A clear direction

30 January 2026
Winter 2026

Dr Gillian Rudduck MCOptom on the strategic plan for 2025–30.

In October 2025, The College of Optometrists published its strategic plan for 2025–30, setting a clear direction for the future of optometry and eye care across the UK.

The plan rests on four strategic pillars:

  1. Optometrists are inspired, enabled and equipped to deliver high-quality services: investing in guidance, education, training, and continuing professional development, and ensuring practitioners are competent and confident in new models of care
  2. Optometry is recognised in all healthcare pathways, trusted and valued by all: forging stronger partnerships with other eye care professions and health systems, ensuring that optometrists are the first port of call for many eye care needs
  3. Patients get the eye care they need, when they need it, where they need it: expanded primary eye care, greater commissioning of optometry services beyond the traditional high-street model, the use of digital, integrated pathways and continued investment in research
  4. The public are aware of the benefit of maintaining good eye health: underscoring awareness, prevention and early detection, and championing the role of optometrists

Underpinning these are four foundational elements: the College’s members, values, people and resources.

What stands out for me is the way the strategy both builds on the recent past and anticipates future challenges. Our previous strategy, which focused on defining excellence in optometry, enabling optometrists to maximise their skills, representing their voice and embedding evidence in the profession, was delivered through the difficult COVID-19 era. The new strategy deliberately shifts into a more expansive role, positioning optometry not just as a profession but as an integral part of the broader healthcare ecosystem.

Translating ambition into action will not be straightforward. The profession faces constraints: distribution of workforce, unequal service commissioning across the UK, technological change and funding models that have historically undervalued primary eye care. We have demonstrated that that up to 70% of eye-related A&E cases could be handled in primary care by optometrists, yet commissioning, digital connections and funding remain barriers in England and Northern Ireland. 

The strategy is timely. As the eye care landscape evolves, with ageing populations, accelerated digitalisation and shifts in patient expectations, the College’s five-year horizon positions it to influence not just the profession but the healthcare systems and the public. If optometrists are to become the “first port of call” for eye care across the UK (as the strategy states), we need to push for more primary eye care services and better public awareness. We know that the world, and our profession, moves at pace, with ever-changing technological, societal and personal needs. Over the next five years, we will build on our successes, innovations and partnerships.

The College 2025–30 strategic plan is a bold statement of intent. It recognises that the profession must evolve in education, in service delivery, in public-facing roles and in health-system integration if it is to fulfil its purpose of eliminating preventable sight loss. Success will depend on the profession working in partnership with other healthcare professionals, commissioners and technology providers, securing the resources, training and pathway design needed, and raising public awareness so that optometry becomes a key pillar of national eye health.

Dr Gillian Rudduck PhD MCOptom DipTp(IP) Higher Cert Glauc

President, Council Member - North West

Gillian has over 20 years' experience in a wide range of optometry roles, including primary and secondary care and academia, and currently practises as a consultant optometrist and a clinical lead at Wirral University Teaching Hospitals.

Image credit | Caroline Andrieu

Related further reading

Our latest position statement on seeing patients in primary care during COVID-19.

The College advises the public against wearing novelty contact lenses this Halloween unless they are prescribed.

Our advice on eye protection when working in the home or garden.