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One of the first things that occurs to me is, is she a touch typist or 'hunt and peck'. If the latter, one of the first things I would do would be to get her on a validated touch typing course such as The British Computer Society (BCS) qualification in touch typing.. You can unlearn 'hunt and peck' no matter how long you have been doing it. Unfortunately the older the brain the longer it takes.(personal opinion here!!) I have just succeeded and I am near retirement age!!! Voice activated software is not without its difficulties. I have recently been experimenting with it and it is very time consuming getting to grips with the terminology and using it and I had a short training course by the one of the trainers. It may well help but she will need the full training that goes with it and AtoW is probably the best route to go down to get that. If reports are dictated into a Dictaphone there is software that goes with the VAS that can download the dictation straight on to the computer. Is she aware of the problems she has, or could this be a dyslexia problem and not just a straight forward visual one? Not sure that writing to her consultant will help. He may well confirm that the retinopathy affects her vision, then what do you do. I do not think you are near the end unless the employer is unwilling to consider other adjustments. Her medical condition is likely to fall within the DDA so you have to ensure you have explored all options before HR look at capability. Sue From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of N. Rostami Sent: 08 September 2009 10:12 To: [log in to unmask] Subject: [OCC-HEALTH] Diabetes related visual disturbances - Errors in seccretarial work Hi List, Can I please pick your clever brains today about this case: A young diabetic secretary ( works 3 days a week )claims that her typing errors (significant amount) are attributed to the visual disturbances that she has as a result of her retinopathy. She is an insulin dependant diabetic who has difficulty controlling it. The employer claims that right from the start of her job( 12 months ago) , she has been making these errors which were tolerated whilst she was being mentored and inducted . She has declared her condition 6 months ago since when she has been given reasonable adjustments in the form of , reduction in workload, another colleague proof reads her work and close supervision. There are no alternative /redeployment jobs within the office, though the employer is a big organization. Under the capability policy she has not been able to improve her performance with the benefit of the adjustments which are no longer sustainable. She is now stating that she is stressed as she worries about the prospect of her job which in turn makes her tired and fatigued ,further affecting her performance. She states that her GP thought that she had depression ( what is new !!!!any fatigued patient is diagnosed with this!!!?- with due respect to Alan...). However she has not accepted treatment and counselling from her GP. A workplace assessment has been carried out. I am not sure if it is appropriate to consider the use of a voice activated software as the main part of her job is to type the dictated reports! We have advised her to use the features of font/contract/brightness/ line space to make the proof reading of her work on the screen more user-friendly. She has even been advised to print out the reports and proof read them. Basically she does not seem to be bothered and responsive to these advices. She also works 3 days a week in her parent's pub and claims that she does only day shifts for them .The employer wants her to self refer to Access to Work for further assessment. I have considered writing to her specialist giving all details of her errors in typing and to find whether her retinopathy would result in such errors, and is it likely to improve. How do the rest of the list this case? Is it likely that we are at the end of the road for her, now looking at capability in spite of the RA. I have convinced her to take up counselling via EAP, which I think should also be given some chance. Would appreciate all comments and thanking you in advance. Noushin ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk