Concerns have been raised by optometrists in Scotland about the length of time taken to agree financial measures to keep practices open during the coronavirus pandemic.
Optometry Wales recently agreed with the Welsh Government that practices will be paid an average monthly NHS payment they would normally have received, averaged over the last 36 months.
No such arrangement has yet been confirmed by Optometry Scotland or the Scottish Government despite “constructive” talks.
Some have highlighted the potential knock-on effect on staffing and their ability to treat patients as further measures to stop the spread of Covid-19 are put in place.
In an email to staff seen by the PA news agency, Black and Lizars said: “At this time we would look to be as flexible as we can in helping you deal with your childcare needs.
“Unfortunately, however, unless the Government offer some kind of support package to the business we are not in a position to give time off for childcare as paid leave, if this changes we will of course revise this.
“Rather than taking any long term unpaid leave you may wish to consider using some of your annual leave or consider dropping the number of days you currently work.”
Black and Lizars has been contacted for comment.
He touted redundancies as a worst-case scenario and said employers will start to make decisions without any facts or information being available.
Mr Mitchell told PA: “I’ve got significant staff costs as every business does and you certainly don’t want to get into the position of having to make redundancies. That’s not where we want to end up.
“It’s not just in the central belt. In remote practices it’s crucial they’re able to provide these services to patients who don’t have doctors or want them near doctors’ surgeries.
“Domiciliary services have also been stopped – care homes, nursing homes, home visits – after the current circumstances. And they haven’t had that assurance so have got the pressure as well.
“There is the concern you might lose these services but can’t afford not to have them. I’m hoping to completely avoid (redundancies) but also yes, not being able to provide the services for patients who need to be seen locally.
“I have a practice with a few optometrists around but there will certainly be smaller practices who may not be able to continue.”
One optometry student, who wished to remain anonymous, told PA about fears the lack of financial measures could have an impact on graduates’ prospects.
He said: “We’re expecting a bit of a delay for the fourth years entering their pre reg year, probably a few months. But, like everything just now, nobody really knows.
“I’m still planning to work a summer placement and looking towards signing a pre reg contract for next year.”
A Scottish Government spokeswoman said discussions are ongoing with optometrists, adding: “The Scottish Government is currently developing a mechanism to ensure financial sustainability of all optometry practices and domiciliary eye care providers. A communication will be issued very shortly.
“We have issued guidance to health boards and staff on planning and deployment and will keep this under regular review with updates and advice as the situation evolves.
“Optometrists should follow the same advice given to other healthcare staff and the general public.”