The role therefore demands the highest level of individual professional responsibility within clinical optometry, exceeding that of both community and more traditional hospital eye service optometrists both in terms of breadth and depth of knowledge, skills and experience. Within a number of sub-specialist areas of patient care, post holders will wherever possible, autonomously deliver a wide range of advanced, specialised, complex and non-routine work, with responsibility for patient examination and complex clinical decision making, regarding on-going management/treatment of a number of sight-threatening eye diseases. The post-holder will work in a multidisciplinary environment alongside Consultant Ophthalmologists, carrying out joint treatment decisions, and discuss and seek guidance on management of cases that they consider being beyond their competence, or where they consider that a surgical opinion is required. Typically, the post-holder will make decisions regarding initiation and review of medical/pharmacological management and will be expected to understand and manage the interface between medical and surgical management of eye disease. See JD attached