Development of Paediatric Ophthalmology Services at University Hospitals

Development of Paediatric Ophthalmology Services at University Hospitals of Morecambe Bay NHS Trust Mr. Jayaprakash Patil MBBS, MS, DRCOphth, MRCOphth, FRCOphth (Lond), FRCS (Glasg) Associate Specialist in Paediatric Ophthalmology Lancaster/Kendal/Barrow-in-Furness

Current Position • Associate Specialist in Paediatric Ophthalmology at UHMBT since 2013 • Lead for Paediatric Ophthalmology services. • Currently only fellowship trained paediatric ophthalmologist in the trust. • Wide spread national crisis in recruiting trained paediatric ophthalmologists, even in tertiary centres in London, Manchester and Liverpool.

Local support for SAS doctors • Assistance from SAS funds for exams and courses • Our SAS Tutor facilitating participation in several clinical and career/personality development courses

Examinations • 2012 -FRCS in Ophthalmology (3 Parts) • 2013 -2015 DRCOphth MRCOphth FRCOphth (3 Parts)

Paediatric Ophthalmology Training • 2012 -ASTO (Advanced Specialist Training Opportunity) in Paediatric Ophthalmology at St. Thomas’ Hospital, London

Paediatric Ophthalmology Training • 2013 -Fellow (ST 7 Equivalent) in Paediatric Ophthalmology at King’s College Hospital and Great Ormond St. Hospital for children, London

Team • Six trained orthoptists • Another SAS doctor taking some work load with routine refractions • Independent clinics and theatres with the ‘autonomous practice’ status.

Outpatient work Year Outpatients seen 2015 2451 2016 2099 2017 756

Surgical experience

Paper-light clinics • Exclusive paper-light clinics launched in 2013 in Paediatric Ophthalmology. • Probably first in the country.

Pioneering work Instrumental in • Developing clinical pathways, • Local management guidelines/SOPs • Electronic templates for clinical notes, • E-listing • Electronic authorisation of GP letters • Patient information leaflets

Rewarding experience • Wonderful recognition of my work in the hospital and the community • Hundreds of happy parents and children

Also • Royal College Examiner for FRCOphth-2017 • Examiner Liverpool and Lancaster Medical Schools (2013 -to date) • Undergraduate Educational Lead for Ophthalmology 2014 -to date • Appraiser-2016 • Educational and Clinical Supervisor-2017

Reviewer for peer-review Journals • • Ophthalmology Current Eye Research Retinal cases and brief reports European Journal of Ophthalmology Middle East African Journal of Ophthalmology Oman Journal of Ophthalmology Indian Journal of Ophthalmology

Published a book

Book now stocked at British library and King’s College library, London

Awards • PJ Hay 2012 Essay Prize, North of England Ophthalmological Society, 2012 • PJ Hay 2011 Essay Prize, North of England Ophthalmological Society, 2011

Fund Raising for MBHT

Carry Home • Believe in yourself • Make the best use of the available resources and support • SAS doctors are indeed the back bone of the NHS • Let the clan flourish and continue to contribute to the health and welfare of our patients.

Thank you