Specialist Orthoptist, Band 6- Orthoptics

3 months ago

Gloucester, United Kingdom Gloucestershire Hospitals NHS Foundation Trust Full time

An exciting opportunity has arisen for an experienced Orthoptist to join the team at Gloucestershire Hospitals NHS Foundation Trust for a fixed-term period of 12 months. The post is based at Cheltenham General and Gloucester Royal Hospitals and will include single-handed community clinics so post-graduation experience is essential.

The orthoptic service provides a diverse clinical caseload including secondary vision screening clinics, a large stroke service and supports a busy Eye Casualty department.

Audit and research is encouraged and there is financial support available for postgraduate development.

The trust employs 15 Consultants including one Consultant specialising in paediatric ophthalmology and adult ocular motility.

JOB PURPOSE
- The post holder, as an autonomous practitioner, is legally and professionally responsible for delivering highly skilled, patient focused care in the management of ocular motility disorders and also undertaking specialist intravitreal injection clinics.
- To provide clinical services at main base and community locations as required
- Assess a variety of patients with complex conditions
- Demonstrate clinical skills to Junior Doctors, Student Nurses, Optometrists and other healthcare professionals
- Teach Orthoptic undergraduate students
- Actively participate in audit and clinical governance

DIMENSIONS
- Give support to junior members of the Orthoptic team and provide advice and support regarding the diagnosis and management of Orthoptic patients
- To support the work of the Optometry Technicians, offering clinical advice, when appropriate.
- Give support to the Optometry Technicians when testing challenging patients and patients with communication difficulties.
- To prioritise referral letters coming from, GPs, Health Visitors, School Nurses, Stroke Physicians and other health professionals referring patients for an Orthoptic opinion.
- To complete referral vetting online using Appointment Administration System (TrakCare)
- To undertake correspondence with GPs and other colleagues.
- To deal with queries regarding appointments, internal referrals etc, which may arise during the working day and to liaise with the Senior Orthoptists to take the appropriate action and to organise Orthoptic appointments when requested.
- To check clinical area is safe for patients and staff and report any hazards to the manager in a timely manner.
- To be familiar with TrakCare to check clinic bookings are appropriate to the Orthoptic

schedule.
- To work as part of a multi-disciplinary team of Ophthalmologists, Orthoptists, Optometrists, medical photographers, nurses, clerical staff and secretarial staff.
- To plan and prioritise own workload.
- To participate in regular Orthoptic departmental meetings giving feedback from courses and conferences attended.
- To participate in departmental audit and research where possible.
- To cover, as appropriate, for colleagues during periods of sick and annual leave.
- To report damage or functioning problems to the manager in a timely fashion.

KNOWLEDGE SKILLS & EXPERIENCE
- Batchelor of Science in Orthoptics ie (BSc (Orthoptics), BMedSci (Orthoptics) or equivalent
- Registration with the Health and Care Professions Council (HCPC)
- To participate in annual appraisal of professional development
- To have documentary evidence of meeting Continuing Professional Development requirements
- To attend appropriate training courses and lectures in order to maintain up-to-date knowledge and practical skills, including Trust mandatory training
- To observe safe working practices and equipment procedures, complying with health and safety protocols
- To be responsible for the safe use of the complex diagnostic equipment and to notify manager of any maintenance needs to equipment
- Undertake any other duties requested as appropriate to the banding

KEY RESULT AREAS

1. To investigate diagnose and manage all patients referred for orthoptic assessment / treatment. Referrals come from a variety of sources including; GPs, paediatricians the ophthalmology casualty service, ophthalmology subspecialties, accident and emergency department, neurology, diabetic clinic, stroke unit and the maxillo-facial unit. To formulate accurate diagnoses and prognoses for these patients.

2. To formulate clinical management plans using evidence and department protocols, for patients with all types of ocular motility defects, refractive errors and amblyopia. These cases may have congenital or acquired defects and may include neurological abnormalities and genetic disorders with associated ocular abnormalities.

3. To give clear explanations of diagnoses, where possible, to patients, parents or carers of patients. To instruct patients and relatives about options for orthoptic treatment and negotiate and agree a treatment plan.

4. To carry out intravitreal injections in a Consultant -led clinic on a pre-determined group of patients following a competency-based programme of training

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