Without fear or favour: When patient preference becomes discrimination

CPD
1
29 October 2026
Autumn 2026

When does a patient's preference for a particular practitioner become discriminatory? And what are practices' responsibilities to optometrists in such cases?

Domains covered

Professionalism

"A lot of the time, patients would ask if they could see someone who was either a specific gender, primarily female, or a specific race, primarily white.”

This was the experience of Neema Ghorbani Mojarrad MCOptom, optometrist and Associate Professor at the University of Bradford, when he worked in rural practices. “In the different places I’ve worked, there have been different responses from the employer and practice staff,” he adds. “Some said, no, we can’t discriminate against our staff. But some obliged entirely, so as not to upset the community they rely on, but also because it’s going to be a negative experience for all if they force it.”

The experience left Neema, who sits on the editorial board for Acuity, feeling “upset, the first time it happened”, though he hardened to it over time. “It knocks your confidence and sense of value to your employer,” he says. “Especially for the practices that were so casual about it. If I was perceived as less desired by the patient base, then would I be at greater risk of being let go?”

Sign in to continue

Forgotten password?
Register

Not already a member of the College?

Start enjoying the benefits of College membership today. Take a look at what the College can offer you and view our membership categories and rates.

Related further reading

The College of Optometrists has responded to the GOC consultation on the proposed updated statement on testing of sight and proposed supervision and delegation standards.

The GOC’s findings indicate strong patient satisfaction with eye care services but identifies that registrants have concerns that commercial pressures could potentially impact their ability to deliver the best possible care to patients, as well as affecting their wellbeing.

This Halloween we're urging the public to think about their eye health.