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RECRUITMENT INFORMATION PACK
CLINICAL FELLOW
IN PAEDIATRIC OPHTHALMOLOGY &
STRABISMUS (ST3+)
CONTENTS PAGE
Section A
Overview
3
Section B
About the Trust
5
Section C
About the Area
16
Section D
Introduction to the Directorate
17
Section E
Advertisement
24
Section F
Job Description
25
Section G
Person Specification
27
Section H
How to Apply
30
Section I
Main Terms & Conditions of Service
33
Section J
Staff Benefits
34
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION A
Who we are
The Newcastle upon Tyne Hospitals NHS Foundation Trust (NuTH) is one of the largest and
most successful teaching hospitals in England providing academically led acute, specialist
and community services locally to a large and diverse population across the North East and
Cumbria as well as nationally and internationally. The Trust consistently meets the Care
Quality Commission (CQC) ‘Essential Standards of Quality and Safety’ which recently
confirmed a rating following inspection of ‘Outstanding’.
The Trust operates across a number of locations including acute sites (Freeman Hospital,
Royal Victoria Infirmary, Campus for Ageing and Vitality and Centre for Life) and a number of
community sites. Redevelopment of these sites over the last few years has seen the
consolidation of core services onto two main hospital sites enabled by the Transforming
Newcastle Hospitals programme.
We provide one of the highest numbers of specialist services of any Trust in the UK and are
recognised nationally and internationally as a centre for healthcare excellence. This is
evidenced in the Cardiothoracic Centre, the only one in the UK to provide all complex
cardiopulmonary surgery, including heart and lung transplants for both children and adults.
Furthermore the Trust has the UK’s first Institute of Transplantation which is a one stop shop
model dedicated to all forms of solid organ transplant surgery.
We had a turnover of circa £971 million in 2014/15, contracting with thirteen CCGs, three
local authorities and NHS England for its main business. The Trust also delivers a range of
specialist services to other commissioners across the country via individual contract
arrangements.
One of the largest employers in the region, the Trust has around 13,500 staff across a
number of professions and staff groups. The Trust works closely with local providers of
education including Newcastle University and the University of Northumbria to offer high
quality education and training to ensure the workforce of the future.
The Trust has a strong culture of research and innovation with formal management
relationships with Newcastle University and the University of Northumbria in Newcastle. The
Trust is one of the top in the country for the quantity of research and recruitment to
commercial and non-commercial portfolio studies.
A core member of the North East and North Cumbria Academic Health Science Network
(NENC AHSN) and Northern Health Science Alliance (NHSA), we continue to attract health
science, innovation and commercial opportunities to the North East.
We are a Wave One, Genomic Medicine Centres as part of the 100,000 Genomes
Programme; we achieve our strategic aim to become a centre for excellence for genomics.
The partnership of the Northern Genetics Service, Newcastle University, Trust pathology
service and NewGene (a unique partnership to develop, validate and deliver molecular
diagnostics using the latest high throughput sequencing and genotyping technologies) will
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
ensure that the outputs of the programme are disseminated through research and translation
into clinical care.
Our strong history of joint working has led to a number of strategic partnerships across health
and social care with many of these relationships translating into integrated and multiagency
pathways of care for patients. The integration agenda is an opportunity to accelerate system
transformation and further develop and grow integrated pathways of care for patients.
We are an active member of the Shelford Group, a network of specialist teaching hospitals
which undertakes comparative work and addresses issues of common interest. This includes:
Sheffield Teaching Hospital NHS Foundation Trust; Cambridge University Hospitals NHS
Foundation Trust; Oxford University Hospitals NHS Foundation Trust; University Hospitals
Birmingham NHS Foundation Trust; University College Hospitals NHS Foundation Trust;
King’s College London NHS Foundation Trust; Imperial College Healthcare NHS Trust;
Central Manchester University Hospitals NHS Foundation Trust and Guy’s and St Thomas’
NHS Foundation Trust.
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION B
ABOUT THE TRUST
In-patient clinical services are based on two sites - the Royal Victoria Infirmary and the
Freeman Hospital. The Royal Victoria Infirmary site is the acute admitting site with the
Accident and Emergency services and associated Trauma Centre together with acute medical
services, maternity services and the Great North Children’s Hospital. The Freeman site is of
a more elective nature with surgical services, cardiothoracic services, transplantation, and the
Northern Centre for Cancer Care (NCCC).
Royal Victoria Infirmary:
New Victoria Wing, Royal Victoria Infirmary
The Royal Victoria Infirmary’s city centre site is shared by the Medical and Dental Schools
and is adjacent to the Newcastle University campus.
Directorate
Cancer
Services
and
Clinical Haematology
Cardiothoracic Services
Children’s Services
Community Services
5
Service
Haemophilia Centre
Haemostasis and Thrombosis
Cardiology
A full range of secondary and tertiary paediatric medicine and
surgery, including one of two national paediatric
immunodeficiency units.
From 1 April 2011 management of Community Health Services in
Newcastle transferred to the Trust.
Integrated Sexual Health
District Nursing
Health Visitors
Family Nurse Partnership
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Directorate
Service
School Nursing
Community Matron
TB Tracing
Chronic Disease Monitoring
Community Response & Rehabilitation Team
Interface Team
Home Re-ablement
Funded Nursing Care
Consultant Led Continuing Care Beds
Smoking Cessation
Core Health Improvement Service
Nurse Practitioners
Walk-in Centres
Dental
Dental Hospital
Maxillo-Facial Surgery
Laboratory Medicine
Biochemistry, Cellular Pathology
Health Protection Agency
Medicine
and
Older Accident and Emergency
People’s Medicine
Acute Medicine
Endocrinology, Gastroenterology
Infectious Disease and Tropical Medicine
Immunology
Medical Admissions Unit
Poisoning and Therapeutics
Respiratory Medicine
Falls and Syncope
Stroke Medicine
Older People’s Medicine
Musculoskeletal
Traumatic Orthopaedics
Spinal Surgery
Neurosciences
Neurology
Neuro-radiology
Neurosurgery
Neurophysiology
Peri-Operative RVI
Chronic Pain
Critical Care
Home Ventilation
Theatres and Anaesthesia
Plastics, Ophthalmology
Burns
and Dermatology
Ophthalmology
Plastic and Reconstructive Surgery
Dermatology
Radiology
Emergency including trauma MSK, Children, Breast, Upper GI,
Lower GI, Cancer, Endocrine
Surgery
Breast
Colorectal
Endocrine
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Directorate
Women’s Services
Service
Upper GI
Gynaecology, Fetal Medicine,
Obstetrics, Neonatology, Sexual Health Services
Freeman Hospital:
Northern Centre for Cancer Care, Freeman Hospital
The Freeman Hospital is to the east of the City Centre, with buildings predominately dating
from the 1980s. The Northern Centre for Cancer Care opened in 2009 and the new Institute
of Transplantation opened at the end of 2011.
Directorate
Cancer
Services
Clinical Haematology
Service
and Medical Oncology
Northern Centre for Cancer Care
Radiotherapy
Haematology and Adult Bone Marrow Transplantation
Cardiothoracic Services
Adult Cardiac Surgery
Adult Cardiology
Cardiothoracic Critical Care: Adult and Paediatric
Heart and Lung Transplantation
Paediatric Cardiology, Cardiac Surgery, Transplantation and
ECMO
Thoracic Surgery
Respiratory Medicine
ENT
Head and Neck Surgery
Rhinology
Otology
Face Plastics
Implants
Laryngology
Paediatrics, Paediatric Hearing Loss, Paediatric Airway Disease
Laboratory Services
Microbiology
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Directorate
Medicine
and
People’s Medicine
Musculoskeletal
Peri-Operative
Radiology
Renal
Surgery
Service
Older Gastroenterology
Hepatology
Older People’s Medicine
Elective Orthopaedics
Rheumatology
Anaesthesia
Critical Care
Operating Theatres
GU, Cancer, MSK, Lower GI, HPB, ENT, Cardiothoracic
Nephrology
Urology
Colorectal
Hepatobiliary
Transplantation - Renal, Liver, Pancreas
Vascular
Institute of Transplantation:
This new, purpose-built facility brings together all aspects of transplantation under one roof.
Designed with the ‘patient journey’ in mind from start to finish, seamless and high quality care
is provided at all points of contact. This means that wherever possible patients are offered a
‘one stop shop’ approach so that they can access all the services they need in one location.
It houses an impressive range of ultramodern facilities and technology including:
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4 ‘oversized’ high technology theatres allowing for more than one transplant operation
to take place at any one time.
22 bedded intensive care and high dependency facility designed to the very best of
international specifications.
30 bedded inpatient ward including 14 single en suite rooms.
Outpatient facilities and a state-of-the-art screening and imaging suite.
Research and development centre with associated lecture theatre and education
facilities enabling live links to transplant surgery.
All intensive care and high dependency patients at the Freeman Hospital are now housed in
the Institute, and heart and lung transplant patients are seen there in the Outpatient Suite.
Transplant TV is an online TV channel for medical professionals, patients, their families and
carers. It hosts films on a range of topics to share scientific and medical information, and
stories about transplantation. Based at the Freeman Hospital’s Institute of Transplantation,
the channel is run in partnership between Newcastle Hospitals, Newcastle University and Ten
Alps multimedia.
International Centre for Life:
The Northern Genetics Service and Newcastle Fertility Centre are based at the International
Centre for Life along with Newcastle University’s Institute of Genetic Medicine. Opened in
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2000 it has brought together clinicians, scientists, industry and members of the public onto
one site.
Directorate
Genetics
Women’s Services
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Service
Regional Genetics Service
Reproductive Medicine
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Faculty of Medical Sciences, Newcastle University:
The Faculty, one of three in the University, includes Biosciences, Dentistry, Medical Sciences
Education Development and Psychology, in addition to the traditional medical disciplines.
It has focused its core research activity at the basic science/clinical interface into Research
Institutes that contain internationally strong research in ageing, genetics, cancer, health and
society, biosciences, cellular medicine and neurosciences.
Newcastle University is in the top 1% of universities in the world for its teaching and research
(QS World University Rankings 2014). Amongst our peers, it is ranked 8th in the UK for
Medical and Life Sciences research quality (REF 2014)
The 2014 Research Excellence Framework (REF) - the system for assessing the quality of
research in UK Universities – concluded that:
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Newcastle’s Clinical Medicine is ranked 4th overall for research intensity, a reflection of
overall quality
Our Neuroscience, Psychiatry & Psychology overall research quality is ranked in the
top 10 in the UK and in the top 5 for research impact
Overall research quality of Newcastle’s Biological Sciences is ranked in the top 5 in the
UK and is the top university for its proportion of world leading publications (47%).
Across the whole of Newcastle’s Faculty of Medical Sciences, overall research quality
is ranked 8th among UK Medical Schools and top in England outside the “Golden
Triangle”
The Faculty has an excellent record in teaching, with Medicine coming top and 5 of the other
8 subject areas in its provision achieving higher than 90% satisfaction in the National Student
Survey.
Undergraduate teaching is organised in four ‘streams’ – medicine, dentistry, psychology and
biosciences, with a total undergraduate population of over 3000. Dentistry, Psychology and
Bioscience degrees are administered by the Schools of Dental Sciences, Psychology and
Biomedical Sciences respectively, while the undergraduate medical programme is
administered at Faculty level.
The Graduate School currently has over 800 postgraduate students registered for both taught
and research degrees.
The Faculty has benefited from a significant period of capital refurbishment, funded largely
through the Science Research Infrastructure Fund (SRIF) and University investment. In
addition, successful bids to Wellcome, the Department of Health and One North East (the
Regional Development Agency) have resulted in strategic capital developments at the
Campus for Ageing and Vitality.
The Faculty is also a key player in the development of Newcastle Science City. The
Newcastle Science City initiative (http://www.newcastlesciencecity.com/) aims to establish
North East England as one of the world’s premier locations for the integration of science,
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business and economic development, and to break down barriers between science and the
wider regional community for the benefit of all.
The project targets commercialisation of research in four key areas: Stem Cells and
Regenerative Medicine; Ageing and Health; Molecular Engineering; and Energy and the
Environment.
Together with the region’s largest mental health trust, Northumberland, Tyne and Wear NHS
Foundation Trust, the Trust and the Faculty have formed a strategic partnership – Newcastle
Academic Health Partners – which benefits from key synergies between the three
organisations, acting essentially as an Academic Health Science Allegiance. This is overseen
by an Executive which includes the Chief Executive, Medical Director, Chief Operating
Officer, R&D Director, Faculty Pro Vice Chancellor and Dean of Clinical Medicine. It is
responsible for the continuing development of the NIHR Biomedical Research Centre and has
a Joint Research Executive, Joint Business Executive and Joint Education Executive. There
is also a Joint Research Office and state-of-the-art Clinical Research Platforms. For further
information see http://www.nahp.org.uk.
“Newcastle has a long-standing, international reputation for delivering trail-blazing health
services, This wouldn’t be possible without the leading edge research carried out in
partnership with Newcastle University, and we very much see this formal partnership,
alongside new partners Northumberland, Tyne and Wear NHS Foundation Trust as a
springboard to cultivate even more pioneering research to benefit the people of the North
East and beyond.”
Sir Leonard Fenwick
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Foundation Trust Corporate Structure
Non-Executive Directors
Council of Governors
Chair
Corporate Affairs
Trust Secretariat
Chief Executive
BOARD OF DIRECTORS
HR
&
Training
Executive Directors
Operational Directorates
Nursing
&
Patient
Services
Medical
Business &
Development
Director
Operational
Services
Clinical
Policy
Group
13
Finance
Estates
&
Facilities
Clinical Directorates (17)
Clinical Directors
Directorate Managers
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
OUR VISION, GOALS AND VALUES
Our Vision
To be “the health service for Greater Newcastle and a leading national healthcare provider”.
Our Strategic Goals
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Putting patients first, providing care of the highest standard, focused on safety and
quality.
Working in partnership to deliver fully integrated care, and promoting healthy lifestyles
to the people of Newcastle
Being a nationally and internationally respected leader in Research and Development,
underpinning our pioneering services
Enhancing our reputation as one of the country’s top, first class teaching hospitals,
promoting a culture of excellence in all that we do.
Maintaining sound financial management to ensure the ongoing development and
success of our organisation.
Our Values
Putting patients at the heart of everything we do
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Patients come first
People and partnerships are important
Professionalism at all times
Pioneering services
Pride in what we do
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION C
ABOUT THE AREA
Newcastle upon Tyne is the city and regional capital for a population of c2.5 million people
across North East England.
Newcastle is a great city, once in the forefront of 19 th century industrial innovation and now at
the forefront of technical innovation, leisure and culture. It has a deserved reputation for
being one of the friendliest and liveliest cities in Europe. In recent years Newcastle has been
transformed into one of the most cosmopolitan cities in the country. You can see the
evidence everywhere from the restored buildings in Grainger Town to the regenerated
Quayside area. With 2,000 years of fascinating history, the city has fabulous classical
Georgian architecture in sweeping streets, wonderful restaurants and cafes, traditional pubs
and contemporary bars, along with live music and theatre.
National surveys often suggest that people in the north east enjoy a better quality of life than
anywhere else in England. The region has beautiful countryside, friendly people and a low
cost of living. Accommodation varies from central city and riverside, through suburban to the
urban periphery, stretching into the counties of Northumberland and Durham.
Newcastle lies on the East Coast Mainline rail service, with regular services through to
London. In addition the Metro light-rail service connects to stations throughout Tyne and
Wear. The A1(M) runs close by, with links to the national motorway network. Newcastle is
also well connected for air travel via Newcastle International Airport, and for sea travel to
Europe via the International Ferry Terminal.
Further information:
http://www.visitnortheastengland.com/
http://www.newcastle.gov.uk/
http://www.bbc.co.uk/news/england/tyne_and_wear/
http://www.itv.com/tynetees/
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION D
INTRODUCTION TO THE DIRECTORATE
Mission Statement
To continue to be a leading national centre for treatment, education and research into
disorders of vision.
We will provide our patients with:
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The best possible vision, and access to support services, so they can live life to
the full.
High quality, patient-centred care, close to home where possible.
Timely assessment and treatment with state of the art facilities.
Constant development of new services, and education of staff, to deliver up to
date care.
Innovation in clinical care, supported by high quality research, into disorders of
the eye and vision and their treatment
Efficient and cost-effective use of NHS resources
Introduction:
Newcastle Eye Centre is one of the largest Eye Departments in the UK, with over 250 staff in
total, including 23 consultant ophthalmologists. Over 100,000 outpatients are seen per year,
with a further 20,000 seen in the Eye Emergency Department. Over 11,000 day case and
inpatient surgical procedures are performed annually, around 8000 of which are cataract
operations. The department provides all major ophthalmology subspecialties.
NEC serves an extensive patient population within the North East of England, receiving
referrals not only from Newcastle itself, but also from Northumberland, North Tyneside,
Gateshead, South Tyneside, County Durham and beyond. Outreach clinics are delivered at
10 locations, and some specialist clinics are delivered in the CRESTA (Clinics for Research
and Service in Themed Assessments) facility on the Campus for Ageing and Vitality. NEC is
a tertiary referral centre for other hospitals throughout the Northern Region.
NEC occupies 3 floors of the Claremont Wing on the Royal Victoria Infirmary site.
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The ground floor houses a large Outpatient Department (including a separate Children’s Eye
Clinic and Orthoptic Department), Laser and Ultrasound Suite, Ophthalmic
Photography/Imaging Department, Eye Emergency Department, Optometry
Department (including Visual Fields, Contact Lens and Low Vision Clinics) and Eye Clinic
Liaison team.
The first floor has an in-patient ward and a separate day case ward with dedicated preassessment area. There is also a separate administration suite on this floor which would be
the post holder’s base.
The top floor the department holds a suite of five operating theatres, a Seminar Room and an
EyeSi cataract and retinal surgery simulator.
Paediatric ophthalmic surgery takes place in the theatres of the adjacent Great North
Children’s Hospital.
For further information please visit:
http://www.newcastle-hospitals.org.uk/services/ophthalmology.aspx
SUBSPECIALTY SERVICES:
Paediatric Ophthalmology
NEC delivers over 8000 paediatric outpatient consultations per year and over 600 surgical
procedures. Inpatient consultation is also provided for the Great North Children’s Hospital,
and for screening for Retinopathy of Prematurity within the GNCH and other local neonatal
units.
Community services are provided through primary vision screening of 4-5 year old
schoolchildren, and secondary screening of children with suspected squint (strabismus) and
other vision problems.
Outpatient services are provided in the Childrens Eye Clinic and Orthoptic Department in the
main Ophthalmology Outpatient Department. Children are seen in 5 dedicated consultant led
clinics per week, supported by orthoptists and optometrists, and in additional orthoptic led
screening and follow up clinics.
The workload is split between referrals from general practitioners and community vision
screening, and tertiary referrals from paediatricians and other ophthalmologists in the region.
Facilities are available for comprehensive diagnostic investigation of childhood visual
Impairment, including ocular electrodiagnosis and imaging. There are close working
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
relationships with paediatric neurology, the regional genetics service and other relevant
specialities in the GNCH.
Specialist clinics are run for Paediatric Glaucoma, Paediatric Uveitis, Visual Development and
Transition from paediatric to adult care. The Paediatric Uveitis Clinic is run jointly with the
Paediatric Rheumatology team, and the Visual Development clinic takes place in the Child
Development Centre at the GNCH jointly with the Developmental Paediatric team.
Day Case and In Patient facilities are provided through the GNCH, and Paediatric Ophthalmic
Surgery takes place in the paediatric operating theatres of the GNCH, supported by dedicated
paediatric staff.
Glaucoma
The Glaucoma service is run by a team consisting of 3 Consultants, a specialist glaucoma
optometrist, specialist registrars, nurse specialists, optometrists and Trust grade doctors. We
are a large unit with a variety of clinic types, some are consultant led, some optometrist or
nurse led, and some integrated. We have a well-equipped photography department providing
disc and anterior segment OCT for glaucoma patients, and the imaging is networked. UBM is
also available. Penetrating and non-penetrating glaucoma surgery is performed, and SLT and
cyclodiode laser is available.
Medical Retina
The Medical Retina service provides investigation and treatment for macular degeneration,
diabetic retinopathy, retino-vascular conditions, retinal genetic conditions and uveitis. The
service receives referrals from the region and further afield for second opinions and
investigation. Available imaging modalities include HRA, FFA and ICG, Zeiss FFA/colour,
OCT, OCT angiography, and wide field imaging with two Optos cameras. Imaging only
diabetic clinics are established and injection clinics in peripheral clinics with the use of mobile
OCT to allow expansion of the service with increasing treatment provision. The imaging is
networked with a web-based OIS system. Involvement in clinical trials is well established and
being further expanded with additional ophthalmic equipment being placed in the hospitals
purpose built clinical research facility. Other equipment includes two Pascal retinal lasers,
PDT laser, indirect laser, anterior segment OCT, anterior and posterior segment ultrasound
and a Retcam. The full range of electrodiagnostic tests are available including multifocal ERG
and there are close links with the Centre for Life, an internationally recognised centre for
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
genetics and stem cell research, which enables genetic testing where possible. Staffing
includes 5 medical retina consultants, one of whome leads on community diabetic screening;
2 medical ophthalmologists; an associate specialist; 4 fellows, an SPR and 4 Medical Retina
Nurse Specialists, along with excellent support from Medical physicists, a specialist
ophthalmic genetic nurse and qualified photographers.
We have close links with community diabetic retinal screening ensuring we are involved in
early detection and rapid and timely treatment of diabetic retinopathy.
The fellow posts are recognised for training by the Royal College of Ophthalmologists.
Optometrists and specialist nurses are also involved in the clinics. Teaching is provided for
trainee ophthalmologists, optometrists and medical students.
Vitreoretinal Surgery
The vitreoretinal (VR) surgery team consists of 2 consultant VR surgeons and a senior trainee
VR Surgeon (either an externally-recruited Fellow or a specialty registrar doing a Trainee
Selected Component), along with 2 specialty registrars doing a 6-month attachment. We
undertake all standard forms of VR surgery including retinal detachments (both external
explants and vitrectomy procedures), macular holes, epiretinal membranes, diabetic
vitrectomies and trauma. Results are audited on an ongoing basis; we have recently joined
the BEAVRS retinal detachment database to log our procedures and results and compare
with external benchmarks. The team accepts all cases presenting to the department who
need VR advice with or without surgery. The 2 consultants provide 1:2 cover during weekdays
and share a cooperative rota with a neighbouring eye unit for urgent cases presenting at
weekends. We have excellent vitrectomy equipment allowing us regularly to perform 23gauge transconjunctival vitrectomy, indirect viewing with the EIBOS system on the
microscope and an LED light source for optimum internal fibreoptic illumination.
Medical Ophthalmology (inc Uveitis)
The Eye Department was one of the first in the UK to offer comprehensive registrar training in
Medical Ophthalmology in 1997, and it remains one of only six centres in the UK to do so,
with dedicated clinics in all of its sub-specialties, including medical retina, uveitis, ophthalmic
genetics, neuro-ophthalmology, electrophysiology, and thyroid eye disease.
The Uveitis Service is run by Mr R Pandit and Dr W Innes, Consultant Medical
Ophthalmologists. It is a highly responsive service meeting the diagnostic and management
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
challenges often encountered in patients with sight-threatening uveitis. The service benefits
from excellent ocular imaging and electrophysiology facilities. Very strong links exist with
medical departments involved with the care of patients whose condition requires a multidisciplinary approach, including Infectious Diseases, Microbiology & Virology, Rheumatology,
Immunology, Neurology, and Respiratory Medicine. Conventional immunosuppressive
therapies are carried out “in-house”, and we benefit from excellent links with Rheumatology
for those patients requiring “biologic” immunomodulatory therapy. We have been successful
in attracting tertiary referrals from throughout the North East & Cumbria for the management
of patients with complex uveitis.
Neuro-Ophthalmology
The Neuro-ophthalmology service is one of the largest, busiest and longest-running in the UK
with 3 consultants and a Senior Lecturer. We are a tertiary referral service taking referrals and
seeing second opinions from all over the North of England. We run subspecialty clinics in
neuro-ophthalmology, neuro-motility, neuro-genetics and botulinum toxin treatment. We have
very close links with our colleagues in neurology, neurosurgery, endocrinology and
rheumatology with defined patient pathways for many of the common conditions we see.
Cornea and External Eye
The cornea and external eye disease service is provided by Professor F. C. Figueiredo and
Miss Z. K. Johnson. The full range of medical and surgical treatments is offered, including
DSAEK, DALK and INTACS. There is a dedicated dry eye assessment clinic, and close links
with rheumatology and oral medicine. Diagnostic equipment includes specular and confocal
microscopy and anterior segment OCT and UBM, as well as topography and Orbscan
machines In addition Prof Figueiredo is involved in research on ex vivo limbal and oral
mucosa stem cell grafts for reconstruction of the ocular surface.
Oculoplastics
The oculoplastic service is run by 4 consultants who all run specialist clinics at RVI including
multidisciplinary clinics where appropriate. Between them they split the subspecialty work
further with clinics in: Lacrimal (Mr Barnes and Mr Lau); Orbits (Mr Lau and Miss Clarke);
Sockets (Mr Barnes, Miss Clarke); Thyroid eye disease (Mr Lau and Miss Clarke plus
endocrinologists Prof Pearce and Dr Perros, and an endocrine Nurse Specialist) and
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THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Periocular tumours (Mr Barnes, Miss Clarke and Mr Narayanan plus Mohs’ surgeons Dr
Lawrence, Dr Oliphant and Dr Langtry).
Several of these subspecialties enjoy excellent national and international reputations for
patient management, teaching and research, and two members of the team are heavily
involved with the European Group on Graves Orbitopathy (EUGOGO). There is a dedicated
oculoplastics theatre and close surgical liaison with other disciplines within the trust as well as
with the ocularist service. Together with paediatric ophthalmological colleagues, this allows us
to offer management to all types of adnexal pathology with the exception of some complex
craniofacial conditions.
Training and research
The department is well-recognised nationally for surgical training. We have an Eye-Si cataract
surgical simulator and wet-lab which are used by trainees throughout the region.
Research is an integral part of our work within the Department and involves commercial and
non-commercial projects. The department is currently ranked first for LCRN recruitment in the
Region. Participation in research is encouraged among all grades of staff.
There are strong links with Newcastle University. For more information about our research
see:
http://www.newcastle-hospitals.org.uk/services/ophthalmology_research-development-andeducation_research-links.aspx
Medical Staff
The Consultant medical staff are:
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Paediatric/Motility:
Mr M Clarke (Clinical Director)
Mr A Connor
Mr A Shafiq
Cornea/External Disease:
Professor F Figueiredo,
Miss Z Johnson (Head of Department)
Emergency Eye Department:
Miss L Clarke (Lead for EED)
Mr A Connor
Miss V Manjunath
Mr K Narayanan
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Glaucoma:
Mr M Bearn
Miss Z Johnson
Miss A Nita
Medical Ophthalmology:
Mr R Pandit
Dr W Innes
Medical Retina:
Mr. A. Browning
Mr S J Talks
Mr R Gupta
Miss V Manjunath
Miss K Nenova (Locum)
Neuro Ophthalmology:
Miss M Dayan
Miss M Hrabovsky
Mr P Yu Wai Man (Senior Lecturer)
Oculoplastic/Orbital Surgery:
Mr E Barnes
Miss L Clarke
Mr G Lau
Mr K Narayanan
Surgical Retina:
Miss R Hillier
Miss T Ivanova
Mr K P Stannard
In addition there are:
o 12 ST3+ trainees, including a medical ophthalmology trainee
o 1 ST1/ACF, 1 ST2, 1 GPVT, 1 F2.
o 1 Associate Specialist, 3 Specialty doctors, 1 Trust doctor,
o 9 fellow posts
23
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION E
ROYAL VICTORIA INFIRMARY
OPHTHALMOLOGY
CLINICAL FELLOW IN PAEDIATRIC OPHTHALMOLOGY AND STRABISMUS (ST3+)
317-TD-17-052
One Clinical Fellow in Paediatric Ophthalmology is required for the Newcastle Eye Centre
commencing May 2017 for 12 months. The appointment is suitable for ophthalmologists who
are at, or near, the end of their periods of Higher Surgical Training and who wish to secure
further training and experience in paediatric ophthalmology and strabismus with a view to
practising at consultant level in this subspecialty. The post is approved by the Royal College
of Ophthalmologists for subspecialty training.
For an informal discussion and further information regarding the opportunity and Directorate,
please contact: Mr Michael Clarke, Mr Alan Connor or Mr Ayad Shafiq on 0191 282 5448,
or
at
Michael.Clarke@nuth.nhs.uk,
alan.connor@nuth.nhs.uk
or
ayad.shafiq@nuth.nhs.uk
For further information on how to apply, please refer to Section H ‘How to Apply – Guidance
for Applicants’, or alternatively contact: Suzanne Evans, Assistant HR Officer on 0191
2825465, or via email at Suzanne.Evans@nuth.nhs.uk. Please quote the post reference
number (above) in all correspondence.
Closing Date:
24
20 March 2017
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION F
Job Title:
Clinical Fellow in Paediatric Ophthalmology and Strabismus
(ST3+)
Directorate:
Ophthalmology
Hours:
40 hours per week
Post available from:
May 2017
Duration of Post:
12 months
Reporting to:
Mr M Clarke, Mr A Connor and Mr A Shafiq
Job Purpose:
The post is suitable for ophthalmologists who are at, or near, the end of their periods of
Higher Surgical Training, and who wish to secure further training and experience in paediatric
ophthalmology and strabismus with a view to practising at Consultant level in these subspecialities.
Duties and Responsibilities:
The postholder will provide support to the paediatric ophthalmology service, including
attendance at clinics, operating sessions and reviewing ward referrals.
Training will be provided in the following areas, at a level appropriate to competencies:








Strabismus (including some exposure to adult strabismus)
Paediatric Anterior Segment disease (particularly glaucoma and cataract)
Paediatric Uveitis
Paediatric Oculoplastic Disorders
Paediatric Neuroophthalmology
Genetic Disorders
Neurodevelopmental aspects of Visual Impairment in Children
Paediatric Retinal Disorders (particularly retinopathy of prematurity)
Paediatric clinics take place in a dedicated area, with nursing, optometry and orthoptic
support. Paediatric ophthalmic surgery takes place within the Children’s Operating Suite in
the adjacent Great North Children’s Hospital.
The postholder will be encouraged to undertake clinical research and audit projects.
25
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
A provisional weekly timetable of duties would be as follows:
Monday
Tuesday
Wednes
day
Thursday
Friday
AM
Paediatric
Clinic MC
Clinic
MC
Paediatric Clinic AC
Paediatric/Adult
Theatre MC/RSTA
PM
Paediatric
Theatre AS
Paediatric
Clinic AS 2,4
ROP
Screening
1,3
Paediatric
Theatre
MC
Post
Graduate
Teaching
Paediatric
Clinic AS
Ward Referrals
Clinic cover week 3
26
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION G
PERSON SPECIFICATION
Post:
Directorate:
Requirements
Education and
Qualifications
Clinical Fellow in Paediatric Ophthalmology and Strabismus (ST3+)
Ophthalmology
Essential
Primary Medical
Qualification.
Full GMC registration or
eligibility to obtain this
within 3 months (or within
6 months for non-EEA
applicants).
Full GMC registration or
eligible.
Independent cataract
surgeon.
3 years postgraduate
training in ophthalmology.
Competence in
vertical/oblique muscle
strabismus surgery.
Competence in adult
cataract surgery.
Good history &
examination skills.
Able to formulate a
working diagnosis.
Able to order appropriate
investigations.
Image interpretation
relevant to practice.
Knows when to
27
FRCOphth part 2.
Registered medical
degree.
Competence in horizontal
muscle strabismus
surgery.
Assessment
Application /
Interview
On GMC Specialist
Register.
Run through training in
Ophthalmology with
evidence of
satisfactory ARCPs.
Previous training in
paediatric
ophthalmology/strabismus
Clinical Skills and
Knowledge
Desirable
MD/PhD
Experience of
paediatric anterior
segment surgery.
Competence in adult
oculoplastic surgery.
Experience of
screening for ROP.
Application /
Interview
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Requirements
Essential
appropriately seek
assistance from a senior
colleague.
Desirable
Assessment
3 years postgraduate
training in ophthalmology.
Maintaining Clinical
Competence
Teaching
Clinical Governance,
Audit and Research
Communication,
Relationships and
Working with
Colleagues
Personal Attributes
Previous training in
paediatric
ophthalmology/strabismus
Written evidence of
satisfactory training to
date e.g. workplace
assessments.
Evidence of participation
in CME.
Experience of teaching
undergraduate medical
students & Foundation
Doctors.
Experience of audit
projects.
Ability to communicate
and liaise effectively with
patients and other people
within a team.
Application /
Interview
Completed audit cycle.
Ability to work as a team
with professional
colleagues in all
disciplines.
Alignment with the Trust’s Evidence of leadership
Core & Professional
skills.
Behaviours (as outlined on
page 14).
IT literate.
Flexible approach to
service delivery and
committed approach to
development.
A commitment to personal
/ unit CPD.
Time management skills.
Honesty, integrity,
28
Application /
Interview
Application /
Interview
Application /
Interview
Interview
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Requirements
29
Essential
awareness of ethical
dilemmas, respect for
confidentiality.
Desirable
Assessment
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION H
HOW TO APPLY - GUIDANCE FOR APPLICANTS
If you decide to apply for the post, these guidance notes will assist you in making your
application. It is important that you read the person specification carefully before you decide
to apply. We will assess your application against these criteria for short-listing.
This post is subject to the Rehabilitation of Offenders Act (Exemption Order) 1975 and, as
such, it will be necessary for a submission for Disclosure to be made to the Disclosure &
Barring Service to check for any previous criminal convictions.
To apply for the post you must submit an application via the NHS Jobs website
(www.nhs.uk/jobs - please search using the post reference number 317-TD-17-052)
or alternatively:

Submit a CV giving full details of qualifications, training and experience. This must
include a full employment history, and clarify any gaps in your employment history.

Submit a letter of application outlining how your experience to date matches the person
specification and post requirements, and quote current gross salary and the post
reference number.

Provide the names and addresses of three referees, including your two most recent
employers and covering at least 3 years’ previous employment (where
applicable). If you have overseas service of more than three months, please supply a
reference to cover that period. If you have been in full time education prior to applying
for the post, one reference must be from the relevant academic institution.
Please note, if you are successfully shortlisted for interview we will
automatically make contact with your referees to seek a reference unless you
advise us otherwise when you submit your application.

Complete and return the attached Monitoring Information Form (Form 1) and
Training and Registration Form (Form 2). If you submit your application using
the NHS Jobs online application form, please note, you must still complete and
return these documents.
Closing Date:
20 March 2017
Please return all documents to Suzanne.Evans@nuth.nhs.uk. Please call 0191 2824039 to
make alternative arrangements if you are unable to apply via email or online. Please ensure
that you quote the correct reference number on your letter of application.
We will acknowledge receipt of all emailed applications the next working day following receipt
of your application. If for any reason you do not hear from us within this timeframe, please
contact us on the above number to verify that your application has been successfully
received.
30
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Monitoring Information (Form 1)
The Trust recognises and actively promotes the benefits of a diverse workforce and is
committed to treating all employees with dignity and respect regardless of race, gender,
disability, age, sexual orientation, religion or belief. We welcome applications from all
sections of the community.
Please return your completed Forms 1 and 2 with your application.
 Male
Date of Birth
 Female
Age range
16-29 
30-44 
45-59 
60-64 
65+ 
Please indicate your marital status
 Single
 Legally Separated
 Married
 Divorced
 Civil Partnership
 Widowed
I would describe my ethnic origin as:
Asian or Asian British
Mixed
Other Ethnic Group
 Bangladeshi
 White & Asian
 Chinese
 Indian
 White & Black African
 Any other ethnic group
 Pakistani
 White & Black
 I do not wish to disclose this
 Any other Asian
Caribbean
background
 Any other mixed
Black or Black British
background
White
 African
 Caribbean
 British
 Any other Black
 Irish
background
 Any other White
background
Gender
Please select the option which best describes your sexuality
 Lesbian
 Gay
 Bisexual
 Heterosexual
 I do not wish to disclose this
Please indicate your religion or belief
 Atheism
 Jainism
 Hinduism
 Buddhism
 Sikhism
 Other
 Christianity
 Judaism
 I do not wish to disclose this
 Islam
 Yes
Do you consider yourself to have a
 No
disability?
 I do not wish to disclose this information
Please state the type of impairment which applies to you. People may experience more than one
type of impairment, in which case you may indicate more than one. If none of the categories apply,
please mark ‘other’.
 Physical Impairment
 Learning Disability/Difficulty
 Sensory Impairment
 Long-standing illness
 Mental Health Condition
 Other
Name:
Post ref. no.:
Signature:
Date:
31
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Training, Registration, and Advertising Information (Form 2)
APPLICANT NAME:
__________________________________
POST FOR WHICH APPLYING: __________________________________
GENERAL MEDICAL COUNCIL
GMC Membership number: _______________________
Have you ever been or are you currently subject to any fitness to practise proceedings
by an appropriate licensing or regulatory board in the UK or any other country?
YES / NO
Do you have any outstanding warnings or limitations on your practice?
YES / NO
If yes, please provide details.
ADVERTISING SOURCE
How did you first learn about this post?
Advert in British Medical Journal
British Medical Journal website
NHS Jobs website
Other __________________________
Word of Mouth
Universal Jobs Match Website
LinkedIn
Facebook
The information provided in my application is true and complete. I agree that any deliberate
omission, falsification or misinterpretation in my application will be grounds for rejecting this
application or subsequent dismissal if employed by the Trust.
Signed: ________________________________ Date: _______________________
N.B. If I return this form by email unsigned, in doing so, I am deemed to have accepted the above clause .
32
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION I
MAIN TERMS AND CONDITIONS OF SERVICE
Salary:
The current salary applicable to this post is £30,302 to
£47,647 per annum.*
In addition, a supplement will be paid for agreed hours of
duty within the working pattern as per HSC 2000/031
‘Modernising Pay and Contracts for Hospital Doctors and
Dentists in training’.*
*These are the current Terms & Conditions of Service,
which are subject to review and likely to change as a result
of national negotiations.
Holiday:
SHO equivalent posts – 5 weeks per annum plus 8 public
holidays and 2 statutory holidays or days in lieu thereof.
SpR equivalent posts - 6 weeks per annum plus 8 public
holidays and 2 statutory holidays or days in lieu thereof.
Part time staff and/or staff on fixed term contracts of less
than a year, will receive a pro rata entitlement.
Occupational Sick Pay:
No payment under the Trust’s contractual sick pay scheme
will be made to an employee new to the NHS or with a
break from the NHS of more than 12 months until they
have been continuously employed for a period of 26 weeks
or have successfully completed their probationary period.
Pension:
In accordance with the NHS Pension Scheme.
Professional Registration:
The Trust requires the successful candidate to have and
maintain registration with the General Medical Council.
Base:
Your principal place of work is the Royal Victoria Infirmary.
You may be required to work at any site within your
employing organisation, including new sites.
Notice Period:
3 months.
Probationary Period:
Employees new to the Trust will be subject to a six month
probationary period.
The Terms and Conditions of Service for Junior Doctors can be found at:
http://www.nhsemployers.org/~/media/Employers/Documents/Pay%20and%20reward/Terms_
and_Conditions_of_Service_NHS_Medical_and_Dental_Staff_300813_bt.pdf
33
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
SECTION J
STAFF BENEFITS
BENEFIT
Green Transport
Staff Social Club & Fitness
Centre.
(Any member of Trust staff are welcome
to join the Staff Social Club)
DESCRIPTION
The Trust has a Travel Plan
and is committed to reducing
the number of cars
accessing our hospitals and
improving sustainable
transport options to our
hospital sites. This includes
having negotiated corporate
discounts on annual travel
passes covering the full
range of public transport.
The Staff Fitness Centre,
also part of the Social Club,
based a Freeman Hospital,
has a full range of equipment
and all members of this
facility are entitled to two free
sessions with our personal
trainer.








FURTHER INFORMATION
Trust Travel Scheme
Bike2Work Scheme
Cycle Parking and Facilities
Pooled Bicycles
Car Sharing
Journey Planning
Inter-site Hopper Bus Service
Walking
The cost is £2.00 per month deducted
directly from your salary. This entitles
you to two free numbers in the SMILE
LOTTERY, which is drawn each month
with a top prize of £750.00. Members
also benefit from events and trips with
50% discount on tickets.
The cost of becoming a member of the
Fitness Centre is £12.00 per month.
You must attend an induction before
you can become a member of the
Fitness Centre these are held on the 1st
Tuesday of every month at 5.30pm.
Childcare Vouchers
The Trust operates a Child
Care Vouchers scheme,
which entitles you to savings
on your childcare costs. The
vouchers are now available
to staff paid by the Trust.
Information on Childcare
Support is available for staff
who are looking for
accessible, affordable and
good quality child care.
Support for Carers
34
For information on childminders,
nurseries, after school clubs, holiday
play schemes and nannies contact the
Trust Care Co-ordinator on 0191 282
0792 (Internal Ext. 20792).
A “carer” is someone who
To find out how the Trust can provide
provides unpaid care and
extra support, contact the Trust Care
support to relatives, partners, Co-ordinator on 0191 282 0792
friends and neighbours who
(Internal Ext. 20792).
cannot manage alone
because of illness, disability
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
BENEFIT
Discounts available in
Newcastle & Surrounding areas
Car Lease Scheme
35
DESCRIPTION
or frailty.
Discounts are available to all
NHS Trust Employees and
their families through the
new Medic Care Staff Benefit
Scheme.
Allows a member of staff to
lease a car of their choice at
an attractive price over a
three year period.
FURTHER INFORMATION
Further information and details of the
businesses offering discounts to NHS
Staff can be obtained from the
Improving Working Lives Office at the
RVI. Alternatively, visit the website
www.medicarenhs.co.uk.
To obtain your discount you must
present the Medicare Gold Discount
care which is obtainable from the
Trust’s Improving Working Lives Office,
tel. 0191 282 0792 (Internal Ext.
20792).
Further information from Improving
Working Lives office.
Under review.