The decision to refer a patient with cognitive impairment is a complex one that may involve discussion with the patient and their relative or carer. The patient may benefit from referral.

If you have doubts about the patient’s wider circumstances you should report your findings to the patient’s GP and be prepared to discuss these if necessary.

Patients are more likely to require additional support services at the onset of visual impairment. How patients access these services can vary and you may wish to suggest that patients discuss this with their GP or nurse.