Botulinum toxin is a first-line treatment for blepharospasm. Nationally there are a number of movement disorder/nurse specialists who are trained to administer botulinum toxin. This policy outlines the training for a highly specialised orthoptist to administer botulinum toxin injections to treat specific movement disorders. This development will improve patient care by expanding the capacity of the ophthalmology-led botulinum toxin clinic, broaden the orthoptist specialist’s clinical skills and meet the increasing demand for botulinum toxin therapy in the ophthalmology-led clinic.

This policy outlines the training and duties involved of those staff outlined to deliver the service and the responsibilities of the employer. The policy also outlines how compliance with the policy should be monitored.