Can any one help with this. I have a client who has a problem with vision that would be corrected with glasses, but he refuses to wear glasses as he could only afford NHS frames. Can he be treated as still having a visual problem under the PCA?

The problem is going to be with the DM rather than the medical service - if your client cannot show good cause for refusing medical treatment then he could be disqualified for a period or deemed to have failed.

See CIB/14499/1996, where the Commissioner interpreted the use of aids as meaning "if the aid in question is generally worn by people in the claimant's situation acting reasonably." The effect of this is tht if a person would be able to see perfectly well wearing glasses but unreasonably refuses to, they score no points. The case was on hearing aids, but the same applies. It is in fact much more likely that a person will have a good reason not to wear hearing aids, as they can be very uncomfortable and cause irritation and even infection of the ear canal. The better analogy for vision is contact lenses.

Thanks all.