Are you a Specialist Orthoptist, or ready to make that move?
Want to be part of a service which provides treatment in both an acute and community setting?
Keen to work within a team where you can share your skills and experience?
Then please read on and then apply.
We are looking for an experienced orthoptist to join our team, we will consider applications from recently graduated Orthoptists . This is an opportunity to work alongside staff in our community-based team of 15 Orthoptists, Orthoptic Support Workers and an Orthoptic Apprentice working on a varied and challenging caseload across the Community and Hospital sites.
You will have:
A degree in Orthoptics or equivalent
HCPC registration
Membership of BIOS
Experience of all aspects of orthoptics in both acute or community is desirable
Ability to resolve both clinical and non-clinical queries
Communication skills to pass on your knowledge to the team
A desire to go beyond expectations
We offer:
Opportunities for flexible working.
We offer specialist clinical roles such as special needs assessment, stroke ward assessment, stroke outpatient clinics, Goldmann assessment, Vision Therapy and clinical teaching.
Acute clinic with Ophthalmologist (adults and paediatrics patients)
Great benefits and inhouse staff services
Working with a Trust rated outstanding by the CQC
Sound interesting? Then please read the full job description, apply, and we look forward to you joining us!
You will be based in the community at Liverpool Road Health Centre in Luton, or Kempston Health Centre, Bedford with a requirement to travel frequently to hospital and community clinics throughout Bedfordshire.
Our team covers community clinics across the county, including paediatric orthoptic and child development centre clinics.
We also provide orthoptic clinics at both Hospitals, the Luton and Dunstable Hospital and Moorfields at Bedford Hospital . At the Luton and Dunstable and Moorfields eye clinics our team provides orthoptic support for hospital paediatric and adult motility clinics with consultants in paediatric ophthalmology and strabismus.
The department participates in NIHR registered Moorfields research studies.
We also provide specialist in and out-patient Stroke services at the Luton and Dunstable hospital as part of the multidisciplinary stroke team.
Orthoptists wishing to become a clinical tutor or to study postgraduate orthoptic modules at Sheffield and Liverpool University including the medicine exemptions course will be supported. The orthoptic department is also committed to teaching undergraduate orthoptic students.
You will need to work in some of our clinics single-handed so the role is most suited to an experienced orthoptist. You must have a degree or diploma in orthoptics, be registered with the HCPC and be a member of the British and Irish Orthoptic Society.
Rated ‘Outstanding’ by the Care Quality Commission, we are proud to provide high quality innovative services across most of the east of England that enable people to receive care closer to home and live healthier lives.
There’s one reason why our services are outstanding – and that’s our amazing staff who, for the seventh year running, rated us incredibly highly in the national staff survey.
If you share our passion for innovative and high-quality care delivery, then please submit your application and join us on our exciting journey as a leading-edge specialist community provider. All are welcome to apply and our promise to you is a culture which prioritises staff engagement and development.
Please be aware that East of England Community Health and Care NHS Trust will never ask applicants to pay fees at any stage of the recruitment process, including job applications, sponsorship arrangements, or employment offers. All recruitment communications and job applications should only be made through our official careers website and published contact details.
If you receive a suspicious job offer or recruitment-related communication, do not make any payments, share personal information, or provide identity documents. We encourage you to report the matter to your local police or relevant law enforcement agency. Any concerns relating to potential recruitment fraud should also be reported to our Local Counter Fraud Specialist (LCFS) as soon as possible.
Job Purpose:
To assist in the delivery of the Orthoptic Service, providing a high standard of care, undertaking a range of professional duties and working in a variety of areas in both acute and community settings across Bedfordshire, maintaining clinical and professional quality standards at all times.
To assess, diagnose, treat and manage adult and children patients referred to the Orthoptic service.
To take sole responsibility to determine the clinical diagnosis and formulate relevant treatment plans in conjunction with ophthalmologists and other health care professionals.
To take responsibility for one or more clinical bases, liaising with administrative and optometric staff as required.
Main Duties and Responsibilities
To be professionally responsible and accountable for the management of Orthoptic patients in Bedfordshire as an autonomous practitioner.
To assess, diagnose, treat and manage (including discharge when clinically appropriate) the patients referred to the Community Eye Service. These include Paediatric visual disorders (squint, amblyopia, and reduced visual responses), ocular motility disorders, other ophthalmic conditions and congenital developmental abnormalities.
To formulate specialist individualised management and treatment plans using advanced clinical reasoning and a wide range of treatment skills.
To assess patients pre- and post-operatively and discuss surgery options with the Consultant Ophthalmologist. To identify the opportune timing of surgery and discuss post-operative risks with the patients, carers, and surgeon. The degree of surgery will be based on the Orthoptic measurements. To assist the surgeon in postoperative adjustable suture techniques. This requires accurate measurement to assist the surgeon with ocular alignment while the patient is under local anesthetic.
To diagnose and treat children with special needs in community and multidisciplinary clinics. The caseload will include children with complex neurological disorders, high level medical needs, autistic spectrum disorders and sensory impairment. Close liaison with other members of multidisciplinary team/early years contributes to the management of the ‘whole’ child. When patients are wheelchair-bound and with young children it is necessary to adapt tests, be mobile and work at awkward angles at times.
To take responsibility for advising patients, relatives, and carers of the prognosis regarding their eye condition, including visual outcomes, squint surgery and any possible complications. Informing relevant clinicians and members of the multidisciplinary team where needed. Patients may have very complex medical problems requiring a high level of neurological and medical understanding to manage the case effectively prioritising ophthalmic care as required.
To support, advise and train the School Screening Team providing the 4-5 year school vision screening service.
To promote the need for early intervention and treatment of childhood eye problems.
To offer advice and support in the clinic and over the telephone, and deal with queries from patients, carers and other health professionals.
Assess, diagnose and manage children presenting with visually related reading difficulties seeking advice from the Orthoptic Team Leader where necessary.
Undertake specialised assessment of patients admitted to the Stroke ward. Determine the presence of any ophthalmological conditions and manage as required, liaising with ward staff and Ophthalmologists as appropriate. Organise patient referral and follow up as needed. Provide the patient and other health professionals with information to maximise rehabilitation potential and adapt to visual symptoms.
To contribute to Education Health and Care Plan (EHCP) for patients with Special Educational needs when required.
To triage new referrals prioritising their urgency.
To direct referrals appropriately to the Consultant Ophthalmologist, Specialist Optometrist or the Orthoptist Team Leader.
To analyse, diagnose, and formulate treatment plans for patients with complex ocular movement disorders referred by Consultant Ophthalmologists and Acute referrals at Moorfields at Bedford and Luton and Dunstable Hospital trusts.
To analyse patients referred from other medical specialists, to make an Orthoptic diagnosis and contribute to the multidisciplinary care plan.
To assess and interpret visual fields using Goldmann Field Perimeter using knowledge of the visual pathway and to forward the results to the appropriate medical and surgical teams e.g., Neurology teams at local acute trusts, tertiary centres and DVLA.
To maintain and check current and discharged clinical records on SystmOne and other electronic patient record systems.
To work independently in busy community children's clinics within professional guidelines and Orthoptic competencies, referring selected patients for ophthalmic/optometric care.
To provide support for the Orthoptist Team Leaders and:
a. Act as a deputy in her absence
b. Assist in the monitoring and maintenance, development and implementation of professional and organisational quality standards
Planning
To prioritise and organise own clinical caseload.
To be responsible for booking patient appointments and related administration at single-handed peripheral community paediatric Orthoptic clinics on SystmOne, (S1) and ensuring compliance with 18 week criteria for initial appointments.
To organise additional sessions as required and take responsibility for the quality of the service in peripheral clinics in Bedfordshire.
To plan and organise joint Ophthalmic and Orthoptic community clinics across Bedfordshire.
To formulate joint ophthalmic/orthoptic treatment plans for complex cases with the Specialist Optometrist /Consultant Ophthalmic Surgeon giving an informed professional opinion.
Policy development:
To contribute to the improvement of the service and development of agreed policies and guidelines.
Information Resources:
To collate statistics and submit in a timely manner.
To have a good standard of computer skills and adhere to the Trust IT policy.
To maintain accurate contemporaneous patient records in line with the Records Keeping Policy
To respond to requests for data and information following Trust procedures.
Communication
To communicate condition-related information, including the diagnosis and its implications to patients, relatives and carers, especially where this may have a major impact e.g. a child is partially sighted or blind. This may require explanation of clinical information to those who have difficulty understanding i.e. learning difficulties, hearing problems, stroke, emotional problems, people with a high level of anxiety i.e. with sudden onset double vision and those who use English as a second language.
To liaise with and provide detailed medical information to all members of the Community Eye Service and other professions as necessary in order to establish a high quality co-ordinated Service, e.g. Education, other health care professionals, GP’s and Eye Clinic Liaison Officer (ECLO).
To gain informed consent and compliance for assessment and treatment by negotiation and encouragement for children and adults of all ages and abilities.
To communicate effectively by transferring patient information and records (in accordance with local Information Governance processes) in a timely and organised manner when patients transfer between North, South and Mid Bedfordshire clinics, into acute ophthalmic services at Moorfields at Bedford Hospital or Luton and Dunstable Hospital or child development multidisciplinary centres.
To communicate with parents/carers to give an understanding of the clinical processes, the diagnosis and aims of treatment signposting to other sources of information as required.
To deal with tasks on SystmOne liaising with admin and clinical colleagues as required
The assessment of patients involves a high level of concentration for the duration of the assessment. During that time, the Orthoptist may be disturbed, often by telephone calls, a member of the ophthalmology team, receptionists or another Orthoptist regarding a variety of matters.
There is often a requirement to impart upsetting news to parents/carers regarding the discovery of very poor sight in one or both of their child’s eyes, along with the appropriate course of treatment which can be distressing to parents. There is also the requirement to inform patients and parents/carers of the need for a surgical procedure and complications. Patients with incurable double vision need to be advised of the fact that their condition cannot be cured and is unlikely to change. They may no longer be eligible to drive
There is occasional exposure to safeguarding children issues and to terminally ill patients whose eye condition may be one of the first signs of deterioration e.g. brain tumour - the Orthoptist is often asked by the patient if it is connected to their illness. Also occasional exposure to otherwise healthy patients whose eye condition is the presenting symptom e.g. multiple sclerosis.
Key Relationships:
Orthoptists and Ophthalmologists across Bedfordshire in all clinical settings
Patients, relatives and carers
Administration staff at all bases
Local Optometrists
0-19 years teams (School nurses, Health Visitors)
GPs
Multi-disciplinary teams
The team in the Health Hub
Budgetary Responsibilities
To be responsible for the care of clinical equipment, to report any faults and ensure adequate stock levels are maintained.
To identify and order clinical supplies as agreed with the Orthoptist Team Leader, liaising with the buying department & submit invoices for payment.
Please check the attached JD & PS for more details.
