a moment to review and update your S/4HANA substitutions. Doing so ensures that approvals and workflows continue seamlessly while you are away, with delegated tasks handled smoothly by your nominated colleague. Keeping these settings current helps avoid delays, supports business continuity, and makes it easier for the team to manage responsibilities in your absence. Thank you for taking the time to complete this important step before starting your break.
For any assistance, please contact your local Finance Team or Management Accounting.
Denomination Emergency – Contact List
Anglican Church (Church of England) Fr John McKim
Rev Stephanie Patching 0408 188 574 0408 112 467
Baptist Church Garry Wynn 0468 958 508
Buddhist Phil Heang
Helene Rankin
Bill Ang 0448 401 066 0429 321 396 0439 891 452
Church of Christ Pastor Simon Teunis 0486 198 362
Greek Orthodox Maria Gianoulis 0417 627 427
Islam Dr Shahead Chowdhury
Sr Ferzana Khan
Sr Hera Oktadiana 0402 036 087 0425 000 822 0404 921 065
Jehovah’s Witness Bruce Ridden 0427 774 850
Lutheran Church
Kees Sturm 0428 992 002
Roman Catholic Church Father Mobin Sebastian 0475 580 721
Salvation Army Katrina McIntosh 0431 019 750
Seventh Day Adventist Church
Uniting Church in Australia
(Methodist/Congregationalist)
Suggestions:
Orlando Pule 0406 376 917
Rev Bruce Cornish 0417 707 419
1. When you require a Pastoral Care person – Ring Twice – the person may have missed the first call.
2. Leave a Message so the person can respond – Note: The Hospital phone system doesn’t leave a number so, the priest cannot return the call if no message is left.
3. If you cannot get someone, ring the Pastoral Care Coordinator on 0447 880 993 (if no answer please leave a contact name, number and ward). Someone will be assigned to ring you back at availability.
Community Noticeboard
What is financial advice?
Our latest research shows only 38% of Australians feel confident in their financial future. 1 This is where financial advice can help. So, what exactly is it? Where can people access it? And does it cost anything? If you need help making big decisions about your money, this is a good place to start.
Click the ‘Find out M ore’ button to learn more.
Survey of 2,005 Australians carried out by Pollinate on behalf of Australian Retirement Trust (ART), October to December 2025. Q: Please indicate the degree to which you agree or disagree with the following statement: I am confident in my financial future. % rating 8-10 out of 10.
Your employer is not responsible for the preparation of this communication. They are not providing advice or a recommendation This is general advice or information only. It's not based on your personal objectives, financial situation or needs. Think about your personal circumstances and read the relevant Product Disclosure Statement and Target Market Determination before you make any decision about our products. And if you’re still not sure, talk with a financial adviser. We issue this information and all Australian Retirement Trust products. When we say ‘we’, ‘us’ or ‘the Trustee’, we mean Australian Retirement Trust Pty Ltd (ABN 88 010 720 840, AFSL 228975), trustee of Australian Retirement Trust (ABN 60 905 115 063) (‘the Fund’ or ‘ART’). 268133. 07/26.
Employment Opportunities and Vacancies
