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Optometry Job Description

An optometrist examines patients' eyes, tests their sight, gives advice on visual problems and prescribes and fits glasses or contact lenses if necessary. Optometrists are trained to recognise diseases of the eye as well as systemic diseases such as diabetes. They refer patients to medical practitioners as necessary, as well as sometimes sharing the care of patients with chronic conditions. Most of these activities involve the use of specialist equipment.

Most optometrists work in high street independent practices, regional and national chains. A smaller number work in hospitals and community settings. On an average day optometrists administer between 10 and 20 eye examinations, each lasting approximately 20 minutes.

Typical work activities

Tasks typically involve:

  • examining the eyes of patients of all ages to detect signs of injury, disease, abnormality and vision defects;
  • checking for signs and symptoms of general health conditions (e.g. diabetes);
  • communicating with patients to get detailed case histories;
  • using specialist equipment for diagnosis and testing;
  • issuing prescriptions for glasses and contact lenses;
  • fitting and checking prescribed lenses in order to correct vision defects;
  • offering advice and reassurance about vision-related matters;
  • offering help and advice for patients choosing frames and lenses;
  • writing referral notices to doctors;
  • meeting sales targets with regard to selling glasses and contact lenses;
  • undertaking continuing education and training (CET);
  • managing staff, including dispensing opticians and clerical staff;
  • supervising and training junior staff;
  • managing the retail aspects of glasses, contact lenses and other vision care products;
  • administering, organising and planning the development of the practice;
  • liaising with sales representatives from vision care product suppliers.

Pay & Conditions

  • There is no set minimum salary for the pre-registration year in private practice but most practices offer salaries of around £16,500 per annum (salary data collected June 2008).
  • Typical salaries for the pre-registration year (hospital) start at £16,815 (salary data collected June 2008).
  • Range of typical starting salaries (private practice) is approximately £22,000 - £26,000 (salary data collected June 2008).
  • Range of typical starting salaries (hospital) is £23,458 - £31,779 (salary data collected June 2008).
  • Range of typical salaries at senior level (senior optometrist, private practice) is approximately £40,000 - £50,000 (salary data collected June 2008).
  • Typical salaries of a consultant optometrist (hospital) is £50,616 - £75,114 (salary data collected June 2008).
  • Self-employment through a franchise, partnership, or sole trader operation is possible, usually after some years' experience. Rewards vary considerably depending on the success of the practice but may be in excess of £80,000.
  • Working hours are usually 9:00am-5:30pm. Optometrists generally work between 36 and 39 hours per week and usually work five days a week. Weekend and evening work is common, particularly in larger chain opticians.
  • Part-time and temporary locum work is available, often working in a variety of practices.
  • Private practice work is usually performed in high street, shop front premises comprising a retail section and private consulting rooms.
  • Hospital work is undertaken in consulting rooms in hospital trust buildings.
  • Optometrists spend large parts of the day in a fairly small, darkened room with no natural light and have to make close physical contact with people to examine their eyes, which involves lots of bending and standing.
  • Jobs are available throughout the UK in all types of practice and hospitals. Competition for jobs may be greater in the geographical areas surrounding the eight universities offering optometry degrees.
  • Most work will be undertaken in one location, but there may be some travel to other practice premises in the local area. National travel is usually for training purposes or to attend conferences.
  • In 2007 the gender split of the profession was 48% male and 52% female.
  • Optometrists are expected to dress smartly and show high levels of courtesy, professionalism and friendliness.
  • Overnight absences from home due to work are very rare.
  • UK registered optometrists can find work abroad. Some countries require you to take further examinations.

Training

All optometrists practising in the UK must be registered with the General Optical Council (GOC) , the profession's regulatory body, and listed in the Opticians Register. They must renew their registration annually in order to maintain a licence to practise.

Continuing education and training (CET) is a statutory requirement for continued registration with the GOC. The CET scheme exists to ensure registrants maintain the up-to-date knowledge and skills needed to practise safely throughout their career.

The College of Optometrists offers study programmes that enable individuals to work for higher qualifications at their own pace. The College offers Diplomas in Contact Lens Practice, Orthoptics, Ocular Conditions (Diabetes and Glaucoma), Glaucoma and Rehabilitation of Visual Impairment. This is so that patients may benefit from a range and quality of optometric services, which reflect the latest scientific and technological developments. The College's highest qualification, the Fellowship, is equivalent in content and scope to a Masters level qualification.

Optometrist: Career development

Whilst there are opportunities to specialise, the main part of an optometrist's role does not change throughout their career. They may become faster and more experienced testers with time. A senior optometrist with experience will perform much the same role as a newly qualified optometrist.

Following qualification and two years' work experience optometrists may pursue further training to treat eyes by administering therapeutic drugs. Some optometrists specialise in particular areas of practice such as paediatrics, contact lenses, low vision, and sports vision (e.g. practice that specialises in sports vision, behavioural optometry or learning difficulties). Private laser eye adjustment centres may also employ a small number of optometrists operating different technical measurement devices from those used in normal practice.

Career progression in a hospital may be more structured as The National Health Service (NHS) has a defined career grade structure for hospital optometrists.

Some optometrists choose to go into practice management where salaries may be very high. Responsibility for practice direction and overall business management is usually taken on in addition to the routine work of an optometrist (e.g. testing). The increased stress and pressure of long hours must be balanced against increased financial rewards.

Optometry as a profession offers many opportunities for flexible and part-time working and allows individuals to fit other commitments and responsibilities around the career.

Typical employers

Please search our current optometry vacancies here.

The majority of optometrists work in private practice and most of the rest work in hospitals. Private practice employers range from large chains to smaller independent practices. Hospital optometrists are employed by The National Health Service (NHS) . A small number of optometrists are employed by universities and charities.

There has been a marked increase in the number of optometrists in recent years. In 1989 there were approximately 200 optometrists graduating per year and seeking pre-registration places. By 1999 this had risen to 450 per year and since 2003 there have been in excess of 600 graduates entering the labour market every year. This has driven down starting salaries and increased competition for pre-registration places, particularly in areas around the eight approved universities. Newly qualified optometrists may stay with the employer who supervised their pre-registration year or choose to move on. Being flexibile about location widens the potential pool of opportunities.

Self-employment through a franchise or partnership, or as a sole practitioner, is a route many optometrists choose to take. There are opportunities throughout the UK.

There are currently 11,500 registered optometrists in the UK. (January 2008)

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