Specialist Orthoptist - Complex Ocular Motility

Responsible for providing specialised Orthoptic services as an autonomous practitioner within hospitals and community outreach clinics,accepting direct referral of patients of all ages who have a wide spectrum of ocular motility disorders and visual problems. To assess, diagnose, manage and treat patients of all ages referred to the Orthoptist, being responsible for the instigation of follow-up care and/or onward referral to the sub-speciality Orthoptists/Optometrists/Ophthalmologists as appropriate.

To be regularly involved in the assessment, diagnosis and management of complex ocular motility disorders by undertaking the joint Consultant Adult Squint/Botox clinics and working with the Head Orthoptist in supporting the organisation of the squint botox clinic, squint pre and post-op clinics, contributing to squint MDT and undertaking the role of 1st assist for squint surgery.

To be involved in the clinical teaching ofundergraduate Orthoptists,pre-registration Optometrists, medicalstudentsand other healthcare learners/professionals asrequired.

Assessespatientswithcomplex ocular motility diagnoseswithin the giventimeframesfor testing.

Formulates management plans for these patients in communication with the Squint Consultants and Head Orthoptist.

Undertakes the role of 1st Assist for squint surgery for both adult and paediatric squint surgery.

Assists the surgeon in post-operative adjustable suture technique and Botox clinics requiring accurate measurements to ensure good ocular alignment whilst the patient is under local anaesthetic.

Presents pre-operative squint surgery findings to the squint MDT and collates an MDT summary report, organises relevant post-operative follow-up and/or any additional tests required prior to squint surgery.

• Clearly communicates to the patient, carers and MDT such findings as reduced vision, restricted ocular motility, and other limiting factors such as potential for post-operative diplopia.
• Independently assess, plans, implements and monitors individual orthoptic treatment plans/care pathways for each patient using clinical experience, knowledge and evidence-based practice, selects appropriate assessment techniques relevant to each individual patient based on clinical experience and by using clinical reasoning.

Records clinical findings, management plans and other relevant information within the patients notes and formulate letters to summarise and refer on to other professionals as required.

Communicates to convey complex diagnoses and treatment plans, break bad news and provide support, gain consent and understanding by combating barriers, gain the confidence and cooperation of children and parents or to present and explain complex concepts, ideas and issues to service users who are unfamiliar with them.

• Actively involved in audit, research and quality improvements relating to this aspect of the Orthoptic service.

Undertakes delegated duties from the Head Orthoptist regarding e.g. the developing of resources for this cohort of patients.

Actively involve themselves and support the other Orthoptists involved with this cohort of patients to develop the service.

Actively promote the orthoptic profession and involvement with this cohort of patients through such things as school/college open days and work experience.

Discharges or arranges onward referral as required.

Actively involved in discussions and decisions around treatments with the Orthoptists/Optometrists/Ophthalmologists.

Responsible as an autonomous practitioner for the decision to instil eye drops for refraction tests, diagnostic and treatment purposes, to decide the appropriate strength of drops required and to advise patients/parents of the side effects following departmental PGDs/medicine exemptions.

To liaise with the Head Orthoptist regarding problems arising from any orthoptic treatment.

Demonstrates compassion by recognising and responding to individual needs in a warm, thoughtful, sensitive and helpful way.

Proactively engages with patients, relatives and carers to seek their views, gain agreement and to keep them informed about their treatment and care.

Receives positive feedback from own patients, relatives, team and students.

Theorthopticdepartmentisbased at Royal Preston Hospitalwithadditionalcommunity clinicsandourOphthalmology Unit at Chorley District General Hospitalwhichopened inDecember2021.

Our new unit has been designed to not only give the patient and their relatives/carers the best experience but also our team too; with individual 6m Orthoptic rooms fully equipped even with a window for those far distance cover tests wehope wehave thought of everything.

Wearealargedepartment who work closely with our eyecolleaguesstriving to provide excellent care with compassion; if youmanageyourtime well and work well withinadynamicteamthen this is the place for you.

We are always looking for ways to further develop ourselves and theteamplus looking to see what we could do differently and in fact better. This is why we actively encourage and supportCPD, audit and researchand havementorshipin place for this role.

It'shard to fit everything we do in to one advert so if you would like to know about the roleand the teamthen we would genuinely love to hear from you-call my fabulous team on 01772 522417 or email me claire.critchley@lthtr.nhs.ukto arrange a call

Essential: - Degree in Orthoptics or equivalent; - Registration with HCPC; - Evidence of appropriate ongoing professional development

Desirable: - Evidence of postgraduate training and certificates; - Teaching qualification or willingness to undertake 2 day BIOS course

Essential: - Proven knowledge and experience managing specifically an adult ocular motility Orthoptic caseload; - Proven knowledge of the investigation, diagnosis and management of a broad range of specialist and complex Orthoptic patients and be able to explain findings to patients/parents/carers/students/GP's and other health professionals on varying levels; - Proven knowledge of formulating treatment plans involving complex facts and situations and problem solving techniques and be able to explain these to patients/parents/carers/students/GP's and other health professionals on varying levels; - Proven ability to work single handed in the hospital and or community clinic; - Proven postgraduate clinical experience - 2 years minimum practice; - Evidence of CPD Knowledge of relevant national policies and procedures relating to role; - 1st Assist for squint surgery competence and associated aseptic techniques; - Experience of teaching orthoptic undergraduates and or other health professionals and students

Desirable: - Experience working as an Orthoptist in the ward environment; - Experience of various Neurological conditions seen by Orthoptists; - Evidence of Audit; - Evidence of Research; - Awareness of Dementia; - Ability to perform and interpret visual fields static and kinetic