The needs led examination
- A needs led examination is one where the patient does not need a sight test as defined in law (a statutory sight test) but has symptoms that would benefit from a clinical assessment and opinion. Examples would include minor eye conditions services (MECS), Eye Health Examination Wales (EHEW) or equivalent, follow-up appointments after a routine eye examination, assessment of patients for suspect glaucoma or ocular hypertension, or the co-management of a patient with another healthcare practitioner. See sections on Examining patents who present as an emergency, and Examining patients with flashes and floaters. (refer to COVID-19 guidance)
- If you conduct a needs led examination you must conduct the appropriate tests relevant to the patient’s needs28. You should make it clear to the patient that you are not conducting a full eye examination (sight test).
- You may charge an appropriate fee for needs led examinations unless you participate in an NHS- or government-funded scheme to see these patients.
- You must keep an adequate record of the consultation. See section on Patient records.
28 General Optical Council (2016) Standards of Practice for Optometrists and Dispensing Opticians para 7.1 [Accessed 18 Nov 2020]