Assessor Registration Form

Level 3 Qualifications in Diabetic Retinopathy Screening

ASSESSOR REGISTRATION FORM

If you would like to register as an assessor for the Qualifications in Diabetic Retinopathy Screening please print and complete this form.

By submitting your details you agree to us keeping your information on our database for our use and the

use of the English National Screening Programme for Diabetic Retinopathy. Your details will not be submitted

to any other organisation or company without your permission. Records are stored online with the

Data Protection Act 1998 and requests to see your information should be submitted in writing to the

DRS Team.

PLEASE PRINT ALL DETAILS

First Name: Surname:

Job Title:

Contact Address:

Contact No: Email (please print):

Name(s) of Candidate(s) to be assessed: ______

Please indicate your preferred method of Assessor Induction (compulsory)

Online Induction Attend Assessor Induction Day

Induction Days are held at the Awarding Centre in Gloucestershire, or can be arranged locally.

Have you included your Curriculum Vitae Yes No

Please post or email your CV this is essential to demonstrate occupational competence

Please state which units you will be assessing (please see enclosed sheet):

Unit 1  Unit 2  Unit 3 Unit 4  Unit 5  Unit 6  Unit 7  Unit 8  Unit 9 

Please sign below to show that you are committed to supporting this candidate in completing

this qualification.

Signature:______Date:______

Please return this application form to: DRS Certificate Office,

Sandford Education Centre, Keynsham Road, Cheltenham, Glos. GL53 7PX

Role and Responsibility of Assessors

The primary key role of Assessors is to assess Candidates’ performance and/or related knowledge in a range of tasks to ensure that the competence/knowledge demonstrated meets the requirements of the standards.

Assessors will, therefore,

1.Workplace Assessors must be occupationally competent in the areas of expertise that they will be assessing in this qualification

2.Be expected to refresh their expertise by being involved in continuous professional development activities

3.They will observe record and provide constructive feedback.

4.Completion of Unit:

Assessor must be satisfied that Candidate’s evidence is to the required standards before completing and signing

5.Assessor guidance will be provided but evidence of relevant assessor qualifications will be an advantage

Appropriate assessors for each unit are as follows:

Unit 1- Experienced clinical lead, public health consultant

Unit 2- Diabetologist, diabetes specialist nurse

Unit 3- Ophthalmologist, optometrist, ophthalmic trained nurse

Unit 4- Ophthalmologist, optometrist, ophthalmic trained nurse

Unit 5- Ophthalmologist, optometrist, ophthalmic trained nurse

Unit 6- Ophthalmic photographers, experienced photographers in retinopathy screening

Unit 7- Ophthalmologist, senior diabetic retinopathy grader

Unit 8- Ophthalmologist, senior diabetic retinopathy grader

Unit 9- Senior administrator from a screening programme

In addition, anyone who has achieved a unit will then be able to become an assessor for that unit, further to a decision made by the employer.

This list is a guide only. The DRS Team will ask for a copy of the assessor’s CV in order to ensure that they have the relevant qualification and /or experience to act as an assessor for an individual unit.

Who should NOT be an assessor?

Anyone who wishes to, or will need to, complete the unit/s in the future e.g. if holding the qualification might be a requirement for increased pay or for regulation purposes. They should not act as an assessor until they have completed the unit themselves.