# Locum Specialist Doctor in ED **Company**: Imperial College Healthcare NHS Trust **Location**: London **Work arrangement**: onsite **Experience**: senior **Job type**: temporary **Salary**: Negotiable **Category**: Healthcare **Industry**: Healthcare **Apply**: https://www.jobs.nhs.uk/candidate/jobadvert/C9290-26-1322?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply **Canonical**: https://yubhub.co/job/locum-specialist-doctor-in-ed-31dcac2b-397/ ## Description Imperial College Healthcare NHS Trust is seeking an experienced Specialty Doctor to join its Eye Emergency Department, based primarily at the Western Eye Hospital. The successful applicant will support the delivery of a busy emergency ophthalmology service, providing senior assessment, rapid treatment, emergency procedures and safe patient flow for adults and children. This is a predominantly clinical service post requiring substantial prior ophthalmic emergency experience, independent decision-making and documented competence in a defined range of emergency surgical and laser procedures. The post-holder will undertake senior Eye Emergency Department sessions and participate in the senior ophthalmology rota within agreed clinical governance and escalation arrangements. They will be required to lead and manage flow through the ED effectively to support the delivery of our 4 hour standards and maintain safe and effective patient care. The post is appointed at the Specialty Doctor grade. It is not a consultant appointment and does not require entry on the GMC Specialist Register, post CCT is desirable. This role is a new addition to the Emergency Department and a fixed term contract of 1 year has been agreed. **Main duties of the job** - Independently assess, prioritise and manage acute presentations including ocular trauma, red eye, painful visual loss, sudden visual disturbance, corneal infection, retinal and neuro-ophthalmic emergencies, raised intraocular pressure, uveitis and post-operative complications. - Lead senior clinical reviews where appropriate, make evidence-based decisions on urgent imaging and investigations, and determine safe discharge, emergency surgery, urgent follow-up or specialist referral. - Provide oversight and escalation support to ophthalmology resident doctors, fellows, specialty trainees, optometrists, advanced practitioners and nursing staff in the emergency pathway, in accordance with local clinical arrangements. - Recognise and act promptly on time-critical presentations such as suspected endophthalmitis, acute angle closure, chemical injury, sight-threatening trauma, orbital compartment syndrome, giant cell arteritis and suspected retinal detachment. - Ensure clear consent, contemporaneous records, accurate clinical correspondence, documented risk assessment, safety-netting and timely handover to relevant teams. **Person Specification** - Primary medical qualification (MBBS or equivalent). - Full GMC registration with a licence to practise. Meets 2021 Specialty Doctor grade entry criteria: at least four years of clinical ophthalmology experience, with at least two in relevant specialty training, or equivalent experience and competencies. - Evidence of current appraisal and CPD. - Postgraduate ophthalmology qualifications. - Substantial experience managing a broad range of acute and sight-threatening ophthalmic presentations. Evidence of independent clinical decision-making, safe escalation, accurate documentation and senior-level oversight of an Eye Emergency Department. - Four years experience in NHS Ophthalmology Departments. - Competent in slit-lamp examination, dilated fundoscopy, tonometry, anterior segment assessment, basic gonioscopy, interpretation of OCT/fundus imaging, and emergency clinical risk assessment. - Documented ability to perform relevant emergency ophthalmic operations independently within a defined clinical scope; competency in simple traumatic eyelid laceration repair not involving the eyelid margin or canalicular system. Ability to identify and escalate complex lid, orbital and globe injuries. - Ability and willingness to take part in the senior ophthalmology rota, provide timely senior advice, attend the hospital when required, prioritise emergencies and initiate safe transfer, theatre or subspecialty escalation. Clear insight into limits of scope. **Benefits** - Career development - Flexible working - Wellbeing - Staff recognition scheme - Optional benefits including Cycle to Work, car lease schemes, season ticket loan or membership options for onsite leisure facilities For more fresh new jobs, check out [yubhub.co](https://yubhub.co/). ## Skills ### Required - ophthalmology - emergency medicine - clinical decision-making - surgical procedures - laser procedures - patient assessment - prioritisation - time management - communication skills - leadership skills ### Nice to have - higher degree or specialist registration - experience in a tertiary eye hospital or high-volume eye emergency service - leading urgent review clinics or emergency patient-flow improvements - B-scan interpretation - advanced anterior segment assessment - ophthalmic ultrasound - nuanced neuro-ophthalmic/retinal triage - independent minor emergency ophthalmic surgical activity and procedure/outcome logbook - familiarity with ophthalmic emergency theatre pathways --- Source: [Apply at jobs.nhs.uk](https://www.jobs.nhs.uk/candidate/jobadvert/C9290-26-1322?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)