Autonomous working for SAS ophthalmologists

You can take on more responsibility and work more independently, autonomous working could be the next step in your career.

It allows you to manage patient care within your area of expertise, while remaining part of a supported clinical team, based on your experience, competence and agreed responsibilities. 

You will work within clear governance structures and have access to peer support. You remain accountable for working within your competence and following professional standards. 

What does it look like in practice? 

You could: 

• lead clinics or services 
• run theatre lists 
• manage patients under your own care 

For example, you might lead a subspecialty clinic and take responsibility for patient outcomes within that service. 

 Why consider it? 

Autonomous working can offer: 

• greater professional recognition 
• opportunities to develop advanced skills 
• increased job satisfaction and engagement 
• clearer accountability for your work 
• a stronger role within your clinical team 

How do you get there? 

You will usually need to: 

1. Discuss your goals with your clinical lead 
2. Agree the area of practice you want to develop 
3. Provide evidence of your competence and experience 
4. Show how your role will support service needs 
5. Gain formal approval and update your job plan 
6. Work within agreed governance and review arrangements 

Responsibility for care is delegated within the organisation, with accountability to clinical leadership and ultimately the Medical Director and Chief Executive. 

Moving between roles 

Autonomous working arrangements are agreed locally. If you move to a new organisation, you will need to agree a new arrangement. Your experience and skills will support this discussion.