Vision rehabilitation services

Freedom of Information Request
Please enter the name of your Local Authority Devon County Council
Question 1 a) How many Certificates of Vision Impairment (CVI) were received by the LA in the 2023/24 financial year?  472
Question 1 b) How many additional requests for a vision rehabilitation assessment were received by the LA in the 2023/24 financial year (i.e from somebody who already is registered as having a CVI or does not have a CVI). 573
Question 1 c) How many people received a specialist vision rehabilitation assessment in the 2023/24 financial year?  1045

Question 2. Of the individuals who received a vision rehabilitation assessment in the 2023/24 financial year, how many people were in the following age groups?

Please provide a numerical figure against each age group:

A) 18-64
B) 65 and over 

A) 18 – 64: 178                                   B) 65 and over: 867

Question 3. How do you conduct specialist vision rehabilitation assessments? 

Please select one option:

A) All face-to-face
B) All over the phone
C) Combination of both: 

C  – A combination of both
If you selected C, Please specify the split of this Unable to provide this info precisely – some assessments are completed on the phone but most start on the phone and then are completed face to face – but this is not recorded in a retrievable way as it will be in case notes or text within the assessment. Estimate would be 80% face to face and 20% over the phone.
Question 4. Who (please provide job title) is responsible for managing and upkeeping the CVI register across the Local Authority?  Sensory team manager

Question 5. What was your authority’s waiting time between receiving a CVI from the hospital, to initial customer contact to discuss needs, in the 2023/24 financial year?

Please select one option:

A) 1 to 3 days
B) 4 to 10 days
C) 11 to 20 days
D) 21 to 31 days
E) 1 to 3 months
F) 4 to 6 months
G) Over 7 months

Varies in different areas of the County, but the average is E) 1 – 3 months

Question 6.  How is this initial contact made?

 Please select one option:

A) A telephone call from our generalist team
B) A telephone call from our sensory team
C) By post                                                                          
D) Other

B –  A telephone call from our sensory team (- unless the person has specified an alternative contact method).
If you selected D, Please specify 

Question 7. How many people experienced waiting times between referral and receiving a specialist vision rehabilitation assessment, in the 2023/24 financial year, of:

Please provide a numerical figure against each time period:

This response is based on current worker assessment completion times, as historical info was not available at this level of detail.
o Less than 28 days 555
o 1-2 months 386
o 3-4 months 104
o 5-6 months
o 7 months – 1 year 
o Over 1 year

Question 8.. How many people experienced waiting times between receiving a specialist vision rehabilitation assessment and receiving support from a rehabilitation specialist, in the 2023/24 financial year, of:

Please provide a numerical figure against each time period:

Support if required is either provided on the day of the assessment or within one to two weeks
o Less than 28 days  All who required support.
o 1-2 months 
o 3-4 months 
o 5-6 months 
o 7 months – 1 year 
o Over 1 year

Question 9.  What is included in the Vision Rehabilitation support offer from the Local Authority and is any additional support provided by other organisations?

A) Please list all of which apply from the below which are funded through the LA.
o Daily living skills (cooking, dressing, cleaning) 
o Orientation/mobility training 
o The teaching of or signposting to braille/braille learning services
o Support with technology
o Benefits/ financial advice 
o Emotional/psychological support  
o Support or advice for family/carers 
o Signposting to other relevant services such as information, advice and guidance on          emotional support and/or counselling services. 
o Providing ‘low tech’ equipment such as liquid level indicators and bump-ons 
o Providing ‘high tech’ equipment such as Tablets 
o Other: please specify  

All of these except provision of High tech equipment  – but we do assist people to apply for grants for this.

Question 9B) Please list all of which apply from the below which are funded through another funder/outside of the LA.

o Daily living skills (cooking, dressing, cleaning)
o Orientation/mobility training
o Support with technology
o Benefits/ financial advice 
o The teaching of or signposting to braille/braille learning services
o   Emotional/psychological support 
o Support or advice for family/carers
o Signposting to other relevant services such as information, advice and guidance on emotional support and/or counselling services.
o Providing ‘low tech’ equipment such as liquid level indicators and bump-ons
o Providing ‘high tech’ equipment such as Tablets
o Other: please specify 

High tech equipment – grants applied via various charities
Question 9b Continued: Where does this funding come from?  via various charities – mainly RNIB
Question 10. How many FTE vision rehabilitation specialists provide rehabilitation support across the LA?  Currently 8.6 FTE
Question 10b. If there are currently any vacancies for these positions, how many are there? 2 x FTE
Question 11. Who else provides support to fulfil the vision rehabilitation offer across the LA? Currently 2 x apprentices plus business support team, who process referrals, answer calls and send out info.
Question 12. Who is responsible (please provide job title) for the management of vision rehabilitation specialists within the LA?  Sensory Team Manager

Question 13. Is it always vision rehabilitation specialists who complete specialist vision rehabilitation assessments?

Please select one option:

o Yes
o No

Yes
Question 13b – If no, please provide details

Question 14. Did the amount that the LA annually budgets for its vision rehabilitation service decrease or increase in the financial year 2023/ 2024 from the 2022/2023 financial year? 

o Increase 
o Decrease 
o Stay the same  

Increased slightly
Question 14b – please provide details, if neccessary by inflation (3.5 %)

Question 15. A central aim of RNIB’s campaign is for the National Institute for Health and Care Excellence to create quality guidelines for the provision of effective vision rehabilitation, in line with other areas of adult social care. Do you support the creation of these guidelines?

o Do support
o Do not support
o Unsure

Unsure
 Question 15b –  please provide details 
Question 16. Do you have any further comments on vision rehabilitation provision across the LA? We have noticed an increase in referrals and the receipt of CVIs since COVID