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Advanced Clinical Practitioner Orthoptist

Job details
Posting date: 10 December 2025
Salary: £64,156.00 to £71,148.00 per year
Additional salary information: £64156.00 - £71148.00 a year
Hours: Full time
Closing date: 24 December 2025
Location: London, SE5 9RS
Company: NHS Jobs
Job type: Contract
Job reference: C9213-25-1220

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Summary

Clinical Responsibilities To be involved in highly specialised clinics, which may include: Consultant-led clinics within subspecialties, e.g. glaucoma, medical retina, neuro-ophthalmology, uveitis, paediatrics Emergency care, including orbital trauma and neuro- ophthalmology Virtual review Interventions, e.g. IVT, Botox, laser Work autonomously as an advanced practitioner within acute medicine, managing a caseload of patients and delivering individualised, direct patient care. Demonstrate advanced practice competency skills and act as an expert clinician, assessing and interpreting specialist acute patient conditions, taking appropriate action, and recognising and managing emergency situations. Receive referrals via a variety of sources, including general practice and the Emergency Department. Manage own caseload and clinical priorities according to agreed protocols and working practices. Plan, manage and complete episodes of care, working in partnership with others and delegating or referring as appropriate to optimise health outcomes and resource use, as well as providing direct support to patients. Work towards safe and timely discharge and/or transfer of care of patients from or between hospitals, services, and healthcare professionals, ensuring barriers to discharge or transfer are identified and addressed appropriately. Within scope of practice and clinical competence, request and/or undertake diagnostic procedures and clinical investigations related to plans of care. Dispense/prescribe medication according to independent prescribing regulations, patient group directives, or medical exemptions when appropriate. Work within Trust policy for Medicines Management. Ensure care delivered is based on current evidence, best practice, and validated research where available. Use highly developed communication skills to communicate effectively with colleagues, patients, and their relatives/carers; make reports and liaise as required with medical staff and other members of the multidisciplinary team, both verbally and in writing. Lead in the development and updating of referral guidelines, policies, and pathways for the subspecialty. Use professional judgement to act as an advocate for patients, ensuring a patient-focused approach to care delivery. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via nursing/professional structures as required. Ensure high standards of documentation are maintained, with accurate, complete, and up-to-date information regarding patient care kept in accordance with Trust standards. Report and raise concerns related to safeguarding, accessing advice and support as required. Be conversant with Trust policies for safeguarding, including the assessment of Mental Capacity, consideration of Deprivation of Liberty Safeguards (DoLS), and application of the principles of Prevent (counter-terrorism awareness). Undertake training to develop further advanced clinical practice skills required by the service to provide a high standard of patient care. Provide mentorship, coaching, supervision, and shadowing opportunities to individuals to support their development. Monitor the quality and standard of care provided by all members of the team and staff in clinical areas, identifying any skills or training gaps and escalating to the appropriate senior clinician. Be accountable for and ensure own competence in practice.

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