Skip to main content

This job has expired

Advanced Orthoptist (Medical Retina)

Milton Keynes University Hospital NHS Foundation Trust
Milton Keynes
£43,742 to £50,056 Per annum
Closing date
17 Jul 2024

View more

Other allied health
Band 7
Contract Type
Full Time
Advanced Orthoptist (Medical Retina)

Department: Orthoptic

Band 7

Hours: 37.5 per week, all MKUH roles will be considered for flexible working

About the department:

The ophthalmology department is currently based in the Eye Clinic at Milton Keynes University Hospital and are shortly due to relocate to a new Community Diagnostic Centre comprising of orthoptic rooms, consulting rooms, optometry rooms and theatres. The new site is within the city centre and is currently in development.

This is an exciting new role created to support and grow our medical retinal service as it faces the challenges of increasing demand. You will work alongside the medical retinal consultant team delivering comprehensive care to patients attending with a range of medical retinal conditions and includes the delivery of intravitreal injections. The post holder will also support the core Orthoptic service working as part of a friendly and supportive team of 6 Orthoptists.

About you: You are an experienced and skilled Orthoptist with advanced theoretical knowledge in Orthoptics. You can independently assess, diagnose and manage patients presenting to the Orthoptic department and you have clinical experience within medical retina and intravitrealInjecting.

Interview Date: 1st August 2024.

Main duties of the job

The Advanced Orthoptist (Medical Retina) will work alongside the medical retina team at MKUH delivering comprehensive care to patients attending with a range of medical retinal conditions such as: age related macular degeneration, retinal vein occlusion and diabetic eye disease. This will include delivery of intravitreal injections.

The post holder will provide comprehensive, high quality Orthoptic services as an autonomous practitioner and work as an effective member of the Orthoptic team in the assessment, diagnosis and management of patients with ocular motility disorders and amblyopia to develop and monitor effective treatment plans using specialist skills based on clinical and analytical reasoning and using evidence based practice.

To act as a source of expertise on the management of ocular motility disorders to patients, other healthcare professionals, GPs and consultants.

Participate in departmental education programme, including the training of Orthoptic undergraduate students, pre-registration Optometrists, junior doctors, Medical students, health visitors, school nurses and others.

About us

MKUH staff scored highest for 'I look forward to coming to work' (NHS Staff Survey 2023).

The surgery division at MKUH, which covers specialties including theatres and the Intensive Care Unit, offers a variety of roles and opportunities, both clinical and non-clinical. The division are looking for passionate, enthusiastic and forward-thinking professionals to join the team.

MKUH is one of the leading hospitals in Europe for implementing robotics to assist in surgery, becoming the first in the continent to use the CMR Versius robot for gynaecological surgery. Since its introduction in 2019, the theatres team have completed over 500 surgical cases, the first hospital in the UK to reach this milestone, achieving this in March 2023.

As well as being an innovator in robotics, the Trust is proud to be part of the New Hospital Programme, with plans to expand and increase our surgical capacity to meet the health needs of our communities now and in the future.

With a leading benefits package, and a growing hospital estate to meet one of the fastest growing populations in the country, it is a great time to join MKUH.

Find out more about working in #TeamSurgery at MKUH from the people who work across the division in the video below.

Job description

Job responsibilities

Main duties and responsibilities

  • Work autonomously, within professional boundaries, taking sole responsibility for the orthoptic assessment, diagnosis and treatment of patients referred from ophthalmology including booked urgent service, vision screening, paediatrics, stroke, and maxillofacial services. This will include babies, children and adults with varied complexity of medical conditions and neurological disorders.
  • Assess and diagnose paediatric and adult new and follow up patients. Develop and manage a specialised programme of care appropriate to the needs of the individual patient. This involves using clinical reasoning and a wide range of treatment skills, communicating effectively with patients and parents / carers. Assess understanding and gaining informed consent to the recommended treatment plan. Adhere to any national and local guidelines.

Duties include one or more of the following (depending on specific departmental requirements and training):
  • Carry out A-scan biometry and contact / immersion measurements using specialised equipment. Perform IOP and keratometry measurements and instil eye drops as required. Liaise with the ophthalmologist regarding accurate power selection of intra-ocular lens implant. Take personal responsibility for correct machine calibration and follow guidelines to minimise possible infection risks.
  • Undertake specialised assessment of children with special educational needs (SEN). Liaise with hospital and educational staff to ensure appropriate follow up is arranged and provide information to parents / carers / education / other agencies to enable successful multi-disciplinary working. Develop working relationships with the multi-sensory impairment (MSI) teachers and participate in MDT meetings as applicable, writing EHCP reports when requested.

  • Work within the medical retina team alongside the consultant in charge of the retinal service.
  • To undertake ocular examinations independently and interpret Ocular Coherent Tomography (OCT) scans.
  • Demonstrate in-depth knowledge of highly specialist equipment. Ensure a high level of accuracy, hand-eye co-ordination, dexterity and sensory skills when using a slit lamp microscope, tonometer, visual field analyser, and other ophthalmic equipment.
  • Use extended general and specific examination skills to assess patients with diagnosed and suspected retinal disease and other related conditions within the clinical area.

  • To have excellent and highly developed communication skills with all staff, patients, and parents/ carers of patients.
  • Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed prior to consent for treatment.
  • To communicate the actual or potential diagnosis which may be of a distressing nature requiring sensitive, careful explanation of highly complex information, either to the parent or carer of a child, or to an adult patient.
  • To be aware of barriers to communication and be able to overcome them effectively. For example with the partially sighted, non-verbal infants, special educational needs, those with expressive language disorders (stroke patients), hearing impairments, or whose first language is not English.

Please refer to the job description for further details.

Person Specification

Qualifications and knowledge


  • BSc (Hons) Orthoptics or equivalent
  • Registered with the HCPC
  • Proven clinical competencies as an intravitreal injector


  • Masters degree or evidence of further postgraduate study (preferably associated with Medical Retina)
  • Professional Certificate in Medical Retina
  • Medical exemptions qualification
  • Post-degree study / qualifications in leadership / management in healthcare
  • Completion of BIOS Clinical Tutors Course
  • Completion of GCP training
  • Completion of consent training



  • Significant post qualification experience as an Orthoptist
  • Evidence of ongoing CPD
  • Experience in audit
  • Experience in research
  • Experience in working in hospital medical retina clinics
  • Experience of undertaking intravitreal injections
  • Experience with use of OCT for image capture and interpretation


  • Trained in biometry and immersion as part of cataract service
  • Experience of working with children with special educational needs
  • Experience in stroke service
  • Experience in teaching and supervision of medical / orthoptic students
  • Experience as a lead in an orthoptic service
  • Experience in formulating policies and guidelines
  • Experience formulating EHCPs



  • Significant computer literacy
  • Excellent interpersonal skills with particular ability to liaise effectively with multidisciplinary team members
  • Ability to make decisions, organise and prioritise
  • Demonstrates excellent team working
  • Ability to demonstrate motivation
  • Excellent negotiating and influencing skills
  • Experience of involvement in successful change within a service

Personal and people development


  • To be approachable and maintain a good rapport with colleagues
  • To be able to work independently
  • Manually dextrous
  • Receptive to change
  • Adaptable



  • Excellent communication skills - ability to provide and receive highly complex information

Specific requirements


  • Able to perform the duties of the post with reasonable aids and adaptations

Employer details

Employer name

Milton Keynes University Hospital NHS Foundation Trust


Orthoptics (Dept)

Milton Keynes


Any attachments will be accessible after you click to apply.


Get job alerts

Create a job alert and receive personalised job recommendations straight to your inbox.

Create alert