Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of oculoplastics procedures and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low complexity oculoplastic procedures.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of oculoplastic cases.

Apply management and team working skills appropriately, including in complex, dynamic situations.

Be an effective supervisor, teacher and trainer of oculoplastic cases.

Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of cornea procedures and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low complexity corneal and ocular surface procedures.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of cornea and ocular surface disease cases.

Apply management and team working skills appropriately, including in complex, dynamic situations.

Be an effective supervisor, teacher and trainer of cornea and ocular surface disease.

Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of cataract procedures and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low risk phacoemulsification cataract procedures.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of cataract surgery cases.

Demonstrate team working and management skills, including in complex dynamic situations.

Be an effective supervisor, teacher and trainer of cataract surgery.

Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of glaucoma procedures and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low complexity glaucoma procedures.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of glaucoma cases.

Apply management and team working skills appropriately, including in complex, dynamic situations.

Be an effective supervisor, teacher and trainer of glaucoma conditions.

Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of practical and surgical procedures used in the setting of uveitis and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low complexity procedures for the uveitic patient.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of the uveitis disease cases.

Apply management and team working skills appropriately, including in complex, dynamic situations.

Be an effective supervisor, teacher and trainer of uveitis disease.

Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of medical retina procedures and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low complexity medical retina procedures.

Demonstrate advanced clinical management and practical skills.

Manage the complexity and uncertainty of medical retina disease cases.

Apply management and team working skills appropriately, including in complex, dynamic situations.

Be an effective supervisor, teacher and trainer of medical retina disease.

Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of vitreo-retinal procedures and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low complexity vitreo-retinal procedures.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of vitreoretinal disease cases.

Apply management and team working skills appropriately, including in complex, dynamic situations.

Be an effective supervisor, teacher and trainer of vitreoretinal disease.

Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of ocular motility procedures and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low complexity muscle surgery.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of ocular motility cases.

Apply management and team working skills appropriately, including in complex, dynamic situations.

Be an effective supervisor, teacher and trainer of ocular motility cases.

Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of neuro-ophthalmology procedures and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low complexity neuro-ophthalmology procedures.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of neuro-ophthalmology cases.

Apply management and team working skills appropriately, including in complex, dynamic situations.

Be an effective supervisor, teacher and trainer of neuro-ophthalmology cases.

Independently perform an age-appropriate patient assessment and investigation sufficient to identify, describe and interpret clinical findings to arrive at differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate; employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of procedures for paediatric conditions and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform low complexity low complexity extraocular paediatric procedures.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of paediatric ophthalmology cases.

Demonstrate team working and management skills, including in complex dynamic situations.

Be an effective supervisor, teacher and trainer of paediatric ophthalmology.

Independently perform a patient assessment and investigations sufficient to identify, describe and interpret clinical findings to arrive at a differential diagnoses.

Independently formulate and initiate a management plan for low complexity cases.

Justify the diagnoses and plan with reference to basic and clinical science.

Work effectively with patients and the multi-professional team.

Independently manage patients at an appropriate work-rate, employing the most appropriate clinical examination equipment and investigation modalities.

Refine the differential diagnoses and management plan by application of clinical knowledge.

Independently assess and manage moderate complexity patients, demonstrating an understanding of urgent eye care procedures and selecting the most appropriate treatment according to current accepted practice.

Risk assess and prioritise patients appropriately, recognising the need for special interest input.

Independently perform surgery requiring immediate intervention.

Demonstrate advanced clinical management and surgical skills.

Manage the complexity and uncertainty of urgent eye care.

Apply management and team working skills appropriately, including in complex, dynamic situations.

Be an effective supervisor, teacher and trainer of urgent eye care.

Understand the role of a Community Ophthalmology Service.

Communicate and deliver feedback to referrers and patients to support integrated care.

Be aware of common public health issues and requirements specific to ophthalmology.

Understand the environmental impact of eye health.

Understand the provision of community ophthalmology and screening programmes.

Understand the epidemiology of eye disease and visual impairment and public health approaches to blindness prevention.

Understand the role of commissioning in eye health care.

Demonstrate advanced skills necessary to assess the eye health needs of a population and analyse local priorities.

Evaluate design and delivery of care pathways.

Demonstrate skills to assess and assure high quality outcomes in Community Ophthalmology Services.

Be an effective clinical leader, supervisor and trainer of the multi-disciplinary team.

Provide appropriate lifestyle advice

Adopt local and national guidelines of prevention of infection.

Advise appropriately about the systemic side-effects of drugs.

Know the principles of screening.

Use and promote means of eye injury protection.

Be aware and respect the impact of social, economic, cultural and religious factors on health.

Have detailed knowledge of National Screening Programmes especially with reference to Ophthalmic diseases.

Demonstrate leadership in the promotion of eye and general health in the wider community.

Promote immunisation.

Develop special interest area-specific guidance for health promotion.

Be an effective supervisor and guide in the area of health promotion.

Know about leadership competencies in the nine behavioural dimensions as defined by the NHS Leadership Academy: inspiring shared purpose; leading with care; evaluating information; connecting our service; sharing the vision; engaging the team; holding to account; developing capability; influencing the results.

Know the principles of leadership and identify areas for own development.

Document and evidence leadership behaviours.

Practice within a multidisciplinary team including to develop leadership projects.

Demonstrate the authority, capacity and motivation to implement change.

Design own projects related to leadership and management with outcomes predetermined to reflect on success.

Critically evaluate own skills in leadership, with particular reference to the quality of patient care.

Promote service improvement through: quality, innovation, productivity and prevention (QIPP); supervision of the multidisciplinary team; effective management of incidents and complaints.

Know the principles, recognise the contribution to improved practice, and take part in clinical governance, audit and quality improvement activities.

Identify appropriate information from a variety of data sources.

Apply clear and appropriate clinical reasoning to make safe decisions.

Practice in line with latest evidence.

Maintain appropriate audits of practice.

Apply quality improvement methods.

Design and implement quality improvement programmes to improve clinical effectiveness, patient safety and patient experience.

Analyse and critique published research.

Share improved practice with others and be able to defend changes made.

Critically evaluate own skills in quality improvement.

Promote clinical governance and quality improvement in the wider organisation / NHS.

Understand and promote professional responsibility of safeguarding.

Demonstrate familiarity with local safeguarding procedures and contacts.

Demonstrate awareness of possibility of non-accidental injury in vulnerable patients.

Document safeguarding concerns accurately and refers to senior staff.

Recognise where specialised management techniques may be necessary for those with special needs.

Take responsibility for safeguarding of children and vulnerable adults, referring and taking appropriate action.

Apply mental capacity legislation in clinical practice.

Apply appropriate equality and diversity legislation in clinical practice.

Critically evaluate personal and wider organisational responses to safeguarding issues.

Supervise and support other professionals with regard to safeguarding.

Demonstrate effective specialised management techniques for those with special needs.

Ensure patient safety is paramount in all training and learning events.

Actively participate in own induction and training.

Deliver teaching activities under guidance.

Deliver patient education.

Plan and provide education and training activities for medical trainees and other professionals.

Give constructive feedback on learning activities.  

Create learning opportunities for others.

Provide objective assessment.

Design and contribute to patient education.

Demonstrate readiness to act as clinical and educational trainer.

Balance service and training needs.

Be able to identify and support a trainee experiencing difficulty.

Adopt an evidence-based approach to clinical practice.

Critically appraise existing published research.

Understand research and deliver oral presentations.

Implement an evidence-based approach to shared decision making and enhancing patient outcomes.

Demonstrate competencies for commencing clinical research.

Understand research, deliver poster presentations and improve oral presenting.

Implement service improvement by revision and development of guidelines, treatments and practical procedures using current clinical research and contemporary evidence.

Lead research / teaching sessions and critically appraise oral presentations.

Understand the principles of research methods, research governance, application of ethics to research and the translation of research into practice.

Promote innovation in ophthalmology.