Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to object to relentless upselling at my child's NHS eye test?

55 replies

Eyetestconcern · 26/04/2026 13:25

I took my young teen for a NHS eye test yesterday at a branch of a national optician chain. The NHS eye test for children is free. My AIBU is the "upselling" that was relentless from the minute we arrived. I understand shops need to make money but playing on parental worries about kid's health does not seem the right way to do it. Examples:

  1. On arrival child was seated for the eye photos bit of the test. The staff member said they could do better photos to check more of the eye and potential health issues with a different photo. Cost £25! Setting aside the fact that the free test has been fine for years and presumably considered clinically adequate by the NHS, I did not like the inference that without the better option a serious issue might be missed and would be my fault for not paying up.
  2. Child has very mild short sightedness in one eye. Usual outcome is to recall in 6 months. However yesterday we were offered very expensive "myopia management" glasses to slow down any potential worsening. Again subtle but strong pressure to buy these glasses despite my child's prescription not even needing glasses at the moment. Certainly fine to wait 6 months .
  3. At the end of the test offered expensive Optegra (?) plan to monitor and predict child's eventual prescription for glasses as an adult. I did not really understand the purpose of this but she was relentless in selling it.
  4. Child mentioned eyes occasionally get dry / sore after gaming / screen time. The optician suggested a warm compress held on the eyes for a few minutes. This is sensible advice but somehow I was talked into buying an eye compress mask costing £20 when google tells me a warm, clean flannel would be fine!
Lastly when we waiting for our prescription print out at the end another staff member came over and said to my child who was browsing the teen NHS frames (free) that most teens chose adult frames which were not free but could take £50 off. Of course my child then picks up a £180 pair of frames! All in all it felt like a sales pitch playing on parent's health worries rather than a medical appointment to check for eye issues / sight problems. AIBU to think this is not OK? or are the optician / staff just doing thier job offering full range of services?
OP posts:
New posts on this thread. Refresh page
Eyetestconcern · 27/04/2026 09:10

lenses · 26/04/2026 17:55

@Eyetestconcern100% agree with the locum optometrist above.

The NHS eye test was brought in after WWII to test sight and get desperately needed NHS glasses to those without.

An eye test has now moved into a more healthcare sphere and technology has advanced .
The eye is the organ in the body where the there is a non invasive view of the brain through the optic nerve appearance and view of the general vascular system health through the retinal vessels. So looking at eye health is looking at more than the health of the eye. Hence why a GP may look in your eye sometimes.

The photo of the eye is normally fine for a child, unless there are concerns, whereas an OCT scan involves the optometrist looking at individual structural health of the nerve and central retina for the extra charge.
The big companies require their support staff to offer the scans at the pre tests stage, but it’s fine to decline and ask the optometrist if they recommend it.

Myopia control glasses have to be talked about by optometrists as their professional body considers not to do so is negligent. As 1 in 2 children are becoming myopic they are looking at evidence based practice to slow down the amount of myopia in most children.
I’m very myopic so my risk of eye diseases has been higher- my children are a lot less, so their risk is lower.
Ocumetra is just a recording tool to put data from the eye test visits in to predict future myopia development. It gives a link to share with the parent on their phone from the QR code to the information and studies - doesn’t cost anything.

The flannel is ok but doesn’t work well and the eye bag is better. I’ve got the same issue and as the previous poster said it’s impossible to keep it warm enough for the recommended 5 minutes.

Opticians get paid less than dentists for their time doing NHS work, but there has always been private aspects to their work such as selling glasses.
Online retailers don’t have to subsidise the cost of providing NHS tests and paying staff and can therefore sell glasses cheaper (not to under 16s). But if the public moves to all buying online glasses then the NHS sight test may become limited (like dentists) and private eye tests will be more expensive.

You shouldn’t feel sold to, but you should be given options and the NHS is there for the basic requirement provision.

We are lucky to have the NHS and you will get good care within it but it’s important that you know there are things the NHS can’t cover, but that may still individually be recommended.
I’m sorry the situation felt like being sold to rather than explained to.
I’d ask to speak to the optometrist where you choose to go before your dc’s next test and mention your concerns with this visit and hopefully have a much more positive future experience.

This is helpful thank you and also the PP from the locum optometrist. You have both explained my examples much better than in the shop at the time. If the enhanced scan and myopia lenses are the gold standard then I agree the NHS should fund this for children's eye tests / sight correction. A lot of parents will not be able to afford these extras especially if they have more than one child and children are known to break / lose glasses frequently. Piling the pressure on via upselling is not OK.

On a lighter note good to read my new £20 (!) eye compress is much better than a flannel after all! Eye watering in both senses.

OP posts:
examworries2026 · 26/04/2026 22:52

It’s not a chain thing. I take my DC to a local independent and have had exactly the same upselling. We got talked into those ortho k lenses which was a disaster for my son, not needed, wasted so much time and was incredibly expensive.

I always paid for those extra £25 scans but only because I have Simply health through work and could claim most of it back.

once they’re too old for free NHS test I’ll be going elsewhere. Or rather they’ll be taking themselves elsewhere and I’ll probably have to pay for it while they’re students, no idea what they’ll be entitled to.

The staff are lovely though and have replaced my son’s broken NHS glasses many times. The owner is the up seller. Really dislike him.

Mischance · 26/04/2026 22:42

Eyetestconcern · 26/04/2026 14:17

No it wasn't SS but good to know to avoid them too!

Our local Specsavers is brilliant - no upselling and they take stuff back for ditching or reglazing without batting an eyelid - I took a pair back because I did not like the reactolite lenses I had ordered and they simply took them back, put in non-reactive and refunded my the difference! - and these were expensive varifocal high index lenses!

AprilMizzel · 26/04/2026 18:00

I thought it would be Boots - they did this to me - though worst was when we were half way home frame chosen by DD2 did not actually come under NHS so had to head back in and sort.

It's put me off going and I do need to.

Used to do specsavers but branch here was awful about booking appointments and then accuse me of not paying when I had - literally walked to the till -and went in to prove it. gave up and tried boots as next ones in center.

lenses · 26/04/2026 17:55

@Eyetestconcern100% agree with the locum optometrist above.

The NHS eye test was brought in after WWII to test sight and get desperately needed NHS glasses to those without.

An eye test has now moved into a more healthcare sphere and technology has advanced .
The eye is the organ in the body where the there is a non invasive view of the brain through the optic nerve appearance and view of the general vascular system health through the retinal vessels. So looking at eye health is looking at more than the health of the eye. Hence why a GP may look in your eye sometimes.

The photo of the eye is normally fine for a child, unless there are concerns, whereas an OCT scan involves the optometrist looking at individual structural health of the nerve and central retina for the extra charge.
The big companies require their support staff to offer the scans at the pre tests stage, but it’s fine to decline and ask the optometrist if they recommend it.

Myopia control glasses have to be talked about by optometrists as their professional body considers not to do so is negligent. As 1 in 2 children are becoming myopic they are looking at evidence based practice to slow down the amount of myopia in most children.
I’m very myopic so my risk of eye diseases has been higher- my children are a lot less, so their risk is lower.
Ocumetra is just a recording tool to put data from the eye test visits in to predict future myopia development. It gives a link to share with the parent on their phone from the QR code to the information and studies - doesn’t cost anything.

The flannel is ok but doesn’t work well and the eye bag is better. I’ve got the same issue and as the previous poster said it’s impossible to keep it warm enough for the recommended 5 minutes.

Opticians get paid less than dentists for their time doing NHS work, but there has always been private aspects to their work such as selling glasses.
Online retailers don’t have to subsidise the cost of providing NHS tests and paying staff and can therefore sell glasses cheaper (not to under 16s). But if the public moves to all buying online glasses then the NHS sight test may become limited (like dentists) and private eye tests will be more expensive.

You shouldn’t feel sold to, but you should be given options and the NHS is there for the basic requirement provision.

We are lucky to have the NHS and you will get good care within it but it’s important that you know there are things the NHS can’t cover, but that may still individually be recommended.
I’m sorry the situation felt like being sold to rather than explained to.
I’d ask to speak to the optometrist where you choose to go before your dc’s next test and mention your concerns with this visit and hopefully have a much more positive future experience.

BoredZelda · 26/04/2026 17:49

Justmuddlingalong · 26/04/2026 13:29

Go to a local independent next time.

Makes no difference. My local independent was a child vision specialist and we chose her for that. She also relentlessly upsold, steering us towards the more expensive frames, suggesting add ons to treatment. If anything it was worse because we trusted her as a “specialist”.

MyBraveFace · 26/04/2026 17:45

The extra photo (3d scan) does indeed give a ton more information about eye health than the standard NHS photo. It is entirely optional but if a diagnosis is missed because you declined to have the scan then you can't really blame the optician?

This is a child's eyesight we are talking about - if there's a chance of missing a serious problem with the NHS offering, the NHS offering should be upgraded.

Frankly, this makes it sound like a 'get out' clause for the optician.

Pigriver · 26/04/2026 17:45

SS have been good for the kids. We've never been asked about the scan (they do ask for me) and have never mentioned other glasses other than the free ones even though my son has a big head and they are struggling to find some that fit. They've mentioned myopia management in the past but in passing and gave me a leaflet.
We actually went to an independent as my son needed a visual stress test and they did a poor job (had to have it repeated elsewhere) but spent an hour talking to me ahout myopia management and trying to sell me a subscription at £50 per month!
The next time we went to SS we bought theirs for £100 and they have slowed down the progression.

dunroaminaroind · 26/04/2026 17:43

My DS has the myopia management contact lenses. We didn’t know about this as an option til he was about 12 or so, and I wish we’d known sooner. We are lucky that we can afford to pay for them, but the evidence for them is really good. As the locum ophthalmologist has already said, it’s terrible that this is bit offered on the NHS.

GhoulWithADragonTattoo · 26/04/2026 17:42

I always take kids to Specsavers and recognise this. You should have to DD you could only afford the free frames. You need to use your words here.

ItsStillWork · 26/04/2026 17:36

If your child doesn’t even need glasses then why would they try to sell you some 🤔

we go to Specsavers and if anything they were steering my child away from expensive glasses

mamauplift · 26/04/2026 17:34

My youngest has worn glasses since he was 3 years old (he is 9 now). We have never experienced this. The eye test has always been 'free' on the NHS. I pay extra for lens thinning as his prescription is strong, and we pick whichever glasses he likes but that's my choice and not theirs. Never felt pressured for more. This is a high street optician.

FabulousFreshias · 26/04/2026 17:33

Local specsavers is great. Took my daughter to an independent optician who was highly recommended and they persuaded me that she needed some super expensive lenses. Because her eyesight is so poor I bought them in the hope it would help. When she went back to the hospital for a check up, they told me that was completely ridiculous and there was no way a child needed those lenses. Back to Specsavers for us!

Kepler22B · 26/04/2026 17:29

Why are you going every 6 months? That is quite unusual, normally a year or even every other year.

Talkingfrog · 26/04/2026 17:21

We go to a local independent. DC is usually shown the free or non expensive frames first, both childrens and adults.
The optician previously told me about the lenses that can slow progression, but no one has pushed me into getting them or mentioned cost. I think they are monitoring the progression first.

Folicky · 26/04/2026 16:54

I’ve had much more upselling at independents than at chains

Sirzy · 26/04/2026 16:53

AlbieJiggered · 26/04/2026 16:42

No because others have said the same and they weren't the same branches.

And others have had good experiences. It’s individual to each store!

AlbieJiggered · 26/04/2026 16:42

Sirzy · 26/04/2026 16:37

Equally you might just be unlucky with yours!

with it being a franchise there is always going to be a variation but I would recommend our branch to anyone locally.

No because others have said the same and they weren't the same branches.

Sirzy · 26/04/2026 16:37

AlbieJiggered · 26/04/2026 14:27

You might just be lucky with your branch @Sirzy but I wouldn't go there.

Equally you might just be unlucky with yours!

with it being a franchise there is always going to be a variation but I would recommend our branch to anyone locally.

Kingdomofsleep · 26/04/2026 16:32

I've had a really good experience at my local specsavers both for myself (almost blind as a bat) and my dc. But it is a franchise I believe so the quality might be variable.

I went undiagnosed as a child as my mum didn't get me tested until I was bumping into things, so I was determined to get my kids checked ASAP. My local specsavers managed to test my dd when she'd just turned 3, even though she didn't know her ABC.

The test used little symbols like cat, aeroplane, apple instead of letters. The optician was so fab with her and it's a really fond memory. At her last checkup it was a borderline, watch and wait conclusion, with lifestyle recommendations (ie limit screens etc) no upselling at all.

sunshine244 · 26/04/2026 16:29

I had the same at nhs dentist recently. They tired to insist that if I don't sort slightly crooked teeth now I'll be doomed in later life. Plus teeth whitening, special coating, better toothbrush etc.

My teeth are a bit crowded but ok, no fillings etc. It hasn't been mentioned as a problem previously!

Iloveeverycat · 26/04/2026 16:25

If you have the prescription could you just buy online

Passaggressfedup · 26/04/2026 15:59

Asda every day! Been with them 25 years. Excellent care and best prices.

PippaToryFripp · 26/04/2026 15:21

My optician is like this, my NHS dentist is even worse - invisalign, whitening, let’s drill your filling out and replace it, hygienist, on and on.

houseofisms · 26/04/2026 15:11

I live in a coastal town. They tried selling us a special film on the lenses of my 9yo daughter (rockpooling obsessed) prescription sunglasses which would allow her the see through the surface water without the glare!

Swipe left for the next trending thread