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CORNEAL AND EXTERNAL DISEASES FELLOW IN OPHTHALMOLOGY
(POST CCT or equivalent)
This is a new post based at The Birmingham and Midland Eye Centre, Sandwell and West
Birmingham Hospitals NHS Trust
(City Hospital)
Job Description
TRUST PROFILE
The Trust is one of the largest teaching Trusts in the United Kingdom with a reputation for
excellent, friendly staff who provide high quality care from three hospitals:



City Hospital in Birmingham
Sandwell General Hospital in West Bromwich
Rowley Regis Community Hospital in Rowley Regis
The Trust was established in April 2002 and has an income of £350 million. It employs 6200 WTE
staff, has circa 1000 beds and serves a population of over 500,000.
Sandwell General Hospital and City Hospital are busy acute hospitals providing many specialist
services and a broad range of emergency services, including Accident & Emergency at both sites.
Rowley Regis Community Hospital provides continuing care and rehabilitation. It also has a range
of outpatient and diagnostic facilities.
The Trust is a key partner along with local PCTs and local authorities in the “Towards 2010”
programme which seeks to deliver an ambitious redevelopment of local health services. This has
the backing of the West Midlands Strategic Health Authority and has been approved as a national
priority scheme by the Department of Health. Following a very successful public consultation,
implementation of the programme is underway with a wide range of secondary care services now
being provided via new models of care in community locations. The programme includes
investment of £700 million in new facilities in both the acute and community sectors, making it one
of the largest investment programmes in the UK. Included within this is a brand new state of the
art acute hospital which has planning permission and is set to open in 2014/15. This will create
some of the largest clinical teams in the country on a single site.
The Trust’s current strategy focuses on the period leading up to the new hospital with an emphasis
on driving clinical integration by reconfiguration of services between the existing sites,
strengthening key specialties and on quality and productivity improvement. In the light of its
strategic, operational and financial strength the Trust is applying to become a NHS Foundation
Trust with an expected date of authorisation as an FT in 2009.
The Trust is a pioneer in developing new and more effective approaches to staff engagement
through its “Listening into Action” programme which harnesses the energy and ideas of front line
staff to improve services. This is the largest programme of its kind in the NHS and has received
widespread national recognition.
The Birmingham Treatment Centre opened on the City Hospital site in November 2005. This
£35m development provides state of the art facilities for one-stop diagnosis and treatment. It
Corneal Fellow Job Description_18 Mar2009
Corneal Fellow Job Description_18March2009
includes an Ambulatory Surgical Unit with six theatres, extensive imaging facilities, an integrated
breast care centre and teaching accommodation.
A new £18m Emergency Services Centre opened on the Sandwell site in April 2005. It
incorporates a comprehensive A&E facility, Emergency Assessment Unit and Cardiac Care Unit.
The model of care has been developed with primary care to provide a fully integrated service.
The Trust hosts the Birmingham and Midland Eye Centre which is a supra-regional specialist
facility, as well as the Pan-Birmingham Gynaecological Oncology Centre, Birmingham Skin Centre
and Sickle Cell and Thalassaemia Centre.
Aside from being one of the largest providers of acute patient services in the Midlands, the Trust
also has a substantial teaching and research agenda with several academic departments including
rheumatology, ophthalmology, cardiology, gynaecological oncology and neurology.
Further information about the Trust and its developments can be found at www.swbh.nhs.uk.
BIRMINGHAM AND MIDLAND EYE CENTRE (BMEC)
The Eye Centre (formerly the Birmingham and Midland Eye Hospital founded in 1823) has been
purpose built for ophthalmology and opened in March 1996 and is based at the City Hospital site.
The Eye Centre includes the following; Academic Unit, Accident and Emergency Department, Outpatient Suites, 4 operating theatres (including one on the Day Surgery Unit), Medical Photography
(fluorescein and indocyanine green angiography, anterior segment digital photography) Visual
Function Department (visual fields, electrodiagnostics, ultrasound, HRT and OCT), Orthoptic
Department, Refraction Service (including contact lenses, low vision aids, and dispensing
services), Artificial Eye Service, Ophthalmic Ward with 20 in-patient beds, Day Surgery Unit with
21 adult places and 5 paediatric places. There are 29 substantive Consultant Ophthalmologists
and two locum appointments and 29 have a commitment at the Eye Centre. The current Clinical
Director is Mr S Aggarwal. Subspecialty interests represented include cornea and external eye
disease; vitreo-retinal surgery; medical ophthalmology including diabetic eye disease, macular
degeneration, retinal vein occlusion; glaucoma; uveitis; neuro-ophthalmology; oculoplastic and
orbital surgery; ocular motility; paediatric ophthalmology; retinoblastoma; genetic eye disease.
The Directorate of Ophthalmology
The present Consultant staff include:
Mr John R Ainsworth (Paediatric Ophthalmology)
Mr Mark T Benson (Vitreo-retinal surgrery)
Mr Michael A Burdon (Neuro-ophthalmology)
Miss Lucilla Butler (Paediatric Ophthalmology)
Mr Omar M Durrani (Oculoplastics and Orbital surgery)
Mr Samer Elsherbiny (Medical Retina)
Professor Jonathan M Gibson (Medical Retina)
Miss Monique W Hope-Ross (Medical Retina)
Lieutenant Colonel Andrew S Jacks (Neuro-ophthalmology)
Mr Graham R Kirkby (Vitreo-retinal surgery)
Mrs Peck-Lin Lip (Medical Retina)
Mr Timothy D Matthews (Neuro-ophthalmology)
Mr Peter J McDonnell (Corneal surgery and external diseases)
Mr Salman Mirza (Accident and Emergency, Medical Retina)
Mr Aidan T Murray (Oculoplastics)
Professor Philip I Murray (Uveitis) (Head of Academic Unit)
Miss Bushra Mushtaq (Medical Retina)
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Corneal Fellow Job Description_18March2009
Miss Winifred Nolan (Glaucoma)
Miss Helen Palmer (Medical Retina)
Miss Saaeha Rauz (Cornea and Ocular Surface Diseases) (Senior Lecturer – Academic Unit)
Wing Commander Robert AH Scott (Vitreo-retinal surgery)
Professor Peter Shah (Glaucoma)
Professor Sunil Shah (Corneal and Refractive surgery)
Mr Ash Sharma (Vitreo-retinal surgery)
Mr Anil Singh (Vitreo-retinal surgery)
Miss Panagiota Stavrou (Medical Retina)
Miss Charlotte Sullivan (Oculoplastics)
Mr Velota Sung (Glaucoma)
Miss Marie D Tsaloumas (Medical Retina)
Mr Ajai Tyagi (Vitreo-retinal surgery)
University of Birmingham Academic Unit of Ophthalmology Consultants based at BMEC are
Professor Murray and Miss Rauz.
Substantive NHS Consultant Ophthalmologists based at BMEC are: Miss L Butler, Mr OM Durrani,
Mr S Elsherbiny, Mr GR Kirkby, Mr PJ McDonnell, Mr S Mirza, Miss B Mushtaq, Miss W Nolan
(split post with Sandwell) Mr A Sharma (split post with Sandwell), Mr A Singh, Miss P Stavrou, Mr
V Sung, and Mr A Tyagi (split post with Sandwell).
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Corneal Fellow Job Description_18March2009
GENERAL DESCRIPTION OF THE POST
This is a new post-CCT or equivalent training post at the Birmingham and Midland Eye Centre
offering opportunities to gain tertiary level subspecialty and research experience. It is ideally suited
to those applicants who have completed an advanced subspeciality training opportunity in corneal
and external diseases but wish to obtain further experience in a tertiary referral centre and major
teaching hospital. The corneal and external diseases service provides care not only for the general
corneal disorders presenting to the unit from the local catchment area, it excels in providing
supraregional management support for highly complex corneal patients that (i) require state of the
art corneal surgery, (ii) have severe immune-mediated ocular surface diseases, or (iii) have severe
ocular infections. Imaging techniques available include corneal topography, specular microscopy,
Visante anterior segment optical coherence tomography, high resolution anterior segment
ultrasonography.
PROPOSED WORK PROGRAMME
The programme includes corneal primary care/A&E work and subspecialty clinic sessions, as well
opportunities to attend specialist Theatre. The post is whole time and non-resident.
Provisional Job Plan
Monday
AM Corneal
primary
care/A&E
based in Miss
Rauz’s Ocular
Surface
Diseases clinic
PM Mr McDonnell
Corneal Clinic
Tuesday
1st/3rd/5th
Mr McDonnell
Corneal Clinic
Mr McDonnell
Theatre
Tuesday
2nd/4th
Miss Rauz
Theatre
Wednesday
Thursday*
Friday
Research/
Audit/ Study
Prof Shah
Theatre
Research/
Audit/ Study
Professor Shah
Corneal Clinic
Mr McDonnell
Theatre
Miss Rauz
Prof Shah
Ocular Surface
Corneal Clinic
Diseases and
/Regional
Immunosuppressio Postgraduate
n Clinic
Programme
*8:00-9:30 am: Academic Unit of Ophthalmology Research Meetings
Out of Hours Commitment
The Corneal Fellow will not participate in a regular on-call rota but may be asked to provide
accident and emergency cover as required. They will be expected to help provide out of hours
care for corneal patients.
EXPERIENCE REQUIRED
Applicants should have full registration with the General Medical Council. Evidence of research
capability is expected and possession of Part 3 MRCOphth or equivalent is essential, as is the
Certificate of Completed Training or equivalent.
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Corneal Fellow Job Description_18March2009
GENERAL INFORMATION
Library & Information Services
The two multi-disciplinary libraries at City and Sandwell Hospitals include a large IT section, with
access to all standard databases, together with Internet access. There are also slide and video
programmes and interactive CD ROM facilities. 24-hour access is available to all medical staff.
Research
The post holder will be encouraged to undertake research projects under the supervision of the
Academic Unit and with those Consultants whose clinic sessions they attend. Clinical and
laboratory facilities and support, including statistical advice, are provided within the Trust and at
The University of Birmingham sub-units on the City Hospital Site.
All research undertaken should conform to the rules of Good Research Governance and all
research projects involving patients or their records (including those originating elsewhere) must
have approval from the Research Ethics Committee and Research and Development Directorate.
Teaching
The post holder may be required to participate fully in the education and training of medical
students, trainee doctors, paramedical, nursing and other appropriate personnel.
There are modern Education Centres on the City and Sandwell Hospital sites, which are the focal
point for teaching and training. Postgraduate clinical meetings are held in the Centre on a daily
basis.
GENERAL CONDITIONS OF SERVICE
1. The post is a Trust appointment based on the General terms and conditions of the Whitley
Council.
2. The appointment is available immediately until 31st January 2010 but may be renewable for
a further year.
3. Salary scale will be 35,000 per annum.
4. Annual leave entitlement for the post is five weeks per annum plus Bank Holidays. Annual
leave is granted with the approval of the Supervising Consultants and Divisional Director. A
minimum notice of 8 weeks must be given before leave is approved.
5. Study leave entitlement for the post is a maximum of 7 days per annum if presenting at
meetings. This is granted with the approval of the Supervising Consultants, and Divisional
Director. A minimum notice of 8 weeks must be given before leave is approved. There is
unfortunately no provision for funding for expenses related to study leave. half day per
week
for
attendance
of
the
postgraduate
training
programme
(http://eyepostgraduate.blogspot.com/
6. The appointment is subject to a satisfactory Occupational Health clearance and Criminal
Records Bureau check.
7. Any candidate who is unable for personal reasons to work whole time will be eligible to be
considered for the post.
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Corneal Fellow Job Description_18March2009
8. It is the responsibility of all medical staff to ensure that they are appropriately registered
with the General Medical Council. If registration lapses employment may be terminated.
9. All employees are expected to comply with appropriate Trust Health and Safety policies.
10. Under the Statutory Instrument 778 Health and Safety Radiation Protection of Patients,
employers have an obligation to ensure that any person clinically or physically directing
medical radiation exposures have received adequate training. It is therefore, expected that
you should submit to the Medical Staffing Department a copy of your certificate or attend
an appropriate course.
OTHER INFORMATION:
1. Single accommodation may be available for a limited period if required. Please note that
there is an accommodation charge and the Trust is unable to supply family
accommodation.
2. The hospital offers subsidised restaurants for all staff. Cash machines are available along
the main corridor at the City Hospital.
3. A parking permit will be required and the cost for this facility is currently £100 per annum.
4. The hospital operates a non-smoking policy that does not allow smoking other than in
designated areas.
CONFIDENTIALITY:
The post holder must maintain confidentiality of information relating to patients, staff and other
Health Service business.
HEALTH AND SAFETY:
Employees must be aware of the responsibilities placed on them under the Health & Safety
at Work Act (1974) and the Manual Handling Operations Regulations (1992). This ensures
that the agreed safety procedures are carried out to maintain a safe environment for
employees, patients and visitors to the Trust.
RISK MANAGEMENT:
All staff have a responsibility to report all clinical and non-clinical accidents or incidents promptly
and, when requested, to co-operate with any investigation undertaken.
EQUAL OPPORTUNITIES:
The trust has a clear commitment to its equal opportunities policy and it is the duty of every
employee to comply with the detail and spirit of the policy.
CONFLICT OF INTEREST:
The Trust is responsible for ensuring that the service provided for patients in its care meets the
highest standard. Equally it is responsible for ensuring that staff do not abuse their official position
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Corneal Fellow Job Description_18March2009
for personal gain or to benefit their family or friends. The Trust’s Standing Orders require any
officer to declare any interest, direct or indirect with contracts involving the Trust. Staff are not
allowed to further their private interests in the course of their NHS duties.
WORK PERMIT:
This job is unlikely to attract a work permit. Applications from candidates who require a permit to
work in the UK may not be considered if there are a sufficient number of other suitable candidates.
USE OF INFORMATION TECHNOLOGY:
To undertake duties and development related to computerised information management to meet
the changing needs and priorities of the Trust, as determined by your manager and in accordance
with the grade of the post
The above duties and responsibilities are intended to represent current priorities and are not
meant to be a conclusive list. The post holder may from time to time be asked to undertake other
reasonable duties. Any changes will be made in discussion with the post holder in the light of
service needs.
VISITS TO THE TRUST AND INFORMAL ENQUIRIES ARE WELCOMED
Applicants may contact Mrs Bhajan Kaur (0121-507-6879; [email protected]) to arrange
an informal visit.
Shortlisted candidates should contact Professor Shah and Mr McDonnell (0121-507-6801) and
Miss Rauz (0121-507-6849) if they wish to discuss the post further.
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Corneal Fellow Job Description_18March2009
CORNEAL FELLOW IN OPHTHALMOLOGY
Person Specification
CRITERIA FOR SELECTION
(Justifiable as necessary for safe and
effective performance)
ESSENTIAL REQUIREMENTS
(A clear definition for the necessary criteria)
DESIRABLE/ADDITIONAL
REQUIREMENTS
(Where available, elements that
contribute to improved/immediate
performance in the job)
Basic Qualifications:

MBBS or equivalent
 Intercalated BMedSc or equivalent
Higher Qualifications:

Parts 3 MRCOphth, Part 2 FRCOphth (or
equivalent international qualification)
 MSc, MD, MPhil, PhD

CCT or equivalent international qualification

Completed training in ophthalmology in the UK
(or equivalent international qualification)

Previous corneal and external diseases training
or advance sub-specialty training opportunity

Able to take a detailed medical history, carry out
a full medical examination and arrive at a
differential diagnosis

Able to manage common medical and eye
emergencies

Surgical and laser experience
Professional and Multi-disciplinary
team working:

Ability to work well with colleagues/within a team
Management and Administrative
Experience:
 Ability to organise and prioritise workload
effectively
Clinical Effectiveness:
 Experience of taking part in clinical audit
Teaching and Training experience:
 Some experience of teaching
Research Experience:

Understands principles and value of research

Participate in papers, presentations or posters

Energy and enthusiasm and the ability to work
under pressure

An enquiring and critical approach to work

Caring attitude to patients

Ability to communicate effectively with
colleagues, patients, relatives, GPs, nurses,
other staff and agencies.

Commitment to Continuing Medical Education
and Professional Development
Clinical Experience:
Personal Attributes:
Other Requirements:
 Full GMC Registration

Appropriate Immigration Status (where
appropriate)


MSc, MD, MPhil, PhD
 An understanding of the current
NHS environment, particularly in
relation to reforms, initiatives and
issues.
Approved by: ..........................................…................. (name) ................…............ (date)
Clinical Director
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