Securing sustainable eye care

The provision of eye care in Wales is innovative and progressive, utilising the full clinical skills and competencies of optometrists. This was underpinned by legislative changes to introduce Wales General Ophthalmic Services (WGOS) in 2023, resulting in more than 90,000 additional optometry appointments in 2024-25 compared with the previous year.2

112,000 people in Wales are living with sight loss (3.5% of the population). This is predicted to increase to 133,000 by 2032, and double by 2050.1

There are over 1,200 highly trained optometrists3 in Wales delivering more than 865,000 NHS sight tests each year4. They check vision and eye health, and can also diagnose, monitor, and treat eye conditions like cataracts and glaucoma. Many optometrists have additional higher qualifications, including the ability to prescribe medications, and can manage patients with more complex eye care needs, avoiding the need to send patients to already over-stretched hospitals.

By building on this strong foundation and continuing to prioritise primary and community eye care, the next Welsh government can further advance optometry services, making sure everyone can get the specialised care they need quicker and deliver better outcomes for patients.

Our priorities for eye care in Wales:

In 2024-2025 optometrists delivered12:

865,000

over 865,000 NHS-funded sight tests

280,000

more than 280,000 urgent examinations

26,000

more than 26,000 independent prescribing appointments

1.4 million

In excess of 1.4 million paper forms were handled by NHS Wales eye care service in 2023/24.13

1 in 20

1 in 20 people in Wales are currently waiting for an ophthalmology appointment and demand is projected to rise by 40% over the next 20 years.14

References

  1. RNIB Cymru, Impact Report 2022-2023
  2. Llywodraeth Cymru, Inquiry into Ophthalmology Services in Wales. Response to the Health and Social Care Committee report, November 2025
  3. GIG Cymru  Partneriaeth Cydwasanaethau, Chwiliad y Rhestr Offthalmig a'r Rhestr Offthalmig Atodol. Data accessed 16 March 2026
  4. Llywodraeth Cymru, Ystadegau gofal llygaid: Ebrill 2024 i Fawrth 2025
  5. Senedd Cymru, Health and Social Care Committee, Inquiry into Ophthalmology, November 2025
  6. Senedd Cymru, Health and Social Care Committee, Inquiry into Ophthalmology, November 2025
  7. The Royal College of Ophthalmologists, Inquiry into Ophthalmology services in Wales, March 2025
  8. Addysg a Gwella Iechyd Cymru. Information provided by email, December 2025
  9. Iechyd Cyhoeddus Cymru, Gwneud i Bob Cyswllt Gyfrif
  10. General Optical Council, Public Perceptions Research 2025
  11. The Royal College of Ophthalmologists, External Review of Eye Care Services in Wales, September 2021, Andrew Pyott (NHS Highland)
  12. Llywodraeth Cymru, Ystadegau gofal llygaid: Ebrill 2024 i Fawrth 2025
  13. Llywodraeth Cymru, Ystadegau gofal llygaid: Ebrill 2023 i Fawrth 2024
  14. Senedd Cymru, Health and Social Care Committee, Inquiry into Ophthalmology, November 2025
     
  1. RNIB Cymru, Impact Report 2022-2023
  2. Welsh Government, Inquiry into Ophthalmology Services in Wales. Response to the Health and Social Care Committee report, November 2025
  3. NHS Wales Shared Services Partnership (NWSSP), Ophthalmic and Supplementary Ophthalmic List. Data accessed 16 March 2026
  4. Welsh Government, Eye care statistics: April 2024 to March 2025
  5. Welsh Parliament, Health and Social Care Committee, Inquiry into Ophthalmology, November 2025
  6. Welsh Parliament, Health and Social Care Committee, Inquiry into Ophthalmology, November 2025
  7. The Royal College of Ophthalmologists, Inquiry into Ophthalmology services in Wales, March 2025
  8. Health Education and Improvement Wales (HEIW). Information provided by email, December 2025
  9. Public Health Wales, Making Every Contact Count
  10. General Optical Council, Public Perceptions Research 2025
  11. The Royal College of Ophthalmologists, External Review of Eye Care Services in Wales, September 2021, Andrew Pyott (NHS Highland)
  12. Welsh Government, Eye care statistics: April 2024 to March 2025
  13. Welsh Government, Eye care statistics: April 2023 to March 2024
  14. Welsh Parliament, Health and Social Care Committee, Inquiry into Ophthalmology, November 2025

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