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SUBSTANTIVE CONSULTANT OPHTHALMOLOGISTWith special interest inGLAUCOMA(ORP)10 Programmed Activities – Full timeINFORMATION PACK AND JOB DESCRIPTIONOctober 2020Background
King’s College Hospital NHS Foundation Trust2013 was a momentous and historical year for King’s College Hospital NHS Foundation Trust. Wecelebrated our centenary serving the community from our Camberwell site. On 1st October 2013,the enlarged organisation acquired the Princess Royal University Hospital, Orpington Hospital andassociated services from South London Healthcare Trust.Our enlarged Trust will be located on multiple sites serving the economically diverse boroughs ofSouthwark, Lambeth and Bromley and Bexley. As both a major employer with over 10,500 staff weplay an important part in helping reduce local, social and health inequalities. The Trust will providea broad range of secondary services, including specialist emergency medicine (e.g. trauma,cardiac and stroke). It also provides a number of leading edge tertiary services, such as livertransplantation, neurosciences, haemato-oncology, foetal medicine, cardiology and cardiacsurgery, on a regional and national basis.King’s College Hospital NHS Foundation Trust has an enviable track record in research anddevelopment and service innovation. In partnership with King’s College London the Trust hasrecently been awarded a National Research Centre in Patient Safety and Service Quality. It is alsoa partner in two National Institute for Health Research biomedical research centres. The first is aComprehensive centre with King’s College London and Guy’s and St Thomas’ NHS FoundationTrust and the second is a Specialist centre with the South London and Maudsley NHS FoundationTrust and the Institute of Psychiatry. King’s College Hospital NHS Foundation Trust has alsorecently strengthened its research and development infrastructure in order better to support clinicalresearchers across the organisation.Further information about King’s College Hospital NHS Foundation Trust can be found on itswebsite, www.kch.nhs.uk.The enlarged Trust will have an annual income of around 800m, around half of which is derivedfrom Clinical Commissioning Groups. However, education and research are also important sourcesof income, currently contributing around 8% of the total. The Trust is embarking on a strategy toachieve greater diversification of its income, with growth anticipated in tertiary referrals, researchand commercial services activities. There is also a developing fund raising partnership withinKing’s Health Partners.King’s College Hospital NHS Foundation Trust offers a family friendly working approach for all staffto ensure a good work-life balance. It is an environment where family life is promoted and this willbe a feature of your annual appraisal. The Trust provides childcare advice and nursery facilities inconjunction with a supportive mentoring and career planning programme. Applications for jobsharing are welcome.King’s Health Partners Academic Health Science Centre (AHSC)King’s Health Partners is a pioneering collaboration between King’s College London, Guy’s and StThomas’, King’s College Hospital and South London and Maudsley NHS Foundation Trusts. Thisunique combination brings together one of the world’s leading research-led universities and threeof London’s most successful NHS Foundation Trusts.The driving purpose behind King’s Health Partners is to continually seek and bring about swifterand more effective improvements in health and well-being for patients and people everywhere, bycombining the best of basic and translational research, clinical excellence and world-class teachingto deliver ground-breaking advances in physical and mental healthcare.King’s Health Partners (KHP) is one of only five Academic Health Science Centres in the UKaccredited by the Department of Health. This followed a selection process carried out by a panel ofinternationally renowned clinicians and researchers. Further information on KHP can be found onits website www.kingshealthpartners.orgDEPARTMENT DESCRIPTION1Version Date – October 2020
1.INTRODUCTIONWith the acquisition of the ophthalmology services of the former South London Healthcare Trustthe ophthalmology department of King’s College Hospital has become one of the largest in thecountry, serving the populations of Lambeth, Southwark, Lewisham, Greenwich, Bexley, Bromleyand North and West Kent.The service is delivered from 3 main sites (Kings College Hospital, Denmark Hill, OrpingtonHospital and Queen Mary’s Hospital, Sidcup) and 2 satellite sites (Lewisham University Hospital)Last year the service as a whole saw over 160,000 outpatients and performed around 8,600operations.2.SPECIFIC AREASKings College HospitalThe department centred at King’s College Hospital provides outpatient, day case and inpatientsurgery and emergency care on the Denmark Hill site and outpatient services at LewishamUniversity Hospital.There are 13 Consultant Ophthalmologists who cover all the major subspecialty areas inophthalmology (cornea, glaucoma, oculoplastics, uveitis, cataract, neuro-ophthalmology, medicaland surgical retina, motility and paediatric ophthalmology).There is a full complement of supporting medical and non-medical staff including 3 AssociateSpecialist, 9 Clinical Fellows, 7 Specialty Trainees, orthoptists, specialist ophthalmic nurses,ophthalmic technicians and photographers and optometrists who provide LVA and CL services.The Ophthalmology Department is situated on the top two floors of the Normanby Building, withinthe King’s College Hospital campus. There is a separate well-equipped and purpose designed eyetheatre in the Day Surgery Unit and over 99% of all ophthalmic procedures are carried out as daycases.Last year the service dealt with 54,000 routine and emergency outpatients and 3,200 surgicalprocedures.Queen Mary’s, SidcupThe department based at Queen Mary’s Hospital has the services of 10 Consultants, 2 AssociateSpecialists, 8 Specialty Doctors, 1 Clinical Assistant and 3 Specialty Trainees. All the majorsubspecialties in ophthalmology are provided, including oculoplastics, cornea and external eyedisease, glaucoma, uveitis, cataract, medical retina, vitreo-retinal surgery, ocular motility andpaediatric ophthalmology.Outpatient clinics are held at Queen Mary’s and also, 3 days a week, at Queen Elizabeth. Theseare complemented by orthoptic, refraction, contact lens, low vision and photography services. Theoutpatient departments are well equipped and include facilities for laser, lucentis and minoroperation clinics. Last year the service dealt with 73,000 routine and emergency outpatients and2,900 surgical procedures.A Rapid Access Unit on the Queen Mary’s site is staffed by Associate Specialists, SpecialtyDoctors and Trainees and is supported by the Consultant on-call. It deals with patients that arereferred from the local A&E and Urgent Care departments and GPs and optometrists.Day case surgery is carried out in a purpose built Day Care Unit that is well equipped with Zeissoperating microscopes, Alcon Infinity phacoemulsification and vitrectomy machines, diode laser.Orpington HospitalWithin the Orpington Hospital, the West Kent Eye Centre is a purpose-built ophthalmologydepartment staffed by 4 Consultants, 5 Associate Specialists, 2 Clinical Assistants and 3 Specialty2Version Date – October 2020
Trainees. The department is freshly built for Dec 2020 after a move from Princess Royal UniversityHospital.A range of ophthalmic services is provided including primary care, cataract, glaucoma, medicalretina, cornea, Last year the service dealt with 33,000 routine outpatients and 2,500 surgicalproceduresDay case surgery is carried out in a purpose built Day Care Unit at the Princess Royal UniversityHospital equipped with Zeiss operating microscopes and Alcon Infinity phacoemulsificationmachines.3.CLINICAL ORGANISATIONThe budgetary and management structure of King’s is divided into Divisions which have undergonea recent reorganisation. Ophthalmology is now part of the newly formed Planned Care Division andsits in a Directorate with Planned Surgery but with its own Clinical Director and Clinical Leadsbased at each of the 3 main sites.With the formation of King’s Health Partners as an Academic Health Sciences CentreOphthalmology sits in a Clinical Academic Group (CAG) to promote the development of standardsof excellence within clinical medicine, education and academia. This CAG is made up of DiabetesEndocrinology, Nutrition, Obesity and Vision collectively known as DENOVaRs which develops anddeliver strategy in these areas across the trusts.4.TEACHING AND TRAININGMedical student teachingKing’s College Hospital NHS Foundation Trust, as a major teaching hospital, works in partnershipwith King’s College London to provide the highest possible quality of medical education. Themutual interest of the Trust and School in quality medical education is supported by the SIFTcontract.All consultants are expected to be committed to teaching and to play their part in the delivery of theundergraduate curriculum. These activities would include the planning and review of teaching, andthe assessment of students which could, where properly structured, be undertaken simultaneouslywith service delivery commitments, including ward rounds and outpatient clinics.Of necessity, the requirements of the medical curriculum change over time and it is not alwayspossible to identify specific teaching commitments in job plans – when this is the case the generalrequirement for teaching time should be made clear.The need for flexibility is acknowledged by the Trust and, for example, within a service departmentit is possible that the overall teaching commitment to be unevenly allocated between staff toachieve optimal teaching and service quality.The appointed physician will participate in teaching medical students, post-graduate doctors andother groups at King's College Hospital and King’s College London (KCL) School of Medicine.Post graduate teaching and trainingThe Trust has over 400 training posts in virtually all specialties. The post holder will be expected toparticipate in teaching and training postgraduate doctors, which in addition to direct clinicalsupervision is likely to include acting as an ‘educational supervisor’ to one or more individuals,providing them with regular appraisal and support. Consultants that undertake educationalsupervision will be provided with appropriate training in accordance with national requirements andaccredited by the Director of Medical Education.The ophthalmology department is involved in training as part of the London rotation and currentlytrains 12 Specialty Trainees and 2 TSC Fellows.3Version Date – October 2020
The Denmark Hill site hosts a weekly departmental meeting comprising didactic teaching sessions,consultation clinics, audit sessions and journal clubs which are open to all King’s ophthalmologystaff. Additional teaching activities are held locally at the other sites.Every 3 months a regional ophthalmology meeting is held at King’s, St Thomas’ or another hospitalin the South East Region.5.RESEARCH AND DEVELOPMENTInvolvement in high quality research is strongly encouraged at King’s NHSFT, as this supports boththe delivery of high quality clinical care, and our role as a partner in a major Academic HealthSciences Centre.Support for ResearchAn important component of the Trust’s R&D strategy is to strengthen the support available toResearchers, to make it as easy as possible to participate in, and to lead, clinical research.Each Division has some local research infrastructure, including a nominated R&D Lead, and anR&D Facilitator linked to the central R&D Office. The Trust’s philosophy is to devolve researchfunding where possible, allowing most Divisions also employ research co-ordinators and researchnurses, who support one or more active researchers within the clinical specialties. This includesdevolving the Trust’s allocation of NHS service support funding (CLRN) in proportion to patientrecruitment into CLRN adopted studies, for use in supporting CLRN activity. Divisions areencouraged to maintain a balanced portfolio of research activity, including CLRN studies,commercial studies and health services research.Assistance for PIs is also provided in research design (through the Research Design Service,based at Guys Hospital), the statistics service (statistical support is available on the Denmark HillCampus 3 days a week supported by KCH R&D) and financial support for costing researchproposals and grant applications (R&D finance). Commercial trials are costed by the KHP ClinicalTrials Office and this office also provides CRAs to audit all non-commercial CTiMP studies. GCPtraining is supported by the KHP CTO. Multi-disciplinary involvement in the research process isstrongly encouraged.Research and Job PlanningThe undertaking of research within a job plan should be discussed during appraisal and as part ofjob planning activities. All staff should be aware of the research being undertaken within theirDivision and in the Trust, and actively support recruitment into relevant open studies, whether ornot they have a primary research component to their Job Plan. All individuals undertaking researchare expected to have a good working knowledge of Research Governance standards, and arerequired to undertake GCP training.Governance of ResearchAll R&D projects are registered with the Trust’s R&D office, which manages and co-ordinates theR&D approvals process. This ensures that all projects meet the prevailing standards of researchquality, and are in receipt of appropriate ethical approval and local agreements, prior to R&Dgovernance approval being issued.Each Division is required to convene a local Research meeting, where feasibility is discussed andpeer review co-ordinated. This function will ultimately be taken on by Clinical Academic Groupswithin King’s Health Partners (rather than the Trust’s Divisions), as these become establishedacross KHP.6.4DEPARTMENTAL STAFFING AND SPECIFIC EQUIPMENTVersion Date – October 2020
The ophthalmology services on all sites are well supported by dedicated nurses, technicians,orthoptists, and optometrists. Equipment on all sites includes Haag-Streit slit lamps, Humphreyvisual field analysers, Spectralis OCT, corneal topographers, anterior and posterior segmentphotography, A and B scans and Zeiss IOL Masters. The day surgery theatres are well equippedwith excellent microscopes and modern phacoemulsification and vitrectomy machines. Medisoft isin use on all 3 main sites.7.CLINICAL GOVERNANCEThe post holder will be expected to contribute to and participate in the Department’s ongoingclinical audit programme, and will carry out all necessary administrative duties associated with thecare of their patients. The post-holder holder also has a general duty of care for the health, safetyand well-being of work colleagues, visitors and patients within the hospital, in addition to anyspecific risk management or clinical governance accountabilities associated with this post.8.STUDY AND ANNUAL LEAVEThe post holder will be expected to comply with the CME requirements of the relevant RoyalCollege. Study leave may be requested in accordance with the Trust’s Policy for ContinuingMedical Education.Annual leave may be taken in accordance with the Trust’s Guidelines onLeave Arrangements for Medical and Dental Staff. To ensure the smooth running of the servicethe post-holder will ensure that, in conjunction with colleagues, adequate arrangements are madeto cover planned absences.9.TERMS AND CONDITIONSThe post is covered by the current Terms and Conditions - Consultants (England) 2003, the Termsand Conditions of Service of NHS Medical and Dental Staff (England) 2002 and Trust Policies andProcedures where relevant. Appointment is conditional upon a satisfactory medical assessment,which may include an examination.5Version Date – October 2020
SUBSTANTIVE CONSULTANT OPHTHALMOLOGISTwith special interest inMEDICAL RETINAFull TimeJOB DESCRIPTION AND OUTLINE JOB PLANSGENERALWe wish to appoint a full time, clinical Consultant Ophthalmologist at King’s College Hospital basedat Orpington Hospital, Orpington. The post holder will work within the multi–disciplinary teamsproviding and further developing elective and emergency care for ophthalmology patients withinthe general and subspecialty services, focusing on the provision and development of the glaucomaservice to King’s patients.Currently at Queen Mary’s Hospital there are 2 Consultants who subspecialise in glaucoma whoare supported by several Specialty Doctors and AHPs. There is an optometrist deliveredcommunity-based service for patients with stable OHT and glaucoma and a virtual clinic forpatients with stable disease is being rolled out. The department is equipped with two HeidelbergSpectralis OCT machines, a combined SLT/YAG laser and five Humphrey visual field analyserslinked to the ophthalmic electronic patient record. The department uses electronic patient recordscentered around Medisoft. A full range of glaucoma surgery is performed in the service includingtube surgery, augmented trabeculectomy, non-penetrating viscocanalostomy, Xen implants,endoscopic and external cyclophotocoagulation.At King’s College Hospital there are 2 glaucoma Consultants who provide specialist glaucomaservices at Denmark Hill and University Hospital Lewisham and undertake filtration, aqueous shuntand glaucoma revision procedures at Denmark Hill. There is a TSC and a post-CCT fellow whoundertake sub-specialist training in glaucoma. There is an established AHP-run glaucomascreening and monitoring service overseen by the Consultants and a virtual review service forstable patients is being set up. The glaucoma service is run on an electronic patient record. At theQueen Mary’s Hospital there is a further two glaucoma Consultant who provides specialisedglaucoma services on that site supported by Associate specialists and the nurse and AHP teams.The main remit of this post is to provide specialist Consultant leadership, expertise and support toKing’s glaucoma services provided at Orpington Hospital. The post holder will develop and provideoutpatient and surgical services for glaucoma patients from the complex to the routine. There willbe a major commitment to the new community based glaucoma monitoring service withinvolvement in development, training, supervision and virtual case review.The post holder will contribute to the strategic development of the glaucoma service across allKing’s sites in collaboration with the other King’s glaucoma specialists with regular meetings of across-site subspecialty glaucoma group to facilitate this.There will be a commitment to teaching and training junior staff and relevant AHPs. As King’s is amember of an Academic Health Sciences Centre there will be opportunity for conducting research.PURPOSE OF JOBThe post will be based at Orpington Hospital, a proposed Job Plan is attached which may be opento modification. There will be an average of 8.5 Programmed Activities of Direct Clinical Care, withthe remainder being allocated for Supporting Professional and other Activities. There will beparticipation in the on-call rota (classed as Category B) at Queen Mary’s on a 1 in 13 basis withprospective cover. This involves being present in the hospital at the weekends to support the 1ston-call trainee. An operating list or outpatient clinic will be undertaken on a further 3 weekendsduring the year.6Version Date – October 2020
As a senior employee of the Trust you will work in close co-operation with, and support otherclinical, medical professional and managerial colleagues in providing high quality healthcare to theTrust’s patients. Integral to these responsibilities is the following: The provision of a first class clinical serviceEffective leadership to all staff engaged in the specialtySustaining and developing teaching and research in conjunction with King’s College LondonUndertaking all work in accordance with the Trust’s procedures and operating policiesConducting clinical practice in accordance with contractual requirements and within the parametersof the Trust’s service plansMaintaining the confidence of business plans and development strategies formulated for thespecialty, the Division or the TrustKEY DUTIES AND RESPONSIBILITIES1.Together with the other Ophthalmologists, to provide a service for Ophthalmology patientsacross King’s sites. This includes all aspects of treatment and relevant management dutiesfor the proper functioning of the department.2.Shared responsibility with the other Consultants for providing 24 hour, 7 day a week cover forthe Unit on a rota basis. Responsible also for covering colleague periods of annual leaveand short-term sickness.3. Clinical supervision of junior medical staff as a shared responsibility with other consultantcolleagues.4. Responsible for carrying out teaching, examination and accreditation duties as required andcontributing to Continuing Medical Education and clinical governance initiatives.5.Responsible for out-patient clinic commitments in peripheral hospitals as agreed by theDivisional management team.6.To contribute to departmental research interests in accordance with the Trust’s R&Dframework.7. To contribute to the Audit Programme.8. To take an active role in the formulation, implementation and monitoring of the Care Group’sBusiness Plan. This may include assisting with discussions regarding service plans anddevelopments with both internal and external agencies.9.To conduct all activities within the contracted level of service and operating plan forOphthalmology services.10. To exercise professional leadership for all staff working in the specialty. This will includefostering and developing projects focused towards these ends and ensuring that themomentum of post qualification professional education and other appropriate training ismaintained.11. To work in conjunction with clinical and professional colleagues to ensure that theproductivity of staff within the specialty is maintained and their job satisfaction is enhanced.This may include involvement in the appraisal process for junior colleagues.12. To undertake Care Group management duties as agreed with the Clinical Director.7Version Date – October 2020
13. To be aware of, and comply with, all Trust infection prevention and control policies, to includehand hygiene, personal hygiene, environmental and food hygiene. To undertake annualtraining/updates in infection prevention and control.14. To be accountable for implementation of the Code of Practice within own department/area ofresponsibility.15. To prepare for and undertake the protective interventions that you are responsible for in amanner that is consistent with evidence based practice and maintaining patient safety.16. You have a general duty of care for the health, safety and well-being of yourself, workcolleagues, visitors and patients within the hospital in addition to any specific riskmanagement or clinical governance accountabilities associated with this post.17. You are required to observe the rules, policies, procedures and standards of King’s CollegeHospital NHS Foundation Trust together with all relevant statutory and professionalobligations.18. You are required to observe and maintain strict confidentiality of personal information relatingto patients and staff.19. You are required to be responsible, with management support, for your own personaldevelopment and to actively contribute to the development of colleagues.20. The post holder has an important responsibility for and contribution to make to infectioncontrol and must be familiar with the infection control and hygiene requirements of this role.These requirements are set out in the National Code of Practice on Infection Control and inlocal policies and procedures which will be made clear during your induction and subsequentrefresher training. These standards must be strictly complied with at all times.21.All employees must hold an 'nhs.net' email account which will be the Trust's formal route foremail communication. You are therefore required to check this regularly and to deal withsuch communication promptly.22.This job description is intended as a guide to the general scope of duties and is not intendedto be definitive or restrictive. It is expected that some of the duties will change over time andthis description will be subject to review in consultation with the post holders.THE ABOVE REPRESENTS AN OUTLINE OF THE DUTIES OF THE POST AND WILL, TOGETHER WITH THE JOBPLAN, BE REVIEWED ON AN ANNUAL BASIS IN ACCORDANCE WITH THE TRUST’S PERFORMANCE REVIEWSCHEME FOR CONSULTANTS8Version Date – October 2020
PERSON gisterable medical qualification2.Higher QualificationsFRCOphth or MRCOphth equivalent3.RegistrationFull Registration with GMC andDESIRABLEOther higher degree or diploma(e.g., MS, MDor PhD)Name on Specialist Register4.Training andExperienceWide experience in all aspects ofOphthalmologyAdvanced subspecialty training in allaspects of glaucomaExperience in glaucoma drainageimplant and revision surgeryCompetence in performing complexcataract surgery5.AdministrationExperience in day to day organisationof Ophthalmic services in a busyhospitalFamiliar with current structure ofHealth Service and conversant withrecent initiatives and changes6.Management andLeadershipAble to demonstrate leadershipcapability within multi-disciplinaryteams7.AuditThorough understanding of principlesof medical audit. Must haveundertaken and completed auditprojects.8.Research andPublicationsRelevant research experience in oneor more aspects of Ophthalmology.Publication of relevant papers, reviewarticles and case reports9Version Date – October 2020Management course and/orqualification
9.Personal SkillsEffective communicator, able to workin a close-knit team and co-operatewith all medical and paramedical staffFamiliarity with information technologyand general computer skills10.Personal attributesProfessional attitude towards work,reliability, good record of attendanceand tidy personal appearance11.Kings ValuesAble to demonstrate an understandingof Kings ValuesCommitment to uphold Kings Values12.Teaching10Experience of undergraduate andpost-graduate teaching and exampreparation.Version Date – October 2020Teaching skillscourse/qualification
Contact for further informationMr Mohammed Abu-BakraMr Mani ThiaragarajanConsultant Ophthalmologist and QMSGlaucoma ConsultantConsultant Ophthalmologist and Clinical LeadQueen Marys HospitalFrognal Avenue,SidcupOrpington HospitalSevenoaks RoadOrpingtonBR6 9JUKent DA14 6LTTel : 01689865684Tel: 020 83083033Email : manickam.thiagarajan@nhs.netEmail: m.abu-bakra@nhs.netMr Eoin O’SullivanMiss Claire WilsonClinical directorGeneral ManagerOphthalmologyOphthalmologyKings College HospitalQueen Marys HospitalDenmark HillFrognal AvenueBrixtonSidcupLondon SE5 9RSKent DA14 6LTEmail: eoin.o'sullivan@nhs.netTel : 0208 308 3075Email : daniellemoore2@nhs.net11Version Date – October 2020
CONSULTANT JOB PLAN (2003 Contract)NAME:SPECIALTY:COMMENCEMENT DATE OF JOB PLAN:REVIEW DATE:2.WEEKLY TIMETABLE OF COMMITMENTS (including Trust and non-Trust activitycarried out off-site, and commitments relating to private work)DayTime(From – To)Hospital/LocationType of WorkClassificationof ActivityAverageDuration(hours)No. ofPAsMonday am08.30 -12.30OrpingtonAdminSPA4.01.0Monday pm13.00-17.30PRUHTheatre ListDCC4.51.125Tuesday am08.30-12.3012.30-13.30OrpingtonOrpingtonGlaucoma ClinicLocal TeachingDCCSPA4.0011.000.25Tuesday pm13.30-17.3017.30-18.05OrpingtonOrpingtonGlaucoma ClinicAdminDCCDCC40.5810.145Wednesday am08:30-12:30OrpingtonGlaucoma ClinicDCC4.01.0Wednesday pm13:30-17:30PRUHTheatre ListDCC4.51.125Thursday am09.00-13.00OrpingtonGlaucoma ClinicDCC4.01.0Thursday pmOFFOFFOFFOFFOFFOFFFriday 00Orpington/QMSVirtual ClinicCG/AppraisalGlaucoma SubspecialtyGroup Meeting every 6weeksDepartment meetingevery 8 weeksSPA0.0250.062514.00-16.00QMS/DHCPD / Teaching / AuditSPA2.000.5SaturdaySundayFlexible out ofhours work09.00 – 15.0009.00 – 15.0015 hoursannualisedQMS/DHQMS/DHQMSResident on-call 1 in 13Resident on-call 1 in 133 weekend additionallists or clinics per Emergency OnCall workVariableOn-site, at home,on telephone,travelling to/fromsiteDCC0.50.125Friday pmTOTAL PAs121 in 13 rota10.00Version Date – October 2020
*All new Trust job plans are based on a split of 1.5 SPA to 8.5 DCC. The expectation is that thisallocation will be reviewed after the first year during job planning with an alteration in the split ifadditional and appropriate SPA activity is being undertaken3.ACTIVITY SUMMARYACTIVITY CLASSIFICATIONJOB PLANPAs x 4 HRSNo. of PAsNo. of udit0.81253.25Dept/Specialty Meetings0.1250.5Comm Development0.251.010.0040DIRECT CLINICAL CARE(including unpredictable On- Call)SUPPORTINGPROFESSIONAL ACTIVITIESOTHER NHS RESPONSIBILITIESEXTERNAL DUTIESTOTALS4.ON-CALL AVAILABILITY SUPPLEMENT1 in 13Agreed On-Call Rota (eg. 1 in 5) :Agreed Category (indicate A or B) :BOn-Call Supplement % (eg. 5% - see chart below) 1%Frequency of rota commitmentHigh Frequency: 1 in 1 to 1 in 4Medium Frequency: 1 in 5 to 1 in 8Low Frequency: 1 in 9 or less frequent5.1234513Value of supplement as a percentageof full-time basic salaryCategory ACategory B8%3%5%2%3%1%ADDITIONAL PROGRAMMED ACTIVITIESAre you undertaking private medical practice as defined in the termsof servicesIf YES, are you already working an additional Programmed Activityabove your main commitment?If NO, has the Trust offered you an additional Programmed Activitythis year?If YES, has this been taken u
SUBSTANTIVE CONSULTANT OPHTHALMOLOGIST . 10 Programmed Activities - Full time INFORMATION PACK AND JOB DESCRIPTION October 2020 Background. 1 Version Date - October 2020 King's College Hospital NHS Foundation Trust . possible to identify specific teaching commitments in job plans - when this is the case the general
