Specialist Orthoptist - London, United Kingdom - Moorfields Eye Hospital NHS Foundation Trust

Tom O´Connor

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An exciting opportunity has arisen for an enthusiastic and motivated specialist orthoptist to join Moorfields Eye Hospital NHS Foundation Trust.

The post is based at primarily at the City Road, cover at network would be required once a week.


The post holder will directly provide orthoptic and allied services, some of which require particular expertise and ability, and all other tasks mutually agreed with the Head and senior team.


The clinician will have clinical experience, be able to practice independently but support and advice for the most complex clinical diagnoses will be available as needed.

At Moorfields, we provide more than just an excellent career and great colleagues to work with


We also offer:

  • Salary including High-Cost Area Supplement
  • Opportunity to join the NHS Pension Scheme
  • Free 24/7 independent counselling service
  • Learning and development opportunities
  • Easy and quick transport links
  • A range of attractive benefits and discounts
  • Access to Blue Light Card and other NHS Discount Schemes
  • Free Pilates classes
  • Full support and training to develop your skills
  • Flexible working friendly organisation
And so much more To see the full range of benefits we offer please see our Moorfields benefits document.


All normal orthoptic clinical duties, including:

a) To be responsible for the orthoptic assessment, diagnosis and appropriate management of new patients referred to the orthoptic department from the Trust's specialist services at City Road including Primary Care Clinic (PCC) and A&E.

This patient group, many of which are tertiary referrals, comprises all cases of strabismus and amblyopia, highly complex congenital and acquired ocular motility disorders, nystagmus, congenital and acquired orbital and adnexal disorders, congenital and acquired neurological conditions, congenital and developmental ocular abnormalities, genetic disorders and systemic diagnoses with associated ocular abnormalities.

b) To be responsible for evaluation of visual acuity and visual behaviour in referrals from the specialist services, particularly strabismus and paediatric referrals, PCC and A&E.

This includes all infants and young children, patients of all ages with poor cooperation, adult illiterates, functional visual loss and learning disabled patients.

c) To be responsible for the orthoptic assessment, diagnosis and appropriate management of new and follow-up patients seen in any of the Moorfields satellite clinics.

d) To be responsible as an independent practitioner for planning, implementing and monitoring orthoptic treatment for patients of all ages and for appropriately following up patients who fail to attend or comply with treatment, in conformance with Trust and departmental policies.

e) To be responsible as an independent practitioner for orthoptic monitoring of patients under the care of specialist services and for re-referral to specialist services if indicated.

f) To collaborate with the specialist services to ensure appropriate and effective patient management. This includes patients attending the Neuro-ophthalmology, Strabismic, Orbital, Toxin and satellite clinics.

g) As an autonomous practitioner, to be responsible for the decision to instil drops for diagnostic and refractive purposes, the appropriate strength required and to advise patients / parents / carers of side effects accordingly, in line with Patient Group Direction (PGD)


Specialist orthoptic clinical duties, including:

a) To take responsibilities as an independent practitioner for the assessment and appropriate management of patients referred to the multi-disciplinary clinics e.g. neurology, paediatric glaucoma and genetic clinics.

b) To arrange referral to another professional, either within or outside own discipline if needed after discussion with a senior colleague.

c) To consent follow-up strabismus patients for Botulinum Toxin procedures.

d) To prepare patients for Botulinum Toxin injections by instillation of drops and preparation and attachment of electrodes.

e) To identify surgical risks (pre and post-surgery) and to discuss this with the patients (parent/carer) and surgeon.

f) To be responsible for the orthoptic role in adjustable suture procedures post squint surgery.

g) To accurately perform Octopus kinetic field testing.

h) To demonstrate, teach and supervise were appropriate a range of medical and non-medical personnel from undergraduate orthoptics and medical students, junior doctors, pre-registration optometrists and work experience students as directed by Education Lead.

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