Locum Consultant in Ophthalmology interest in Vitreoretinal surgery

A full ophthalmology service is provided at the Central Middlesex Hospital alongside a Community diagnostic centre (Willesden Eyecare Centre).

Out\-Patients

Most clinics take place on the first floor outpatient area, with the macula service and intravitreal injection suite situated on the ground floor.

YAG and Argon lasers, digital fundus fluorescein and indocyanine green angiography photography, optical coherence tomography (2 x Spectralis OCT), corneal topography, colour digital photography, anterior segment photography, IOL Master and A scan biometry, B scan ocular ultrasonography, nasal endoscopy and EMG for botulinum toxin administration are available within the clinic areas.

There are clinics covering all the sub\-specialist areas of ophthalmology as well as general clinics for rapid access to the hospital eye service.

Eye Surgery

Cataract, glaucoma, retinal, strabismus, corneal, oculoplastic and lacrimal surgery takes place in theatres in ACAD. Minor lid procedures are carried out in the minor procedures theatre in the clinic and intravitreal injections take place in the macular service on the ground floor. Some operating lists are covered by consultant anaesthetists who provide local or general anaesthesia as required. There is a step\-down facility In ACAD.

Out of hours cover is provided by the 24 hour casualty at the Western Eye which takes emergencies from all over London.

The post holder will be accountable to the Clinical Director of Ophthalmology and will work alongside Ms Rabia Bourkiza (Vitreoretinal lead) to deliver a comprehensive vitreoretinal service. This will include:

• Ensure that patients with vitreoretinal disease are in an identifiable pathway


• Identify high risk patients and ensure good communication to prevent DNA


• Ensure timely treatment and safe management of patients with vitreoretinal disease


• Teach and train junior medical, nursing and paramedical staff the basics of vitreoretinal disease management


• Update the vitreoretinal management protocols


• Track patients with significant visual loss, identify causes and pathways for improvement


• Develop patient resources, focus groups and provide staff training with feedback

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

Northwick Park Hospital: home to one of the busiest emergency departments (A\&E) in the country. The hospital provides a full range of services including the country’s top\-rated hyper\-acute stroke unit and one of only three hyper\-acute rehabilitation units in the UK

St Mark’s Hospital: an internationally renowned specialist centre for bowel disease

Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice

Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

The duties and responsibilities will be set out in a Job Plan and would include the following, as appropriate:

• The post holder must be medically qualified and maintain GMC specialist registration.

To develop and maintain the competencies required to carry out the duties required of the post.

• To ensure prompt attendance at agreed direct clinical care programmed activities.

To ensure patients are involved in decisions about their care and to respond to their views.

• To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director/Chief of Service.


• Attend and participate in the West London weekly post\-graduate ophthalmic teaching by organising and chairing an allocated session 2\-3 times a year.

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. Operational efficiency e.g. day\-case rates, waiting list activity and demand management.


• To participate in team objective setting as part of the annual job planning cycle.

To review clinical outcomes in designated areas using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Chief of Service.

• Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.


• To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.


• To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical


• To role model good practice for infection control to all members of the multidisciplinary team.


• To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.

To work collaboratively with all members of the multi\-disciplinary team and Imperial College as required. Adhere to Trust/departmental guidelines on leave including reporting absence.

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