Optometrists examine patients' eyes, give advice on visual problems and prescribe and fit spectacles or contact lenses when needed
As an optometrist, you'll be trained to recognise eye diseases, such as glaucoma and cataracts, as well as general health conditions such as diabetes or high blood pressure. You'll refer patients to doctors or other optometrists with higher qualifications when necessary.
Patients range from very young children to the elderly. You may see both NHS and private patients.
You may sometimes, with higher qualifications, share the care of patients with chronic conditions or manage patients with low-risk eye conditions. Most of these activities involve the use of specialist equipment.
Types of optometrist
Most optometrists work in community practice. This may be:
- community independent
- community multiple - large companies that have multiple branches in the UK and sometimes abroad
- domiciliary - going to patients' homes, care homes and day care centres to carry out eye examinations.
Other types of optometrist include:
- community ophthalmology and hospital
- locum and portfolio
- research and industry
- third sector.
Many of the settings in which optometrists work enable part-time or flexible working.
Depending on your area of work, you may:
- speak to patients to get detailed case histories from them
- examine patients' eyes to detect vision defects and signs of injury, disease or abnormality
- manage and monitor some eye conditions, either autonomously or alongside other healthcare professionals
- detect signs and symptoms of general health conditions such as diabetes
- fit spectacles or contact lenses
- discuss vision-related matters with patients, and offer advice and reassurance
- offer help and advice to patients when choosing frames and lenses
- liaise with and write referral letters to doctors and other optometrists with higher qualifications
- meet sales targets with regard to selling spectacles or contact lenses.
In addition, you may:
- manage and train staff, including other optometrists, dispensing opticians and optical assistants
- manage the retail aspects of spectacles, contact lenses and other vision care products
- administer, organise and plan the development of the practice
- liaise with sales representatives from vision care product suppliers
- own or manage a practice
- manage and prescribe medicines for people with eye conditions
- advise NHS England or local clinical commissioning groups on the development of eye care services.
Your salary will vary, depending on whether you're working in a community practice or for the National Health Service (NHS). Salaries and benefits may also vary between independent and chain practices.
- There's no set minimum salary for the pre-registration year in community practice, but most employers pay at least the National Living Wage (if you're 25 or over) or the National Minimum Wage (if you're under 25). For rates of pay, see GOV.UK. Many employers in community practice pay additional expenses such as course costs and Scheme for Registration fees.
- Starting salaries for newly qualified optometrists are typically around £25,000, depending on your employer and location.
- With experience you can earn from around £28,000 to in excess of £65,000. Earnings for company directors, partners and sole practitioners depend on business performance.
Salaries depend upon supply and demand, so you may earn more in areas where there are fewer optometrists.
Additional benefits can include commission, a bonus scheme, health insurance, life insurance, a company car and discounted eyewear.
- Jobs in the NHS as a hospital optometrist are usually covered by the Agenda for Change (AfC) pay rates consisting of nine pay bands. Typical salaries for the pre-registration year start at £21,892 (band 4) but you'll need to meet course costs and Scheme for Registration fees yourself.
- Once qualified, you can earn between £31,365 and £37,890 (band 6).
- Salaries for specialist optometrists can go up to £44,503 (band 7). At principal optometrist level, you could earn £45,753 to £62,001 (8a-8b), with salaries for consultant optometrists and heads of service rising to £87,754 (band 8c/8d).
Income figures are intended as a guide only.
Working hours are usually 9.00am to 5.30pm, Monday to Friday, and you'll typically work between 37 and 40 hours per week. In community practice, weekend and evening work is common, particularly in larger chains.
Part-time and temporary locum work is popular, often working in a variety of practices.
Career breaks are possible, but unless you're intending on taking a significant amount of time off you may wish to remain on the General Optical Council (GOC) register, which means doing a certain amount of continuing education and training (CET) during your break.
What to expect
- If you work in community practice, you'll work alone when carrying out eye examinations but will probably be part of a wider team that includes dispensing opticians and optical assistants. Optometrists in hospitals work as part of a large team of eye specialists that includes ophthalmologists, nurses, orthoptists and healthcare assistants.
- Jobs are available throughout the UK in hospitals and all types of practice. If working in community practice, you'll usually work in a shop comprising a retail section and private consulting rooms, while hospital work is carried out in consulting rooms or cubicles in hospital trust buildings.
- Practice ownership through a franchise, partnership or sole trader operation is possible.
- Some optometrists prefer to work in different practices throughout the week but for others most work will be undertaken in one location. You'll usually need to travel for training purposes or to attend conferences. Some optometrists, however, prefer to do domiciliary work, travelling to examine people in their own homes or in care homes. They carry portable equipment with them to do this.
- UK-registered optometrists may find work abroad. Some countries require you to take further examinations.
To work as an optometrist you must be registered with the GOC, the regulator for the optical professions in the UK. In order to do this, you must:
- get a minimum of a 2:2 honours degree, or equivalent, in optometry from a GOC-approved optometry course
- complete one year's salaried pre-registration training under the guidance of a GOC-registered optometrist, who is a member of the College of Optometrists
- pass the College of Optometrists' GOC work-based and final assessments.
There are a number of universities currently running approved degree courses. Entry requirements vary between universities but you'll typically need a minimum of AAB at A-level, or equivalent, with at least two science subjects.
Graduates with a 2:1 degree or above in a science-related subject may also be considered for entry on to an approved undergraduate course.
Degree courses usually last three years full time (four years in Scotland), although some providers offer an integrated four-year Master of Optometry, which incorporates the pre-registration period. Students who successfully complete this course are fully qualified and able to register as optometrists with the GOC. See GOC - What to study and where for a list of approved course providers.
Once you've got a 2:2 or above from an approved provider and have a valid Certificate of Clinical Competency, which is awarded on graduation and is valid for two years, you can undertake pre-registration training. If you fail to achieve a 2:2 or if your certificate expires you must successfully complete the GOC's Optometry Progression Scheme before entering a pre-registration placement.
Before starting you'll need to find a training placement. These are often advertised on:
- The College of Optometrists - Pre-reg jobs board
- university noticeboards
- the websites of major companies
- adverts in publications such as Optician and Optometry Today (OT).
You can also contact local optometry practices to see whether they're willing to offer training placements.
The pre-registration period includes work-based assessments and enables you to build on the knowledge that you gained at university and apply it to real practice in the workplace. Successful completion of the pre-registration training and final assessment examination allows you to register as an optometrist with the GOC.
You'll need to show:
- clinical decision-making and an ability to use professional judgement
- excellent communication skills to deal with a range of people
- strong interpersonal skills, with the ability to put anxious patients at ease
- the ability to understand and apply scientific principles and methods
- confidence in using complex equipment
- teamwork skills
- manual dexterity, precision and accuracy
- good organisation and administrative skills
- attention to detail
- a willingness to undertake continuing professional development (CPD) to keep up to date
- that you're comfortable working in close proximity to patients
- patience to carry out repetitive tasks.
Competition for pre-registration positions is high so it's important to get some work experience. Some students work in practices at weekends or during university holidays.
Some of the larger chains also run summer programmes for students between their second and third year. Visit company websites for details of these schemes.
Most optometrists work in high street practices, which may be independent or part of a regional or national chain. Others undertake domiciliary work. If you have a strong interest in the medical side of optometry, you may decide to work in hospitals alongside other healthcare professionals such as ophthalmologists and orthoptists. Some hospital optometrists perform minor surgery.
Optometric practice is changing with more healthcare (as opposed to retail) related work being conducted in community practice. This is facilitated by the increasing use of technology in community practice to help optometrists diagnose and manage patients with eye disease.
It's also possible to work in academic settings doing research and/or teaching, or in the optical manufacturing industry working for spectacle lens, contact lens and ophthalmic instrument manufacturers. This may be in research and development, or in a professional services role, giving technical support.
Companies offering laser refractive surgery also employ optometrists in a pre-operative consultation and post-surgical follow-up role. Other employers include charities, local government, the army and public health bodies.
Self-employment through a franchise or partnership, or as a sole practitioner, is also possible.
Look for job vacancies at:
You can also search the websites of major high street chains, or look to specialist recruitment agencies who will handle vacancies. Details can be found in the optometry press.
As a qualified optometrist, you will undertake continuing professional development (CPD) throughout you career. You must renew your registration with the GOC annually in order to practise, and undertaking continuing education and training (CET) is a statutory requirement for continued registration.
The GOC's CET scheme is a points-based system, run over a three-year cycle, which ensures that you keep up to date with the knowledge and skills needed to practise safely throughout your career. You can gain CET points through a variety of learning activities, including:
- attending lectures, conferences and workshops
- presenting papers at conferences
- supervising, teaching and assessing
- developing business skills
- studying for a postgraduate qualification.
You'll need to achieve a minimum number of CET points by the end of each cycle to stay on the register.
Masters courses and opportunities for research at PhD level are available via the GOC-approved undergraduate degree providers. Search for postgraduate courses in optometry.
The College of Optometrists also accredits a range of higher qualifications at Professional Certificate, Professional Higher Certificate and Professional Diploma level in the following subject areas:
- low vision
- contact lens practice
- medical retina
- paediatric eye care.
With experience you can also train to become an independent prescribing optometrist by undertaking further study at a GOC-approved institution, a clinical placement and a final assessment through the College of Optometrists. For more information, see Therapeutic Prescribing Specialties.
Optometry has a flexible career structure and it's possible to move between sectors and also to combine a number of roles.
Opportunities for career progression within corporate practice can include promotion within the clinical and/or management structure. Transfer between practices may help you to progress.
Some optometrists choose to go into practice management where salaries may be higher. You will usually be responsible for practice direction and overall business management, as well as the routine work of an optometrist (e.g. sight testing).
It's possible to buy into an optometry practice (either franchise or joint venture) so that you have a direct influence on the running of the business. You can also set up an independent practice, which may be of particular interest if you want to develop a specialist optometric service.
If you're working in an NHS hospital, there's a defined career structure and you can work your way up from basic optometrist to specialist and principal optometrist and then, ultimately, consultant optometrist.
With further study there are also opportunities to become an independent prescribing optometrist.
You may choose to develop your career by going into research and lecturing. Some optometrists become involved in supervision of pre-registration students and full training is provided by the College of Optometrists. It may also be possible to get involved in the education of ophthalmic nurses and medical students.