The successful applicant will be responsible for helping to provide glaucoma services for the county. Four other glaucoma consultants also provide glaucoma services in conjunction with specialist doctors, clinical nurse specialists, optometric and orthoptic staff. Experience of glaucoma drainage devices such as tubes and MIGS will be an advantage.

This post is based across our sites at Stoke Mandeville , Wycombe and Amersham Hospitals.

Planned AAC Interview date is Wednesday 12 February 2025.

Main duties of the job

The key duties and responsibilities are: -

• Specialist glaucoma service
• Outpatient clinics at Stoke Mandeville Hospital and Wycombe/Amersham General Hospital
• Operating (including dedicated glaucoma operating lists)
• Teaching of Oxford deanery trainees and medical students
• Other care of inpatients or outpatients
• Clinical and other administration as required by agreement
• Teaching and training of junior staff and undergraduates
• Participation in Clinical Governance

About us

Why colleagues think we are a great place to work!

What does Buckinghamshire Healthcare NHS Trust offer you?

As part of our BHT family, you'll benefit from learning and development opportunities to support your career progression.

Alongside NHS benefits of generous annual leave entitlement and pension scheme, you'll have access to NHS discount schemes.

We provide a range of health and wellbeing services to promote a healthy, happy workforce.

What do we stand for?

Our vision is to provide outstanding care, support healthy communities and be a great place to work.

Our mission is to provide personal and compassionate care every time.

We are working hard to increase diversity at all levels within the trust. We believe a diverse workforce can have a positive effect on both staff wellbeing and patient outcomes.

We welcome applications from black, Asian and minority ethnic candidates, LGBTQ+ candidates, candidates with disabilities and care-experienced candidates.

We are proud to achieve the Gold award for the Armed Forces Covenant and support applications from the Armed Forces Community. Please contact Pam.Daley@nhs.net (our Armed Forces Covenant Lead) if you would like guidance or assistance with your application.

We make employment decisions by matching our service needs with the skills and experience of candidates, regardless of age, disability, gender, gender identity, marriage and civil partnership, pregnancy and maternity, race, religion or belief, or sexual orientation.

Job description

Job responsibilities

The Ophthalmic unit serves a population of around 1 million people mainly from Aylesbury Vale in Buckinghamshire, but including parts of Bedfordshire, Hertfordshire and Oxfordshire.

The unit is run from a purpose-built new building (the Mandeville Wing) which opened 12 years ago as well as sites at Wycombe and Amersham hospitals nearby. They are fully equipped with modern out-patient facilities including clinic rooms, Orthoptic and Optometric departments, visual fields, Argon, YAG and SLT lasers, Electro-diagnostics and a fully linked imaging suite which has anterior and posterior segment imaging including OCT, Fundus photography, Fluorescein and ICG angiography and auto-fluorescence imaging as well as Wavefront analysis. There is a 5 bedded Eye ward from which the emergency eye service is delivered, which is also housed within the new Mandeville wing.

The Consultant body covers most sub-specialty areas with little need for onward referral except in complex tertiary cases for which links with Oxford and Moorfields are readily available.

The unit sees around 50,000 out-patients per year at Stoke Mandeville site and a further 24,000 at Wycombe and Amersham sites.

There are around 6,400 operations per year in three dedicated eye theatres, and a separate cataract theatre unit for appropriate high-volume surgery. Most surgery is day-cases, butsome inpatient cases are performed with access to the 5 in-patient beds on our ward 14.

The delivery unit has a General Manager, Service Manager and an accountant and is part of the Surgical Directorate.

Regular weekly teaching is held in conjunction with the Oxford Eye Hospital and research and audit projects are actively encouraged.

Microsurgical skills teaching and training is a strength of the unit and as well as having a well-established skills centre which has just been updated and the unit has an EyeSi surgical simulator.

The trust supports remote working where possible and appropriate e.g. for meetings, SPA and DCC admin activities.

Time off in lieu will be supported, e.g. such as with unforeseen emergency work overnight.

If mentoring is required, this is something that the department will actively support and facilitate.

Secretarial - 8 medical secretaries and one support secretary work within the department and support the consultants.

The proposed job plan would consist of 10 programmed activities with the breakdown detailed within the job plan in the JD. This is subject to change based on clinic room and site availability.

Person Specification

Professional values and behaviours, skills and knowledge

Essential

• Communicates openly, honestly and professionally, and actively promotes team working and building strong working relationships
• Patients are always first. Drives service improvements. Strong self-awareness with a desire to grow.
• Treats all with compassion and kindness. Ensures everyone feels valued.
• Consults others and listens to their views/opinions. Enables others to take the initiative
• Practices with professional values and behaviours expected of all doctors as set out in GMC Good Medical Practice and the Generic Professional Capabilities Framework.
• Demonstrates the underpinning subject specific competencies i.e knowledge, skills and behaviours relevant to the role setting and scope
• Clinically evaluates and manages a patient formulating a prioritised differential diagnosis, initiating an appropriate management plan and reviewing and adjusting this dependent on the outcomes of treatment
• 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
• Critically reflects on own competence, understands own limits and seeks help when required
• Communicates effectively and can share decision -making with patients, relatives and carers treats patients as individuals promoting a patient centred approach to their care, including self- management
• Respects patients dignity, ensures confidentiality and appropriate communication where potentially difficult or where barriers exist eg using interpreters and making adjustments for patients with communication difficulties
• Demonstrates key generic clinical skills around the areas of consent: ensuring humane interventions, prescribing medicines safely and using medical devices safely
• Adheres to professional requirements, participating in annual appraisal, job planning and reviews of performance and progression
• Awareness of legal responsibilities relevant to the role, such as around mental capacity and deprivation of liberty: data protection: equality and diversity

Desirable

• Applies basic principles of public health: including population health, promoting health and well Being, work, nutrition, exercise, vaccination and illness prevention for people with SCI

Leadership and Teamworking

Essential

• Awareness of their leadership responsibilities as a clinician and demonstrates appropriate behaviour:managing situations that are unfamiliar, complex or unpredictable and seeking to build collaboration with and confidence in others.
• 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
• Develops effective relationships across teams and contributes to work and success of these teams-promotes and participates in both multidisciplinary and inter professional team working
• Critically reflects on decision making processes and explains those decisions to others in an honest and transparent way
• Critically appraises performance of self, colleagues or peers and systems to enhance performance and support development
• Demonstrates ability to challenge others, escalating concerns when necessary
• Develops practice in response to changing population health need, engaging in horizon scanning for future developments

Patient safety and quality improvement

Essential

• Takes prompt action where there is a safety or quality of patient care, raises and escalates concerns, through clinical governance systems
• Applies basic human factor principles and practice at individual, team, organisation and system level
• Collaborates with MDT and interprofessional teams to manage risk and issues across organisations and settings with the respect for and recognition of the roles of other health care professionals
• Advocates for and contributes to organisational learning
• Seeks feedback and involvement from individuals, families and carers, communities and colleagues in safety and quality service improvement reviews
• Leads new practice and service redesign in response to feedback, evaluation and need, promoting best practice
• Critically appraises and synthesises the outcomes of audit, inquiries, incidents or complaints and implements appropriate changes
• Engages with relevant stakeholders to implement robust governance systems and systematic documentation processes

Desirable

• Evaluates and audits own and others clinical practice and acts on the findings
• Reflects on personal behaviour and practice
• Implements quality improvement methods and repeats quality improvement cycles to refine practice: designing projects and evaluating their impact

Safeguarding vulnerable groups

Essential

• 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 acting.
• Applies appropriate equality and diversity legislation, including disability discrimination requirements in the context of patient care

Trust CARE values

Essential

• Collaborate - Communicates openly, honestly and professionally, and actively promotes team working and building strong working relationships
• Aspire - Patients are always first. Drives service improvements. Strong self-awareness with a desire to grow.
• Respect - Treats all with compassion and kindness. Ensures everyone feels valued
• Enable - Consults others and listens to their views/opinions. Enables others to take the initiative

Education and training

Essential

• Critically assesses own learning needs and ensures a personal development plan, reflects both clinical practice and the relevant generic capabilities to lead and develop a service.
• Promotes and participates in individual and team learning: supporting the educational needs of individuals and teams
• Identifies and creates safe and supportive working and learning environments
• Can act as a role model, educator, supervisor,coach or mentor for medical and non-medical practitioners
• Creates effective learning opportunities and provides developmental feedback, both verbally and in writing, to learners and doctors in training
• Plans and provides effective teaching and training activities
• Understands how to raise concerns about the behaviour or performance of any learner under their clinical supervision
• Takes part inpatient education

Qualifications and Research

Essential

• Full GMC registration or equivalent registerable qualification
• Keeps up to date with current research and best practice in the individuals specific area of practice, through appropriate continuing professional activities and their own independent study and reflection
• Critically appraises and understands the relevance of the literature, conducting literature searches and reviews disseminates best practice including from quality improvement projects
• Locates and uses clinical guidelines appropriately
• Communicates and interprets research evidence in a meaningful way for patients to support shared decision making
• 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 organisation

Desirable

• MRCP / MRCS / MRCGP MRCPsych or Equivalent

Other Requirements

Essential

• Ability to travel to and between sites

Employer details

Employer name

Buckinghamshire Healthcare NHS Trust

Address

Trustwide

Buckinghamshire

HP21 8AL

Any attachments will be accessible after you click to apply.

434-MSCC-315