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1、What Vision?,Mary Bairstow Low Vision Steering Group July 4th 2007,What a history (a reminder) What standards? Whats my opinion? So whats the local society response ?,Low Vision Services Implementation,Late 1990s More and better services Low vision report Sets standards and suggests Low Vision Servi
2、ces Committees Nalsvi endorsed,Late 1990s More and better services Low vision report Sets standards and suggests lvscs as a means to change,It should be easy,Get everyone around the table Identify what needs to be done Make plans about how to do it Work with local commissioners (PCTs , social care)
3、Monitor,2000 - 2007,78 LVSCs (Blackburn with Darwen newest)Emperors new clothes or visionary groups ?,A question of independence (Nov 2006)RNIB and AMD Alliance UK funded McLaughlan, B., Lightstone, A. and Winyard, S,Not relevant?,The majority (91%) could see the shapes of furniture in a room (or be
4、tter) Network 1000 2006 71% cent of people said they used magnifiers for reading Network 1000 200673% said that they used better lighting for reading tasks Network 1000 2006,But what vision,1/4 of service providers admit their services less than satisfactory or unsatisfactory AMD Alliance 2006 and S
5、ervice users do not know what they can expect from service providers Low Vision Project National Evaluation Report 2005,Accountability,40% - funders no accountability 16 % require yearly audits 14 % ask for accounts 11% variety of different ways,AMD Alliance 2006,Setting Standards,Some LVSCs lack cl
6、arity about their purpose (despite the clear remit given in the 1999 Report)Low Vision Project National Evaluation Report 2005,Seeking a solution?,How you would you recognise a good service?,A consensus,LV recommendations for future service delivery Working Group 19 members 2 users Nalsvi representa
7、tion (Ian Atrill) ADSS, Rehab., Vol Orgs,Status,Voluntary sector recommendationsEndorsements - Loads Foreword - Frank Dobson,1999 standards,Who, where, what, when, continued support and monitoring services Not clinical parameters Close to home Eye exam. to certification to vision enhancement trainin
8、g. Within 6 weeks Returning as required Monitored,Setting a new Standard,Working party set up 2006 9 members Included one rehabilitation worker 4 Optometrists 1 Dispensing Optician 1 Ophthalmologist 1 Orthoptist 1 Department of Health Consultation 2006. Launched Jan 2007,Status,Recommended by the DH
9、Endorsed by LVSGMay be reviewed,The standards,6 HeadingsDesign Principles Referral, assessment and service Information Service improvement, monitoring and evaluation of the service Training Communication,Design Principles,Multi-agency approach that coordinates with other services (but its an efficie
10、nt methodology!) User centred - involving participation Not dependent on registration Evidence based - conforms and contributes to governance Attends to timescales -not defined -need to identify Review of low vision needs,Referral,Any care or health professional Self referral Reviews included Warns
11、against strict entrance criteria Notes importance of medical diagnosis Recording dissent - particularly if against a persons best interest,Low Vision Assessment The essentials,Eye health - done,doing or includedFunctional vision assessmentAppendices to describe,Desirables,Prescription of device Supp
12、ly and loan - protocols agreed Lighting, contrast, filters Other aids Training and therapy Links to broader rehabilitation A review of benefits, welfare rights, concessions, support groups,Information,Appropriate formats Enable informed decisions Communication - colleagues with consentAll profession
13、als should use a health/care record,Local commissioners - will wish,Service Improvement, monitoring and evaluation of the service Modernisation techniques Measures - numbers referred/ treated- demographics- inter-professional communications- evaluation data Service user involvement Annual report by
14、commissioners - working towards !,Training,Suitably trained as part of a local protocol Accreditation - initial- ongoing- reflect lessons learnt Multi-disciplinary CRB checks noted,Appendices,Already noted 1 and 2 - eye health and functional assessment Appendix 3 - Personnel Includes carers but forg
15、ets teachers! Notes on supply Appendix 4 equipment Appendix 5 benefits + Further reading,User led changes?,LV Consensus 99 Devices should be loaned Specific times (6w),DH LV 07 Loan/supply agreed locally Agreed timetables (though 10 days for contact),Whats new?,Emphasis on booking of appointments Re
16、ference to service being refused Notes on CRB checks Single contact point (though this is mentioned as an LVSC aim) Directions for commissioners,Whats been lost?,Notion of implementation or governance ( LVSCs ) Sense of the essential Some specifics - Transport - Issues of geography,So can it work,Huge variation in activity and outcomes Marys factors for successA VisionSelf beliefStrong lead - good chairThe right membershipService user strategyCommissioning involvementReporting routes,
