A sudden change in your sight needs urgent advice. See who to contact

Checked 4 October 2026

NHS eye care in the four nations

Routine eye care works differently in England, Scotland, Wales and Northern Ireland.

England

NHS eye care in England

A free NHS sight test depends on eligibility. You qualify if you are under 16, aged 16 to 18 in full-time education, 60 or over, or have diabetes or glaucoma, among other criteria. Some income-related circumstances also qualify. Help with the cost of glasses is a separate entitlement. A free test does not mean free glasses.

Ask an optician to check your circumstances against the full criteria. Some eligible people who cannot get to a practice can have a sight test at home.

Check NHS eligibility

Scotland

NHS eye care in Scotland

NHS eye examinations are free for people who usually live in the UK, with extra eligibility for some other groups. The examination checks eye health as well as sight. Your optometrist tells you how often to come back.

A free examination and help with the cost of glasses are two different things. Contact a community optometrist if you are worried about your eyes.

Read NHS inform guidance

Wales

NHS eye care in Wales

The Wales General Ophthalmic Services (WGOS) provide NHS eye care through participating optometry practices. Eligibility covers the standard groups plus some people at higher risk of eye disease. WGOS also includes assessment for urgent eye problems.

Contact a local practice to check eligibility and the right route. The rules in England do not describe every Welsh service.

Explore NHS Wales eye care

Northern Ireland

Health Service eye care in Northern Ireland

Eligibility for a free Health Service sight test includes age, certain eye conditions and qualifying financial circumstances. Your optician can check your entitlement and explain any help with glasses or contact lenses.

Local Health and Social Care Trusts can also advise on support with visual impairment. Use Northern Ireland's own guidance for services and eligibility.

Read nidirect guidance

Reading settings

Change how pages look. Your choices stay on this device.

Page layout

Written explanations stay available when demonstrations are hidden. Browser zoom works as well. Nothing on the site moves or flashes on its own.