GOC explores experiences of vulnerable groups accessing eye care

In-depth interviews were undertaken with 38 people who had one ‘vulnerability’ – such as having a disability or low household income

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An older woman looks through a phoropter

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Selina Powell

30 July 2025

The GOC has published research that outlines findings from in-depth interviews with 38 people exploring their experiences of accessing eye care.

All research participants had at least one ‘vulnerability’ – such as having a disability, a low annual household income or a difficult life circumstance.

Through the interviews, researchers identified a variety of challenges that people with vulnerabilities face when accessing eye care services.

They found that study participants placed a low level of importance on maintaining eye health and had a high tolerance for symptoms of worsening eye health.

There were psychological barriers to attending a sight test – such as concerns over seeing multiple people, the length of the wait, and a feeling of discomfort trying glasses on in front of others.

Concerns over cost and being pressured to buy products or services also created a barrier to accessing care among study participants.

Participants suggested a range of steps to improve access to eye care among vulnerable groups.

These included improving awareness around the benefits of routine sight tests, providing greater transparency about costs, considering the needs of patients with both visible and hidden disabilities and, where possible, providing greater continuity of care.

GOC director of regulatory strategy, Steve Brooker, highlighted that previous public perception research by the GOC has found that vulnerable patients are more likely to have poor experiences accessing eye care services.

“This research has further delved into the ‘why’, providing us with a greater understanding of some of the factors impacting vulnerable patient groups,” he said.

Brooker added that the GOC is consulting on new guidance for registrants on caring for people in vulnerable circumstances.

“There is a still a long way to go and we need to work together as a sector to address these inequalities and ensure that everyone, regardless of their background, has access to safe and effective eye care,” he emphasised.