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Specialist Doctor in Ophthalmology

3 months ago


Brighton, Brighton and Hove, United Kingdom University Hospitals Sussex NHS Foundation Trust Full time

Job overview

We are recruiting for a substantive Specialist Doctor within Sussex Eye Hospital who must be prepared to travel to all sites within the Trust providing Day to day care of patients in the eye department.

The Sussex Eye Hospital is a specialist eye hospital and the teaching hub of the newly formed Kent, Surrey and Sussex Deanery and KSS School of Ophthalmology. We serve a population of approximately 750,000, through the hub at the Sussex Eye Hospital and the spoke unit at Princes Royal Hospital. The retinal referral population is close to 1 million. The Sussex Eye Hospital is in close proximity to the Royal Sussex County Hospital which provides specialist investigations and liaison with other disciplines.

Main duties of the job

The clinical duties of the post include the following:

The candidate is expected to carry out independent outpatient clinics based on appropriate skills and experience. Subspecialty clinic support will include AMD clinics, Diabetes retina clinics, medical retina clinics, uveitis clinics, retinal laser clinics, cataract assessment clinics and A&E clinics. The candidate will fulfil the role of Lead for laser training at Sussex Eye Hospital (i.e. providing training and supervision for Advanced Clinic Optometrists and Ophthalmic Specialist Trainees). It is expected that the waiting times from urgent referral from the Diabetic Eye Screening Programme (i.e. R3) to assessment/treatment will be monitored on a regular basis, as well as contemporaneous monitoring of laser capacity. The candidate is expected to perform autonomous cataract surgery lists, and at the same time to provide the support to trainees for dedicated surgical lists. Have overall accountability for the patients they operate on with oversight from a consultant. To participate in the pre and post op management of patients they operate on. And to participate in any national data collection requirement for surgical procedures performed. The number of clinics will be negotiated with the successful candidate. It may be necessary for the successful candidate to take part in the first on-call rota.

Working for our organisation

At UHSussex we're proud to be at the heart of the NHS. As one of the UK's largest acute Trusts, we're a leading example of the excellence, the ambition and the values that have embodied the NHS for over 70 years. Improving lives: We are a vibrant and inclusive organisation, with hardworking, talented and dedicated individuals, who work together towards a common goal, to always put our Patient First. Our mission is summed up by our 'where better never stops' motto and no matter the role at UHSussex, you will play a part in driving us forwards and in improving the lives of patients across Sussex. We treat our patients and staff with the same compassion and empathy we expect for ourselves. We're here for them when they need us, and we go above and beyond to meet their needs. This can be seen in our wellbeing programme for staff which is extensive and designed to support you when you need it because we know that to look after others we must first look after ourselves. Build a career with us: As a university trust and a leader in healthcare research, we value learning, teaching and training so that we can be the best that we can be. From the moment you start with us and throughout your career we will help you to grow and develop. We hope that in choosing UHSussex you are choosing a long and happy career where you will be able to see the difference you make and feel valued for all that you do.

Detailed job description and main responsibilities

The clinical duties of the post include the following:

· The candidate is expected to carry out independent outpatient clinics based on appropriate skills and experience. Subspecialty clinic support will include AMD clinics, Diabetes retina clinics, medical retina clinics, uveitis clinics, retinal laser clinics, cataract assessment clinics and A&E clinics.

· The candidate will fulfil the role of Lead for laser training at Sussex Eye Hospital (i.e. providing training and supervision for Advanced Clinic Optometrists and Ophthalmic Specialist Trainees). It is expected that the waiting times from urgent referral from the Diabetic Eye Screening Programme (i.e. R3) to assessment/treatment will be monitored on a regular basis, as well as contemporaneous monitoring of laser capacity.

· The candidate is expected to perform autonomous cataract surgery lists, and at the same time to provide the support to trainees for dedicated surgical lists. Have overall accountability for the patients they operate on with oversight from a consultant. To participate in the pre and post op management of patients they operate on. And to participate in any national data collection requirement for surgical procedures performed.

· The number of clinics will be negotiated with the successful candidate.

· It may be necessary for the successful candidate to take part in the first on-call rota.

· The candidate is expected to provide clinical supervision and support to junior medical doctors, optometrists, nurses, technicians and orthoptists than run clinics at the same time in the Ophthalmology unit.

· To participate in the provision of cover on a shared basis with colleagues when unforeseen short notice absences occur.

· The Doctor may be required to deputise from time to time for absent colleagues, and exceptionally to perform additional duties in occasional emergencies and unforeseen circumstances to ensure the safe running of the Department.

Person specification

Experience & Qualifications

Essential criteria

Basic medical degree Full registration and a licence to practice with the General Medical/Dental Council. Completed a minimum of 12 years medical/dental work (either continuous period or in aggregate) since obtaining a primary medical/dental qualification, of which a minimum of six years should have been in a relevant specialty in the Specialty Doctor and/or closed SAS grades. Equivalent years' experience in a relevant specialty from other medical/dental grades including from overseas will also be accepted.

Professional Values, Behaviours, Skills and knowledge

Essential criteria

1.1 Practises with the professional values and behaviours expected of all doctors as set out in GMC Good Medical Practice and the Generic Professional Capabilities Framework (or equivalent for dentists. 1.2 Demonstrates the underpinning subject- specific competences i.e. knowledge, skills and behaviours relevant to the role setting and scope. 1.3 Clinically evaluates and manages a patient, formulating a prioritised differential diagnosis, initiating an appropriate management plan, and reviewing and adjusting this depending on the outcomes of treatment. 1.4 Manages the difficulties of dealing with complexity and uncertainty in the care of patients; employing expertise and clinical decision-making skills of a senior and independent/ autonomous practitioner. (All senior doctors/dentists including consultants and GPsl work independently/autonomously to a level of defined competencies, as agreed within local clinical governance frameworks 1.5 Critically reflects on own competence, understands own limits, and seeks help when required. 1.6 Communicates effectively and is able to share decision-making with patients, relatives and carers; treats patients as individuals, promoting a person-centred approach to their care, including self- 1.7 Respects patients' dignity, ensures confidentiality and appropriate communication where potentially difficult or where barriers exist, e.g. using interpreters and making adjustments for patients with communication 1.8 Demonstrates key generic clinical skills around the areas of consent; ensuring humane interventions, prescribing medicines safely and using medical devices safely 1.9 Adheres to professional requirements, participating in annual appraisal, job planning and reviews of performance and proqression. 1.10 Awareness of legal responsibilities relevant to the role, such as around mental capacity and deprivation of liberty; data protection; equality and diversity 1.11 Applies basic principles of public health; including population health, promoting health and wellbeing, work, nutrition, exercise, vaccination and illness prevention, as relevant to their specialty.

Leadership & Teamworking

Essential criteria

2.1 Awareness of their leadership responsibilities as a clinician and demonstrates appropriate leadership behaviour; managing situations that are unfamiliar, complex or unpredictable and seeking to build collaboration with, and confidence in, others. 2.2 Demonstrates understanding of a range of leadership principles, approaches and techniques so can adapt leadership behaviours to improve engagement and outcomes — appreciates own leadership style and its impact on others. 2.3 Develops effective relationships across teams and contributes to work and success of these teams — promotes and participates in both multidisciplinary and interprofessional team working. 2.4 Critically reflects on decision-making processes and explains those decisions to others in an honest and transparent way. 2.5 Critically appraises performance of self, colleagues or peers and systems to enhance performance and support development. 2.6 Demonstrates ability to challenge others, escalating concerns when necessary. 2.7 Develops practice in response to changing population health need, engaging in horizon scanning for future developments

Patient & Safety & Quality Improvement

Essential criteria

3.1 Takes prompt action where there is an issue with the safety or quality of patient care, raises and escalates concerns, through clinical governance systems, where necessary. 3.2 Applies basic human factors principles and practice at individual, team, organisation and system levels 3.3 Collaborates with multidisciplinary and interprofessional teams to manage risk and issues across organisations and settings, with respect for and recognition of the roles of other health professionals 3.4 Advocates for, and contributes to, organisational learning. 3.5 Seeks feedback and involvement from individuals, families, carers, communities and colleagues in safety and quality service improvements reviews. 3.6 Leads new practice and service redesign in response to feedback, evaluation and need, promoting best practice. 3.7 Evaluates and audits own and others' clinical practice and acts on the findings. 3.8 Reflects on personal behaviour and practice, responding to learning opportunities 3.9 Implements quality improvement methods and repeats quality improvement cycles to refine practice; designing projects and evaluating their impact. 3.10 Critically appraises and synthesises the outcomes of audit, inquiries, critical incidents or complaints and implements appropriate changes. 3.11 Engages with relevant stakeholders to develop and implement robust governance systems and systematic documentation processes.

Safeguarding Vulnerable Groups

Essential criteria

4.1 Recognises and takes responsibility for safeguarding children, young people and adults, using appropriate systems for identifying, sharing information, recording and raising concerns, obtaining advice and takinq action. 4.2 Applies appropriate equality and diversity legislation, including disability discrimination requirements, in the context of patient care.

Education & Training

Essential criteria

Safeguarding courses Interview 5.2 Promotes and participates in individual and team learning; supporting the educational needs of individuals and teams for uni-professional, multiprofessional and interprofessional learning 5.3 Identifies and creates safe and supportive working and learninq environments. 5.4 Can act as a role model, educator, supervisor, coach or mentor for medical and non-medical practitioners. 5.5 Creates effective learning opportunities and provides developmental feedback, both verbally and in writing, to learners and doctors/dentists in training, as required by the role. 5.6 Plans and provides effective teaching and training activities as required by the role. 5.7 Understands how to raise concerns about the behaviour or performance of any learner who is under their clinical supervision (leadership) 5.8 Takes part in patient education

Research & Scholarship

Essential criteria

6.1 Keeps up-to-date with current research and best practice in the individual's specific area of practice, through appropriate continuing professional development activities and their own independent study and reflection. 6.2 Critically appraises and understands the relevance of the literature, conducting literature searches and reviews; disseminates best practice including from quality improvement projects. 6.3 Locates and uses clinical guidelines appropriately. 6.4 Communicates and interprets research evidence in a meaningful way for patients to support shared decision-making. 6.5 Works towards identifying the need for further research to strengthen the evidence base or where there are gaps in knowledge, networking with teams within and outside the orqanisation.