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NHS Education for Scotland

A skilled and sustainable workforce for a healthier Scotland

Qualifications

  

NESGAT

As you are aware, demand for Ophthalmology care within Scotland is rapidly out-stripping capacity. To address this issue, the agenda for the Scottish Government in the coming years is to transfer glaucoma suspects, treated and untreated ocular hypertensives, and appropriate treated glaucoma patients into community care. This will provide safe, effective and local care for patients and potentially ease pressure on over-stretched hospital eye services, creating capacity for increasing numbers of complex patients.

To facilitate this process, the Scottish Government funded NES to develop the NES Glaucoma Award Training (NESGAT).

The aim of this accreditation is ‘to provide community Independent Prescribing Optometrists with a broad education in glaucoma management, equipping them with the knowledge and skills to extend their remit to provide safe, high quality care for patients with suspect glaucoma, treated and untreated ocular hypertension, and treated glaucoma where appropriate.’

Course Information

  • Credit value: 30 credits
  • SCQF level: 11 (Masters level)
  • Mode of delivery: Online and placements
  • Start date: TBC
  • Duration: approx 9 months
  • Time commitment: Although this will depend upon the individual, a typical candidate can expect to spend up to 300 hours of notional effort in total (including self-directed study, assessments and clinical placement)
  • A regular, weekly time commitment of 6 to 7 hours will be required

Course Outline

This course will provide community independent prescribing Optometrists with a broad education in glaucoma management.

Following successful completion of the course you will be able to extend your remit to provide safe, high quality care for patients with suspect glaucoma, treated and untreated ocular hypertension, and appropriate treated glaucoma.

What you will study

  • History and risk factors: changes in ocular health, general health and medications, impact on development or progression of glaucoma or its management.
  • Pathology and differential diagnosis: pathologies affecting structure and function of the visual pathway which may mimic or mask glaucomatous changes.
  • Patient examination: clinical assessment in relation to glaucoma and significance of findings, specifically gonioscopy, pachymetry, optic nerve assessment, visual fields, IOP and OCT.
  • Detection of change and progression: analysis of complex clinical information to detect changes in clinical status consistent with detection of and progression of glaucoma.
  • Prescribing practice: prescribing safely within current national and local guidelines, consideration of pharmacology, cautions, contraindications, interactions and side effects, understanding combination therapies, treatment modifications and special considerations.
  • Surgical techniques and laser therapy: indications for and techniques of laser and surgical interventions used in glaucoma and OHT management, expected outcomes, indications and complications.  
  • Patient management: enquiring and analytical approaches to patient centred decision making, management planning including recall, local preferences, national guidelines, risk of progression and patient related factors. Capacity and consent.
  • Clinical governance: adhering to local and national clinical governance processes, quality improvement, SEA, reflection, duty of candour.
  • Policy: awareness and application of relevant national and local policies, clinical guidelines and frameworks.

Clinical Placement

The glaucoma award will include a clinical placement. This will be competency based and placement will run concurrently with the theoretical learning.

Assessments

There will be coursework requirements throughout the programme in addition to a final assessment. 

Entry Requirements

Applicants must be GOC registered Optometrists with a DipTp(IP) registered with a Health Board in Scotland, and with potential to run a dedicated glaucoma service, receiving patients discharged from secondary care.

You must be able to commit 6 to 7 hours weekly to this programme of study.

How to apply

Information about applications for our next cohort are to be confirmed. The Scottish Government Eye Care Team will be overseeing allocations for the next cohort. Please email eyecare@gov.scot for further details.

Information also available on the NESGAT Turas Learn page.

Independent prescribing

We support optometrists to undertake training to become independent prescribers.

For cohorts prior to January 2026 the training involves:

For cohorts from January 2026 the training involves: 

MSC primary care

We worked with The University of Edinburgh's College of Medicine and Veterinary Medicine (CMVM) and the Royal College of Surgeons of Edinburgh (RCSEd) to develop two postgraduate programmes in clinical ophthalmology by part-time, online distance learning which launched in September 2014.

The University of Edinburgh MSc in Primary Care Ophthalmology is aimed at optometrists, ophthalmology trainees entering specialty training, GPs, other medics and other eye care professionals. This course is also relevant to orthoptists, ophthalmic nurses and dispensing opticians seeking to advance their understanding of clinical ophthalmology.

Need more information?

Please contact: glaucoma@nes.scot.nhs.uk