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JOB DESCRIPTION
JOB TITLE:
Clinical Glaucoma Fellow
DEPARTMENT:
Glaucoma
GRADE:
Fellow
RESPONSIBLE TO:
Mr Nick Strouthidis, Service Director, Glaucoma Service
ORGANISATIONAL CONTEXT
Moorfields is one of the world’s leading eye hospitals, providing expertise in clinical care,
research and education. We have provided excellence in eye care for more than 200 years
and we continue to be at the forefront of new breakthroughs and developments. We are an
integral part of one of the UK’s first academic health science centres, UCL Partners, and
recently celebrated five years as one of the country’s first NHS foundation trusts.
Our main focus is the treatment and care of NHS patients with a wide range of eye
problems, from common complaints to rare conditions which require treatments not available
anywhere else in the UK. The unique case-mix and volume of our larger services means
that our surgeons can develop expertise in different areas of the sub-specialty.
Our 1,800 staff treat and provide support for patients at our main hospital base in London’s
City Road and at 20 other sites in and around the capital, which enables us to provide expert
treatment closer to patients’ homes.
As a measure of our success, more patients that ever before chose us for their ophthalmic
health care and in 2010/11, we recorded almost 500,000 outpatient attendances in our
clinics and 74,000 attendances at our specialist A&E department. We carried out nearly
30,000 inpatient and day-case procedures, more than 8,500 laser treatments and around
10,000 treatment procedures for age-related macular degeneration. We continue to improve
the quality of our services and me the key operational targets that matter to our patients,
referrers, and commissioners. We delivered a financial surplus of £10 million, maintaining
our long-term viability, while the organisation continues to evolve to meet the changing
healthcare environment and the challenging economic climate
Moorfields has contracts with more than 80 primary care trusts across the country, making
us a truly national centre for eye care.
We are also a major postgraduate teaching centre and a national centre for ophthalmic
research involving, with the UCL Institute of Ophthalmology, the largest ophthalmic research
programme in the world. We continue to make headlines with our ground-breaking research
and, along with our partners at the institute, we have the highest measure of scientific
Moorfields Eye Hospital NHS Foundation Trust
City Road, London EC1V 2PD
Phone: 020 7253 3411
www.moorfields.nhs.uk
productivity and impact in the world for our research activity. We are one of only 11 sites
nationally to be awarded National Institute for Health Research biomedical research centre
status for translational research. This has recently been renewed for another r5 years with a
substantial increase in research funding.
We have recently completed the development for our 10 year clinical strategy – Our Vision
of Excellence, which continues to develop our networked model of service delivery for
hospital and community based care.
Moorfields directly manages three commercial divisions: Moorfields Private and Moorfields
Eye Hospital Dubai.
Established in April 2007, the Centre is funded by the Department of Health via the National
Institute for Health Research. The objective of the Centre is to conduct ‘translational
research’ that is designed to take advances in basic medical research from the laboratory to
the clinic enabling patients to benefit more quickly from new scientific breakthroughs. The
research of the Centre falls within six major “themes”: Age-related Macular Degeneration;
Diabetes; Glaucoma; Ocular Repair; Regeneration & Pharmaceutics; Ocular Surface
Disease; Paediatric Ophthalmology and Inherited Eye Disease.
Ophthalmology at Bedford Hospital
Moorfields Eye Hospital provides comprehensive ophthalmic services at Bedford Hospital
under an agreement with Bedford Hospital NHS Trust. These services are provided in
dedicated ophthalmic outpatient and operating facilities. The catchment population is drawn
largely from Bedfordshire Primary Care Trust which has a population of approximately
300,000.
The outpatient facilities are modern and well-equipped, including Argon, YAG and Diode
Lasers, Digital Lasers, Digital Anterior and Posterior Segment Photography, Digital
Fluorescein Angiography, 3 D OCT Scanner, a Video-Indirect Ophthalmoscope, a
Heidelberg Optic Disc Analyser as well as Visual Field and modern Biometry equipment.
There is a well-equipped ophthalmic theatre staffed by trained ophthalmic theatre staff and 8
major operating lists are run weekly.
The Post
The Glaucoma Service welcomes a Fellow from outside the North Thames Ophthalmology
Training Scheme who wishes to improve their knowledge and skills in Glaucoma
management. Applicants should still be in an Ophthalmology training post or have recently
completed their higher specialist training programme in Ophthalmology.
The Clinical Fellows rotate six-monthly allowing Fellows to work with a number of the
consultants during their stay. All rotations will involve placements in at least one of
Moorfields’ outreach sites, including surgical sessions. Some rotations over the two
years will incorporate Saturday clinics and evening clinics (at any site) as part of the
regular timetable. Fellows rostered to Saturday sessions at City Road must also be
available to review emergency cases from eye casualty during clinic hours. Fellows
on Moorfields South rotations (St George’s and Croydon) may take part in the general
on call rota for Moorfields South. This will be in lieu of a Saturday clinic.
The rotation will provide experience in glaucoma and its subspecialties, including paediatric
glaucoma. The post will commence as soon as possible, for a fixed-term period of 2 years.
All posts are eligible for recognition for training by the Royal College of Ophthalmologists.
The successful candidate will need to arrange the necessary approvals prior to taking up the
post. Applicants from outside the EU can apply and may be eligible for full GMC registration
and a work visa through the Royal College’s Dual Sponsorship scheme.
The Glaucoma Service
Medical Staff include 12 Clinical Fellows, three North Thames ASTO/TSCs, 5 Specialist
Registrars/Specialty Trainees sub-specialising in Glaucoma, a number of Research Fellows,
Associate Specialists and Clinical Assistants.
The Glaucoma Consultant staff are:
Mr Parham Azarbod
Mr Keith Barton
Mr John Brookes
Mr Jonathan Clarke
Mr Paul Foster
Mr David ‘Ted’ Garway-Heath
Mr Kuang Hu
Mr Andrew ‘Gus’ Gazzard
Mr Hari Jayaram
Miss Emma Jones
Miss Deborah Kamal
Professor Peng Khaw
Miss Alessandra Martins
Miss Rashmi Mathew
Mr Ian Murdoch
Miss Eleni Nikita
Miss Winnie Nolan
Miss Maria Papadopoulos
Miss Poornima Rai
Miss Dilani Siriwardena
Mr Nick Strouthidis
Training Director (Glaucoma)
Clinical Director Moorfields East
Director of Glaucoma Research
Director of Research and Development
Joint post with Royal Free Hospital
Divisional Director (City Road)
Service Director (Glaucoma) and Deputy Divisional
Director (City Road)
Mr Ananth Viswanathan
Mr Richard Wormald
Mr Andrew Scott
The Directorate Nurse and Nurse Practitioners play an important role in the management of
all Glaucoma patients.
The service sees approximately 6,000 new patients per year and 60,000 follow-up patients.
Approximately 4,000 operations are performed each year.
Programme
Fellows will attend general and specialist Glaucoma Clinics at Moorfields Eye Hospital, City
Road and at outreach sites. Two operating sessions are allocated. Teaching sessions are
held for all members of the Glaucoma Service on Wednesday mornings in the Clinical
Tutorial Centre at Moorfields City Road.
Specialist interest clinics in Glaucoma include Uveitic Glaucoma, Paediatric Glaucoma,
Angle Closure Glaucoma and Low Tension Glaucoma. The department has an interest in
Epidemiology.
There will be opportunities for research during the course of the fellowship and one session
weekly will be set-aside for this purpose; however the duties of the posts are predominantly
clinical.
Teaching
The post will have a teaching role, contributing to the current service teaching programmes
of the A&E and Glaucoma Services and the on-going assessment and teaching of the
clinical and surgical skills of the ST’s and Fellows in training.
Research at Moorfields Eye Hospital
The department has an international reputation for excellence in research in a wide variety of
glaucoma topics. Areas of research expertise include imaging, psychophysics, wound
healing, epidemiology, angle closure and clinical trials. Clinical research is undertaken within
the NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust
and UCL Institute of Ophthalmology.
Research Intellectual Policy
Moorfields is an important research institution and as a result the Trust has a policy
conveying intellectual property, which will apply to the successful applicant. The policy can
be found in the Medical Staff Handbook or copies can be obtained from the HR Department.
Study and Training
Study leave is granted prospectively by the Study Leave Sub-Committee, following
Consultant approval and subject to agreement by the Clinical Management Board.
The Committee meets once a month and applications must be received at least two months
in advance of the proposed leave. Study leave application forms are available on the Trusts’
Intranet page.
A minimum of two months’ notice is required as for study leave to permit adjustment
of any clinical research projects or planned clinical work.
The Clinical Tutorial Complex, with well-equipped Seminar Rooms and a large modern
lecture theatre, provides the principal location for courses and lectures organised by the Post
Graduate Medical Education Centre. There is also a skill laboratory, which provides
microscopes and other equipment for surgical training.
Annual Leave Entitlement
32 days per annum, by agreement with your Consultant supervisors, the Fellow must ensure
that adequate cover is available when taking leave and inform the relevant service timetable
administrator, typically the Senior Service Fellow and administrative staff.
Clinic Clerks must be given at least two months’ notice to adjust clinic profiles. The Fellow
shall not be away when their Consultant is away unless appropriate cover has been agreed
and obtained.
Sickness
One of the Senior Residents and the HR Department must be notified as soon as possible
on the first day of sick leave. You are required to provide a self-certificate on the fourth day
of any period of sickness. If this continues a medical certificate must be obtained from the
seventh day of absence, including weekends and holidays.
Working Emergencies and Unforeseen Circumstances
Fellows are expected to perform duties in clinical emergencies and unforeseen
circumstances at the behest of their Service Consultant Staff.
Salary Scale
The salary for this post is currently £40,000 + £10,000 per annum.
Conditions of Appointment
 Possession of the Membership of the Royal College of Ophthalmologists or equivalent is
essential.
 Applicants should have completed their higher surgical training in Ophthalmology or be
close to doing so. Possession of a Higher Degree, while not essential, would be an
advantage.
 The successful candidate must be registered with the General Medical Council (with a
Licence to Practise), be an appropriately subscribed member of a recognised Medical
Defence organisation and be eligible to work in the UK (documentary evidence will be
required).
Revalidation requirements
All doctors are responsible to maintain a portfolio of their career over the last 5 years in order
to satisfy GMC Revalidation criteria. If successful, you will be required to bring along your
supporting information portfolio including recent appraisals documents when joining the
Trust.
Doctors holding joint and/or various fixed term appointments throughout their appraisal year
are also required to demonstrate evidence of an exit report and supporting information from
the different appointments they hold throughout their appraisal year. This information must
be brought with them when starting a new appointment within The Trust. It is recommended
that doctors collect this information before leaving their previous employers.
Main Conditions of Service
The Trust follows the majority of Terms and Conditions as described by the Medical and
Dental Staffs Whitley Council with the exception of the General Staffs Whitley Council for the
Health Service, pay protection and salary or by such agreement as may from time to time be
amended by the Trust Board. There are a number of other Trust policies which apply to your
appointment, including Confidentiality, No Smoking, Intellectual property etc. Copies are
available from the Human Resources Department and can be found in the Policies and
Procedures Handbook.
GENERAL DUTIES
1. To comply at all times with the requirements of the Health & Safety regulations under the
Health & Safety at Work Act (1974) and to take responsibility for the health and safety and
welfare of others in the working environment ensuring that agreed safety procedures are
carried out to maintain a safe environment.
2. To comply at all times with the trust’s data security policy. Also to respect confidentiality of
information about staff, patients and health service business and in particular the
confidentiality of electronically stored personal data in line with the Data Protection Act.
3. Disclosure Barring (DBS) (formerly CRB) checks are now a mandatory part of the NHS
recruitment process for staff who, in the course of their normal duties, have access to
patients. Moorfields Eye Hospital NHS Foundation Trust aims to promote equality of
opportunity for all with the right mix of talent, skills and potential. Criminal records will be
taken into account for recruitment purposes only when the conviction is relevant. Having an
unspent conviction will not necessarily bar you from employment. This will depend on the
circumstances and background to the offence and the position you have applied for.
Moorfields Eye Hospital is exempt under the Rehabilitation of Offenders Act. This means
the convictions never become “spent” for work which involves access to patients. Failure to
disclose any “unspent” convictions may result in the offer of employment being withdrawn
or if appointed could lead to dismissal. The Disclosure Barring Service (DBS) has
published a code of practice for organisations undertaking DBS checks and a copy is
available on request.
4. The trust has adopted a security policy in order to help protect patients, visitors and staff
and to safeguard their property. All employees have a responsibility to ensure that those
persons using the trust and its service are as secure as possible.
5. It is the responsibility of all trust employees to fully comply with the safeguarding policies
and procedures of the trust. As a Moorfields employee you must ensure that you
understand your role in protecting adults and children that may be at risk of abuse.
Individuals must ensure compliance with their safeguarding training.
6. The trust is committed to a policy of equal opportunities. A copy of our policy is available
from the human resources department.
7. The trust operates a no-smoking policy.
8. You should familiarise yourself with the requirements of the trust’s policies in respect of the
Freedom of Information Act and comply with those requirements accordingly.
9. The role description gives a general outline of the duties of the post and is not intended to
be an inflexible or finite list of tasks. It may be varied, from time to time, after consultation
with the post holder.
10. All appointments within the National Health Service are subject to pre-employment health
screening.
11. It is the responsibility of all employees to ensure that they comply with the trust infection
control practises, as outlined in the health Act 2008 and staff must be familiar with the
policies in the trusts infection control manual, this includes the “bare below the elbow
policy”. Employees must ensure compliance with their annual infection control training.
12. You are responsible for ensuring that all equipment used by patients is clean /
decontaminated as instructed by manufacturers and in line with the infection control /
guidelines protocol and policy.
13. It is the responsibility of all employees to ensure compliance with the Health and Social
Care Act, 2008, in preventing risk of infections to patients, visitors and other staff within the
trust.
14. All staff are required to implement infection control policies and practices, including hand
hygiene, waste disposal, staff uniform and occupational health responsibilities, as detailed
in the trust intranet.
15. It is the responsibility of all staff to ensure that they have evidence of annual/or otherwise
infection control training.
16. All staff are responsible for ensuring that equipment used in the patient environment is
cleaned, decontaminated and maintained in line with trust policy.
17. Any other duties as designated by your manager and which are commensurate with the
grade.
NB. The role description is a reflection of the current position and may change emphasis or
detail in the light of subsequent developments, in consultation with the post holder.
Please contact the following for further information:
Mr Nick Strouthidis, Consultant Ophthalmologist
[email protected]
Informal Visits
Candidates invited for interview may visit Moorfields Eye Hospital through a prior
arrangement with the HR Department on 020 7566 2981.
Facilities
A well-stocked library offers comprehensive sections on all aspects of Ophthalmology and
Medicine and is situated on the lower ground floor of the Institute of Ophthalmology.
Opening times are: Mon – Fri: 9am – 9pm, Sat, Sun & Bank Holidays: 9am – 6pm. Issue
Desk Lending: Mon – Thurs: 9am – 6pm, Fri: 9am – 5pm, Sat & Sun: Closed.
Applications
To apply please go to NHS jobs website and complete an online application by the closing
date.
Closing date for receipt of applications is: 9th May 2017
Clinical Glaucoma Fellow - EXAMPLE TIMETABLE
Timetable
AM
PM
Monday
Clinic
Clinic
Tuesday
Clinic
Study
Wednesday
Teaching
Subspecialty Glaucoma Clinic
Thursday
List
Clinic
Friday
Subspecialty Glaucoma Clinic List
THIS TIMETABLE IS FOR ILLUSTRATIVE PURPOSES. THE EXACT STARTING
TIMETABLE CAN BE PROVIDED PRIOR TO COMMENCEMENT FOR THE PURPOSES
OF ROYAL COLLEGE APPROVAL
NOTE THAT SATURDAY SESSIONS AND EVENING SESSIONS WILL ALSO BE
INCORPORATED INTO ROTATIONS
PERSON SPECIFICATION
POST: Glaucoma Fellow
Requirements
Essential / How Tested
Desirable
Education / Qualifications



FRCOphth or MRCOphth or equivalent
ophthalmic qualification
Full GMC Registration (with a Licence to
Practise)
PhD/MD
E
E
AF
D
Experience
 Should have completed higher surgical training
in ophthalmology or be close to doing so
 Teaching
E
AF &I
D
Knowledge
 Experience in glaucoma management
 Experience of audit
AF & I


E
E
D
D
D
 Surgical competence in Glaucoma & a high level
of surgical experience in Cataract
 Good clinical judgement
 Ability to make good medical notes
 Use of database systems
E
E
E
D
AF & I
E
E
AF & I
Research experience in glaucoma
Demonstrated commitment to specialise in
glaucoma
 Management experience
Skills/abilities
Personal qualities




Potential to cope with stressful situations &
undertake responsibility
Good communication skills
Ability to work as part of a multi-disciplinary
team
Ability to organise own learning & time
D
D
Means of Assessment include application form (AF), Interview (I), Test (T), Presentation (P)