Delivering as a CCG


Current provision

Orthoptics is an ophthalmic field relating to the treatment of patients with disorders of the visual system with an emphasis on binocular vision and eye movements. The following are some of the conditions all treated by orthoptists:

  • Strabismus (Squint)
  • Amblyopia (lazy eye)
  • Refractive Errors, such as astigmatism (problem with focusing of light and blurred vision)
  • Myopia (near sighted)
  • Hyperopia (far sighted)
  • Low vision (visual problems that is not correctable through surgery, medicines, glasses or contact lenses)

The service assesses diagnoses, manages and treats vision disorders for people of all ages in order to enhance visual performance and relieve symptoms.

Proposal for community based service to meet the needs of orthoptics patients

Care pathway

The orthoptic community service is a planned care service which provides services for patients who do not require emergency care for their condition.

The service will assess and treat people of all ages from babies to adults. The service will be provided by orthoptists and optometrists who are skilled in caring for people with a range of eye conditions. This includes for example blurred vision and squints in children to eye problems in adults following a stroke or head injury.

The service will work closely with the hospital to provide seamless care and access to hospital specialists as required and according to patient need. Pathways between the community and hospital service will be clinically designed and monitored to ensure access to care is timely.

All emergency eye conditions that need treatment on the same day will continue to access the services provided by eye casualty at the QMC hospital site.

Pre-hospital (primary/community care)
Most eye problems are reported by patients to their community optometrist, GP or other health care professional for example eye services within emergency departments or on hospital wards.

Children’s problems are reported largely by parents or other agencies working with children and young people. Adult eye problems are usually identified in hospital.

The community service will see patients referred by the GP, community optometrist or hospital. Some people will require the skills of an ophthalmologist as they may require surgery or their condition is complex. Therefore these people will be referred by the community service to the hospital either directly, for their first appointment, or following an assessment by the community service.

Access to community service

  • A single point of access to the service will be provided.
  • Access will be within a community setting.
  • The community setting will have the appropriate clinical space and equipment.
  • Daily access to advice, guidance and support will be available Mon- Fri for GPs and community optometrists.

Days/Hours of operation
The service will operate flexibly to meet demand and to enable minimum disruption to family and work commitments.

Tell us what you think

You can read more about all the services proposed for a move to the community in our NUH Service Review Q&A

The engagement period for this service review has now ended.  For an update on the decisions on services, click here.


If you would like a paper copy of the You-said-we-did Summary,  please call 0800 028 3693 (option 2)

For further comments, please send your comments to the Patient Experience Team on or write to:


Patient Experience Team

South Nottinghamshire CCGs

Civic Centre

Arnot Hill Park




If you would like a paper copy of the You-said-we-did summary please call 0800 028 3693 (option 2)


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