The College welcomes recommendations to increase support for NHS eye care costs
The report found some patients are voluntarily avoiding essential eye care due to rising costs and insufficient financial support.
"The College of Optometrists welcomes Healthwatch England’s recommendations to increase the support available for people on low incomes so that they can meet the costs of eye care, a vital step toward making eye care more accessible and affordable for people across England. We also support their call for a government-funded targeted public awareness campaign to encourage more people to have regular eye tests.
"It’s concerning that Healthwatch England’s report has found some patients are voluntarily avoiding essential eye care due to rising costs and insufficient financial support. This not only puts individuals at risk of avoidable sight loss but also deepens health inequalities, particularly affecting children and vulnerable adults who depend most on NHS support.
"The Department of Health and Social Care’s decision for 2025/26 to freeze NHS optical voucher values and only increase GOS fees by inflation will contribute to this under-funding. It undermines efforts to promote eye health and maintain equitable access to essential services. Regular eye examinations by qualified optometrists play a key role in detecting early signs of eye disease and preserving sight, and financial barriers should not stand in the way of patients getting this vital care. Without adequate funding, optical practices will struggle to maintain services—reducing access for those who need it most.
"However, we are disappointed that Healthwatch England was not aware of the existing guidelines and standards that all primary eye care clinicians are expected to follow. Optometrists are committed to delivering high-quality, patient-centred care, as outlined in the General Optical Council’s Standards of Practice and the College’s Guidance for Professional Practice. They are expected to ensure patients receive clinically justified care and clear, transparent information about services and costs – and should be trusted to do so."
Sarah Cant, Director of Policy & Strategy, The College of Optometrists