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One form bad - three forms good?

One form bad - three forms good?. The introduction of the LVI, RVI and CVI Carl Freeman - National Development Advisor (Social Services and Rehabilitation). Workshop overview. The need for change Overview of the new system and its implications Current state of play

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One form bad - three forms good?

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  1. One form bad - three forms good? The introduction of the LVI, RVI and CVI Carl Freeman - National Development Advisor (Social Services and Rehabilitation)

  2. Workshop overview • The need for change • Overview of the new system and its implications • Current state of play • Questions - welcome at any stage • Discussion - sharing experiences. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  3. What were the problems? • Linear (and long ) identification process • Optician - GP - Eye Clinic - BD8 - Social Services - Support • Help often needed before registration • Terminology not always helpful - particularly label of “blind” • Majority remained unregistered • limited value in planning terms • Emotional impact often unrecognised. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  4. BD8 A snake with one ladder © Richard Cox Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  5. Dept of Health review • Review October 2001 - August 2002 • Examined how people with failing sight are identified & access help & support • Review group made up of voluntary, professional & statutory bodies • Articles in journals, open consultation via government website. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  6. 3 documents for timely referral • LVI - issued by high street opticians • RVI - issued by eye clinic staff • CVI - issued by ophthalmologists • 3 ways to access social care. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  7. LVI • Self-referral letter issued by optometrists to people with uncorrectable sight loss • Developed locally based on national template containing: • information and details of how to obtain social care assessment and/or support • onus on individual to send in the form. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  8. RVI • Referral for social care assessment from the eye clinic – not dependent on eligibility or “willingness” to register • Includes comment on “urgency” of required response • Can be completed by anyone working in the eye clinic (with patient’s consent). Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  9. CVI • Certificate of eligibility to be registered – akin to current BD8 and must be signed by consultant ophthalmologist • Also acts as “backstop” social care referral if LVI or RVI not previously issued • informs central statistics collection with tick boxes for common eye conditions. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  10. LVI CVI RVI Snake with 3 ladders © Richard Cox Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  11. New terminology • “Sight Impaired / Partially Sighted” • “Severely Sight Impaired / Blind” • More “inclusive” and less misleading • No opportunity to change the underlying legislation • So two basic categories remain. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  12. Implementation update • Slow start • Transition phase with BD8s still around • Some opposition • Some enthusiasm • No going back • Review period extended - 30/06/04. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  13. Main implications for users • Potential for: • improved “patient pathway” • more timely support • availability of help prior to registration • But may lead to: • Unmet expectations of social care • less incentive to register? Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  14. Role of SSDs • Become fully briefed on the system • Talk to the other stakeholders • Local societies to include their details on the LVI and Eye clinics to “localise” the RVI & CVI • LOCs (Optometrists) re: arrangements for distributing the letter • Train their staff (& eye clinic staff?). • Print & distribute LVI – SSD responsibility • Prepare for monitoring (Autumn DIS 2004) Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  15. Where to find out more • www.sightlossmatters.com • Additional background material on the new system & FAQS. • Also has a direct link to (very long) Dept of health website address……. • http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/Optical/OpticalDocumentsArticle/fs/en?CONTENT_ID=4074843&chk=q%2B1fLr Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  16. Discussion • I am happy to take and answer questions and clarify issues covered • I can be contacted at: • carl.freeman@rnib.org.uk • over to you……... Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  17. More info www.sightlossmatters.com carl.freeman@rnib.org.uk LVI RVI CVI Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  18. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  19. National registration card • Concept originated in ADSS sensory sub committee 1997/98 • Funding for research from Persula Foundation 2000-2002 • Further funding 2004 to go towards implementation • Card formally “launched” 24/03/04. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  20. National registration card Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

  21. National registration card • Linked to PinS & new reg system • Starter pack going out next week (English authorities) • 300 blank cards • 600 labels • guidance notes. Carl Freeman - 5 May 2004 - SCA Conference Wolverhamton

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