Association of Ophthalmologists Specialist Indemnity Scheme Limited (AOOSIS)
The Board meet regularly to discuss developments in the sector, share best practice and carry out their statutory duties and responsibilities as company directors.
To be available to give advice to potential new policy holders
To support policy holders who are in difficulty with medicolegal cases
To set a code of practice for policy holders to adhere to as closely as possible
To advise brokers and underwriters on the relative risk of different aspects of clinical practice
To try to reduce premium costs by appropriate risk management
To communicate with members by newsletters, webinars and meetings.
We discuss surgical consent in Ophthalmology and whether pooled lists are compatible with the latest General Medical Council (GMC) guidelines on consent?
Rugby: insights from a player and medical perspective
James Robson MBE, Team Doctor for Scotland Rugby, Keith Bates, Consultant Ophthalmic Surgeon, and Ben Challacombe, Consultant Urological Surgeon, share their insight of working with sportsmen and sportswomen at a club, professional and international level.
We discuss surgical consent in Ophthalmology and whether pooled lists are compatible with the latest General Medical Council (GMC) guidelines on consent?
Bio: Keith trained in Oxford and at Moorfields and was a Consultant Ophthalmic Surgeon at Taunton and Somerset NHSFT from 1992 until 2018. He was Clinical Director for the Specialist Surgery Division for 6 years. He has published widely on cornea, cataract and refractive surgery. He has presented papers and been involved in courses at RCO, UKISCRS, ESCRS, ASCRS and AAO annual congresses.
He now principally runs a busy medico legal practice but is also an ophthalmic advisor to a leading Private Medical Insurer and to the GMC. This gives him a broad insight into current ophthalmic medico legal issues in the UK. He joined the board of AOOSIS in 2013 and took over the role of Chairman in 2017. He has helped to streamline the system for assessing the risk associated with different types of private medical practice and helped to provide fairer premiums for areas of ophthalmology previously considered to be high risk. He liaises regularly with brokers and insurers to achieve high quality cover for AOOSIS members at a reasonable cost.
MD DO FRCS FRCOphth FEBOS-CR Consultant Ophthalmic Surgeon President AOOSIS
Richard Packard
MD DO FRCS FRCOphth FEBOS-CR Consultant Ophthalmic Surgeon President AOOSIS
Bio: Richard was senior consultant at Arnott Eye Associates in London until 2020. He was a consultant surgeon at the Prince Charles Eye Unit in Windsor from 1982-2016 and has been involved with teaching cataract surgery and developing instruments and IOLs and has lectured in over 60 countries. He has been in private practice since 1981 in London and Berkshire and was Chairman of the Association of Ophthalmologists from 2007-2011.
Since 2007 he has been involved with the Federation of Independent Practitioner Organisations and since 2010 had been its Deputy Chairman. He is now FIPO Chairman. He was involved in providing evidence for the CMA report on private practice and the ramifications of this for the profession. He was the founding member of AOOSIS in 2012 and its first Chairman. He is now AOOSIS president.
Bio: Sid has been a Consultant Ophthalmic Surgeon since 2008. His practice is divided between his NHS role at the Hull Eye Hospital and a busy independent practice based in the North of England - The Eye Correction Centre, of which he is the founder director.
He has served/continues to serve in numerous Regional/National roles including: Examiner for the Royal College of Ophthalmologists part 2 and LRSCert examinations (2020 onwards), Clinical lead for the private patient board of Lindsey Private Patients (2018 – 2019), Clinical lead for Ophthalmology at St Hugh’s private hospital (2017 onwards), Member of the Council of Governors of the Northern Lincolnshire & Goole NHS trust (2015 to 2017), Committee member of the United Kingdom and Ireland Society of Cataract and Refractive Surgery, and lead for the young ophthalmologists subcommittee (2013-2018). He joined the Board of AOOSIS in 2017.
Bio: Stephanie is a Consultant Ophthalmic Surgeon at Southampton University Foundation trust; she has held this position since 2013 during which time she has been Deputy Clinical Lead and Clinical Lead for the department.
After graduating from Southampton University Medical School, Miss West completed specialist ophthalmology training in the highly regarded centres of Queen’s Medical Centre, Nottingham and The Bristol Eye Hospital. She subsequently undertook two years of subspecialty training in paediatric ophthalmology and strabismus including a prestigious fellowship at Sickkids, Toronto, for which she was awarded the JD Morin prize for best fellow. Her second fellowship was at Moorfields Eye Hospital, gaining extensive knowledge and training in treating children’s eye diseases and oculomotility conditions. She now leads the tertiary oculomotility service in Southampton. She is also responsible for instigating the now renowned Southampton CESR training program. She has a MBA with distinction from Warwick Business School.
Bio: Niall is a Consultant Vitreoretinal Surgeon at the Manchester Royal Eye Hospital. He is also Director of the Manchester Vitreoretinal Fellowship Program, training many fellows both national and international. He graduated in Medicine from the University of Manchester in 1996. He completed his ophthalmic surgical training at Manchester Royal Eye Hospital and the Princess Alexandra Eye Pavilion, Edinburgh. In addition, he has undertaken specialist Vitreoretinal fellowship training at the Lions Eye Institute, Australia, Princess Alexandra Eye Pavilion, Edinburgh, Tennant Eye Institute, Glasgow and Moorfields Eye Hospital, London. He was appointed as a Consultant at Manchester Royal Eye Hospital in 2008.
He has published over 70 peer-reviewed publications, and serves on the editorial board of the “Eye” journal and is active in the vitreoretinal research department at Manchester Royal Eye Hospital. He lectures nationally and internationally and has been actively engaged in medico legal work since his appointment as a consultant.
MBBS, DO, FRCOphth, PhD, cataract, cornea and refractive surgery Consultant
Mayank A. Nanavaty
MBBS, DO, FRCOphth, PhD, cataract, cornea and refractive surgery Consultant
Bio: He is cataract, cornea and refractive surgery Consultant at the Sussex Eye Hospital, University Hospitals Sussex NHS Foundation Trust, Brighton and honorary senior clinical lecturer at the Brighton & Sussex Medical School. His areas of clinical interests are medical and surgical cornea, external eye disease, cataract, and refractive surgery. He has received several research grants from the prestigious institutions (such as ESCRS, NIHR, etc.) and industry to conduct clinical studies. He consistently contributes to the academia with his publications and has several publications including prospective randomized controlled trials, Cochrane review, case-control studies, cohort studies and retrospective studies in high impact peer-review literature and over 300 national and international presentations.
He is a section editor of Eye and is a member of editorial board of Current Eye Research and International journal of keratoconus and ectatic corneal disease (IJKECD).
I joined AOOSIS many years ago after a poor experience with the MPS where I struggled to receive prompt and accurate advice on a problem. This led me to look elsewhere for indemnity cover.
The reason I joined AOOSIS was that as an organisation focused on ophthalmology I felt they had a clear understanding of ophthalmology and medicolegal issues rather than just medicolegal advice. As a small organisation with a dedicated legal team I have found that they do indeed have a clear understanding of ophthalmology and are responsive and effective.
The terms of the indemnity cover are clear and thorough in contrast with guaranteed cover in contrast to a discretionary based insurer. The growth of AOOSIS and other similar single specialty insurers I believe shows the merits of such cover.
RM
Having originally been with a medical defence organisation, about 10 years ago I switched to AOOSIS, as I was concerned that the defence organisation was not able to guarantee coverage, being a discretionary-based provider. This contrasted with AOOSIS which is an insurance based scheme that provides a guaranteed non-discretionary service, that offers certainty for ophthalmologists. Being an organisation specifically designed for ophthalmologists and having a great understanding of ophthalmologists’ practice was also a great asset. Over the past ten years, I have found their quotations very competitive, their medicolegal advice first class, and their understanding of the nuances of ophthalmic practice unparalleled among all providers, and am delighted with the service they provide.
NP
AOOSIS and its medicolegal team have been extremely helpful to me for advice and guidance whenever I have needed it. They are prompt to respond and very thorough. The support I have received has been outstanding in comparison to my previous insurers. The insurance premium are also far more reasonable compared to what I have had to pay in the past. I am very satisfied and intend to carry on as a long-term member.
SG
I have been a member of AOOSIS (Association of Ophthalmologists Specialist Indemnity Scheme) for many years. I joined because I was tired of the relentless premium increases from my Medical Defence Organisation (MDO) and their complete refusal to explain the reasons behind these increases, despite the fact that I had made no claims and had received no advice
The premium at AOOSIS was significantly lower, offered guaranteed rather than discretionary cover, and provided access to an excellent medico-legal support service. Whenever I have required advice or support regarding potential claims against me, the guidance has been prompt and well-informed.
Overall, my experience with AOOSIS has been highly positive, providing me with the necessary coverage and support at a more reasonable cost compared to my previous MDO.
KB
I was the first member of AOOSIS over a decade ago. I moved to this new body for my indemnity cover because firstly my annual premium reduced by 44% but more importantly I liked the idea that my cover was not discretionary like the Medical Defense Organisations. I have now retired and am covered by a 20 year runoff insurance which gives me a feeling of security. All my dealings with the Aoosis staff when I have needed advice have been of a high professional standard and provided in a timely manner.
RP
'When I established my private practice, I switched my insurance to AOOSIS. As a paediatric ophthalmologist, it has been crucial to have the peace of mind that comes with non-discretionary insurance, and a 21-year run-off period that covers any relevant claims. I've consistently found their quotes to be competitive, even considering time spent on maternity leave.
The AOOSIS medico legal team have been excellent; it has been significantly better than my previous experience with the Medical Defence Union, both in terms of prompt timing, quality of advice and ability to talk directly to a solicitor experienced in medicolegal defence. I have no hesitation in recommending them'
SW
I have been a regular customer of this insurance company for the past four years. Throughout my time with them, I have consistently received competitive quotes and prompt responses to my emails, along with the necessary indemnity certificates. Moreover, they offer valuable suggestions on how to reduce my premiums. In some cases, the risks are lower than anticipated, which truly enhances the value of their service.
P.H
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