Lets face it the high street practices are usually owned by businessman who would like to be rich himself so if he can get cheap labour, he is not going to be worried about what type of eye examination a patient is receiving as long as he makes his money. Problem with optics industry is that eye examination are advertised as FREE by many multiple high street Opticians.. This means that people who enjoy that free service are not going to be bothered or in fact even aware of whether an experienced optometrist is carrying out an eye exam or a pre registration student!!!!
I wish GOC helped our profession to regulate our fees so that we are remunerated properly for the service and care we provide to the patients rather than expect businessman to pay us from sale of the spectacles!!!