Published: 21/11/2002, Volume II2, No. 5832 Page 5

Foreign clinicians being considered for work in trusts as part of overseas clinical teams should be interviewed using a structured list of questions provided by the royal colleges, according to Department of Health guidance.

Though the DoH said it expects such teams mainly to carry out high-volume surgery in areas such as orthopaedics and ophthalmology, it says they may work as part of cancer teams, carry out outpatient appointments, or support diagnostic services.

The guidance specifies that in the case of cataract surgery, if a surgeon cannot answer any of a list of 17 questions on high-vollpaul. stephenson@emap. com See comment, page 17.

ume work provided by the Royal College of Ophthalmologists, they 'certainly should not be considered to provide high-volume cataract surgery in this country'.

The guidance also makes clear that overseas clinical staff will be treated like other NHS employee for the purpose of clinical negligence and NHS indemnity.

Five trusts are already working with overseas clinical teams:

North West London Hospitals trust, Hillingdon Hospital trust, East Somerset trust, South Tyneside Healthcare trust and Morecambe Bay Hospitals trust.

www. doh. gov. uk/international/ index. htm