High-Sights-in-Low-Vision低视力大景点.ppt

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,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 Services 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),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 better),Network 1000 2006,71%,cent,of people said they used magnifiers for reading,Network 1000 2006,73%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,Service 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 clarity 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,representation(Ian,Atrill,),ADSS,Rehab.,Vol Orgs,Status,Voluntary sector recommendations,Endorsements-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 training.,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,Endorsed by LVSG,May be reviewed,The standards,6 Headings,Design 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 efficient 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 against strict entrance criteria,Notes importance of medical diagnosis,Recording dissent-particularly if against a persons best interest,Low Vision AssessmentThe essentials,Eye health-done,doing or included,Functional vision assessment,Appendices to describe,Desirables,Prescription of device,Supply 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 consent,All professionals 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 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 forgets 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,Reference 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 success,A Vision,Self belief,Strong lead-good chair,The right membership,Service user strategy,Commissioning involvement,Reporting routes,Local Society support?,Link to or attend LVSC,Give advice-pass on expertise,Support user involvement,Ensure PCT approaches acknowledge multi-agency(LVSC)model,Keeping up to date,Link into the national network,l.beaumontvision2020uk.org.uk,Thank You for Listening,You can find me at,M.Bairstowvision2020uk.org.uk,Website,lowvision.org.uk,