Orthoptist

The Orthoptic Department also provides a service in the peripheral community hospitals in both Leicestershire and Rutland. As well as orthoptic clinics the orthoptists work in conjunction with the ophthalmologists in general ophthalmology clinics and cataract clinics.
University Hospitals of Leicester is a clinical placement centre for undergraduate orthoptists and regularly has students on placement. Clinical teaching for medical students and pre-registration optometrists is a routine part of the work., Our new strategy, developed with the support and feedback of colleagues, patients, and partners, is our compass for the next seven years (2023-2030).
We have four primary goals:
+ high-quality care for all,
+ being a great place to work,
+ partnerships for impact, and
+ research and education excellence
And we will embed health equality in all we do - taking active steps to reduce the avoidable differences in healthcare that some people face, working in partnership with communities.
Our strategy is underpinned by new values and we will work to ensure they are an everyday reality for all:
+ we are compassionate,
+ we are proud,
+ we are inclusive, and
+ we are one team
This is an exciting moment as we look to the future with clarity on what we already do well and where we need to focus our energies to make an even bigger difference for the people we serve.
About the University Hospitals of Leicester NHS Trust:
http://www.leicestershospitals.nhs.uk/aboutus/work-for-us/current-vacancies/

Detailed job description and main responsibilities
1. To take responsibility as an autonomous practitioner for the orthoptic assessment, diagnosis and treatment of all patients referred to the service from various specialities. This takes place mainly, though not solely, in an outpatient setting.
2. To formulate and monitor individual management and treatment plans for patients of all ages using advanced clinical reasoning and to communicate these effectively with the patient, parent or carer to gain informed consent. This includes children and adults with communication and learning difficulties as well as ocular motility and visual defects.
3. To initiate treatment and management of squint and amblyopia using individual treatment plans. This includes treating infants and children with significant sight problems and requires a considerable degree of empathy and family support. Communication may be difficult with many patients, either due to language or other comprehension barriers.
4. To assess patients referred from other specialties and departments e.g., neurology, maxillo facial, paediatrics, eye casualty and using specialist knowledge formulate an accurate diagnosis and future programme of care, including advice to medical colleagues. This group of patients often have complex medical conditions, congenital or developmental abnormalities, as well as acute ocular motility defects.
5. To instil Prescription Only Medicine eye drops according to departmental Patient Group Directions. This will include very young babies and young children as well as adults.
6. To undertake orthoptic/optometry combined care clinics, taking direct referrals and then from the results of assessment make diagnoses and clinical management decisions, to include referral to consultant clinics or discharge.
7. To undertake pre and post-operative measurements of ocular motility defects, on which to base the timing and type of operation, and to discuss surgical options with the ophthalmic surgeon.
8. To carry out roles in the department of ophthalmology consistent with the extended role of the orthoptist, using specialist knowledge of refraction and binocular vision as well as ocular and neuro anatomy and physiology.
9. To assist with visual field clinics as necessary using the Humphrey automated perimeter and manual Goldmann as required.
10. To undertake biometry and assessment of patients in two stop cataract clinics or pre assessment clinics
11. To maintain accurate, detailed clinical records, in either electronic form or hand written in accordance with departmental policy, of all patients seen.
Peripheral Clinic Duties
1. To be responsible for the provision and development of the orthoptic service, including the extended roles for one of the peripheral hospitals and to ensure that developments are implemented satisfactorily.
2. To carry out roles within the peripheral hospital ophthalmology clinics using specialist knowledge consistent with the extended role of the orthoptist e.g. visual field assessment, biometry as part of the cataract assessment clinics and tonometry.
3. To keep Head Orthoptist informed of all developments
4. To liaise with the Head Orthoptist to ensure adequate staffing levels during planned periods of absence in the designated peripheral clinic.
5. To inform peripheral hospital managers of developments in technology so that equipment can be purchased to ensure the best level of service.
6. To provide professional advice to other health care workers in the ophthalmic team.
7. To organise and manage all pre and post clinic administration, documentation, correspondence and statistics.
8. To plan and prioritise own workload and to adjust the orthoptic clinics to maintain appropriate number of patients and send appointments accordingly.
9. To represent the peripheral orthoptic service on relevant local committees.
10. To report Health and Safety issues to the hospital manager.
Service Delivery & Development
1. To assist in the clinical teaching of undergraduate orthoptists appropriate to their needs using a variety of methods.
2. To liaise with school nurses, health visitors, social workers, peripatetic teachers of the visually impaired and medical staff in the hospital and community, via the Head Orthoptist if necessary.
3. To assist in the teaching of pre-registration optometrists, medical students, junior doctors, nurses, health visitors and other healthcare workers to the appropriate level.
4. To maintain accurate and contemporaneous records of own CPD
5. To organise and participate in local and national audits.
6. To comply with local and national policies and standards.
7. To offer support and assistance to more junior orthoptists
Governance
1. To comply with local clinical protocols and policies and participate in their annual review. Take responsibility for alerting the head Orthoptist to any breaches or operational concerns.
2. To participate in the staff appraisal scheme as appraisee and to act as appraiser for non-registered technical staff
3. To understand and work within all agreed hospital policies where they relate to patients, visitors and staff, safety and welfare.
5. To report accidents or untoward incidents involving patients, visitors or staff immediately following their occurrence.
6. To have a full working knowledge of all fire escapes, fire equipment and fire procedures involving areas of work.
7. To ensure place of work is a safe working environment. Actively contribute to infection control procedures within the working environment. Report all hazards that could involve patients, visitors or staff to the Head Orthoptist
8. To comply with Trust requirements for mandatory training including fire lecture, manual handling, CPR, child protection and incident reporting.
Patient/Customer Service
1. To plan and prioritise individual work load.
2. To assist in carrying out administrative tasks including arranging cover for clinics during planned absence and amending clinic templates accordingly
3. To maintained all patient records to the highest standard whether written or electronic.
4. To dictate letters on all patients seen summarising clinical findings for the parent and GP.
5. To report any faulty equipment and stock to be ordered to the Head /Deputy Head Orthoptist.
6. To report low stock levels to appropriate person.
7. To be aware of Health and Safety issues within the department and report concerns to the Head/Deputy Head Orthoptist.
Risk Management and Patient Safety
1. Use specialist knowledge, skills and innovative practice in order to provide a high standard of patient care and maintain patient safety.
2. Actively promote infection prevention and control awareness using best practice to reduce the potential for cross infection.
3. Use programmes of effective and relevant education to promote staff compliance with policies, practices and patient safety.
4. To comply with local clinical protocols and policies and participate in their annual review. Take responsibility for alerting the Head Orthoptist to any breaches or operational concerns.
5. To participate in the staff appraisal scheme as appraisee.
6. To understand and work within all agreed hospital policies where they relate to patients, visitors and staff, safety and welfare.
7. To report accidents or untoward incidents involving patients, visitors or staff to the Head Orthoptist or their delegated deputy, immediately following their occurrence and complete a DATIX form.
8. To have a full working knowledge of all fire escapes, fire equipment and fire procedures involving areas of work.
9. To ensure place of work is a safe working environment. Actively contribute to infection control procedures within the working environment. Report all hazards that could involve patients, visitors or staff to the head orthoptist
10. To comply with Trust requirements for mandatory training., To assist with recruitment of participants for the research team at University of Leicester.

We are looking for an enthusiastic and motivated orthoptist with to join our team of 17 orthoptists, as an Orthoptist. The Ophthalmology Unit in Leicester employ 26 Consultant Ophthalmologists including 4 paediatric ophthalmologists with a specialist interest in neuro ophthalmology.
The Orthoptic Department sees a wide range of patients, including complex thyroid, neurology and other ocular motility disorders and receives referrals from other specialties including, maxillofacial, endocrinology and paediatrics. Combined care paediatric clinics are held with the orthoptists and optometrists working closely together to manage new patients.
Extended roles include Goldmann and Humphrey visual field testing, biometry, intra ocular pressure measurements, orthoptic-led pituitary clinics and orthoptic-led paediatric cyst clinics. We have a dedicated team of Orthoptists, Optometrists and doctors providing high quality of care service for paediatric cataract patients.
New graduates welcome to apply - Salary will be amended to Band 5, Applicants must hold either a degree or diploma in orthoptics recognised by the HCPC. If you have the drive to provide an excellent patient experience, and enthusiasm for personal and professional development, we are waiting to hear from you.
This role is essential to the delivery of the service and candidates will be expected to work closely with other departments within the Trust to provide high quality, holistic patient centred care. Due to the large volume of activity, there may be some evening and weekend work. A recognised clinical teaching qualification and some previous management or leadership experience are preferable.
The successful applicant will be involved in all aspects of the department's clinical work depending on experience.

Please submit your application form without delay to avoid disappointment; we will close vacancies prior to the publishing closing date if we receive a sufficient number of completed application forms.
Please check the email account (including your junk mail) that you supplied as part of your application on a regular basis following the closing date and throughout the recruitment process, as this is how we will communicate with you.
UHL is an equal opportunities employer. We aim to employ a workforce that reflects the diverse communities we serve. We welcome applications from people from all backgrounds who match our job criteria.
Applicants who have a disability and meet the essential criteria for the job will be interviewed if you indicate you wish to be considered under the Guaranteed Interview Scheme. If you require a reasonable adjustment at any stage of the recruitment process please make the recruitment services team aware as soon as possible.
UHL is committed to helping colleagues balance the demands of both their work and personal needs through flexible working arrangements wherever reasonably practicable and subject to service needs.
Disclosure and Barring Service Check
Please note if you are successful in obtaining this position and the post involves regulated activity you will be required to undertake a Disclosure & Barring Service check.
The Trust will pay for the check initially and the money will then be deducted from your salary over a three month period commencing on your first month's payment.
The current price of a check is £38 for an enhanced and £18 for a standard check.
COVID 19 Risk Assessment
Due to the current Covid pandemic we have introduced a staff risk assessment into our pre-employment process. This now forms part of the mandatory pre-employment checks that will be carried out if you receive a conditional offer.
The risk assessment is intended to ensure you are able to safely perform your duties in any of our work areas, and if you have been identified as being particularly vulnerable to coronavirus. Our main aim is to reduce risk and to ensure the safety of all new starters to the Trust as well as current staff, patients and visitors.
If it is identified that you are within a vulnerable category, we will endeavor to make reasonable adjustments to accommodate this through discussions with both Occupational Health and your recruiting manager.
Covid Vaccination Status
Covid-19 vaccination remains the best way to protect yourself, family, colleagues and our patients/service users from the Covid-19 virus. We therefore continue to encourage our current and potential colleagues to get vaccinated.
University Hospitals of Leicester NHS Trust holds the principles of equality, diversity and inclusion at the heart of everything it does and all that it stands for. We are committed to developing a workforce that is representative of the community we serve. We welcome applications from the diverse community of Leicester, Leicester and Rutland, to help deliver healthcare services that meets the needs of our diverse communities.
At University Hospitals of Leicester NHS Trust we recognise that Artificial Intelligence (AI) tools can be used as a supportive aid during the job application process, for example to generate ideas, improve grammar, or support formatting. . We do however encourage applicants to carefully review any AI-supported content to ensure their application genuinely and accurately reflects their own skills, experience, and motivation for the role.