The COVID-19 pandemic has resulted in widespread curtailment of clinical services. The NHS is intent on recovering services with a resumption of clinical activity set within the constraints of social distancing and minimising the risk of exposure of patients to the COVID19 virus which continues to circulate within the community and within hospitals. At the time of writing, the national picture is of COVID-19 infections once again rising and the possibility of increased restrictions remains. There is a need to adapt services to meet the sometimesconflicting demands of keeping waiting lists and risk due to delays down whilst maintaining a safe environment. This document provides a guide to assist hospital departments to manage their paediatric ophthalmology service during the pandemic.