“We must never let this happen again,” is a phrase that has an ugly hollow ring about it.
It’s a platitude so often trotted out after a tragedy where a danger has been seen but the responsibility to resolve it has been fudged. Everyone nods in agreement but no one acts any differently or takes on the uncomfortable responsibility.
Driving and vision is just such an example where behaviour needs to change and an example where optometry could step forward and take a lead (see In Focus).
The ageing population is at the centre of many of the changes facing optics. Every day optometrists examine patients, many elderly, who clearly should no longer be driving. It is time the optical profession took the lead and set clear, non-negotiable, accountability for optometrists to report drivers falling below the clearly set standards.
The time has come for optometrists to tell patients, falling below par, they cannot drive. To inform them, young or old, in writing with that advice copied into the DVLA and the patient’s GP and any other relevant person.
That is a difficult conversation to have but one that needs to take place. Asking patients to report themselves is clearly not working.
Driving is more than transport. For many elderly it is their lifeline to the outside world, it is their independence. Many affected will not see themselves as a danger. Others may assume they are fit to drive unless told not to do so. But allowing them behind the wheel is not acceptable.
The profession could sit on its hands and say it is doing what is required under the relevant guidelines. I suggest stepping forward on this issue, supported by the regulating body and the Association, would not only save lives but also raise the professional standing of optometry.
