Vision loss reforms could leave older Australians ‘out to dry’
Older Australians with vision loss could lose access to essential early intervention supports under the new Support at Home program, with Vision Australia warning the changes risk people’s independence.
Older Australians with blindness or low vision may soon lose access to vital early intervention services, with Vision Australia warning that the incoming Support at Home program will exclude specialist supports that help people live independently.
Under the new system starting 1 November, services such as orientation and mobility training, orthoptics, and assistive technology support will no longer be funded for people who develop vision loss later in life. Vision Australia says this will leave thousands without the tools to rebuild confidence and independence.
For 70-year-old Robyn Delaney, the difference these supports made was life-changing. Diagnosed with macular degeneration in 2023, she was forced to give up her career and driving within months.
“I had to re-learn how to catch public transport, how to use my phone, and how to find my way around my community,” she said. “If I didn’t have Vivienne, my mobility specialist, I’d be isolated. I wouldn’t even be able to get to my doctor.”
Now able to travel independently – including a solo trip to Europe – Robyn credits her support team with restoring her confidence. But she fears others won’t get the same chance.
Vision Australia’s Director of Government Relations Chris Edwards said the reforms would have “detrimental” effects on older people’s ability to live safely and stay mobile.
“It’s deeply disheartening that the government has left this cohort out to dry,” he said.
With World Sight Day on October 9, advocates are calling for urgent changes before the new system begins.
According to government data, 280,000 Australians currently receive Home Care Packages, and 800,000 access support through the Commonwealth Home Support Programme, with 87,000 already waiting for care – a figure projected to rise to 100,000 by mid-2025.
Vision Australia warns that removing early intervention supports for those with vision loss will only add to that burden, isolating thousands of older Australians who want to remain independent.
