I am learning all the time, after 10 years.
Some 80% of all learning is visual. A child who has undiagnosed, uncorrected vision problems faces academic disadvantages, particularly in literacy and numeracy. This affects their safety, social and cultural development, and physical agility, and disadvantages them for life. The current child screening programme recommended by the National Screening Committee is targeted at four to five year-olds starting school, but a recent pre-Covid study suggested that only around 50% of local authorities are fully compliant with its specifications, and there is no commissioned post-screening follow-up.
There is no provision for vision screening in other age groups, despite the numbers needing visual correction increasing in secondary school years.
The prevalence of myopia—short-sightedness—among 10 to 16 year-olds has more than doubled in the past 50 years from 7.2% to 16.4% and continues to grow. During Covid, short-sightedness may have increased between 1.4 and three times, driven by more time indoors and increased screen time. Up to 15% of pupils need spectacles or need their spectacles reviewed. Although an NHS eye examination is free for under 16 year-olds, a child might not be fully aware of, or may be reluctant to admit to, vision problems that would be picked up by a simple universal screening programme. Parents, teachers and carers might also not realise that the child’s vision is deficient. Universal screening would ensure that advice is available to all.
Basic smartphone or laptop-enabled screening could take less than one minute per eye to carry out. It builds on screening carried out in developing countries by volunteers using an “E” shape. Here, training of volunteers or support staff takes only half a day. Reports from schools are positive. It simply alerts the parent or guardian that the child should have a free NHS eye check. The details of the standard can be agreed by the Secretaries of State for Education and Health, with appropriate input from professional bodies and education advisers.
The amendment would not interfere with the NHS’s special schools eye care service, which began to roll out in April 2021 to over 70 special schools. Four in five children with learning difficulties attend special schools and are 28% more likely to have a sight problem than other children; 23% need glasses. The NHS service in special schools is praised by schools and parents. It has already identified that half of children in special schools have a sight problem, and more than 4,000 children have already benefited from it. I hope the Minister can provide an assurance that the rollout of the NHS’s special schools eye care service will restart, to reach a further 130,000 children in the next few years.
The amendment empowers the Secretary of State to set the standards to provide simple screening for all schools to alert to possible vision problems, which, if unaddressed, threaten the academic potential and social development of the child. It aims to remove health inequalities and to enable all children to access the support they need.