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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
Exam Pass Notes
Reading List
Course Completed - GOC Standard 10
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Scenarios: Inclusive Collaboration Challenges

Consistency makes or breaks inclusive care. These scenarios focus on aligning the whole team to the same adaptations and patient rights. ^[3]

Scenario 7: Neurodiverse Patient

Scenario

You arrive at reception where the booking notes clearly request a low-stimulus appointment for a neurodiverse patient. On arrival the waiting area feels different to how it was planned: bright music is playing, the pre-test team have rearranged the order of checks without telling the patient, and the clinician begins the consultation using complex metaphors that seem to confuse the patient.

The patient looks unsettled and pauses frequently, seeming to need clear signals about what will happen next. Staff members exchange puzzled looks, unsure whether to continue with the current approach or pause and change gears.

How should the team correct course to deliver consistent adaptations?

Implement the pre-agreed plan end-to-end. ^[1]^[2]
Reduce sensory input (switch music off, dim waiting area lighting) and restore a predictable sequence of steps. ^[2]
Provide advance warnings for each step and follow the agreed order of tests. ^[2]
Use literal, concise instructions; allow extra processing time; avoid rushing or repeating phrases. ^[2]
Record which adaptations worked and brief the whole team so the same approach is used at collection and review. ^[1]

Scenario 8: D/deaf Patient with Interpreter

Scenario

A patient who is D/deaf arrives for a complex consent discussion. Two colleagues begin debating whether a family member could interpret or whether to arrange a professional interpreter. The patient watches but does not yet indicate a preference; the discussion risks delaying the consent process and may compromise confidentiality.

You notice the clinician positioning themselves so their mouth is not fully visible and staff are preparing verbal-only information sheets.

What is the safe, rights-respecting approach?

Prioritise accuracy, confidentiality, and patient autonomy. ^[4]^[1]
Use a professional interpreter for the complex consent discussion; continue addressing the patient directly. ^[1]^[6]
Maintain clear mouth visibility and avoid covering the face. ^[5]
Supplement spoken interpretation with written or visual materials and use teach-back to confirm understanding. ^[4]^[1]
Document interpreter details, any adjustments used, and the patient's confirmed understanding and preferences. ^[1]

References (numbered in text)

Accessible Information Standard: requirements (DAPB1605) — NHS England Find (opens in a new tab)
Autism spectrum disorder in adults: diagnosis and management (Clinical guideline CG142) — National Institute for Health and Care Excellence (NICE), Published 27 June 2012; last updated 14 June 2021 Find (opens in a new tab)
Reasonable adjustments: a legal duty — Public Health England / GOV.UK (Guidance), published 8 May 2016; last updated 15 September 2020 Find (opens in a new tab)
Decision making and consent — Professional standards guidance, General Medical Council (GMC), came into effect 9 November 2020 (updated 13 December 2024) Find (opens in a new tab)
Communication tips for health and social care professionals — RNID (Royal National Institute for Deaf People) Find (opens in a new tab)
Lee JS, Pérez-Stable EJ, Gregorich SE, Crawford MH, Green A, Livaudais-Toman J, Karliner LS. Increased Access to Professional Interpreters in the Hospital Improves Informed Consent for Patients with Limited English Proficiency. Journal of General Internal Medicine. 2017;32(8):863–870. 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):

Consistency across the whole team is essential for inclusive care.
For neurodiverse patients: reduce sensory input, follow a predictable sequence and give advance warnings.
Use literal, concise language and allow extra processing time for neurodiverse patients.
Record successful adjustments and brief all staff to ensure consistency at collection and review.
For D/deaf patients, prioritise professional interpreters over family members for complex consent.
Address the patient directly and maintain mouth visibility when using interpreters.
Use written/visual materials and teach-back to confirm understanding.
Document interpreter details, adjustments used and the patient's confirmed understanding and preferences.

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Inclusive Collaboration Managing Disagreements and Conflict

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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 4: Inclusive Collaboration Challenges’. Mecourse Lifelong Learning [Online]. Available at: https://www.mecourse.com/scenario-page-4-inclusive-collaboration-challenges [Accessed 12 May 2026].

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Mecourse Lifelong Learning. Scenario Page 4: Inclusive Collaboration Challenges [Internet]. Mecourse Lifelong Learning; 2025 Aug 22 [cited 2026 May 12]. Available from: https://www.mecourse.com/scenario-page-4-inclusive-collaboration-challenges.

Chicago

Mecourse Lifelong Learning. “Scenario Page 4: Inclusive Collaboration Challenges.” 2025. https://www.mecourse.com/scenario-page-4-inclusive-collaboration-challenges. Accessed May 12, 2026.

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Mecourse Lifelong Learning. (2025, August 22). Scenario Page 4: Inclusive Collaboration Challenges. https://www.mecourse.com/scenario-page-4-inclusive-collaboration-challenges

IEEE

Mecourse Lifelong Learning, “Scenario Page 4: Inclusive Collaboration Challenges.” Mecourse Lifelong Learning. https://www.mecourse.com/scenario-page-4-inclusive-collaboration-challenges (Accessed: May 12, 2026).

AMA

Mecourse Lifelong Learning. Scenario Page 4: Inclusive Collaboration Challenges. Mecourse Lifelong Learning. Published August 22, 2025. Accessed May 12, 2026. https://www.mecourse.com/scenario-page-4-inclusive-collaboration-challenges.

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GOC Standard 10: Working Collaboratively with Colleagues in Optical Practice

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Scenarios: Inclusive Collaboration Challenges

Scenario 7: Neurodiverse Patient

Scenario 8: D/deaf Patient with Interpreter

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