improving lives for people with sight loss 1 visual impairment rehabilitation in the context of...
TRANSCRIPT
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Improving lives for people with sight loss
Visual impairment rehabilitation in the context of personalisation
and the core offer
Jenny Pearce – CEO, Vista
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Improving lives for people with sight loss
What the session will cover
Background – Local authority survey 2010 Reablement as an early intervention Rehabilitation within personalisation
framework & as part of core offer Prioritising need in the context of Putting
People First The way forward for rehabilitation.
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Improving lives for people with sight loss
Survey of local authorities
How was visual impairment rehabilitation viewed within personalisation framework? Lack of clarity Inconsistent interpretation Lack of understanding of the specialist role of
VI rehabilitation Inflexible interpretation of reablement as a
standard 6 week model.
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Improving lives for people with sight loss
Findings
Rehabilitation often viewed as standard 6 week model, & personal budget if required. Results: money not spent on early interventions longer term needs not addressed adequately more expensive over time more disabling approach – does not enable
inclusion and independence.
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Improving lives for people with sight loss
Early intervention and prevention
Support to recover from the effects of illness Help to manage a long term condition,
including help to safely maintain home and garden
Training to get a job or return to work; support to start taking exercise.
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Improving lives for people with sight loss
Transformation agenda - reminder
Universal services Early intervention and
prevention Choice and control Social capital
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Improving lives for people with sight loss
Reablement
A specific form of early intervention Active process of helping an individual to
regain skills, confidence and independence, following a change in circumstances, or specific period of illness or injury
Usually provided as time-limited, intensive programmes of intervention and may involve use of specialist equipment or technology
Major preventative role.
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Improving lives for people with sight loss
Rehabilitation…
…within the personalisation framework Is rehabilitation a kind of reablement or
something completely different? Does it matter? Why?
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Improving lives for people with sight loss
Rehabilitation…
…as part of the Core Offer Rehabilitation is a long-term process borne
out of a long-term condition: emotional support daily living skills mobility training communication.
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Improving lives for people with sight loss
The difference…
Rehabilitation involves longer term intervention – and possibly recurrent intervention over time
but … Early intervention and prevention are
fundamental characteristics – rehabilitation needs to be essential part of any primary response to sight loss.
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Improving lives for people with sight loss
Does it matter?
Of course it does! Longer term intervention is needed to enable :
confidence building mobility training learning new communication techniques etc
A time limited 6 week package is likely to fail to deliver and thus to fail the person with sight loss.
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Improving lives for people with sight loss
Different perspective on reablement
Reablement should be viewed as an umbrella term for a range of interventions that meet the broad criteria – intensive, time limited but not time prescribed interventions that help an individual to regain skills, confidence and independence, following a change in circumstances, or specific period of illness or injury.
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Improving lives for people with sight loss
Rehabilitation under a reablement umbrella
Flexibility around time frames A form of early intervention and prevention Essential and central part of the
personalisation framework for people with sight loss
Its essential value as part of the core offer must be proactively defended.
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Improving lives for people with sight loss
Policy context…
‘Prioritising need in the context of Putting People First: A whole system approach to eligibility for social care’
Guidance on Eligibility Criteria for Adult Social Care, England 2010
Local authorities exhorted to focus on outcomes and invest in early intervention and prevention, rather than just ratcheting up the bar of eligibility criteria
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Improving lives for people with sight loss
Policy context…
“councils should consider the needs of their wider population and put into place support strategies to reduce the number of people entering the social care system in the first place. Before proceeding to determine eligible needs, councils should consider whether an individual might benefit from a short period of re-ablement or intermediate care to increase what they are able to do for themselves before an assessment of longer-term need is undertaken”.
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Improving lives for people with sight loss
Policy context…
“The most effective community support systems will be ones in which all citizens can expect some level of support and those with the greatest needs can access additional help”.
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Improving lives for people with sight loss
Levels of need identified
Presenting needs Eligible needs.
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Improving lives for people with sight loss
The way forward for rehabilitation
Rehabilitation clarified as a distinct reablement intervention – stressing the difference but always remembering the umbrella! (time limited but not time prescribed)
Clear targets for measurable outcomes - evidence of the effectiveness of rehabilitative interventions
Rehabilitation recognised as an essential intervention – early intervention and prevention.
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Improving lives for people with sight loss
Maximise the opportunity
Evidence based practice Responses to specialist needs, eg dementia,
dual sensory loss Technological advances – computers,
assistive technology A valued qualification Excellent standards of practice.
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Improving lives for people with sight loss
And …
The UK Vision Strategy highlights the importance of rehabilitation as essential part of the eye care pathway
Rehabilitation clearly rooted within personalisation framework as part of the Core Offer.
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Improving lives for people with sight loss
Visual impairment rehabilitation in the context of personalisation
A great opportunity for effective early intervention
Part of the range of reablement approaches
but not… Restricted by a ‘one size fits all’ approach.
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Improving lives for people with sight loss
Contacts
Jenny Pearce, Vista (Visionary representative)
Simon Labbett, SCA Rehabilitation Workers Consultative [email protected]
Carl Freeman, Guide [email protected]