High-Sights-in-Low-Vision低视力大景点

WhatVision?

MaryBairstowLowVisionSteeringGroupJuly4th2007

Whatahistory(areminder)Whatstandards?What’smyopinion?Sowhat’sthelocalsocietyresponse?LowVisionServicesImplementation

Late1990’sMoreandbetterservicesLowvisionreportSetsstandardsandsuggestsLowVisionServicesCommitteesNalsviendorsedLate1990’sMoreandbetterservicesLowvisionreportSetsstandardsandsuggestslvsc’sasameanstochangeItshouldbeeasyGeteveryonearoundthetableIdentifywhatneedstobedoneMakeplansabouthowtodoitWorkwithlocalcommissioners(PCTs,socialcare)Monitor2000-200778LVSCs(BlackburnwithDarwennewest)Emperor’snewclothesorvisionarygroups?

Aquestionofindependence(Nov2006) RNIBandAMDAllianceUKfunded

McLaughlan,B.,Lightstone,A.andWinyard,SNotrelevant?ButwhatvisionAccountability40%-fundersnoaccountability16%requireyearlyaudits14%askforaccounts11%varietyofdifferentwaysAMDAlliance2006SettingStandards SomeLVSCslackclarityabouttheirpurpose(despitetheclearremitgiveninthe1999Report) LowVisionProjectNationalEvaluationReport2005Seekingasolution? Howyouwouldyourecogniseagoodservice?Aconsensus

LVrecommendationsforfutureservicedeliveryWorkingGroup19members2usersNalsvirepresentation(IanAtrill)ADSS,Rehab.,VolOrgsStatusVoluntarysectorrecommendationsEndorsements-LoadsForeword-FrankDobson1999standards

Who,where,what,when,continuedsupportandmonitoringservices…..NotclinicalparametersClosetohomeEyeexam….tocertification…tovisionenhancementtraining……...Within6weeksReturningasrequiredMonitoredSettinganewStandardWorkingpartysetup20069membersIncludedonerehabilitationworker4Optometrists1DispensingOptician1Ophthalmologist1Orthoptist1DepartmentofHealthConsultation2006.LaunchedJan2007StatusRecommendedbytheDHEndorsedbyLVSGMaybereviewedThestandards6HeadingsDesignPrinciplesReferral,assessmentandserviceInformationServiceimprovement,monitoringandevaluationoftheserviceTrainingCommunicationDesignPrinciplesMulti-agencyapproachthatcoordinateswithotherservices(butitsanefficientmethodology!)Usercentred-involvingparticipationNotdependentonregistrationEvidencebased-conformsandcontributestogovernanceAttendstotimescales-notdefined-needtoidentifyReviewoflowvisionneeds ReferralLowVisionAssessment

TheessentialsEyehealth-done,doingorincludedFunctionalvisionassessmentAppendicestodescribeDesirablesPrescriptionofdeviceSupplyandloan-protocolsagreedLighting,contrast,filtersOtheraidsTrainingandtherapyLinkstobroaderrehabilitationAreviewofbenefits,welfarerights,concessions,supportgroupsInformationAppropriateformatsEnableinformeddecisionsCommunication-‘colleagues’withconsent

Allprofessionalsshoulduseahealth/carerecordLocalcommissioners-‘willwish’TrainingSuitablytrainedaspartofalocalprotocolAccreditation-initial -ongoing -reflectlessonslearntMulti-disciplinaryCRBchecksnotedAppendicesAlreadynoted1and2-eyehealthandfunctionalassessmentAppendix3-PersonnelIncludescarersbutforgetsteachers!NotesonsupplyAppendix4equipmentAppendix5benefits+FurtherreadingUserledchanges?LVConsensus‘99DevicesshouldbeloanedSpecifictimes(6w)DHLV‘07Loan/supplyagreedlocallyAgreedtimetables(though10daysforcontact)What’snew?Emphasison‘bookingofappointments’ReferencetoservicebeingrefusedNotesonCRBchecksSinglecontactpoint(thoughthisismentionedasanLVSCaim)DirectionsforcommissionersWhat’sbeenlost?Notionofimplementationorgovernance(LVSCs)Senseof‘theessential’Somespecifics-Transport

-Issuesofgeography

Socanitwork

LocalSocietysupport?

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