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GOC Standard 10: Working Collaboratively with Colleagues in Optical Practice

Delivering Safe and Efficient Care with a Team-Based Approach

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GOC Standard 10: Collaboration
Why Collaboration Matters
Practice Team Collaboration
In-Practice Teamwork
Cross-Healthcare Collaboration
Cross-Professional Working
Carers & Families as Care Partners
Family & Carer Collaboration
Inclusive Collaboration
Inclusive Collaboration Challenges
Managing Disagreements and Conflict
Continuity of Care
Reflection & Continuous Improvement
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Reading List
Course Completed - GOC Standard 10
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Scenarios: Cross-Professional Working

Cross-boundary scenarios expose weaknesses in information flow. The following illustrate what data are essential and how respectful escalation maintains momentum without friction.^[1]

Scenario 3: Urgent Referral to Hospital

Scenario

You are examining a patient in clinic and, on dilation, you suspect a retinal tear. The electronic referral portal is responding slowly and you cannot be certain when the next specialist clinic slot will be available. The patient is visibly anxious about travelling home and worries about driving because of their vision and symptoms.

What must be shared now to keep the pathway safe?

Transmit the minimum dataset by the fastest safe route and confirm receipt.^[4]^[5]
Phone the on-call team; give SBAR with onset, laterality, visual acuity, examination findings, and risk factors; document recipient name and time.^[3]^[7]
Email or upload OCT and fundus photos if available; include patient access needs (escort required, unable to drive).^[5]^[6]
Provide the patient with written advice and a direct contact number; record the plan and safety-net triggers contemporaneously.^[8]^[7]

Scenario 4: Safeguarding Concern

Scenario

A child is brought to clinic repeatedly with broken spectacles and gives inconsistent explanations for how they were damaged. Parents' accounts differ and the child appears uneasy when asked about home routines. You have a growing concern about possible neglect and understand this requires multi-agency action while protecting the child's dignity and legal rights.

How do you collaborate across agencies while maintaining respect and legality?

Follow the local multi-agency safeguarding protocol.^[1]
Discuss concerns internally with the safeguarding lead; share information on a need-to-know basis.^[4]
Contact children's social care with clear, factual observations; document the lawful basis for sharing, who you spoke to, and agreed next steps.^[1]^[4]^[7]
Continue to engage the family respectfully in care; avoid investigative interviewing and record all contacts contemporaneously.^[1]^[7]

References (numbered in text)

Working together to safeguard children — Department for Education (Published 26 March 2015; updated 12 June 2025) Find (opens in a new tab)
Annex 4: Urgency of referrals table — The College of Optometrists Find (opens in a new tab)
SBAR – Situation-Background-Assessment-Recommendation — East London NHS Foundation Trust Find (opens in a new tab)
The Caldicott Principles — National Data Guardian (GOV.UK) (Published 8 December 2020) Find (opens in a new tab)
Guidance for sending secure email (including to patients) — NHS England Digital (NHSmail) (Last edited 26 July 2022) Find (opens in a new tab)
Safe clinical photography: best practice guidelines for risk management and mitigation — Archives of Plastic Surgery — Rajiv Chandawarkar; Prakash Nadkarni (2021) Find (opens in a new tab)
Good medical practice: Recording your work clearly, accurately and legibly / Keeping records — General Medical Council Find (opens in a new tab)
Safety netting — Cancer Research UK Find (opens in a new tab)

Key Points

Please take a moment to review these points, reflect on their significance and consider how they apply to your own experiences.

Tick to confirm (optional):

For urgent hospital referrals transmit a minimum dataset by the fastest safe route and confirm receipt.
Use phone escalation plus SBAR (onset, laterality, VA, exam findings, risk factors) and document recipient name/time.
Upload OCT/fundus images via portal/email when available and record patient access needs (escort, driving restrictions).
Give the patient clear written advice, a direct contact number and safety‑net triggers; document the plan.
Follow local multi‑agency safeguarding protocols for suspected neglect and consult the practice safeguarding lead.
Share safeguarding information on a need‑to‑know basis, contact children's social care with factual observations and record lawful basis and next steps.
Avoid investigative interviewing of families; continue respectful engagement and contemporaneous documentation.
Accurate, time‑stamped records and closed‑loop confirmation preserve continuity of care and legal defensibility.

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Cross-Healthcare Collaboration Carers & Families as Care Partners

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Course Snapshot

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Length: 60 minutes CPD (1.00 CE Credits)
Appropriate for: Optometrists, Dispensing Opticians, Optical assistants/technicians, Reception/admin staff, Practice managers, Hospital eye service clinicians and allied professionals.
Course Price: Free
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Harvard

Mecourse Lifelong Learning (2025) ‘Scenario Page 2: Cross-Professional Working’. Mecourse Lifelong Learning [Online]. Available at: https://www.mecourse.com/scenario-page-2-cross-professional-working [Accessed 12 May 2026].

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Mecourse Lifelong Learning. Scenario Page 2: Cross-Professional Working [Internet]. Mecourse Lifelong Learning; 2025 Aug 22 [cited 2026 May 12]. Available from: https://www.mecourse.com/scenario-page-2-cross-professional-working.

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Mecourse Lifelong Learning. “Scenario Page 2: Cross-Professional Working.” 2025. https://www.mecourse.com/scenario-page-2-cross-professional-working. Accessed May 12, 2026.

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Mecourse Lifelong Learning. (2025, August 22). Scenario Page 2: Cross-Professional Working. https://www.mecourse.com/scenario-page-2-cross-professional-working

IEEE

Mecourse Lifelong Learning, “Scenario Page 2: Cross-Professional Working.” Mecourse Lifelong Learning. https://www.mecourse.com/scenario-page-2-cross-professional-working (Accessed: May 12, 2026).

AMA

Mecourse Lifelong Learning. Scenario Page 2: Cross-Professional Working. Mecourse Lifelong Learning. Published August 22, 2025. Accessed May 12, 2026. https://www.mecourse.com/scenario-page-2-cross-professional-working.

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GOC Standard 10: Working Collaboratively with Colleagues in Optical Practice

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Scenarios: Cross-Professional Working

Scenario 3: Urgent Referral to Hospital

Scenario 4: Safeguarding Concern

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