For those who require higher-powered telescopes (up to 14x) then hand held monoculars are the only effective option. Hand held telescopes can be very useful for spotting bus numbers, reading street signs etc. They are also useful at sporting events- watching cricket or football matches.
An increasing number of people find a telescope enables them to play bowls. It does take a lot of skill and practice to use a monocular effectively; however those people who do have the will and patience to persevere usually find them indispensable.