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Quality in Optometry a toolkit for clinical governance in optometric practice

This site hosts two Clinical Governance toolkits (England and Wales) which have been developed jointly by ABDO, AOP, the College, FODO and LOCSU.

GOS Contract in England checklist

The GOS Contracts checklist for England is split into three levels. England level 1 covers GOS contract compliance. This level is used by NHS England Area Teams for the purposes of checking and monitoring contract compliance. Contractors will be asked to complete and submit a Level 1 report once every 3 years, together with an action plan for rectifying any non-compliant issues. Practices that flag as outliers on this and other criteria, together with a small random selection of others, can expect to receive compliance visits.

England level 2 and England level 3 are a legacy levels previously used for optometric enhanced services. From April 2014 all enhanced services will be known as community services and local Service Level Agreements will be replaced with the NHS Standard Contract. These legacy levels will be removed in due course.

NHS Standard Contract in England checklist

NHS Standard Contract checklists should be used to demonstrate compliance with community service contracts from April 2014. There are three versions – you only need to complete one, depending on your situation. The three versions cover LOC companies, individual practices signing NHS Standard Contracts and practices that are subcontractors to LOC companies.

Clinical Governance in Wales

Wales levels 1 and Wales level 2 are but geared to the Welsh Terms of Service and Healthcare Standards for Wales.

Additional tools

This site also has three interactive audit tools available. The Record keeping audit is an online version of the spreadsheets available in Level 1 Q13.5. The Infection control audit summarises relevant elements of Level 1 and presents them in a manner appropriate to community services. The Information governance audit is now a legacy item. It is not needed for GOS and the version needed for subcontractors to NHS Standard Contracts will be found in that section. Those signing Standard Contracts need to use the NHS IG Toolkit and this is explained in the appropriate section.

Finally, the Practitioner checklist and Staff checklist (for non-clinical staff) summarise the knowledge that a contractor will require of employees and practitioners as a part of complying with the GOS contract

To get started, see Help or jump right into the GOS Contract checklist or NHS Standard Contract checklist.

If you are having technical or other issues, and wish to contact Quality in Optometry, please email

Start using the Interactive Checklist Quality in Optometry in England Quality in Optometry in Wales