To work as part of a multi-disciplinary medical team - Ophthalmologist, Orthoptist and Nurses, to provide shared care. To provide a wide range of optometric services as directed by the Clinical Director, General Manager, Lead Optometrist or other designated senior staff member. This may include short notice changes as cover for other members of staff. To work in an extended role capacity in a variety of ophthalmology clinics. To work in an extended role outside ophthalmology clinics i.e. without medical support in clinic. To undertake specialist clinical activity. These clinics involve responsibility for clinical decision-making with support from consultants and the provision of specialised diagnosis, management, care and education of patients. To provide a clinical opinion or obtain a clinical opinion from consultant colleagues to optometric and non-optometric colleagues on the management of patients. To be able to use complex medical equipment such as a slit lamp for accurate clinical assessment and the ability to accurately interpret visual field tests. To request specialised supplementary investigations and the ability to interpret the complex results without guidance. To make independent clinical decisions on disease status and treatment requirements based on comprehensive ocular examination and interpretation of tests performed by support staff and to inform the Consultant Ophthalmologist of any relevant clinical developments or treatment changes. To communicate with patients regarding the outcome of clinical assessments and results of diagnostics potentially providing highly, complex, sensitive condition related information with regards to potentially blinding conditions. To ensure that patients understand their medication requirements together with the importance of compliance. To help develop systems, clinical governance, processes, guidelines and training to establish and maintain extended role clinics & shared care services. To be able to use appropriate IT including electronic patient records for benchmarking, audit and clinical uses. Triage of referral letters both routine and urgent and management of shared care cataract referrals. To keep full and complete records of each patients treatment and to communicate with the patients General Practitioner. To practice with the agreed protocols as and when agreed with the Lead Consultants. To meet professional requirements regarding the safety and treatment of patients. To maintain appropriate knowledge and professional development. To assist in departmental administration as required- apart from general day to day optometric administration, the post holder will be assisting in the discharge of patients onto a level 2 community ocular hypertension/ glaucoma suspect monitoring scheme. To undertake theoretical and clinical supervision/ training/ teaching of students across range of subjects- preregistration optometrists, medical students, trainee doctors. To participate in clinical governance processes and audit.