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IMPERIAL COLLEGE HEALTHCARE NHS TRUST FACULTY OF MEDICINE, IMPERIAL COLLEGE LONDON LOCUM CONSULTANT IN OPHTHALMOLOGY (Part-time - 7 Programmed Activities per week 1. THE POST A Locum Consultant Ophthalmic Surgeon with sub-specialist ability in medical retina. This a parttime 7 PAs post, for 6 months in the first instance pending a planned substantive appointment for a fixed term Consultant appointment, based at Charing Cross Hospital with on-call duties for eye emergencies at the Western Eye Hospital 2. IMPERIAL COLLEGE HEALTHCARE NHS TRUST On 1 October 2007, the UK’s first Academic Healthcare Science Centre (AHSC) was established in Northwest London when Imperial College Healthcare NHS Trust was created by merging the Hammersmith Hospitals NHS Trust (Hammersmith, Queen Charlottes and Charing Cross Hospitals) and St Mary’s NHS Trust (St Mary’s Hospital), and integrating with Imperial College London. The Trust is now the largest in the country with an annual turnover of over £700M. The creation of the AHSC is a major advance for patient care, clinical teaching and scientific invention and innovation. The fusion of the different strands of our work and the achievements that can now be realised will lead to significant benefits for patients and greater advances in healthcare than could be delivered apart. Collectively the three organisations already have a world-leading reputation. Hammersmith and St Mary’s Trusts have two of the highest clinical ratings in the country, rated second and third best Trusts for clinical performance, quality of care and safety. In 2006 Imperial College was ranked fourth in the world for biomedical research in the Times Higher Education Supplement World University Rankings. The Mission of the AHSC is to lead the world in improving human health and to be universally recognised as one of the world's top academic health centres. It will achieve this by providing worldclass healthcare for our patients through excellence in research, education and training. Lord Christopher Tugendhat has been appointed chair of the new organisation and Professor Stephen Smith has been appointed Chief Executive/Principal. Chairman CEO/Principal Managing Director Medical Director Director of Research Director of Education Lord Christopher Tugendhat Professor Stephen Smith Claire Perry (from 1st April 2008) Professor David Taube Professor Jonathan Weber TBA The Trust was awarded the status of a generic Biomedical Research Centre by the National Institute of Health Research (NIHR) in 2006 for its excellence in translational and clinical research – one of only 5 in the UK. Imperial College London has a campus on all main sites and is increasingly integrated with all the clinical specialties. The Clinical Sciences Centre of the Medical Research Council (MRC) is also based at Hammersmith Hospital providing a strong foundation for clinical and scientific research. The clinical services of the Trust are organized into 7 Clinical Programme Groups (CPG): Clinical Programme Group Director Medicine Surgery and Cancer Specialist Services 1 Specialist Services 2 Womens and Children Investigative Services Primary Care Dr Gill Gaskin Mr Justin Vale Professor James van Dellen Professor Nick Cheshire Mr Keith Edmonds Professor Martin Wilkins TBA Each CPG will have a Director of Research (usually a Head of Division) and Director of Education, who will work with the CPG Director to ensure that opportunities for translational research and postgraduate education for all staff are maximized. 3. IMPERIAL COLLEGE LONDON Imperial College London was an independent constituent part of the University of London until July 2007 when it was granted a new royal charter declaring it an independent university in its own right. The Rector, Sir Richard Sykes, DSc, FRS, is the College’s academic head and chief executive officer. The Chairman of the Court and Council is Lord Kerr of Kinlochaird. 3.1 The Mission Imperial College embodies and delivers world class scholarship, education and research in science, engineering and medicine, with particular regard to their application in industry, commerce and healthcare. We will foster interdisciplinary working internally and collaborate widely externally. 3.2 Strategic Intent 3.3 To remain amongst the top tier of scientific, engineering and medical research and teaching institutions in the world To develop our range of academic activities to meet the changing needs of society, industry and healthcare To continue to attract and develop the most able students and staff worldwide To establish our Business School as one of the leading such institutions in the world To communicate widely the significance of science in general, and the purpose and ultimate benefits of our activities in particular. Formation and History Imperial College was established in 1907 in London’s scientific and cultural heartland in South Kensington, as a merger of the Royal College of Science, the City and Guilds College and the Royal School of Mines. St Mary’s Hospital Medical School and the National Heart and Lung Institute merged with the College in 1988 and 1995 respectively and Charing Cross and Westminster Medical School and the Royal Postgraduate Medical School merged on 1 August 1997, thereby creating the Faculty of Medicine. The Kennedy Institute of Rheumatology became a Division of the Faculty of Medicine in 2000. In addition, to the Faculty of Medicine there are the Faculties of Engineering, Natural Sciences, and Medicine and the Tanaka Business School. 2 3.4 Staff and Students The academic and research staff of almost 2,900 includes 58 Fellows of the Royal Society, 63 Fellows of the Royal Academy of Engineering, and 72 Fellows of the Academy of Medical Sciences. Eighteen Nobel Laureates and a Fields Medallist have been members of the College either as staff or students. The College has over 11,000 students, around one third of whom are postgraduate. Over a fifth of the total come from outside the European Union. 3.5 Research The quality of the College’s research has been judged consistently to be of the highest international standard and the proportion of income from research grants and contracts is one of the highest of any UK university. The concentration and strength of research in science, engineering and medicine gives the College a unique and internationally distinctive research presence. 3.6 Teaching and Learning The College’s overall educational aim is to ensure a stretching and exhilarating learning experience and, while maintaining its traditional emphasis on single honours degree courses, it also aims to give students the opportunity to broaden their experience through courses relevant to student and employer needs. The Graduate School of Life Sciences and Medicine is the focus of postgraduate education and research in these areas. It maintains, enhances and monitors quality, and disseminates best practice, whilst initiating and developing new programmes, particularly those with an interdisciplinary slant. All Departments visited by the Higher Education Funding Council for England (HEFCE) for assessment of their teaching have scored between 21 and 24 points (out of 24) or in the previous system, have been judged excellent 3.7 Location The College now has one of the largest operational estates of any UK University. It includes six central London campuses, the main South Kensington campus, Charing Cross campus, Chelsea and Westminster campus, the Hammersmith campus, the Royal Brompton campus and St Mary’s campus and a Silwood Park campus, near Ascot in Berkshire. 4. THE FACULTY OF MEDICINE The Faculty of Medicine is one of the largest in the UK with significant research and teaching activities. It maintains close links with a number of NHS Trusts who collaborate in teaching and research activities. Although on several sites, its academic divisions function as one Faculty, fully integrated within the College. The current Principal, Professor Stephen Smith, took up his appointment in August 2004 and was also appointed Chief Executive Officer of Imperial College Healthcare NHS Trust in October 2007. There are eight academic Divisions: Division Chairman & Head of Division Clinical Sciences Professor Amanda Fisher (Interim) 3 Epidemiology, Public Health & Primary Care Investigative Science Kennedy Institute of Rheumatology Medicine National Heart & Lung Institute Neuroscience & Mental Health Surgery, Oncology, Reproductive Biology and Anaesthetics Professor Elio Riboli Professor Martin Wilkins Professor Marc Feldmann Professor Jonathan Weber Professor Tony Newman Taylor Professor Lefkos Middleton Professor Mervyn Maze (Interim) Faculty Centre Principal Professor Stephen Smith Deputy Principal Professor Chris Kennard Head of Undergraduate Medicine Professor Jenny Higham Head of Postgraduate Medicine Professor Charles Pusey Head Graduate School of Life Sciences & Medicine Professor Bernie Morley In addition to the structure above, the research activity of the Faculty is divided into strategic Research Themes that aim to provide a forum in which collaboration between the many academic staff of the Faculty can be developed and nurtured, and external links across the College and the wider research community can be established. 4 SECTION 2 – ABOUT THE DIRECTORATE 2.1 About the Directorate NEUROSCIENCES DIRECTORATE: Ophthalmology, Neurosurgery, Maxillofacial and Oral Surgery, ENT and Neurology form the Neurosciences Directorate who work at the Hammersmith Trust Hospitals and many have duties with other trusts: Chelsea and Westminster, Western Eye Hospital, Ealing Hospital and the West Middlesex Hospital. There is a Chief of Service for each of these specialties and management and operational matters are discussed on a directorate level at least once a month. Professor James Van Dellen is the Clinical Director for Neurosciences and Louise Tompson is the General Manager for the Directorate. 2.2 The Work of the Ophthalmology Department at Charing Cross Hospital Service Activity Out-Patients: All clinics take place on the first floor out patient area at Charing Cross Hospital. The Patient Access Directorate which runs the reception desks, prepares medical records for appointments and books all appointments for the eye clinics. YAG and Argon lasers, digital fluorescein fundus photography, ocular coherence tomography, corneal topography, plain digital photography, anterior segment photography, IOL Master and AXIS biometry, minor lid procedures, nasal endoscopy and EMG for botulinum toxin administration are available within the clinic area. Surgery: All ocular surgery is carried out in the Riverside Surgical Unit sited at Charing Cross Hospital (along the corridor from the Eye Clinics). There are no ophthalmic beds within the Trust however surgical cases requiring an in-patient can be admitted under the care of another specialty if shared care is needed or surgery can be arranged at the Western Eye Hospital, part of the same trust (Imperial College Healthcare NHS Trust). Most operating lists are covered by Consultant Anaesthetists who provide peribulbar and sub-tenons or general anaesthesia as required. Approximately 750 cataracts, 250 lid and orbital cases and 100 other procedures go through the theatres per year. Refractive surgery by Excimer laser is also carried out in the Riverside theatres. Eye Casualty: Emergency Eye clinics take place on a daily basis and receive referrals from the main Charing Cross and Hammersmith Hospital A & E Departments, GPs, Optometrists and from within the Trust. Night and week-end emergency cover is provided at the 24 hour Eye A &E at Western Eye Hospital. Resident junior cover is available there and all the West London ophthalmology consultants take part in the on-call rota. 2.3 Clinical Staffing (to include key research/practice interests) 5 Consultants Mrs Veronica Ferguson, Cataract, strabismus, botulinum toxin, glaucoma, neuro-ophthalmology and general at Charing Cross and Western Eye Mr Paul Kinnear, cataract, medical retina (including diabetic and age related macular degeneration), general ophthalmology at CXH. Mr Ali Mearza, cornea, refractive laser surgery, cataract, cornea and general at Charing Cross Miss Jane Olver, oculoplastic, lacrimal, orbital and general at Charing Cross and Western Eye 5 Mr W Edmund Schulenburg, vitreoretinal surgery, neonatal eye disease at Queen Charlotte’s Hospital and Western Eye 2 Specialist Registrars 2 Ophthalmic Specialist trainees, (OST2) 1 GP specialist trainee doing ophthalmology 2 Orthoptists 6 Nursing Sisters and staff nurses 1 whole time photographer 2.4 Relationship with other Directorates/Staff Relationships with other directorates/staff The eye department works closely and has some joint clinics with colleagues in neurology, neurosurgery, oral surgery, ENT, plastic surgery, rheumatology, endocrinology, care of the elderly, diabetes, accident and emergency and renal medicine. If in-patient treatment is required patients are admitted to the Western Eye Hospital. Day time eye casualty service is provided by the Charing Cross and Hammersmith Hospital Eye clinics and 24 hour eye cover is provided at the Western Eye Hospital where junior ophthalmologists from West London provide resident on-call cover. Administrative/secretarial support: Ophthalmic secretarial support is provided daily, with 2.5 wte secretarys who are available 8.30-4pm at Charing Cross. Management support from the Directorate includes an Ophthalmology Assistant Manager (Fiona Taylor). The consultants have offices with personal computers, with access to the trust Intranet and the WWW. Future developments The Imperial College Healthcare NHS Trust has 2 eye departments one the Charing Cross site and one on the St Mary’s campus at the Western Eye Hospital. Ophthalmology will continue to be part of the Neurosciences Directorate within CPG Specialist services 1. The ophthalmic service is being extended to include a laser to carry out refractive surgery and to treat macular degeneration with intravitreal injections. The department already has all the necessary equipment for investigating patients prior to carrying out these treatments. 2.5 Teaching Activities Medical students from Imperial College, local GPs, trainee ophthalmologists, allied eye professionals and junior physicians are taught on a regular basis through formal lectures, study days, tutorial groups and in clinical settings. The eye department presents at the Trust Grand Rounds according to the annual rota. 2.6 Research Activities Clinical research in treatment of diabetic eye disease, oculoplastics, thyroid eye disease and cataract takes place with and without the aid of formal research grants and collaboration with other specialties. The department collaborates with basic science research taking place in the Academic Departments of Ophthalmology and Neurosciences at Imperial College (Mr Kevin Gregory-Evans is the reader in Ophthalmology, with a team of 10 scientists and Professor Chris Kennard leads the neursciences Division) 6 THE POST Title of Post: Locum Consultant Ophthalmic Surgeon with sub-specialist ability in medical retina (Part Time 7PAs) Location: Charing Cross Hospital with on-call duties for eye emergencies at the Western Eye Hospital. Programmed Activities: 7 Programmed activities (PAs) of which 5 are direct clinical care and 2 are supporting activities (see provisional timetable below) Responsible to: Lead Ophthalmology Clinician (currently Mrs Veronica Ferguson) Accountable to: Chief of Service Dr Raad Shakir, Consultant neurologist Role Summary This part time Locum Consultant Ophthalmic Surgeon post is for 6 months in the first instance pending a planned substantive appointment for a fixed term Consultant appointment which has arisen due to a career break of 3 years being taken by Mr Paul Kinnear at a time when the numbers of diabetics and old people and referrals for treatment of age related macular degeneration are rising rapidly. The Locum Consultant is expected to perform high volume cataract surgery under topical local anaesthesia to a high standard and to develop the macular degeneration treatment service as well as continuing the diabetic retinopathy treatment clinics. The department is already fully equipped and large numbers of patients are being referred for treatment with anti VEGF injections for wet macular degeneration. Ability to manage General Ophthalmology and Ophthalmic Emergencies as a Locum Consultant will also be required. Duties and responsibilities Key Result Areas, Main Duties and Responsibilities 1. Provide High Quality Care to Patients in Ophthalmology 1.1 The post holder must be medically qualified and maintain GMC specialist registration. 1.2 To develop and maintain the competencies required to carry out the duties required of the post. 1.3 To ensure prompt attendance at agreed direct clinical care Programmed Activities. 1.4 To ensure patients are involved in decisions about their care and to respond to their views. 2. Research, Teaching and Training 2.1 To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director/Chief of Service. 2.2 To act as educational supervisor and appraiser as delegated by the Clinical Director/Chief of Service to ensure external accreditation of training posts. 2.3 Where possible to collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, at all times meeting the full requirements of Research Governance. 2.4 Attend and participate at Trust Grand Rounds, lectures and courses for trainees in other medical specialties within the trust (eg MRCP, neurology courses, A & E trainees). 2.5 Attend and participate in the West London weekly post-graduate ophthalmic teaching by organizing and chairing an allocated session 2-3 times a year. 3. Performance Management 3.1 To work with medical, nursing and managerial colleagues to ensure high performance in the following areas: Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates. - - Quality of outcomes e.g. infection control targets, reducing re-admission rates Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team Operational efficiency e.g. day-case rates, waiting list activity and demand management. 4. Medical Staff Management 4.1 To work with colleagues to ensure Junior doctors’ hours are compliant in line with EWTD and New Deal. 4.2 To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments 4.3 To participation in the recruitment of junior medical staff as delegated by the Clinical Director/Chief of Service. 4.4 To participate in team objective setting as part of the annual job planning cycle. 4.5 To be responsible for the annual appraisal of all doctors in training, Trust doctors and nonconsultant grades as delegated by the Clinical Director/Chief of Service/General Manager. 5. Governance 5.1 To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Chief of Service. 5.2 Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented. 5.3 To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director/Chief of Service. 5.4 Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas. 5.5 To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis. 5.6 To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Chief of Service. 5.7 To role model good practice for infection control to all members of the multidisciplinary team. 6. Strategy and Business Planning 6.1 To participate in the business planning and objective setting process for the directorate and Trust where appropriate. 6.2 To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Chief of Service. 7. Leadership and Team Working 7.1 To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives. 7.2 To work collaboratively with all members of the multi-disciplinary team and Imperial College as required. 7.3 To chair regular meetings for the specialties as required. 7.4 To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties. 7.5 7.5 Adhere to Trust/departmental guidelines on leave including reporting absence. Job Plan A formal job plan will be agreed between the appointee and Clinical Director, on behalf of the Medical Director, this is not designed to be exhaustive. 8 The post holder and Clinical Director/Chief of Service will review the Job Plan annually in line with the provisions in Schedule 3 of the Terms and Conditions. Either may propose amendment of the job plan. Programmed Activities (7 PA’s) Part time contract of 7 PA’s (2 supporting prof activity: 5 direct clinical care) Clinical Activities 5 PA’s per week (including clinical activity, clinically related activity, predictable and unpredictable emergency work) Supporting Professional Activities 2 PA’s per week (including audit, clinical governance, CPD, teaching, research, educational supervision of junior staff) Provisional Timetable approved by Regional Advisor Monday Tuesday Wednesday AM Theatre/ treatment session (DCC) Theatre (DCC) Clinic (DCC) PM Trainee assessments, audit (SPA) Clinic (DCC) Clinic (DCC) Thursday Friday West London PG teaching, CPD, trainee assessments (SPA) Regular meetings: eye department operational meetings, consultants’ meetings as required, rolling programme of directorate meetings, ad hoc meetings. On call: There will be a 1 in 20 on call commitment, which carries a Category B low availability supplement. Out of hours and week-end on-call work is based at the Western Eye Hospital where the 24 hour Eye casualty is based and where beds for admissions and theatres for surgery are based. On infrequent occasions emergency work at other sites in West London might be required if there are patients who cannot be moved to the Western Eye Hospital or if they are children (so have to be admitted to a paediatric ward). These hospitals include Charing Cross, Hammersmith, Queen Charlotte’s, Ravenscourt Park, Chelsea and Westminster, Central Middlesex and Hillingdon Hospitals. The successful candidate will be expected to join the other Ophthalmic Consultants on the on-call rota. Administrative/secretarial support: The Post holder will be supported by a team of 2.5 WTE secretaries who work for the 4 consultants. Office Facilities The post holder will have office facilities and computer access at both Charing Cross and Hammersmith Hospital sites, as appropriate. The Trust provides comprehensive Internet access and IT support. Note These duties may change in emphasis or detail if circumstances in the department or Trust change and this description gives a general outline of duties which can be varied from time to time after consultation with the post holder. 9 SECTION 3 - MAIN CONDITIONS OF SERVICE FOR MEDICAL STAFF The new 2003 consultant contract terms and conditions apply to this post. Salary scale: £73,403 - £98,962 pa London Weighting: £2,162 pa Hours of Work Trust arrangements for adherence to the EU Working Time Directive are in place. Consultants are required to participate in monitoring working hours. Those working in excess of 48 hours per week have the option to opt out of the total hours monitoring aspect of the working time directive. On-Call Availability Supplement If you are required to participate in an on-call rota, you will be paid a supplement in addition to your basic salary in respect of your availability to work during on-call periods. The supplement will be paid in accordance with, and at the appropriate rate shown in, Schedule 16 of the Terms and Conditions. Pension Membership of the NHS Pension Scheme is available to all employees over the age of 16. Membership is subject to the regulations of the NHS Pension Scheme, which is administered by the NHS Pensions Agency. Employees not wishing to join the Scheme or who subsequently wish to terminate their membership must complete an opting out form - details of which will be supplied upon you making a request to the Trust’s Pensions Manager, based in payroll. A contracting-out certificate under the Pension Schemes Act 1993 is in force for this employment and, subject to the rules of the Scheme, if you join the Scheme your employment will be contracted-out of the State Earnings Related Pension Scheme (SERPS). Registration Requirements It is a condition of your employment that you are, and remain, [a fully registered medical practitioner and continue to hold a license to practice. If you fail to renew your registration, you will be suspended without pay and may be subject to a disciplinary hearing Fee Paying Services and Private Professional Services In carrying out any Fee Paying Services or Private Professional Services, locum consultants will observe the provisions in Schedule 9 of the Terms and Conditions in order to help minimise the risk of any perceived conflicts of interest to arise with their work for the NHS. Fee Paying Services should not be carried out during your Programmed Activities except where the consultant and his/her Clinical Manager have agreed otherwise. Where this agreement exists, you will remit to us the fees for such services except where you and your clinical manager have agreed that providing these services involves minimal disruption to your NHS duties. Schedule 11 of the Terms and Conditions refers. Subject to the provisions in Schedule 9 of the Terms and Conditions, consultants may not carry out Private Professional Services during your Programmed Activities. Appraisal and Clinical Governance The National Appraisal Scheme for Consultant Medical Staff (Department of Health Circulars AL(MD)5/01 and AL(MD)6/00) applies to your post. You must co-operate fully in the operation of the appraisal scheme. You must also comply with our clinical governance procedures. Health Clearance All appointments are conditional upon prior health clearance by the Trust's Occupational Health and Wellbeing Service. 10 Police Clearance Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. All doctors who are offered employment will be subject to an enhanced disclosure check by the Criminal Records Bureau before the appointment is confirmed. This includes details of cautions, reprimands, final warnings, as well as convictions. Further information is available from the Criminal Records Bureau and Disclosure websites at www.crb.gov.uk and www.disclosure.gov.uk Also prior to make an appointment to a post, the Trust needs to establish if applicants for such positions have ever been disqualified from the practice of a profession or required to practice subject to specified limitations/conditions following fitness to practice proceedings a regulatory body in the UK or in another country, and whether they are currently the subject of any investigation or proceedings. Applicants will therefore be asked to complete a ‘Fitness to Practise’ Declaration. Work Visa/Permits/Leave to Remain If you are a non-resident of the United Kingdom or European Economic Union, you are required to have a valid work visa and leave to remain in the UK, which is renewed as required. The Trust is unable to employ you if you require but do not have a valid work visa and/or leave to remain in the UK. Before starting employment with the Trust, you must provide proof that you have a valid work visa and/or leave to remain in the UK. Smoking The policy on smoking and health protects non-smokers and requires that all the Trust’s buildings and grounds are smoke free. Further information is held within the Trusts No Smoking policy available from the Trust’s Intranet. General The post holder must comply with all relevant policies, procedures and training on infection prevention and control. The post holder must comply with all relevant policies, procedures and training on safeguarding and promoting the welfare of children and vulnerable adults. The post holder must comply with all relevant policies, procedures and training on valuing diversity and promoting equality. Preliminary Visits Candidates may discuss the post and arrange visits with: Mrs Veronica Ferguson FRCS FRCOphth Department of Ophthalmology Charing Cross Hospital Fulham Palace Road London W6 8RF [email protected] 11 PERSON SPECIFICATION Post: Consultant in Ophthalmology with sub-specialty interest and ability in medical retina and cataract surgery. CPG Director: Chief of Service: Lead Clinician: Prof James Van Dellen, (Neurosurgeon) Dr Raad Shakir (Neurologist) Mrs Veronica Ferguson (Ophthalmologist) Attributes/skills Education and Qualifications Essential Desirable On GMC's specialist Higher degree register or a Specialist Registrar who is within 6 months of being admitted to the GMC’s specialist register Measurement CV and certification Further training and knowledge Fellowship (advanced sub-specialist training) in medical retina Publications on medical retina and modern treatments CV References Validated Log book Experience in management of diabetic retinopathy, retinal vascular disease and macular degeneration Higher degree in medical retina topic Ability to operate on complex cataracts seen in diabetics Publications on macular degeneration, retinal vascular disease and cataract in peer reviewed journals CV Interview References Validated Logbook of procedures Audit results Ability to manage general and emergency ophthalmic problems IT Skills and computer literacy Computer use qualification Application form Interview Knowledge of budget management. Experience in managing budgets References Experience in managing hospital staff. Management course Clinical Skills and ability Ability to perform retinal laser and other retinal treatments Ability to apply research to clinical practice Management skills 12 Clinical Governance Teaching & Training Understanding of clinical governance. Regular audit presentations. Participation in audit. Development of guidelines Experience of teaching and training ophthalmic trainees, medical students, nurses, orthoptists and GPs Completed courses for training trainers, assessment and appraisal Application form Interview References Application form Interview Experience in organising study days Experience in organising postgraduate teaching programmes. Academic achievements including research/publications Publications in peer reviewed ophthalmic journals Higher degree in topics related to medical retina Application, interview, CV Current research projects Language Candidates are able to speak and write English to the appropriate standard necessary to fulfill the job requirements Interview and references Physical requirements Meets professional health requirements Pre employment health screening Occupational health Interview Communication Skills Excellent written and spoken communications in English. Interview and references Good communication skills with patients and staff Able to change and adapt to changing circumstances Preparedness, commitment Reliability Punctuality, attendance, sense of responsibility Interview and references 13 Resilience and flexibility Ability to cope with setbacks or pressure Interview and references Drive/Enthusiasm, thoroughness Self starter, motivated, shows interest Interview and references Probity Honesty, integrity, appreciation of ethical dilemmas Interview and references Team Work Ability to work well with colleagues Empathy, understanding, listening skills, patience, social skills appropriate to different types of client Interview and references Interview and references Ability to take responsibility, show leadership, make decisions, exert appropriate authority Interview and references Patient Focused Skills Decisiveness/ Accountability 14