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Improving Sight Registration Process: LVI, RVI, CVI for Better Social Care Access

This workshop by Carl Freeman introduces the LVI, RVI, and CVI for a more efficient sight registration process, highlighting the need for change, the new system overview, and its implications. The existing linear identification process's limitations and emotional impact are discussed along with the new 3-form referral system for timely access to social care. The transition's slow start, user implications, potential benefits, and challenges are outlined, emphasizing stakeholder roles, implementation updates, and the importance of better communication in the system. The session welcomes questions and aims to improve the support pathway for those with failing sight. Carl Freeman's insights from the SCA Conference Wolverhampton include key steps for a successful implementation and where to find additional resources.

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Improving Sight Registration Process: LVI, RVI, CVI for Better Social Care Access

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Presentation Transcript

  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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