Detailed job description and main responsibilities

To deliver highly specialist clinical patient care requiring extensive knowledge, experience and expertise in management that includes a high proportion of tertiary referrals. This activity requires regular use of a wide range of advanced clinical techniques requiring dexterity, precision and intense concentration; and the judgement, analysis and interpretation of the complex clinical findings with a range of management options.

Patient examinations will be comprehensive and commensurate with clinical experience beyond Masters Level (i.e. College of Optometrists Diploma in Glaucoma, College of Optometrists Diploma in Independent Prescribing). Skills and knowledge are commensurate with those of sub-specialty medical ophthalmology staff.

To make independent, patient-centred clinical decisions on management in the presence of uncertainty (for example where patients are unable to cooperate fully in clinical assessments or the evidence for management options is unclear).

To be autonomously responsible for medical treatment (including prescribing) and management of patients. To recognise when patient clinical findings require Consultant Ophthalmic opinions (eg regarding surgery). To refer patients with ocular comorbidity to other ophthalmological services appropriately.

As Clinic Lead in Optometrist-Led Glaucoma clinics, to supervise all patient examinations carried out by the support/resident/placement/new to clinic Optometrist unless/until such time that the support/resident/new to clinic Optometrist has attained the appropriate College of Optometrists certificate or completed their competency sign off. To review all prescribing decisions unless the prescribing optometrist has the correct qualifications together with The College of Optometrists Diploma in Independent Prescribing and their scope of practice /area of prescribing is in that service.

To organise the session by reviewing all clinical records at the start of an Optometrist-led clinic to determine necessary additional clinical tests (eg: visual fields, imaging, auto-refraction) utilising the different staff groups efficiently (admin, technical, optometric).

To provide expert opinion to optometric and non-optometric colleagues on the management of complex cases within the designated Clinics and the Optometry Department.

To undertake a comprehensive range of complex optometry services at Moorfields and out-reach clinics. These include refraction (complex, diagnostic and paediatric), low vision clinics (paediatric, complex, employment). The post holder maintains a personal clinical workload within these services.

To refer patients for appropriate appliances (contact lenses, spectacles, low vision aids) and provide appropriate advice to patients on needs, treatment and corrective aids.