Mark Godfrey and Pete Fahy, Joint Chairs of the Physical and Sensory Impairment and HIV/AIDS Network would like to bring to your attention key documents relating to the Care Act 2014 and sight loss, and highlight the essential role that rehabilitation plays in supporting people at the earliest possible stage.


The Care Act 2014 Statutory Guidance

The provision of rehabilitation is specifically mentioned as follows:

Delay: tertiary prevention (paragraph 2.9 – page 8)

These are interventions aimed at minimising the effect of disability or deterioration for people with established or complex health conditions, (including progressive conditions, such as dementia), supporting people to regain skills and manage or reduce need where possible. Tertiary prevention could include, for example the rehabilitation of people who are severely sight impaired (see also chapter 22 sight registers). Local authorities must provide or arrange services, resources or facilities that maximise independence for those already with such needs, for example, interventions such as rehabilitation/reablement services e.g. community equipment services and adaptations and the use of joint case-management for people with complex needs.  See also the full statutory guidance.

The ADASS position statement on visual impairment rehabilitation in the context of personalisation

Rehabilitation for people with sight loss is a specific form of reablement. Rehabilitation programmes should be time limited but not time prescribed. The position statement re-issued in December 2013 provides advice in this regard to local authorities. 


Adult Sight Loss and Eye Health Pathway

The Vision 2020 UK Rehabilitation and Low Vision Group have produced the ‘Adult Sight Loss and Eye Health Pathway’ that puts rehabilitation in context, and have also provided guidance for children and young people.

Providing excellent services for blind and partially sighted people – A guide for local


This document was published by Royal National Institute for Blind People (RNIB) and Action for Blind People, and is a good practice guide that helps inform local authorities’ understanding of the Care and Support Statutory Guidance and extent and impact of sight impairment, the main causes and risk factors and the effects on people’s lives.  )


SENSE: A practical guide to implementing the Care Act for deafblind people

This guide is intended to support senior managers and policy makers involved in implementing the Care Act to enable them to understand the key aspects of the Act that have a bearing on care and support for deafblind people and people with complex needs.