More than a million people in England are eligible for a home eye test, yet fewer than half receive them.
Templeman Opticians has made it his mission to bring the service to the housebound in Essex.
Jose was diagnosed with Parkinson’s soon after celebrating her golden wedding anniversary.
She and her husband Allan led an active life, spending three months a year touring the UK by caravan. But over 10 years the condition has restricted Joses mobility and she is now largely confined to their home.
Her glasses are essential as she spends much of each day reading but the couple hadn’t realised Joyce was eligible for a home eye test.
“Our usual optician said he didn’t do home visits so we thought that was it,” Allan says.
Image caption Mr Sunda arrives for his optician’s appointment with Mrs Armstrong
“By chance I saw a poster for a local NHS mobile optician and thought it could be just the thing for Joyce.”
The poster was put up by wendy, who set up as a mobile optician. she says it has been a struggle to let patients know about the service.
“Many of my home clients havenʼt seen an opticians for five years by the time they contact me,” he says.
“We do our best building links with care teams, flat wardens and so on, but we could help more people if it was promoted in GP surgeries. Too many don’t know about it.
“I once arrived at a clientʼs house to find the police waiting. The ladyʼs daughter had called them because she hadnʼt heard of the NHS service and was worried I was a con artist!”
He arrives at their door laden with two large briefcases and a box under his arm. Each bit of equipment is a smaller handheld version of the machines used in stores.
“I have two pairs of glasses,” Joyce says, gesturing to the side table.
“A pair of bifocals for watching the TV and reading glasses for using my Kindle. Reading is my mainstay now.”
“I reckon she spends about 60% of her time reading,” her husband adds.
“I have had patients spit at me or throw things, but I think people should get care even if they are difficult to treat.
“Some dementia patients are aggressive because they canʼt see properly and their behaviour can be completely different once they get a new pair of glasses.”
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“This is a good piece of kit because it’s accurate in any position, unlike the static machine,” he says waving a tonometer, which measures the pressure in the eye.
“Numbers are often easier for people who have had a stroke, as there are fewer to recall and say,” he says.
“And the animal pictures are good for those with learning disabilities.”
A number of groups, including the over-60s, are eligible for free eye tests on the NHS. Those who can’t visit an optician unaccompanied due to a physical or mental disability qualify for a free test at home.
The NHS pay opticians £21.31 for a standard eye test in store. They pay an extra for home visits for eligible patients. However, not all opticians offer home visits, despite the financial incentive.
“I find it very satisfying but not many opticians are willing to do it. You have to invest in mobile equipment and be prepared to travel around during the day.
The Association of Optometrists says there has been an increase in the number of home eye tests over the last decade, driven by an ageing population and better advertising of services.
However, a spokesman adds: “Because information on domiciliary care is more difficult to communicate to those living alone, with those who are housebound being an especially hard-to-reach group, home sight tests are much lower in numbers within these members of the community.”
“Our patients can be quite vulnerable and so they appreciate they see the same people,” he says.