Low vision service provision in Scotland: review

Appendix

Telephone survey scoping current provision of low vision care in Scotland

Survey code:

Date of telephone interview:

Organisation name:

Organisation type:

1. Hospitals with eye departments
2. Optometry practices
3. Local authority social services
4. Local societies/charities for people with VI
5. Specialist teachers
6. Glasgow Caledonian University Optometry department

Contact name:

Address:

Telephone number:

Email address:

Questions:

1. Do you provide a low vision service in your area?

1. YES

2. NO

If the answer is no, there is no need to continue with survey

2. What kind of service do you provide?

1. Sell only

2. Other

3. How many people do you see each year for:

a. Initial assessment

1. 0-10

2. 11-25

3. 25-50

4. 51-100

5. 101-200

6. 200+

7. Don't know

8. No answer

If 200 + probe for number seen----------------------

b. Follow up assessment

1. 0-10

2. 11-25

3. 26-50

4. 51- 100

5. 101-200

6. 200+

7. Don't know

8. No answer

If 200+ probe for number seen----------------------------------------

4. What was your annual spend last year on low vision aids?

5. Who provides the low vision service in your organisation?

Options	Answers
1. Optometrist(s)
2. Ophthalmologist(s)
3. Counsellor(s)
4. Nurse(s)
5. Medical social worker(s)
6. Orthoptist(s)
7. Rehabilitation worker(s)
8. Social worker(s)
9. Specialist Teacher(s)
10. Other

6. After you receive the initial enquiry, how long do people wait for their first low vision assessment?

1. Less than 2 weeks

2. 2 weeks - 2 months

3. 2 months - 6 months

4. 6 months - 1 year

5. 1 year plus

6. Don't know

7. No answer

7. Which authority or agency is the main funder of your low vision service?

1. NHS Hospital contract

2. NHS separate contract

3. NHS GOC

4. NHS GOS

5. NHS- other

6. NHS- Don't know

7. Social services/work department

8. Voluntary sector

9. Private

10.School

11. Department of education

12. Department of employment

13. Other

14. Don't know

15. No answer

8. Please indicate which of the following services you provide to people with low vision?

Options	Answers
1. Optical low vision aids
2. Non- optical low vision aids
3. Ophthalmological eye examination
4. Optometric eye examination
5. Counselling
6. Information service
7. Specialised low vision training
8. Rehabilitation training
9. Social support
10. Home visits
11. Transportation service
12. Employment opportunities
13. Large print
14. Volunteer service
15. Other

9. What types of aids are provided by the service?

Options	Answers
1. High add specs
2. Hand held non illuminated magnifiers
3. Hand held illuminated magnifiers
4. Fixed focus magnifiers
5. Chest magnifiers
6. Folding magnifiers
7. Bar magnifiers
8. Stand magnifiers
9. Illuminated stand magnifiers
10. Bright fields
11. Distance aids ( e.g. Telescopes)
12. UV Filters
13. Lamps
14. Electronic magnifiers
15. Batteries
16. Non-optical devices( e.g. clip boards, coloured overlays, typoscopes, reading stands)
17. TV distance glasses

10. Does the service provide aids free of charge to the patient/client?

1. Yes

2. No

11. Do you have a policy on the maximum number of aids supplied per person?

1. Yes

2. No

12. Who refers people with low vision into your service?

Options	Answers
1. Optometrists
2. Ophthalmologists
3. GP
4. Self- referral
5. School
6. Department of education
7. Social services / Work department
8. Other

13. Where do you refer people to, once they have been seen at your low vision service?

Options	Answers
1. Referral to HES
2. Referral to GP
3. Optometrist
4. Low vision clinics
5. Social services
6. Local organisations for people with low vision
7. Other

14. Do you provide services to people with low vision outside your establishment?

Options	Answers
1. Home
2. School
3. Place of work
4. Other

15. A. Do you screen for depression?

Options	Answers
1. Yes
2. No

B. If yes, do you use a screening tool?

Options	Answers
1. Yes
2. No

C. If yes, what is the name of the screening tool?

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Thank you for taking the time to answer this survey