Change that leads to better lives

Making reasonable adjustments to eye care services for people with learning disabilities

This report is the third in a series of reports written by the Learning Disabilities Public Health Observatory (LDPHO: ) focusing on reasonable adjustments in a specific service area. The aim of these reports is to make it easier for people to find and use reasonable adjustments, and to share good practice regarding implementation of reasonable adjustments. The report has been written with SeeAbility, because of their expertise in this area. Other examples of reasonable adjustments in eye care services were sent to us following a request to the Janet Cobb network ( ). We also looked at a number of websites (see resources section for details).

Reviews of existing scientific evidence suggest that people with learning disabilities are between 8 and 200 times more likely to have a visual impairment than their non-disabled peers. Research has also suggested that: (1) people living independently or with family are significantly less likely to have had a recent eye examination than people living with paid support staff; carers of people with learning disabilities frequently fail to identify sensory impairments, including cerebral visual impairment.

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