Orthoptic Stroke Service

Orthoptic services to patients with stroke and acquired brain injury.
Change my appointment

Appointment Form

If you have been given an outpatient appointment at the hospitals and are unable to attend for whatever reason you can use the form below.

It is really important that you let us know of any changes as soon as possible. This means we can offer the original appointment to another patient.

Please complete the form below with your contact details and as much information as possible. You can find most of the information we need on your appointment letter.

If you have any problems using this form, please call the number on your appointment letter and we will do our best to help you. You will receive a response from us so you know it has been received and actioned.

If you wish to change the date and time of your appointment you, you can click the re-book option and state any dates that are not suitable for you, or you can contact us using the number on your appointment letter.

About the service

Visual complications following stroke and other forms of acquired brain injury occur in up to 60% of all patients. These can occur in isolation or as a combination of visual complications such as central vision loss, visual field loss, visual inattention, eye movement disorders, visual perceptual difficulties.

If these visual complications are not identified and not treated they can cause problems with the rehabilitation, potentially increase the patient’s length of stay in hospital, increase falls and reduce independence.

What do we do

Orthoptists are experts in the assessment of these complex cases and are able to assess patients at bedside or in the Out patients department within Ophthalmology.Orthoptists can assess the visual function in almost all patients including those with poor cognition and communication difficulties.

How we can help

The Orthoptic service at Warrington and Halton Hospitals NHS Foundation Trust provide specialist assessment to all patients who are known to have had a stroke. We also accept referrals for any patients who have neurological impairment and are having difficulties with their vision.

We provide a full Orthoptic investigation, diagnosis and treatment and/or advice. Patients who require further investigation will be referred to an appropriate Ophthalmologist. The Orthoptist can liaise with community and hospital optometrists to ensure patients are wearing their correct and up to date glasses prescription.

Those patients who require support from the Vision Impairment Team in the community will be referred immediately by the Orthoptist.

What are the waiting times?

If a patient is in hospital after a stroke the Orthoptic team will aim to see them within 5 days. For all other referrals the Orthoptic team aim to see all patients within 4 weeks as an Out-patient within our Ophthalmology department at Warrington. Reasonable adjustments will always be accommodated. For those who are unable to attend the hospital if they are house bound are offered a home visit.

Vision Passport

“Vision Passport” detailing what was found and advice and treatment given.This leaflet can be helpful for families and carers to understand the visual impairment and what they can do to help.

Copy of the vision passport here

Referral information

All patients on the Stroke Ward (B14) and who have a diagnosis of stroke will be automatically assessed by the Orthoptic team when they are medically able.

Patients on other wards in the hospital can be referred directly to the Orthoptic service by completing a referral on ICE as per instructions below;

Patients who are in the community can be referred via the referral form below;

Community referral form - click here.


Useful links and websites

There are a number of useful websites that can provide further information including patient information leaflets.




Meet the Team

  • Alysha Budd - Lead for Stroke and ABI Orthoptic services
  • Faye Mather – Advanced Orthoptist, Paediatric Lead, Stroke Team
  • Niki Gavin – Specialist Orthoptist
  • Sonia MacDiarmid - Head Orthoptist
  • Emma Rowett – Specialist Orthoptist

You can contact the team directly on 01925 662772

Service lead contact email: Alysha.Budd@nhs.net

Team contact email: whh.orthoptiststroke@nhs.net 

Warrington Hospital