4 September 2025

College welcomes government proposed plans to extend range of medicines that optometrists can supply

As part of its 10-Year Health Plan, the government is proposing to extend the range of prescription-only medicines available for optometrists to supply under the medicines exemptions legislation.

“Enabling optometrists to supply a wider range of prescription-only medicines will ensure more patients receive effective treatment for many common minor eye conditions at their local optical practice, without having to be referred to a prescriber or wait for a GP appointment. The College, along with many others in the sector, have long called for a review of the Human Medicines Regulations Exemptions for optometrists, to improve patient access to timely treatment.  

“If these proposals are agreed and implemented, optometrists can continue to play a key role in reducing the burden on A&E departments and GPs, who often lack the specialist ophthalmic training and equipment needed to handle most eye conditions. By expanding the number of medicines that all optometrists can supply to patients, optometrists’ core skills will be better utilised to improve patient outcomes and experiences, particularly where commissioned acute eye care services are available. We urge our members, all healthcare professionals and the public to support these proposals to improve eye care in the community.”

Dr Paramdeep Bilkhu, clinical adviser at The College of Optometrists

Related further reading

Chris Steele FCOptom, Clinical Editor of Acuity, looks at the brink of a major medical shift.

We speak to Ruth Bennett MCOptom, the College’s Deputy Lead Assessor on the Scheme for Registration, about her “portfolio” career in optometry.

If passed, the measures mooted in the government’s consultation to extend medicines for optometrists and contact lens opticians could be the biggest change to scope of practice in decades. What could practice look like if the proposals are enacted?