Confusion around Certification of Vision Impairment (CVI) and registration processes—are patients falling through the cracks?

Author:

Pardhan Shahina,Driscoll RobinORCID,Ingleton Hilary,Slade John,Bowen MichaelORCID,Lovell-Patel RupalORCID,Farrell SarahORCID,Bourne RupertORCID,Mahoney Simon,Ahluwalia Sanjiv,Trott MikeORCID

Abstract

Abstract Background In the UK, the Certificate of Vision Impairment (CVI) certifies a person as sight impaired (partially sighted) or severely sight impaired (blind). This is completed by ophthalmologists and passed with the patient’s consent to their GP, their local authority, and The Royal College of Ophthalmologists Certifications office. Once a person is certified, they can be registered by their local authority which is voluntary but enables the person to access rehabilitation or habitation services, financial concessions, welfare benefits and other services provided by local authorities. Methods We conducted semi-structured individual interviews with 17 patients with a diagnosed eye condition, 4 Eye Clinic Liaison Officers (ECLO) and 4 referring optometrists around their experiences around CVI and registration processes. Analysis of themes was conducted with results synthesised in a narrative analysis. Results Patients reported lack of clarity around the processes of certification and registration, benefits of certification and what happens beyond certification, the type of support that they are entitled to, delays in accessing support. Optometrists appear not to engage with the process much, especially if the patient is being treated by the hospital eye service. Conclusion Vision loss can be a devastating experience for the patient. There is a lack of information and confusion around the process. The lack of a joined-up process between certification and registration needs to be addressed if we are to provide the support that patients deserve in order to improve their quality of life and wellbeing.

Publisher

Springer Science and Business Media LLC

Subject

Ophthalmology

Reference19 articles.

1. RNIB. Key Statistics about Sight Loss. RNIB; 2021.

2. Rahman F, Zekite A, Bunce C, Jayaram H, Flanagan D. Recent trends in vision impairment certifications in England and Wales. Eye. 2020;34:1271–8.

3. Department of Health and Social Care. Guidance: Registering vision impairment as a disability: DHSC; 2013 [https://www.gov.uk/government/publications/guidance-published-on-registering-a-vision-impairment-as-a-disability].

4. NICE. Serious Eye Disorders: NICE; 2018 [Available from: https://www.nice.org.uk/guidance/qs180/chapter/quality-statement-6-certificate-of-vision-impairment.

5. RNIB. Registering as sight impaired: RNIB; 2014 [https://www.rnib.org.uk/your-eyes/navigating-sight-loss/registering-as-sight-impaired/#:~:text=What%20is%20registration%3F,details%20won%27t%20be%20shared].

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