SPECIALTY DOCTOR IN OPHTHALMOLOGY JOB DESCRIPTION Responsible to: Miss Anne-Marie Firan, Clinical Lead and Consultant Ophthalmologist Accountable to: Mr Masri, Clinical Director of Surgical Services Introduction Barnsley Hospital is a small to medium sized NHS Foundation Trust providing a range of services to a local population of around 240,000. The Trust offers Acute Medical Services, including Emergency and Intensive Care and also General Medicine, General Surgery, Maternity and Paediatric Services. The Trust also provides a range of specialist services such as Cancer, Neurology and Specialist Surgery in partnership with Sheffield Teaching Hospitals NHS Foundation Trust. Barnsley is a thriving market town surrounded by beautiful countryside, with a charter dating back to 1539 and has an industrial heritage, based on coal mining, linen and glass. There are many local attractions on the doorstep, all of which are steeped in History: Wentworth Castle at Stainborough; Elsecar Heritage Centre; Yorkshire Sculpture Park in the Bretton Estate; The National Coal Mining Museum and Cannon Hall Museum and Gardens to name just a few. The town is ideally situated for accessibility to the National Rail and Motorway Network, being just off J37-38 of the M1 and with easy access to the neighbouring cities of Sheffield, Leeds and Manchester. The outer suburbs of the town to the West back onto the Pennine Trail and the County Borough borders with the Peak District National Park. Profile Barnsley Hospital NHS Foundation Trust Barnsley Hospital NHS Foundation Trust is a 350+ bedded district general hospital, built in the 1970s and serving a population of over a quarter of a million people in the Barnsley area. In 2005 the hospital gained Foundation Trust status. Today, the hospital continues to provide a full range of secondary care services to the local community and surrounding area. These include Emergency Department services, outpatient clinics, inpatient services, and Maternity and Children’s services. We also provide a number of specialised services, including cancer and surgical services, in conjunction with other hospitals. Our principal commissioner is Barnsley Clinical Commissioning Group (CCG), which is responsible for commissioning health services for the population of Barnsley. We have made significant investment in our estate. In the past few years, we have successfully completed an £8m development of the Imaging Department, a £1 million refurbishment of the Acute Medical Unit and £2 million on the Emergency Department Clinical Decision Unit (CDU) and Resuscitation Unit. There has been a multi-million pound investment into the service recently with a brand new Neonatal Unit which opened in 2018, providing an environment which supports staff with patient care whilst facilitating improving service users experience. The new unit offers increased cubicle space, improved observational positioning of nurse stations and new infrastructure and services. The Children’s Ward will be developed and relocated adjacent to the Neonatal Unit. The new Children’s Ward will have 12 beds, with the ability to flex its capacity to 18 when required. The new Children’s Ward has been co-designed between medical, nursing, operational and estates teams to create an environment that supports staff and improves service user experience. The anticipated completion date of the new Children’s Ward is December 2020 The Children’s Assessment Unit (CAU) will be relocated and based alongside the Paediatric Emergency Department (ED). Again, this is another multi-million pound investment by the Trust in children services. Like the new Children’s Ward, the new CAU has been codesigned between medical, nursing, operational and estates teams to create an environment that supports staff and improves service user experience. Our new CAU service will be operational 24 hours a day, 7 days a week and will facilitate timely patient care and treatment, whilst encouraging new ways of working and partnership working. The anticipated completion date of the new ED and CAU is May 2021. Operationally, we have 3 Clinical Business Units (CBUs). Each CBU is led by a team made up of a Clinical Director, an Associate Director of Nursing/ Head of Midwifery (ADN/HOM) and an Associate Director of Operations (ADO). They are supported by Deputy ADN’s and ADO’s, plus Matrons and Service Managers together with HR, Finance and Data Analyst Teams. Our CBU structure is as follows: Staff Benefits Post Graduate Facilities We have an extensive learning and development programme and a fully equipped Education Centre. Within the Education Centre is a widely stocked library and resource centre, lecture theatres, a clinical skills training room, a resuscitation and manual handling training room, meeting rooms, classrooms, IT suites and a video conference room for Cancer Services. Chaplaincy and Chapel We offer religious, spiritual and pastoral support to patients, relatives, carers and staff. The Chaplains are available for everyone whether you have a religious faith or not. Round-theclock cover is provided for the spiritual needs of patients and staff, offering religious and sacramental services. Our Hospital Chaplain conducts a Sunday service (Church of England) and mid-week Mass every Wednesday and Thursday. The Chaplain also conducts a Hospital Prayers session which is an opportunity for people to be prayed for by name. Everyone is welcome – all faiths or none. There is also a Hospital Choir which is free to join. Onsite Facilities We have an onsite restaurant, Collier’s Restaurant, where you can find an array of hot and cold food 15 hours a day. Collier’s caters for a variety of dietary requirements and staff receive a discount of 10% on presentation of their staff identification badge. There is a Starbucks situated within Collier’s Restaurant. We also have two coffee shops located in the outpatients entrance and a small tea bar in women’s services that are run by our dedicated hospital volunteers. Our coffee shops offer a range of teas, freshly ground coffees, fruit juices, soft drinks, crisps and snacks as well as toast and toasted teacakes. The coffee shops are located on the upper and lower floor of the outpatients entrance. There is a WH Smith newsagents, based near the main entrance of the Hospital, which stocks newspapers, magazines, snacks, confectionary, drinks and toiletry essentials. This store is open seven days a week. Other shops located within the main hospital building include two shop units on the ground floor, at the entrance to the Outpatients Department. These are occupied by the Barnsley Hospital Charity and a range of different pop-up shops selling everything from jewellery and fashion to kitchenware and bedding. There is a post box and a cash machine situated in the main entrance of the Hospital building, the cash machine is free to use and withdraw. The Computer Share Technology Scheme The scheme allows staff to pay for computers over 36 months, phones over 24 months and bikes over 12 months as a salary sacrifice reduction from gross pay. Savings are realised on income tax, national insurance and pension contributions. NHS Fleet Solutions NHS Fleet Solutions offer a cost effective car leasing scheme to the NHS through their innovative class leading staff benefit scheme. Barnsley Hospital Charity We have a dedicated in house charity team who raise money to fund cutting edge facilities, an improved environment, state of the art equipment that can make a real difference to patient care, opportunities for staff training in specialist areas and opportunities to further medical knowledge through research. Barnsley Hospital Charity have their own mascot, Cheerio, who helps the team on their fundraising missions. You can find out more about our Charity at www.barnsleyhospitalcharity.co.uk Living and Working in Barnsley Barnsley is a town in South Yorkshire. Historically part of the West Riding of Yorkshire, Barnsley lies on the River Dearne. Major cities within close proximity of Barnsley include Sheffield which is 17 miles south and Leeds which is 22 miles north. The metropolitan borough had a population of 231,900 at the 2011 UK Census. Barnsley is a thriving market town, with a charter dating back to 1539. It has an industrial heritage based on coal mining, linen and glass which dates back to the eighteenth century. The town is surrounded by beautiful countryside and cultural attractions such as stately homes, museums, theatres, ruins and art galleries. Barnsley town centre is packed full of independent shops, high street stores and is home to one of the best markets in South Yorkshire. Venturing further into the outskirts of the town and its neighbouring villages, visitors will discover hidden hamlets with excellent shopping opportunities and farm shops stocked with exceptional local produce. The M1 is five minutes’ drive from Barnsley Hospital, offering good connections to the M18, A1(M) and M62. The rail connections from Doncaster, Wakefield, and Sheffield link to the UK’s high speed train networks. Average house prices in Barnsley According to Zoopla the average house price in Barnsley in April 2020 is £154,140. Description of Directorate and Department Clinical services at the hospital are presently divided into three Clinical Business Units (CBUs). Each CBU is led by a triumvirate consisting of a General Manager, Clinical Director and Head of Nursing, who are supported by Matrons and Service Managers, together with HR, Finance and Informatics Teams. The Ophthalmology Service sits within the Surgery CBU and provides acute hospital eye services for the population of Barnsley and surrounding areas. This is a very exciting time to join the Ophthalmology Department at Barnsley Hospital as the Trust has recently been awarded the contract by Barnsley Clinical Commissioning Group to deliver an Ophthalmology Service in Barnsley. The Trust plans to significantly invest in the redesign of the service over the next three years in order to deliver an efficient, patientcentred, one-stop service in partnership with other local providers. The department currently consists of three Consultant Ophthalmologists, as listed below with their sub-specialities and two Specialty Doctors. We have recently recruited to a fourth Consultant Ophthalmologist as well as this post. In addition to the Medical team listed below, the department will also be supported by Orthoptists, Nurse Practitioners and Ophthalmic Technicians. Mr Maher Attia Miss Anne-Marie Firan (Lead Clinician) Dr Nafez Breik Dr Anastasios Kouris Cornea, Paediatrics and Strabismus Medical Retina, Uveitis and Ophthalmology Consultant Locum Consultant Dr Tamer Sidhom Mr Baher Gendy Dr Jekatrina Varlamove Specialty Doctor Specialty Doctor Specialty Doctor Neuro- The Outpatient department has six consulting rooms equipped with modern diagnostic facilities. There are also facilities for outpatient treatments and a minor operations suite. All macular degeneration injections are currently administered in a dedicated area. The field room is equipped with two Humphrey’s Field Analysers and conventional field testing facilities are also available. There is a separate room equipped with a Zeiss Fundus Camera and digital facilities, supported by the Medical Photography department. There is also a separate room with a modern OCT facility. There is a dedicated Laser room with both Argon and YAG lasers available within the Ophthalmic Outpatient department. Auto-refractor and B Scan are also available. In the well-equipped Orthoptic department, a team of Orthoptists provide Orthoptic services for hospital patients and children referred from Community Clinics. They are also responsible for providing visual field testing as well as Paediatric Vision Screening for 4-5 year olds in local schools. The Outpatient department is staffed by experienced and well trained nursing staff who support clinics. The team of Nurse Practitioners work out of the Eye Assessment Unit where there are modern facilities for biometry, pre- and post-operative cataract clinics and stable glaucoma clinics. There are plans to expand the role of the Nurse Practitioners and Orthoptists as well as the appointment of an Optometrist. There is a dedicated theatre for Ophthalmic Surgery with a recently purchased Zeiss microscope installed with facilities for digital video recording on USB and hard disc and TV monitoring. Two Stellaris B and L Phaco machines are currently used. Apart from phacoemulsification, irrigation, aspiration and anterior vitrectomy, additional facilities can be added for posterior vitrectomy if needed. All the nursing staff in the Theatre are specially trained for Ophthalmic Surgery. A full range of injectable hydrophobic acrylic Zeiss lenses are available. The Post This post is covered by the National Health Service Terms and Conditions of Service – Specialty Doctor 2008. Details of these may be obtained from the Medical Staffing Department. You will be required to participate in an on-call rota. The details of this are yet to be finalised but will reflect the recommendations of the Yorkshire and Humber Working Together Programme. Main Duties and Responsibilities You will provide a clinical service in conjunction with your colleagues and under the direction of Consultant Ophthalmologists, which will include the responsibility for the prevention, diagnosis and treatment of illness. The post holder will be involved with the examination and treatment of new patients in the department and will also assist in the review clinics. The post holder will also be involved with the management of surgical treatments within Day Surgery and Main Theatre. A provisional Job Plan will consist of 1-2 Theatre sessions, 5 Clinics, 1 Laser session and 1 Flexi session per week, totalling 8 clinical sessions, leaving 1 PGME session and 1 Admin/Audit session. All sessions are scheduled for a 4 hour duration. You will be expected to deputise for absent colleagues and in exceptional unforeseen circumstances may have to perform additional duties to ensure the safe running of the department. Where such duties take place outside your normal contracted duties, you will receive either an equivalent off duty period or will be remunerated appropriately. You will be required to participate in the risk management process and in clinical audit and other clinical governance activities within the department, the directorate and the Trust. Adherence to Caldicott Principles is mandatory. You will be required to participate in the Trust Appraisal Scheme in conjunction with your Supervising Consultant, to identify training and development needs. You will be expected to participate in personal and professional development to fulfil Royal College CME requirements. You will provide advice to clinicians in hospital and primary care, originating either from telephone calls or ward referrals. You will be responsible for undertaking the administrative duties associated with the care of patients and the administration of the department. You will be required to participate and contribute to Clinical Audit in line with Trust policy. The Ionising Radiation (Medical Exposure) Regulations 2000 impose a legal responsibility on Trusts for all staff who refer patients for medical radiation exposure such as diagnostic xrays to supply sufficient data to enable those considering the request to decide whether the procedure is justified. The appointee will be required to maintain his/her private residence in contact with the public telephone service. Subject to the terms and conditions of service the post holder will be expected to observe policies and procedures of the LHB drawn up in consultation with the professions, where they involve clinical matters. For services provided which are subject to the payment of an additional fee as a general principle work undertaken during sessions will not attract the additional fee, if a fee is paid this must be passed to the Trust. There are circumstances which allow the additional fee to be retained by an individual and as a general principle this is for work done in his/her own time, or during annual or unpaid leave. More information regarding this is provided within the Terms and Conditions of Service which are available from the Medical Staffing Department, however it is advisable to discuss with your Directorate/Department if wishing to carry out any work that would be subject to an additional fee and can form part of the job planning process. Visiting the Department If you would like to know more about the department or arrange an informal visit, please contact: Miss Anne Marie Firan, Consultant Ophthalmologist 01226 432156 Person Specification Essential Qualifications MBBS or equivalent medical qualification Desirable Equivalent of FRCOphth / Overseas equivalent Full Registration with a licence to practice with the GMC Knowledge/ Procedures Laser, Minor Ops Cataract Surgery Evidence of courses and attendance at Clinical Meetings Clinical Expertise General Ophthalmic experience. Log book Evidence of courses attended e.g. basic skills course Training Minimum 3 years full time at ST12 Grade (at least 2 years of which in Ophthalmology) Experience of working at middle grade Management / Audit Evidence of experience in audit Completed audit projects Academic Achievements Personal Skills Research Publications Effective communication skills. Good command of English and meet the scoring criteria for IELTS as per GMC overall 7.5 score.
