Model chaperone framework

Model chaperone framework
This framework is informed by Improving chaperoning practice in the NHS: key principles and guidance published by NHS England. The full document is available here.
Framework for optometrists and opticians
The NHS guidance is primarily designed for hospitals and other NHS settings where intimate examinations may take place. Sight tests and procedures carried out by optometrists and opticians are non‑invasive and are not considered intimate examinations.
This framework addresses the specific circumstances of optical practice and focuses solely on chaperoning. It does not replace or duplicate safeguarding policies.
Chaperone policy guidance
Following the recommendations of the Ayling Report (2004), all NHS organisations are expected to have a chaperone policy supported by a regular review process. Each organisation should determine its own policy to ensure it reflects local needs, practice models and settings.
All staff should be familiar with the policy, and it should be readily accessible. Practices should display information about the chaperone policy in waiting areas, consultation rooms and on their websites so that patients understand their rights. Chaperone policies should align with wider safeguarding procedures.
Consent and requests
Consent for an NHS sight test is obtained when the patient signs the GOS1 form. If a patient declines a particular procedure, it may not be possible to complete the sight test. The patient’s wishes take priority, but if the practitioner considers the test incomplete, this should be explained to the patient and recorded in their clinical notes.
Updated 26/01/26