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Just to add to this- I've seen a small number of students in the past 
over the years who've been diagnosed with 'dyslexia and visual stress' 
who - only because I'm used to working with VI students- it seemed to me 
from what they were telling me they really had an undiagnosed visual 
impairment, in one case I recall it warranted advising them to do a 
self-referral via the A&E dept of Moorfields Eye Hospital (here in 
London) -  as soon as possible. I don't agree that visual stress should 
be removed as something DSA-able if it's been correctly diagnosed and 
other problems have been properly ruled out, but the chance that someone 
might pick up on a potentially very nasty eyesight problem early on is 
another good reason to keep it in the system.

Ian


On 23/10/2018 4:51 PM, Robert Edwards wrote:
> I’d like to add a couple of points to this discussion:
> 
> 1) The government’s guidance on the 2010 Equality Act states “A person 
> has a disability for the purposes of the Act if he or she has a physical 
> or mental impairment and the impairment has a substantial and long-term 
> adverse effect on his or her ability to carry out normal day-to-day 
> activities.” My understanding, from this, is that anybody with a 
> long-term visual impairment that affects his or her ability to study 
> certainly is disabled for the purposes of the Act. So I agree with the 
> argument that if DSA is required to fund low vision magnifiers, for 
> example, then it should also fund amelioration for other visual 
> impairment. (Though DSA is not expected to fund the cost of eye tests or 
> prescription glasses. Presumably that is because “you need to read 
> whether you’re in HE or not”.)
> 
> So the question of the validity of the withdrawal of DSA funding for 
> “visual stress” support boils down to whether "visual stress” is a 
> visual impairment that can be accurately assessed, or diagnosed.
> 
> 2) According to the June 2018 SASC Working Group publication*, 
> *“Specific Learning Difficulties (SpLDs) and Visual Difficulties: A 
> Guide for Assessors and SpLD Practitioners” (available from 
> http://www.sasc.org.uk/Downloads.aspx 10th from the bottom of the page 
> when I checked today):
> 
>   *
> 
>     Symptoms that previously may have been seen as associated with
>     ‘visual stress’ could be caused by uncorrected refractive error
>     and/or oculomotor issues. Specialist assessors/practitioner
>     psychologists cannot assess for these.
> 
>   *
> 
>     􏰀Visual stress should not be used as a catch-all term for visual
>     difficulties.
> 
> These messages were clearly emphasised at a SASC CPD event I attended in 
> London a week and a half ago. Students may experience reading 
> difficulties not only because of visual acuity and refractive error 
> (which are covered by an NHS eye test), but also because of oculomotor 
> functions (accommodation and convergence), visual sensation (sensory 
> visual stress (pattern-related)), or visual perception. These latter 
> causes may not be assessed by an NHS eye test, but can be assessed by an 
> optometrist or orthoptist.
> 
> The same CPD event was at pains to declare that the term “visual stress” 
> is to be deprecated.
> 
> Please note that I’m not suggesting that help for students with a visual 
> impairment should not be funded; just that we need to be careful about 
> the terms used for impairments, about their assessment, and about 
> support for them.
> 
> Robert Edwards
> 
>> On 23 Oct 2018, at 11:56, Satchell, Phillip 
>> <[log in to unmask] <mailto:[log in to unmask]>> wrote:
>>
>> I'm surprised that there hasn't been more of a fuss about the 
>> announcement of this change, on this forum and elsewhere. My concern 
>> is that the justification for this change seems to be - you need to 
>> read whether you're in HE or not, so visual stress isn't only study 
>> related and therefore isn’t fundable through DSA. If you extend this 
>> argument, why would DSA fund text-to-speech software, low vision 
>> magnifiers, ergonomic chairs, mice and keyboards? Much of what has 
>> been funded by DSA has been predicated on the fact that HE students 
>> need to do (much) more of certain activities as part of their studies 
>> but not that these activities are uniquely found in HE study. I spy 
>> the thin end of a dangerous wedge!
>> Phil Satchell
>> Assessment Centre Manager
>> Student Based Services
>> University House A47
>> Lancaster University
>> LA1 4YW
>>
>> Tel: 01524 592753
>> Email:[log in to unmask] <mailto:[log in to unmask]>
>>
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