Have you thought about becoming an Advanced Clinical Practitioner (ACP) in paediatric ophthalmology?

BIOS British and Irish Orthoptic Society. Logo includes eye in brand colours.

ACPs have been positively impacting patient care for some time, providing increased access to the right care at the right time.  With more specialist ACP roles emerging, such as the ACP in paediatric ophthalmology, now is an exciting time to join the ACP workforce.  Experienced and capable Orthoptists, Optometrists and Ophthalmic nurses, who love working with children, have a lot to offer this emerging profession.

Successful completion of our accredited MMedSci ACP paediatric ophthalmology programme leads to recognition as an ACP in paediatric ophthalmology.  Full funding for these Masters programmes is available either through the apprenticeship levy for our apprenticeship route, or through the NHS England regional faculties for advanced practice NHS England regional faculties for advancing practice   Our University of Sheffield MMedSci programmes are delivered online and supported by work-based learning, through local mentorship from a paediatric ophthalmologist, who can help you acquire the new skills necessary to increase your scope of practice.

 

What does the work involve?

Capable and experienced paediatric eye-care practitioners upskill throughout three years of part-time online MMedSci study and gradually take on paediatric ophthalmology clinical workload.  As ACPs develop into managing their own clinics, they begin to independently diagnose and treat a variety of paediatric ophthalmology patients, escalating care to ophthalmologists where required. Trainee ACPs (tACPs) study core and optional areas of the paediatric ophthalmology curriculum, chosen to suit their personal and paediatric service needs.  The curriculum includes clinical topics such as:  investigative techniques, blepharitis and BKC, dry eye, allergic conjunctivitis and VKC, juvenile idiopathic arthritis associated uveitis, inherited retinal disease, retinal imaging, electrodiagnostic testing, refraction and retinoscopy, detecting glaucoma, managing contact lenses, cerebral visual impairment, communicating with vision impaired children, optic disc screening, nasolacrimal duct obstruction, chalazion, surgical consent and surgical listing and emergency eye care.

ACPs develop skills and knowledge across the four pillars of practice set out by HEE, 2017 (clinical practice, leadership, education and research). Often the clinical pillar is predominant but ACPs are expected to provide advanced skills across all areas, such as evaluating and implementing new services and screening programmes, transforming care pathways and leading on clinical education, research and working across traditional profession-specific boundaries, always with the view to improving patient care..

 

How will this help patients?

There is an acute shortage of paediatric Ophthalmologists in the UK and the gap between patient need and Ophthalmologist clinic capacity is widening.  By upskilling Orthoptists, Optometrists and Ophthalmic nurses in areas of practice where they make a difference, we can provide more responsive and accessible care to our patients. ACPs are expected to demonstrate a high degree of autonomy and make complex decisions; use their expertise and decision-making skills to inform clinical reasoning approaches; and initiate, evaluate and modify interventions.

We currently have 45 students taking our programme across three years of study, with first intake completing in August 2024.  All our students testify as to the impact and importance of their role, with many patient comments received around positive tACP interventions and communications.

 

Could your Trust benefit from a paediatric ophthalmology ACP?

Many NHS Trusts have struggled to recruit a paediatric ophthalmologist in recent years, as shown by the 2022 Royal College of Ophthalmologists workforce census

Many patients currently seen by paediatric ophthalmologists, could be successfully managed within an ACP clinic, freeing up consultant time to deal with more complex, challenging and surgical cases.  ACPs receive much education in clinical leadership, education and research in ophthalmology which equips them to evaluate current pathways and models of care and implement and drive much needed interventions, for a more transformational and compassionate approach to patient care.

 

What our students say

“Training as an ACP in paediatric ophthalmology at Sheffield has offered me great opportunities to learn and develop as part of the ophthalmic team. I’ve enjoyed discussions with fellow trainee ACPs, and relished the opportunities to learn from qualified ACPs and Orthoptists leading the way to expand the Orthoptic role in leadership and education as well as clinical aspects. I have also benefited from discussion with students further on in their ACP and would encourage other Orthoptists, Optometrists and ophthalmic nurses to consider how the specialised ACP in paediatric ophthalmology course could support their career journey.”  Kate Hon (2nd year tACP in paediatric ophthalmology)

“I’m approaching the end of the course and I am starting to make a big, positive impact in clinic, which helps spur me forward through the more challenging aspects of the course. I am now able to autonomously diagnose and manage a range of paediatric patients. As such, numbers seen in our paediatric ophthalmology clinics have increased by 6 per clinic, meaning approximately 600 extra patients are seen each year. Patients and parents are experiencing streamlined care, better wait times and more senior colleagues have slightly less pressure on them. Studying remotely has allowed me to continue working full-time in the South West. Paediatric ophthalmology is challenging and has stretched me way beyond my comfort zone, but I love my new role at work and feel all the hard work has really paid off.”  Emma Gilbert (3rd year tACP in paediatric ophthalmology)

 

If you would like to know more:

Please visit our web pages or download a flyer.

Join our webinar Thursday 2/5/24 12.30-1.30pm:  Paediatric Ophthalmology ACP webinar

See videos of our current students:  tACP videos paediatric ophthalmology

 

Dr Charlotte Codina is Programme Lead for the MedSci ACP Ophthalmology (paediatrics) and the University of Sheffield and ACP lead for BIOS.

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Centre for Advancing Practice – ePortfolio (supported) Route

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The Centre for Advancing Practice ePortfolio (supported) Route is designed to enable experienced Advanced Practitioners to evidence the equivalence of their education and training to the requirements as described in the Multi-professional framework for advanced clinical practice in England (MPF).

These supported places are suitable for our Orthoptists who feel that they are able to closely match the ACP framework, which includes the four pillars of advanced practice.  Your portfolio will be reviewed and you will be given feedback on any areas that might need a ‘top-up’ with a view to helping you to achieve this and we expect some financial and HEI support to be given.

These supported places are shared between all professions, and it would be great to see some of our advanced Orthoptists, progress, with support, to ACP status, via this route.  The webinar detailed below will be a great place to start!

The Centre for Advancing Practice Supported ePortfolio Route is designed to enable Practitioners to evidence that they meet the advance practitioner requirements described in the Multi-professional framework for advanced clinical practice in England (MPF). Currently, individuals would normally evidence this by successfully completing a Centre accredited Advanced Practice Programme.

The Supported ePortfolio Route will provide an alternative route to do this by mapping knowledge and skills to the MPF using the Centre’s ePortfolio.

Application process:

The online application form for this route is available via the Advanced Practice website and will remain open until late January 2022.

The application stage takes less than 10 minutes to complete. Successful applicants will be allocated to an education provider and complete a Learning Needs Analysis. They will then start to complete the ePortfolio itself. It is anticipated that this will take place in the spring, when the pressure on services is more manageable.

Guidance materials

To support, HEE have developed a guidance document , a set of FAQs and held a webinar, which you can view below.

For further details please see: https://advanced-practice.hee.nhs.uk/eportfolio-route/

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If you are interested in finding out more:

ePortfolio (Supported) Route information

Guidance materials:

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New three-year ophthalmology advanced practice course offered by the University of Sheffield

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MMedSci Ophthalmology Advanced Clinical Practice (Paediatrics)

New three-year part-time Masters Course offered by The Division of Ophthalmology and Orthoptics at The University of Sheffield through distance, online and work-based learning.

Suitable for:

  • Current paediatric eye-care practitioners (Orthoptists, Optometrists and Ophthalmic Nurses) who want to advance their specialist ophthalmic practice skills.
  • Excellent communicators with paediatric patients
  • Professionals wishing to reach advanced clinical practitioner status in paediatric ophthalmology

 

Course Description

A new and exciting opportunity for Orthoptists, Optometrists and Ophthalmic Nurses to advance their specialist ophthalmic practice skills. Practitioners will gain a comprehensive and advanced knowledge of paediatric ophthalmology conditions, diagnostic expertise and management options. Teaching will be delivered online, with the addition of clinical work-based learning.  Students will need the support of their local department and a local mentor (paediatric ophthalmologist or ACP in paediatric ophthalmology) to facilitate the clinical exposure required.

The course encompasses the four pillars of advanced practice: clinical practice; facilitating learning; leadership; and evidence, research and development. The core 60 credit first year module  will include:  Introduction to the role of the ACP in paediatric ophthalmology, blepharitis, managing dry eye, allergic conjunctivitis, juvenile idiopathic arthritis, retinal genetics, retinal imaging, electrodiagnostic testing, retinoscopy, glaucoma, contact lenses, investigative techniques, cerebral visual impairment, communicating with vision impaired children, disc and neurological screening, nasolacrimal duct obstruction, chalazions, emergency eye treatment and continued professional development.

Fees and Funding TBC

Tuition Fees Home: £8500 over the three years for all learners

£2833 per year

Students are advised to investigate the possibilities of learning beyond registration funding

More information, including how to register, available on the University website.

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If you are interested in finding out more:

Full details available here.

Details of other post-graduate courses available here.

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Supervision for Advanced Clinical Practice

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The HEE publication Supervision for Advanced Clinical Practice provides practical and comprehensive guidance for workplace supervision of trainee Advanced Practitioners. It draws on an array of resources and advice, setting out clear pathways for both the trainee and supervisor.

Multi-professional advanced clinical practitioners are a growing part of the modern healthcare workforce. Their contribution to patient care and pathways is recognised in health and care policy (NHS, 2020). They are registered practitioners from a range of professional backgrounds that have advanced level capabilities across the four pillars of clinical, leadership and management, education and research, as set out in the ‘The Multi-professional Framework for Advanced Clinical Practice in England’, (NHS, 2017).

To develop these capabilities, advanced practitioners undertake a combination of practice-based (workplace) learning and training with academic learning at level 7, (masters).

The supervision of healthcare practitioners through their training and beyond is an established part of healthcare practice, endorsed by professional bodies and regulators as the cornerstone of both professional and public safety. Currently, supervision has a profession-specific focus and vary greatly within and across professions.

“This guidance pulls together the insights and experiences of colleagues from across the health professions who recognise the value of multi-professional advanced clinical practitioners and the role of skilful, high quality supervision in ensuring professional and public safety.” 

Deborah Harding, St George’s, University of London

Existing workplace supervision practices may not map neatly to the learning needs of developing multi-professional advanced clinical practitioners/trainees. Nor can it be assumed that uni-professional colleagues have an understanding of the professional scope or typical clinical practice profile of developing advanced clinical practitioner/ trainees from different qualifying professions.

This publication aims to

  • establish the requirements of multi-professional advanced practitioner supervision
  • establish the training and development of supervisors
  • improve consistency and limit supervision practice variation across the health and care sector with a focus on professional and public safety in advanced clinical practice.

This publication has been developed collaboratively with a wide range of stakeholders from across the field of advanced clinical practice; from primary care to mental health and children’s services to emergency medicine. With advanced clinical practice continuing to develop in rapid and diverse ways, it is anticipated that this is a first iteration of such guidance.

“The document provides practical and comprehensive guidance for workplace supervision of individuals undertaking the training journey to becoming an Advanced Practitioner. As such, it draws on a comprehensive array of resources and advice, setting out a clear set of pathways for both the trainee and supervisor. 

The document addresses the issues of multi-profession supervision within the changing and varied environments within which the trainee will be learning. Various definitions and roles are identified; Co-ordinating Education Supervisor and Associate Workplace Supervisors, with clear descriptions of these individual roles. The employers role is also identified with a solution-centric approach to some of the challenges that may occur in relation to providing and supporting workplace supervision. 

The guidance is well laid out which supports it’s use as an ‘often to be returned to’ source of information. There is a useful glossary, abbreviation and appendixes, references and further reading. 

Health Education England supports the guidance and encourages trainees and supervisors to add a copy to your training  portfolio and to refer to it frequently.”

Dr Richard Collier, HEE Lead for Advanced Practice & Lead for Centre for Advancing Practice, Health Education England

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If you are interested in finding out more:

Access the full publication here.

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