New campaign encourages drivers over 60 to get their eyes examined

The Scottish Government and Road Safety Scotland have launched a new campaign encouraging older drivers to consider their driving habits and have a free regular NHS eye examination so they can continue driving safely. 

With recent stats showing 29 per cent of car driver casualties killed or seriously injured in road collisions were over 601, the Fitness to Drive campaign highlights that eyesight can affect the way we drive as we get older and calls for anyone over 60 to have their eyes examined regularly, or as soon as they notice a change. 

It’s common for drivers to adapt their driving behaviour as they get older, for example, by not driving at night or on busier roads to avoid the glare from oncoming traffic, or by driving shorter distances. These adaptations often happen gradually and can be a sign of deteriorating vision.

Janet Pooley, Chief Optometric Adviser, said: “As we get older, we can experience changes to our eyesight, including blurred vision, a reduced visual field and less accuracy when it comes to judging distances, which impact our ability to drive safely.

“The best way to make sure your eyes are healthy is to have them examined regularly and to visit your local optometrist if you notice any problems with your eyesight.

“As well as detecting changes in your eyesight, an NHS eye examination can pick up age-related eye conditions like cataracts and glaucoma, and it can identify and help prevent other health conditions like blood issues and diabetes, which can also affect driving.”

The campaign reminds drivers that changes in your eyesight don’t have to mean giving up driving and that your local optometrist can often correct your vision with new glasses.

Janet Pooley, Chief Optometric Adviser, continued: “In some cases your optometrist might advise that you require surgery to improve your vision if you have a condition like cataracts.  Outstanding surgical results often enable people to continue to drive safely for many years.” 

In addition to eyesight, other age-related factors can also affect our fitness to drive, such as high blood pressure, medication, and slower reaction times.

Drivers are encouraged to plan ahead for when they do choose to give up driving and consider alternatives for getting around without a car, including public transport and getting help from family members and friends.

Minister for Transport Fiona Hyslop said: “Changes in our eyesight is something we’re all affected by as we get older, and with Scotland’s population continuing to age, it’s particularly important to ensure we all stay safe on the road.

“We’re encouraging everyone in this age group to get their eyes checked regularly to make sure they are fit to drive.”

Age Scotland’s Big Survey 20232 shows driving is the most common way to get around among over 60s, with 72% of respondents saying this is the mode of transportation they use most.

Katherine Crawford, CEO of Age Scotland, said: “We know driving is hugely important to older people and plays a big part in their ability to stay active, mobile and independent.

“This campaign is a good reminder for older drivers to get their eyes examined regularly or, if they notice a change in their eyesight, to make sure they have the best vision for driving safely.”

Betty Gilchrist said: “I’m not as confident at driving as I once was, particularly at junctions where I take a bit more time now.

“Driving in the dark has also become more challenging. The glare from headlights can be dazzling, so I’m reluctant to drive in the evenings and I stick to short journeys on local roads.

“It’s important to have regular eye exams as we get older and our vision changes. Many of us also develop conditions like cataracts which can be picked up at an eye exam and treated to keep us driving for longer.”

Derek MacPherson said: “As I’ve aged, I’ve become more aware of my eyesight changing and how that affects my driving. I’m now less likely to drive long journeys or drive at night, when the glare from other cars and streetlights can make it harder to see.

“Getting my eyes checked by the optometrist is quick and easy, and knowing my eyesight is up to scratch helps me stay confident on the road so I can keep enjoying the freedom of driving.”

The campaign will also address family and friends who may be initiating discussions about driving with their loved ones, which can be a sensitive subject. 

For more information about the campaign or how to book a free NHS eye examination, go to roadsafety.scot.

Follow Road Safety Scotland Facebook and X (formerly known as Twitter) (@roadsafetyscot) pages for more details.

Lothian MSP Backs National Eye Health Week With Opticians Visit

Lothian MSP Jeremy Balfour is highlighting National Eye Health Week by visiting local opticians, Cameron Optometry, on Saint Vincent Street in Edinburgh.

He is backing the awareness week’s key message that going for regular eye examinations, which are free for everyone in Scotland, remains as important as ever in protecting your sight.

Jeremy Balfour, MSP for Lothian, says: “I’m backing National Eye Health Week to raise awareness of the importance of regular eye examinations.

“These are free for everyone in Scotland, and they can help to detect eye health conditions early, as well as other general health conditions.

“I encourage everyone to make an appointment with their optometrist every two years, or more often if advised.”

Optometry Scotland, the representative body for optometrists and dispensing opticians in Scotland and national sight loss charity, RNIB Scotland are promoting this year’s National Eye Health Week which takes place from 18 to 24 September 2023 to highlight the importance of good eye health and the need for regular eye tests for all. 

RNIB Scotland Director, James Adams, says: “Research shows that sight is the sense people fear losing most. Yet we can be surprisingly complacent about it.

“We’re here to support anyone experiencing changes in their vision and is worried about what this could mean. We can provide the advice and support so you can make an informed decision about your healthcare.

“No one should go through an eye condition diagnosis without support.” 

Julie Mosgrove, Chair of Optometry Scotland, says, “We’re pleased to see Mr Balfour visit one of our member practices to hear more about the fantastic work the team there does in the local community.

“National Eye Health Week is a perfect opportunity to raise awareness of the fact regular eye examinations can help to detect not only eye health conditions but also general health conditions, as well as picking up changes in your prescription. These conditions can include glaucoma, but also high blood pressure, strokes and in some cases brain tumours, although this is thankfully rare.

“Your vision matters, and we recommend that people have an eye examination every two years, unless they are advised by their optometrist to have them more frequently.”

RNIB Scotland: It is more important than ever that people with diabetes attend their regular eye-examinations

As the covid crisis eases, the national sight loss charity RNIB Scotland is emphasising it is more important than ever that people with diabetes attend their regular eye-examinations now that these have resumed.

During Diabetes Week this week [June 13-19th], the charity is pointing out that diabetic retinopathy, a complication of the condition, is a leading cause of sight loss among working-age Scots.

Director James Adams said: “Diabetic retinopathy, a complication of diabetes, can affect the small blood vessels at the back of the eye and is a major cause of sight loss among working-age adults. But damage to vision can be arrested if detected early enough.

“While it’s possible that diabetes won’t cause any changes to your vision, the most effective thing you can do to prevent sight loss is to go to your retinal screening appointments and eye examinations, where safety measures are in place.”

Each year, 5,500 patients with diabetes in Scotland need to undergo further imaging or see an NHS eye specialist for the first time due to worsening in their retinopathy.

Angela Clelland, 47, from Inverness received a diagnosis of diabetic retinopathy during lockdown.

“Getting diagnosed was very, very scary,” Angela said, “because I was isolated in the pandemic. If you are on your own, it affects everything from simple things like making a cup of tea, having the confidence to go out, or not being able to check your diabetes because you can’t read the monitor.

“You need to take your eye health seriously. You need to make sure that you are going for your eye health checks. Even with the slightest change, go to your optician. As things were delayed due to COVID, I would urge anybody who is maybe late or due an appointment to go and make one, because the effect on your life if you don’t go and something happens is devastating.”

There are 3.5 million people in the UK who have been diagnosed diabetes, and an estimated 500,000 people living with undiagnosed diabetes. Within 20 years of diagnosis, nearly all people with type 1 diabetes and almost two-thirds of people with type 2 diabetes will have developed some form of diabetic retinopathy. People with diabetes are also at increased risk of glaucoma and cataracts.

People from a South Asian or African-Caribbean background are two to four times more likely to get type 2 diabetes. They tend to develop it at a younger age which means they live with the condition for longer.

The risk of complications increases with the length of time people have the condition. It is not known why this is the case, but it is likely to be a mixture of genetics, lifestyle, and environmental factors.

* If you’re worried about your vision, contact RNIB’s Sight Loss Advice Service on 0303 123 9999 or visit www.rnib.org.uk/eyehealth

For more information on the NHS Scotland eye-screening service, visit:

https://www.nhsinform.scot/illnesses-and-conditions/diabetes/diabetic-retinopathy.

Tens of thousands of Scots wait more than four months for vital eye care, campaign group tells MSPs

  • Approximately 29,000 people wait more than 16 weeks for eye care services in Scotland after initial referral1
  • The situation has worsened following dramatic falls in outpatient activity during the COVID-19 pandemic2
  • National partnership, The Eyes Have It, call on Scottish government to prioritise eye care services as part of NHS post-COVID recovery plans

Nearly 30,000 patients are waiting more than 16 weeks on NHS waiting lists for specialist ophthalmology treatment in Scotland, Members of the Scottish Parliament have been told during a reception at Holyrood.

And, according to NHS figures, these patients make up more than 50% of the entire ophthalmology waiting list.

Scottish parliamentarians from across the political spectrum who attended the event in the Scottish Parliament on 1st June learnt about the challenges patients with deteriorating eye health face in Scotland. The event was sponsored by Stuart McMillan MSP and hosted by the The Eyes Have It (TEHI) partnership with Sight Scotland.

Sight loss, the complete or partial loss of vision not correctable by usual means such as glasses, affects 200,000 people in Scotland3, more than the number affected by dementia4. Ophthalmology is now the third busiest outpatient specialty in the Scottish NHS and accounts for 10% of new outpatient appointments in Scotland2.

Cathy Yelf, CEO of the Macular Society, speaking on behalf of TEHI, which is made up of The Royal College of Ophthalmologists, the Macular Society, Fight for Sight, the Association of Optometrists and Roche Products Ltd, said: “Capacity shortages can have very serious implications for patients, with delayed follow up (both at the time of diagnosis and during ongoing care) found to be a factor in sight loss.

“The progressive nature of conditions such as wet age-related macular degeneration means that delays to treatment can result in poorer outcomes for patients with sight loss.”

Craig Spalding, CEO of Sight Scotland, one of Scotland’s oldest charities, said: “Eye conditions are estimated to cost the Scottish economy £2bn annually3, and despite the introduction, in 2006, of free primary eye exams in Scotland and strategies to identify priority areas for action to improve eye care services, Scotland continues to face challenges.

“The situation has worsened due to the Covid-19 pandemic which led to a dramatic fall in outpatient activity, but there is now an opportunity to improve efficiency, effectiveness and patient experience as the healthcare system looks towards COVID-19 recovery. Reducing waiting lists must be a key priority.”

Stuart McMillan MSP, Convenor of the Cross-Party Group in the Scottish Parliament on Visual Impairment, said: “Sight loss can have a devastating effect on a person’s quality of life and emotional well-being.

“The implementation of free primary care eye examinations by the Scottish Government in 2006 helped to reduce pressures on secondary care but the Covid-19 pandemic has created new challenges meaning there is still more to do to improve patient access and expand capacity.

“It has been a pleasure to host this event with The Eyes Have It partnership to raise awareness of this important issue”

The Eyes Have It partnership, with Sight Scotland, has drawn up a series of recommendations calling on the Scottish government to prioritise eye health within NHS service recovery.

Eye examinations to remain free in Scotland

The fees paid by the Scottish Government to optometrists for carrying out NHS-funded eye examinations will increase by 3% – helping to ensure everyone can continue to access high quality eye care.

Scotland became the only UK nation to introduce free universal NHS-funded eye examinations in 2006 and, the year before the COVID-19 pandemic, 2018-19, a record 2.3 million people had their eyes examined by an optometrist under this service.

This increase will be backdated to include all General Ophthalmic Services (GOS) eye examinations, which provide both a sight test and an eye health check, undertaken from 1 April 2021.

Public Health Minister Maree Todd said: “General Ophthalmic Services is one of the many NHS success stories in Scotland. The introduction in 2006 of free universal NHS-funded eye examinations set Scotland apart from the rest of the UK, and this Government is committed to maintaining this policy.

“Increasing the fees paid to optometrists for providing this vital service ensures everyone in across the country can continue to access high quality eye care services.

“Even if you’re happy with your vision, it’s really important to have your eyes examined regularly by an optometrist. An eye examination helps detect eye problems and signs of other significant health conditions such as diabetes, high blood pressure and cardiovascular disease before they become more serious.

“Many community optometrists can manage the treatment of certain eye conditions and are able to prescribe treatments to patients instead of having to make a GP or hospital referral.

“I would also like to thank everyone in the community optometry sector for their invaluable work and dedication in response to the pandemic – staffing Emergency Eyecare Treatment Centres during the initial phase of the pandemic, supporting the vaccine programme and the outstanding efforts made in returning to delivering pre-pandemic levels of care.”

David Quigley, Chair, Optometry Scotland said: “We welcome the announcement of a 3% increase to GOS fees.  These are significant developments which acknowledge the excellent service provided by community eyecare colleagues across Scotland.

“We have campaigned for an increase and implementation of a sustainable funding model to safeguard and enhance the future of community optometry, and thanks to a strong working relationship and ongoing constructive dialogue with the Scottish Government we are pleased to see this come to fruition.”