Update on Community Optometry Prescribing and Implications for Pharmacy

Published: 01/08/25

Community pharmacists are being advised of upcoming changes to prescribing arrangements under General Ophthalmic Services, which may affect the volume and nature of prescriptions they receive.

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In a joint letter, the Chief Pharmaceutical Officer and Chief Optometric Advisor outlined that independent prescribing optometrists will now be able to issue Stage 2 treatment prescriptions, which can be dispensed in community pharmacies. This change is expected to result in an increase in such prescriptions being presented for dispensing.

There are no changes to Stage 1 treatments or the current NHS Pharmacy First Scotland arrangements, which remain as set out in Circular PCA(P)(2023)45.

Pharmacy teams are encouraged to familiarise themselves with the updated processes and prepare for possible changes in patient interactions relating to eye care. 

For further information, please refer to the attached letter or contact: enquiries@cps.scot

• 1. What is changing in ophthalmic prescribing?

  Independent prescribing optometrists will now be able to issue Stage 2 treatment prescriptions, which can be dispensed in community pharmacies.

• 2. When will these changes come into effect?

  The changes are upcoming but no specific date is provided in the notice. Pharmacy teams should begin familiarising themselves with the updated processes immediately.

• 3. How will this affect my pharmacy?

  You may notice:

  • An increase in the volume of eye-related prescriptions.

  • New types of prescriptions being presented (Stage 2 treatments).

  • More clinical interactions with patients related to eye care.

• 4. What is a Stage 2 treatment prescription?

  Stage 2 treatments refer to a higher level of clinical management for eye conditions, now prescribable by independent prescribing optometrists. These prescriptions were not previously dispensed in community pharmacies.

• 5. Are there any changes to Stage 1 treatments?

  No. There are no changes to Stage 1 treatments, which continue as usual.

• 6. Has NHS Pharmacy First Scotland been affected?

  No. The NHS Pharmacy First Scotland service continues as set out in Circular PCA(P)(2023)45. There are no changes to its arrangements.

• 7. What should pharmacy teams do now?

  • Read the official letter outlining the changes.

  • Prepare for increased prescriptions related to eye care.

  • Stay informed on the scope of optometrist prescribing.

  • Update internal processes as necessary to manage the expected changes.

• 8. Where can I access the official letter?

  You can [Download the Letter Here]

• 9. Who can I contact for further information?

  Please email: enquiries@cps.scot

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