talking about this, yes, it actually looks like you made 2 templates ... 1 for the pages without the secondary navigation menu and 1 for the ones with (it has 2 columns, right?).
Maybe try to put the secondary menu under the banner "specialising ... call ..." as a horizontal menu (if possible with all the links) so that is seems to be the top of the content area and is not displayed, if there is no childlevel page ...
cheers
Klaus