Improving lives for people with sight loss Overcoming adult service cuts - the benefits of a universal sight loss pathway ADASS Sensory Network June 8th 2012

Improving lives for people with sight loss What the presentation will cover:  Future of Rehab Group  The Sight Loss Pathway  Findings of Rehab survey  Working with Commissioners to make the case  Measuring effectiveness

Improving lives for people with sight loss The Future of Rehab Working Group  Multi-agency strategic group  Chaired by Vision 2020 Chairman The aim of the group is ensure that every person who experiences sight loss can benefit from the provision of early access to a nationally agreed pathway promoting independence, choice and control over their lifestyle.

Improving lives for people with sight loss Objectives of Group 1.Investigate rehab delivery across UK & identify gaps; 2.Develop robust evidence-based UK sight loss pathway; 3.Establish rehab role as essential reablement process; 4.Contribute to development of ‘Seeing it My Way’ & support work to achieve government endorsement; 5.Agree framework of skills needed to deliver sight loss pathway & gain governmental endorsement; 6.Promote need for trained & supported workforce to deliver the associated rehabilitation outcomes; 7.Raise awareness & campaign for service commissioning which supports delivery of ‘Seeing it my way’ outcomes.

Improving lives for people with sight loss Sight Loss Pathway  Best practice model for all UK  Stresses early intervention to address presenting needs  Rehab clearly identified as an early intervention  Community Care Assessment only if some needs still outstanding, to determine eligibility for services  Represents ideal process map for Seeing it My Way  Highlights the need for specialist qualified professional interventions

Improving lives for people with sight loss  Essential early intervention step on sight loss pathway  Long term process borne out of a long-term condition, addressing:  Emotional support  Daily living skills  Mobility training  Communication  Time limited but not time prescribed  May be recurrent over time Improving lives for people with sight loss Rehabilitation

Improving lives for people with sight loss Seeing it My Way Sight Loss Pathway Qualified Workforce Achieving the Group’s aim

Improving lives for people with sight loss Framework of Skills  Follows the processes of the pathway  At each stage, framework identifies:  Professionals involved  Qualifications  Core activity  Helps to clarify specialist focus of Rehabilitation Officers

Improving lives for people with sight loss Working with commissioners to make the case  Tell them – they don’t know!  Visual impairment needs assessment  Population  VI incidence & prevalence  Other risk factors: Age; diabetes; BME; poverty  Falls Prevention role – expert assessment  Evidence from reablement  Workforce need = incidence; work throughput; waiting lists  VI needs assessment into JSNA

Improving lives for people with sight loss Delivery models – what way ahead?  Sensory  Reablement (+ OTs etc.)  Voluntary organisation contract  Local authority trading company  Social enterprise  Freelance - spot purchase  Worker

Improving lives for people with sight loss Measuring effectiveness  Thomas Pocklington Trust commencing research in partnership with Social Policy Research Unit  Aim of research – to gather evidence of effectiveness of rehab interventions  Personal outcomes  Cashable savings

Improving lives for people with sight loss Consultation  Future of Rehab Group has consulted through own networks across UK  Consulted with UK Vision Strategy leads – March  ADASS Sensory Forum - May  Vision UK 2012 Conference - June Please tell us:  Are the pathway & framework correct?  Note – pathway is best practice model but may not represent what is actually happening on the ground  Comments and suggestions

Improving lives for people with sight loss Any further comments Jenny Pearce, Vista (Visionary representative) Simon Labbett, SCA Rehabilitation Workers Consultative Network

Improving lives for people with sight loss