VisionImpairmentForm1

(SupportAllocationMatrix)

Visionlossreferencetables

Acuitycriteriaareforguidancepurposesonly.TheprofessionaljudgementofaQTVIshouldbeappliedas necessarytodecideontheclassification.Forexample,aCYPmayhaveamildreductioninvisualacuitybut befunctioningwithinadifferentvisualcategoryduetoanadditionalophthalmiccondition,e.g.an oculomotordisordersuchasnystagmus,visualfieldreduction,cerebralvisionimpairment,and/or additionallearningdifficulties).

Distancevision

Withinthe range 6/12 - 6/18 Snellen/Kay (LogMAR 0.3 – 0.48)

Less than 6/19 - 6/36 Snellen/Kay (LogMAR 0.5 – 0.78)

Less than 6/36 - 6/120 Snellen/Kay (LogMAR 0.8 –1.3)

Less than 6/120 Snellen/Kay (LogMAR 1.32+)

Nearvision

RefertostandardizedtestssuchasKays,BUST,Maclureat33cms.Pleaseuseprofessionaljudgementand noteanyadditionalfactorssuchascrowdingorprocessing.

N14-18

N18-24

N24-36

Educationally blind/Braille user/can accesssmall quantities of printlarger than N36

VisionImpairmentForm2

(SupportAllocationMatrix)

VisionImpairmentForm3

(SupportAllocationMatrix)

Criterion 2:Additional factors relating to VI

aNo relevant additional factors

Late referral of permanent VI (more than 12 months from presumedonset)

Continuing assessment of VIrequirede.g.fluctuating condition, deteriorating/degenerative/progressiveloss

Recentlyacquired permanent VI (within the last 6 months)

Comments

Score

Criterion 3: Impactof theCYP’s VI on language and communication development and on access to learning and the curriculum (particularly English, mathematicsand science)

Expected/betterthanexpectedprogressthatdoesnotneedadditionalinput

The learner requires assessment and advice from a QTVI

The learner requires a short-term programmedelivered by a QTVI to develop skills that enable access to the curriculum e.g.touch-typing, developingindependence and self-advocacy

The learner requires a long-term programme delivered and maintainedby a QTVIe.g. Braille

CommentsCYP

Score

VisionImpairmentForm4

(SupportAllocationMatrix)

VisionImpairmentForm5

(SupportAllocationMatrix)

VisionImpairmentForm6

(SupportAllocationMatrix)

VisionImpairmentForm7

(SupportAllocationMatrix)

SERVICESUPPORTALLOCATIONMATRIX

Total Score Range / Support Category / Support Allocation
19% and below / Not active caseload / Not visited
20 -29% / Monitoring Caseload / Up to two visits per academic year
30-49% / Monitoring Caseload / Monthly
Six times a year
Three times a year
50-69% / Main Caseload / Fortnightly or weekly visit
70% and above / Main Caseload / Two visits or more each week
Evidence underpinning any professional adjustment made to the CYP’smatrixsupport allocation: