The National Health Service (Ophthalmic Services) (Wales) Regulations 2023

Ophthalmic lists: information to be included in an application

3.  A qualified practitioner applying to be included in a Local Health Board’s ophthalmic list must provide the following information—

(a) the qualified practitioner’s full name;

(b) the qualified practitioner’s professional registration number, with—

(i) suffixed to that number, the organisational code given by the Welsh Ministers to the Local Health Board, and

(ii) prefixed to that number, the initials OL;

(c) in the case of an individual, where consent is given, that person’s date of birth or where consent is not given or in the case of a corporate optician, the date of their first registration in the register;

(d) details of the addresses of any places in the Local Health Board’s locality at which the qualified practitioner undertakes to provide primary ophthalmic services;

(e) the names of every other ophthalmic medical practitioner or optometrist who is regularly engaged as a deputy, director or employee in assisting in the provision of primary ophthalmic services at any of those addresses or in the provision of mobile services;

(f) if the qualified practitioner wishes to provide mobile services, the addresses to which correspondence in connection with such provision may be sent;

(g) particulars of the days on which and hours between which the qualified practitioner agrees to provide primary ophthalmic services;

(h) company number, if appropriate;

(i) the qualified practitioner’s private address, or in the case of a corporate optician, the address of its registered office, and, in either case, a telephone number;

(j) qualifications and where they were obtained;

(k) chronological details of the qualified practitioner’s professional experience (including starting and finishing dates of each appointment together with an explanation of any gaps between appointments), with any supporting particulars, and an explanation of why the qualified practitioner was dismissed from any post;

(l) names and addresses of two referees who are willing to provide references in respect of two recent posts (which may include any current post) as a qualified practitioner, which lasted for at least 3 months without a significant break, and where this is not possible, a full explanation and the names and addresses of alternative referees;

(m) any information that the qualified practitioner has undertaken to provide under this Schedule;

(n) particulars of any outstanding or deferred application for inclusion in the ophthalmic list, or any other list of a Local Health Board or equivalent body, with the name of the Local Health Board or equivalent body in question;

(o) particulars of any Local Health Board or equivalent body in whose lists the qualified practitioner is included, or from which the qualified practitioner has been removed or contingently removed, or is suspended, or to which they have been refused admission or in which they have been conditionally included, with an explanation as to why;

(p) if the applicant is a director of a body corporate that is included in any list or equivalent list, or which has an outstanding application (including a deferred application) for inclusion in such a list, the name and address of the registered office of that body and details of the Local Health Board or equivalent body concerned;

(q) if the applicant is, or was in the preceding 6 months, or was at the time of the originating events, a director of a body corporate, details of any list or equivalent list to which that body has been refused admission, in which it has been conditionally included, from which it has been removed, contingently removed or from which it is currently suspended, with an explanation as to why and details of the Local Health Board or equivalent body concerned;

(r) all necessary authority to enable a request to be made by the Local Health Board to any employer (or former employer), licensing, regulatory or other body in the United Kingdom or elsewhere, for information relating to a current investigation, or an investigation where the outcome was adverse, by them into the qualified practitioner;

(s) any other information the Local Health Board may reasonably require.