Leeds Teaching Hospitals

Specialist Retina Practitioner (XR06)

Information:

This job is now closed

Job summary

The post is an integral part of the Ophthalmology MDT, responsible for specialised clinical skills and leadership competencies, promoting the effective and economical use of resources and contributing to budgetary balance. The post holder is responsible for his/her own actions without direct supervision and accountable for the actions of junior members of staff.

The post holder will have responsibility for the delivery of elements of the medical retina service, from initial assessment and investigation to treatment with intra-vitreal injection. As a specialised practitioner, the post holder will work with the team to deliver care, plan future service demand planning and will collaborate with patients, carers and colleagues. This post will involve an independent caseload.

The post holder will also work within the Macular Treatment Suite, with an independent case load. This role will involve either the clinical assessment of patients having intra-vitreal therapies or the provision of a range of intra-vitreal injections or both.

Main duties of the job

The post holder will be practising as a retina specialist practitioner within Ophthalmology, providing patient-centred and evidence-based clinical care, within an agreed scope of competence and practice. The role will encompass the skills of history taking, slit lamp examination, image acquisition and/or interpretation, diagnosis and treatment of intra-vitreal injections.

The post holder will work in partnership with the multi-disciplinary team (MDT) to implement and improve the patient pathway and will be expected to acquire new skills to further enhance the quality of the service delivered.

Additional roles will include the day to day liaison with other retina specialist practitioners and to help lead the rest of team of the team within the Macular Treatment Suite.

The successful candidate will work within the medical retinal service and support, co-ordinate and implement effective medical retina assessments and interventions. The role will encompass the skills of history taking, measurement of LogMAR visual acuity, slit lamp examination, ocular coherence tomography (OCT) imaging and interpretation, canulation for fluorescein angiography, and treatment with both intra-vitreal injection and photodynamic therapy. The successful candidate will work alongside the medical retina consultants and other members of the multi-disciplinary team (MDT).

About us

Leeds Teaching Hospitals NHS Trust is one of the largest acute health providers in the UK and based in one of the fastest growing and vibrant cities in the north.

The Ophthalmology service comprises of Ophthalmology outpatients departments, based at St. Jamess and Seacroft, Pre assessment and Ward J25, St. Jamess which is the Ophthalmology adult day case unit.

The Ophthalmology service is an extremely busy service which sees and treats approximately 120,000 patients per year for both planned and acute care.

You will need to be patient centred, compassionate and sensitive to the needs of patients who are sight impaired and to their carers and families. Many patients need a lot of reassurance and guidance therefore a calm, friendly, patient approach is essential. Excellent communication skills are also essential

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Details

Date posted

02 November 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

C9298-HAN-058

Job locations

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF


Job description

Job responsibilities

- Actively contribute to the provision of education and skills development of nurses, optometrists, and non-medical allied professionals.

- Support medical staff in the delivery of the intra-vitreal injection service through assessment and treatment of the patient..

- Increase capacity for fluorescein angiography and fast-track assessment of referrals from primary care.

- Increase treatment capacity by providing intra-vitreal injections.

- Utilise appropriate clinical skills when assessing patients after injection and being aware of the indications for paracentesis .

- Establish a 2 stop assessment service for AMD patients with stable disease and monitor the success of the service.

- Maintain a high standard of patient care in accordance with Leeds Teaching Hospitals Trust guidelines and policies.

- Act as a role model for the development of clinical skills and knowledge within the ophthalmic team.

- Work in partnership with Medical team, Matron, Sisters, Charge Nurses in the development of department/ward practice, reflecting LTHT strategic and workforce delivery plans.

- Set, monitor and seek to continuously improve standards and the quality of patient care, including those standards defined in the National Benchmarks for Essential Care.

- Analyse and synthesise information from a variety of sources and make recommendations for the clinical area.

- Develop effective networks for sharing information expertise, and good practice, both within and outside the Trust.

- Promote evidence based practice, wherever possible.

- Assist in the implementation of Trust wide nursing and midwifery policy and practice guidelines.

- Support the development and assist in the review of guidelines, write clinical competencies and work based learning packages for use in clinical areas.

- Provide high quality care as an expert practitioner and act as a role model and resource for advice, support and guidance.

- Acts in accordance with the Nursing and Midwifery/ Health Professions Council code of conduct.

- Ensure and promote the maintenance of a safe, clean and secure working environment.

- Support the Clinical Governance processes within ophthalmology. Supports service measures to ensure quality and standards of the fundamental aspects of care delivered and outcomes achieved.

- Work within The Royal College of Ophthalmologists guidelines for HCPs giving intra-vitreal injections.

- Participate in clinical /peer supervision and monitor personal outcomes of patient interventions.

- Participate in two stop assessment service for stable patients inclusive of investigation required to include extensive slit lamp skills and intra ocular measurement.

- Work in partnership with Medical team in the Fast track assessment service, supporting with Fundus fluorescein angiography and or Indocyanine green.

- Obtaining informed consent from patients prior to investigations/ treatment.

- Interface with Low vision aid service and Eye clinic liaison officer.

- Identification of and interpretation of Optical coherence tomographs.

- Regularly undertake clinical audit and participate in patient experience/ feedback.

Job description

Job responsibilities

- Actively contribute to the provision of education and skills development of nurses, optometrists, and non-medical allied professionals.

- Support medical staff in the delivery of the intra-vitreal injection service through assessment and treatment of the patient..

- Increase capacity for fluorescein angiography and fast-track assessment of referrals from primary care.

- Increase treatment capacity by providing intra-vitreal injections.

- Utilise appropriate clinical skills when assessing patients after injection and being aware of the indications for paracentesis .

- Establish a 2 stop assessment service for AMD patients with stable disease and monitor the success of the service.

- Maintain a high standard of patient care in accordance with Leeds Teaching Hospitals Trust guidelines and policies.

- Act as a role model for the development of clinical skills and knowledge within the ophthalmic team.

- Work in partnership with Medical team, Matron, Sisters, Charge Nurses in the development of department/ward practice, reflecting LTHT strategic and workforce delivery plans.

- Set, monitor and seek to continuously improve standards and the quality of patient care, including those standards defined in the National Benchmarks for Essential Care.

- Analyse and synthesise information from a variety of sources and make recommendations for the clinical area.

- Develop effective networks for sharing information expertise, and good practice, both within and outside the Trust.

- Promote evidence based practice, wherever possible.

- Assist in the implementation of Trust wide nursing and midwifery policy and practice guidelines.

- Support the development and assist in the review of guidelines, write clinical competencies and work based learning packages for use in clinical areas.

- Provide high quality care as an expert practitioner and act as a role model and resource for advice, support and guidance.

- Acts in accordance with the Nursing and Midwifery/ Health Professions Council code of conduct.

- Ensure and promote the maintenance of a safe, clean and secure working environment.

- Support the Clinical Governance processes within ophthalmology. Supports service measures to ensure quality and standards of the fundamental aspects of care delivered and outcomes achieved.

- Work within The Royal College of Ophthalmologists guidelines for HCPs giving intra-vitreal injections.

- Participate in clinical /peer supervision and monitor personal outcomes of patient interventions.

- Participate in two stop assessment service for stable patients inclusive of investigation required to include extensive slit lamp skills and intra ocular measurement.

- Work in partnership with Medical team in the Fast track assessment service, supporting with Fundus fluorescein angiography and or Indocyanine green.

- Obtaining informed consent from patients prior to investigations/ treatment.

- Interface with Low vision aid service and Eye clinic liaison officer.

- Identification of and interpretation of Optical coherence tomographs.

- Regularly undertake clinical audit and participate in patient experience/ feedback.

Person Specification

Experience

Essential

  • Experience in clinical speciality including ophthalmic theatres and/or intra-vitreal injections

Desirable

  • Indications for intra-vitreal injection, benefits and side-effects

Qualifications

Essential

  • Registered Nurse OR Registered ODP OR Registered Optometrist

Desirable

  • Recognised teaching/assessing qualification Masters degree

Skills & behaviours

Essential

  • Excellent written and verbal skills, Ability to organise and prioritise own workload

Desirable

  • Intravenous cannulation skills Minor operations or procedures, Understanding of OCT imaging and interpretation
Person Specification

Experience

Essential

  • Experience in clinical speciality including ophthalmic theatres and/or intra-vitreal injections

Desirable

  • Indications for intra-vitreal injection, benefits and side-effects

Qualifications

Essential

  • Registered Nurse OR Registered ODP OR Registered Optometrist

Desirable

  • Recognised teaching/assessing qualification Masters degree

Skills & behaviours

Essential

  • Excellent written and verbal skills, Ability to organise and prioritise own workload

Desirable

  • Intravenous cannulation skills Minor operations or procedures, Understanding of OCT imaging and interpretation

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF


Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF


Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Matron

Mariano Ponte

mariano.ponte1@nhs.net

Details

Date posted

02 November 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

C9298-HAN-058

Job locations

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF


Supporting documents

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