Allied Health Professions

Job market

Orthoptist jobs in the UK

Orthoptists usually start on NHS band 5, which pays £32,073 in England for 2026/27, 161 NHS organisations of the kinds that employ them sit across 9 regions and nations, and 1,592 people hold the registration. What a first post involves, who hires in each region, what it pays there, and where the vacancies are actually advertised.

Band 5 entryHCPC registration required
£32,073 Band 5 starting salary England, 2026/27, before London weighting
£39,043 Top of band 5 England, 2026/27
1,592 On the UK register As at 1 April 2025
878 FTE Published NHS workforce Across the 109 employers that publish a return
6 Approved courses The pipeline feeding this labour market

What a first orthoptist post looks like

Almost every newly qualified orthoptist post in the NHS is advertised at band 5, and band 5 means the same thing everywhere: £32,073 at the bottom of the band rising to £39,043 at the top in England for 2026/27. Employers cannot pay above the band to compete for you, so what actually differs between two adverts at the same band is the work, the supervision and the place.

A first post is usually rotational. You are appointed to the department rather than to one clinical area, and you move through a fixed sequence of placements — commonly paediatric eye clinics and vision screening, strabismus and binocular vision clinics, neuro-ophthalmology, and glaucoma or medical retina clinics — spending a set spell in each before moving on. The point of it is breadth: you finish the rotation having practised across the range, which is what lets you choose a specialty at band 6 on the basis of experience rather than guesswork. It also means the size and case mix of the employer matters more than the wording of the advert. A large acute trust can offer rotations that a small organisation simply does not hold.

Whichever shape the post takes, the first year is a preceptorship year in all but name. Most employers run a structured programme for newly qualified staff — protected supervision, a competency framework and a named practice educator — and the quality of that programme varies far more between organisations than the pay does. It is a fair thing to ask about before you accept, and a better basis for choosing than the job title.

What it pays across the four nations

Each nation publishes its own Agenda for Change circular, so the figures diverge. Registration is UK-wide, so these are genuinely comparable options.

Agenda for Change pay for the bands an orthoptist works through
Nation Pay year Band 5 start Band 6 start Band 7 top
England 2026/27 £32,073 £39,959 £56,515
Northern Ireland 2025/26 £31,049 £38,682 £54,710
Scotland 2026/27 £34,544 £43,231 £61,466
Wales 2026/27 £32,557 £40,559 £57,365

Posts in the Inner London high cost area zone add 20% of basic pay on top , with a floor of £5,794 and a ceiling of £8,746 (2026/27). See the London page for how that changes the comparison.

Regulator
Health and Care Professions Council
Protected title
Orthoptist
Usual entry band
Band 5
SOC 2020 code
2229
Common settings
NHS hospital eye department, paediatric eye clinics, stroke and neuro-rehabilitation units, school vision screening and diabetic eye screening

Where the employers are

NHS organisations of a type that employs orthoptists, the approved courses in the same region, and what band 5 pays under that nation’s pay circular. Orthoptic services run out of hospital eye departments, with community clinics and school vision screening attached to them.

Orthoptist employers, courses and pay by region
Region Nation NHS organisations Approved courses Published workforce (FTE) Band 5 start Median full-time pay
North West England 25 2 188 £32,073 £37,361
London England 22 1 144 £32,073 £49,692
South East England 22 0 113 £32,073 £39,983
Scotland Scotland 21 1 Not published £34,544 £39,719
West Midlands England 18 0 120 £32,073 £37,064
East of England England 15 0 61 £32,073 £38,597
Yorkshire and The Humber England 15 2 109 £32,073 £35,682
South West England 13 0 73 £32,073 £37,195
East Midlands England 10 0 68 £32,073 £35,600

Organisation counts are the NHS bodies in the dataset whose type plausibly employs this profession. They are not vacancy counts, and a large organisation may hold many posts while a small one holds none. The full-time equivalent column sums only the organisations that publish a workforce return for this profession, so it is a floor rather than a total. Median full-time pay is the ONS whole-economy figure for the region, not an NHS figure — it is here as the benchmark to read a band against.

Workforce and earnings, UK-wide

These are national figures. Nothing published at profession level is broken down by region, so they set the scale of the labour market rather than describing any one part of it.

Published workforce and earnings figures for orthoptists
Measure Value Geography As at
HCPC registrants on the 'Orthoptists' part of the Register (all application routes) 1,592 United Kingdom (HCPC Register; includes registrants trained outside the UK) 1 April 2025
People in employment in the UK in SOC 2020 unit group 2229 (Therapy professionals n.e.c.), Annual Population Survey estimate 51,800 United Kingdom 31 March 2026
Median gross annual pay, full-time employee jobs (ASHE Table 14.7a, SOC 2020 2229) £37,599 United Kingdom 2025
Mean gross annual pay, full-time employee jobs (ASHE Table 14.7a, SOC 2020 2229) £39,897 United Kingdom 2025

The ONS median of £37,599 for full-time employees covers every sector, not the NHS alone, and it covers everyone in the occupation rather than people at the start of it. Read next to the band 5 starting figure of £32,073, it tells you something useful: the gap between the two is roughly what career progression through the bands is worth, because most people in this occupation are several years past their first post.

Two counts of the same workforce rarely agree, and it is worth knowing why. The register count (1,592) is everyone entitled to practise, including people working part-time, working abroad, on a career break or not practising at all. The employment estimate (51,800) is a survey of people actually in the job. The difference between them is the slack in the system — and it is the reason a register that looks large does not necessarily mean a job market that is hard to enter.

Where the actual vacancies are

This page carries no live adverts. The NHS Jobs adverts API is authenticated and publishes no terms of reuse, and the commercial aggregators attach conditions an open-data site cannot meet honestly, so rather than show you a partial or stale list, here is where employers actually post orthoptists vacancies.

NHS Jobs

Search "Orthoptist" and filter by band. This is where NHS England trusts advertise, and for most of them it is the only place.

England

HealthJobsUK / Trac

The recruitment system many trusts and health boards run on. Search it separately — it does not mirror NHS Jobs, and some organisations post only here.

EnglandWales

NHS Scotland recruitment

One shared national system for all NHS Scotland boards. Scottish posts do not appear on NHS Jobs at all.

Scotland

HSC Recruitment

Health and Social Care Northern Ireland recruits centrally for the six HSC trusts and the ambulance service.

Northern Ireland

British and Irish Orthoptic Society

The professional body for orthoptists. Professional bodies carry specialist and non-NHS vacancies that never reach a general board, alongside preceptorship and first-post guidance for new registrants.

BIOS

Find an apprenticeship

An apprenticeship is a job, so it is advertised as a vacancy rather than listed as a course. One standard lead to registration by this route.

England

More on orthoptists

Job markets for related professions

Where this page’s data comes from

Vacancy sources are listed because this page describes their licence position. No live advert content is republished here.