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Advanced Specialist Optometrist
| Posting date: | 24 April 2025 |
|---|---|
| Salary: | £53,755.00 to £60,504.00 per year |
| Additional salary information: | £53755.00 - £60504.00 a year |
| Hours: | Full time |
| Closing date: | 15 May 2025 |
| Location: | Leeds, LS9 7TF |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | C9298-HAN-106 |
Summary
1. JOB DETAILS Location Eye clinic, Level 04 Gledhow Wing, St Jamess University Hospital (SJUH), Seacroft Hospital, Wharfedale General Hospital (WGH), Multi Speciality Outpatients (MSO), Childrens Community Eye centre (CCEC) clinics AfC Job No: 3503 2. JOB PURPOSE/SUMMARY Advanced Specialist Optometrists have the highest level of specialist clinical training, knowledge, skills and experience within Hospital Eye Service Optometry to provide disease treatment, patient care and management of both optometric and specific ophthalmological caseloads. The role therefore demands the highest level of individual professional responsibility within clinical optometry, exceeding that of both community and more traditional hospital eye service optometrists both in terms of breadth and depth of knowledge, skills and experience. Advanced Specialist Optometrists will be expected to demonstrate knowledge, skills, training, competence and clinical experience in provision of high quality, effective clinical patient care across a number of sub-specialist ophthalmology areas. Individuals are expected to possess a range of relevant post-graduate professional specialist qualifications at appointment (e.g. Non- medical prescribing qualification, College of Optometrists Diploma in Glaucoma; College of Optometrists higher qualification in Medical Retina etc.) and be able to demonstrate training and experience consistent with highly developed specialist knowledge across a range of sub-specialty areas 1. To work under the direction of the Head and Deputy Head in order to deliver a comprehensive range of optometric services to the highest standards of quality and care for patients of the Leeds Teaching Hospitals NHS Trust and its outreach clinics. 2. To participate in the delivery of certain specialist optometric services that meet the changing needs of the Ophthalmology CSU and other external agencies. 3. Within a number of sub-specialist areas of patient care, post holders will wherever possible, autonomously deliver a wide range of advanced, specialised, complex and non-routine work, with responsibility for patient examination and complex clinical decision making, regarding on-going management/treatment of a number of sight-threatening eye diseases. Advanced Specialist Optometrists may work alone autonomously, or in a multidisciplinary environment alongside Consultant Ophthalmologists where they can seek guidance (medical/surgical) on the management of more complex cases. Typically, the post-holder will make decisions regarding initiation and review of medical/pharmacological management and will be expected to understand and manage the interface between medical and surgical management of eye disease. 4. To undertake administrative duties as agreed with the Head and Deputy Head of Optometry 5. To undertake clinical audit as agreed with the Head and Deputy Head of Optometry. 6. To assist in providing teaching and training at post graduate level for multiple disciplines within ophthalmology both internally and external JOB PLAN: Job plans (i.e. number of clinical sessions working in any given activity/clinic type) will be determined for individual post-holders by the Head of Service. Post-holders will be expected to work at SJUH or at peripheral clinic locations. Job plans should be expected to vary according to specific service requirements, will be reviewed periodically and may change over time. Advanced Specialist Optometrists will be expected to undertake a variable combination of the following clinical activities as the majority of their timetabled sessions; Anterior segment/corneal; glaucoma clinics; medical retina clinics, vitreo retinal clinics, neuro ophthalmology, acute referral clinics (eye casualty). JOB SUMMARY: The jobholder may be required to examine and manage up to eight eye patients a session, in an enhanced role clinic. These might include acute referral clinics (eye casualty), glaucoma, anterior segment/corneal, vitreo retinal clinics, medical retina etc. The jobholder may be required to examine and manage up to eight paediatric patients a session, in a Childrens Community Eye Clinic (CCEC) clinic. The jobholder may be required to examine and manage up to twelve paediatric patients a session, in the joint orthoptic/optometry clinic. The jobholder may be required to examine and manage up to nine complex adult refraction patients a session. The jobholder may be required to examine and manage up to six low vision or adult contact lens patients a session. The jobholder may be required to examine and manage up to six paediatric contact lenses a session. 3. ORGANISATIONAL CHART 4. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY DUTIES Clinical Governance and Clinical Audit 1. To undertake systematic and critical analysis of the quality of care in the Optometry and Ophthalmology Department (including diagnosis, treatment, outcomes and quality of life for patients) as delegated by the Head and Deputy Head of Optometry. 2. To participate in clinical audit and contribute to collaborative undertakings with other departments providing ophthalmology services. Managerial 1. To support optometry staff and be responsible for the provision of optometry services in the absence of the Head or Deputy Head of Optometry. 2. To work closely with the Head and Deputy Head of Optometry to ensure professional standards are achieved and maintained at all times, for the provision of highest quality hospital optometry services. 3. To contribute to the planning and organisation of a broad range of complex activities, some of which may be on going, which require regular review. 4. To contribute to delivering income generation and cost improvement programs. 5. To ensure the accurate collection of appropriate data within the Department. 6. To work closely with the Head and Deputy Head of Optometry in order to implement and encourage best practice wherever possible. The post holder is guided by principles and broad occupational policies, regulations and guidance provided by the Head and Deputy Head of Optometry. 7. To work closely with the Head and Deputy Head of Optometry in developing professional clinical performance and audit these on a regular basis. 8. To maintain harmonious working relationships and efficient communication with all staff throughout the CSU, Trust and external agencies. 9. To contribute to operational planning for the Optometry Department. 10. To contribute to ensuring that the Optometry Department abides by all Trust corporate policies and that all Health and Safety and COSHH regulations are complied with. 11. To supply accurate information to the Head and Deputy Head of Optometry when requested in order to deal with complaints at a departmental level. Leadership 1. To assist the Head and Deputy Head of Optometry in providing effective clinical leadership for the Department of Optometry. 2. To assist the Head and Deputy Head of Optometry in providing the vision and strategy to develop new services and extend the roles of all professionals within the department. 3. To assist the Head and Deputy Head of Optometry to effectively manage change in the implementation of new roles and services. Education and Development 1. To undertake teaching and training of registered optometrists, pre-registration optometrists (including external students), final year optometry students, orthoptic students and medical students, as delegated by the Head and Deputy Head of Optometry. 2. To undertake optometric training of post graduate medical staff (i.e. Surgical Trainees) in preparation for The Royal College of Ophthalmologists examinations, as delegated by the Head and Deputy Head of Optometry. 3. To assist with the supervision of the Trusts pre-registration optometrists. 4. To participate in continuing education and training (CET) as required by The General Optical Council (GOC) and in continuing professional development. This is through approved study leave procedures where necessary. 5. To maintain professional standards using advanced theoretical and practical specialist knowledge acquired over a significant period. Clinical 1. To deliver highly specialist clinical care in a range of ophthalmic sub-specialty clinical services involving advanced optometric extended roles, including non-medical prescribing. A personal clinical commitment to this service is required. 2. To provide expert optometric patient care in complex refraction, medical contact lens fitting & aftercare, paediatric orthoptic/optometry shared care and low vision rehabilitation as required by the demands of the service. 3. To undertake enhanced optometric roles at LTHT as required. These might include acute referral (eye casualty), glaucoma, anterior segment, vitreo retinal and medical retina. Further training and qualifications may be required for these roles. 4. To make patient-centred judgements on management in the presence of uncertainty, for example where patients are unable to cooperate fully in clinical assessments, or where evidence on clinical management options is unclear or lacking. 5. To plan and deliver advanced specialist clinical examinations tailored to individual patient requirements. Examinations will be comprehensive and commensurate with clinical experience, acting with guidance from national recommendations. Skills are commensurate with those of sub-specialist trained (medical) ophthalmology staff. 6. To utilise highly developed physical skills for complex medical procedures (such as gonioscopy; tonometry, removal of sutures or embedded foreign bodies or taking tissue samples from the surface of the eye) that often requires adopting an unusual or restrictive body position. 7. To analyse, interpret and act upon highly comp