The families who have lost loved ones are absolutely right to call for change. The current system is not fit for purpose and we have long called for a process where all drivers should be legally required to have their vision checked as part of maintaining a driving licence.
The Prevention of Future Death Report submitted to the Secretary of State (17 April) by Senior Coroner, Dr James Adeley’s makes it clear that the system is failing, warning that enforcement of visual legal standards for motorists is "ineffective and unsafe".
Submitting up-to-date sight tests
The first best step to making our roads safer is a mandatory requirement for all drivers to submit evidence of an up-to-date sight test at licence application and renewal.
We conclude that mandatory reporting alone has unintended consequences. Without a legal requirement for regular sight tests for all drivers, mandatory reporting would risk making road safety worse – not better. It would only apply to those who voluntarily come forward for a sight test, potentially discouraging many from doing so.
Worryingly, evidence shows that fear of being reported can deter drivers from getting their eyes tested. This is a deep concern for our members because many vision issues can be easily resolved with the right glasses or contact lenses. Even serious conditions such as glaucoma can be treated if detected early, but if an examination is delayed for fear of reporting then irreversible sight loss can occur.
Optometrists' clinical judgement
Optometrists already have the option to notify the DVLA if a patient continues to drive despite not meeting the legal eyesight standard. These decisions are never taken lightly. They require a careful balance between patient confidentiality and the broader responsibility to protect public safety. Our members are highly trained professionals who regularly make such difficult judgements based on their clinical expertise.
Optometrists work daily with individuals who experience changes in their vision. They know that without universal, legally mandated vision checks, a policy of compulsory reporting would push more drivers away from seeking help. Which will result in more uncorrected vision problems behind the wheel, and ultimately, more lives lost or changed by preventable road collisions.
We strongly support the introduction of regular mandatory vision checks for all drivers. Until then, any policy change must carefully consider the real-world impact on road safety and public health.
