Job Summary This role will be predominantly engaged within the programme surveillance clinics undertaking the capture and primary interpretation of Optical Coherence Tomography (OCT) scans, but will also need to provide screening and grading within the routine photographic screening clinics as required. Key Relationships The post holder will have regular contact with: Members of the screening team Multi-disciplinary members of the diabetes departments at the acute hospital sites within the 6 boroughs of London covered by the programme. Members of the programme administration team Surveillance Manager Screening Team Leader Programme Manager Clinical Lead, and Lead Ophthalmologists Duties and Responsibilities Clinical Duties and Responsibilities Work autonomously, managing own caseload in community and hospital clinics; work constructively with colleagues to ensure clinics operate smoothly; instil mydriatic eye drops into the patients eyes, in line with appropriate protocols, recording this information on the IT system; capture digital retinal photographs in line with national standards and local protocols; capture and assess OCT scans for patients with maculopathy and ensure appropriate onward management in line with local protocols; Independently carry out retinal reviews using a slit lamp biomicroscope and making appropriate onwards management decisions; grade retinal images to referral outcome level, making an assessment of the level of disease in line with local grading protocol and deciding onward management in line with local protocol; Independently carry out the assessment of the retina using a slit lamp biomicroscope and make clinical decisions for the most appropriate onwards management of the patient. refer any issues preventing patients being screened on that day to the administration team so that they can rearrange appointments and record this in the patient notes; plan own clinical case load and that of others; deal with any telephone and drop in enquires, providing information to patients and colleagues that is commensurate with training and referring any clinical queries to the team leader or clinical lead; undertake regular audit and quality assurance of surveillance clinics, reporting outcomes to the programme leadership; participate in research activities; adjust the camera settings appropriately, and troubleshoot any camera/hardware issues that arise before reporting any problems up the line; to be confident with the use of the IT system, finding patients, adding new patients, updating patients and archiving patients in line with screening and administration policies. Communication Duties and Responsibilities Act professionally and courteously at all times to patients and colleagues; communicate complex information regarding screening to patients and professional colleagues where tact may be required or where there may be barriers to communication such as disabilities explain to patients how their images will be assessed following their attendance and when they should expect to receive their results; to deal with any complaints or issues they arise and attempt to resolve, but to know when to report them up to line to the team leader or deputy programme manager as appropriate. Act as a patient experience champion for the service. Develop and implement improvement projects, based on patient feedback. Education Develop and maintain specialist knowledge of screening and surveillance procedures through continual professional development; Train, supervise and sign off local screener/ graders on the OCT capture and grading plans. demonstrate commitment to the development of others; provide ongoing clinical supervision for junior colleagues on screening; plan teaching sessions and deliver training; Provide 1-1 and group feedback on OCT grading performance and signpost any OCT performance concerns to the nominated Team Leader & Grading Lead. Provide SLB feedback to the wider team support trainee screener/graders to achieve the Diploma in Health Screening (NVQ level 3). Continue to assist in the review and development of the OCT pathway, including regular reviews of resources and training templates.