LVSWLeft Ventricular Stroke Work (index)
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The emphasis on a high standard of postgraduate education for LVSW practitioners, often delivered in a multidisciplinary format, enables practitioners to deliver excellent care to patients accessing the service.
LVSW practitioners have a large range of LVAs that they are able to offer (
LVSW guidance states that, ordinarily, up to five visual aids may be dispensed at the initial LVSW assessment.
* Maintain a high standard of professional knowledge of low vision within the LVSW.
Patients are entitled to one LVSW assessment each year, and can return for follow-ups as required throughout the year.
The LVSW database was utilised to establish the number of LVAs dispensed by each practitioner, for each initial LVSW assessment, performed between 1 April, 2012 and 31 March, 2013.
A total of 6,753 annual LVAs were performed by accredited practitioners within the LVSW between April 1, 2012 to March 31, 2013.
Those practitioners who predominately work in a part-time/'locum' capacity find it more difficult to perform LVAs as activity is sometimes determined by whether the practice that they are working out of provides the LVSW.
Neath Port Talbot in South Wales also falls into the lowest group of LVSW accredited practitioners per over-65 population.
Powys falls into the middle bracket with regards to numbers of LVSW accredited optometrists and the uptake of the service.
With consideration of current accredited LVSW practitioners per area (see Figure 3), and the current uptake of the LVSW, areas of need with regards to increased service provision can be identified as: Flintshire, Wrexham, Denbighshire, Conway, Anglesey, Powys, Pembrokeshire, and Neath Port Talbot.
The review of practitioner activity resulted in the removal of 13 practitioners from the accredited list for the LVSW. This not only allows an accurate geographical map of the service across Wales to be developed, but has also given the LVSW an insight into some of the limitations regarding practitioner access to low vision patients.