diff --git a/src/plugins/platforms/ios/qiosplatformaccessibility.mm b/src/plugins/platforms/ios/qiosplatformaccessibility.mm
index d54b7db57a..f22782fb04 100644
--- a/src/plugins/platforms/ios/qiosplatformaccessibility.mm
+++ b/src/plugins/platforms/ios/qiosplatformaccessibility.mm
@@ -25,8 +25,6 @@ void invalidateCache(QAccessibleInterface *iface)
     // This will invalidate everything regardless of what window the
     // interface belonged to. We might want to revisit this strategy later.
     // (Therefore this function still takes the interface as argument)
-    // It is also responsible for the bug that focus gets temporary lost
-    // when items get added or removed from the screen
     foreach (QWindow *win, QGuiApplication::topLevelWindows()) {
         if (win && win->handle()) {
             QT_PREPEND_NAMESPACE(QIOSWindow) *window = static_cast<QT_PREPEND_NAMESPACE(QIOSWindow) *>(win->handle());
@@ -38,14 +36,25 @@ void invalidateCache(QAccessibleInterface *iface)
 
 void QIOSPlatformAccessibility::notifyAccessibilityUpdate(QAccessibleEvent *event)
 {
-    if (!isActive() || !event->accessibleInterface())
+    auto *accessibleInterface = event->accessibleInterface();
+    if (!isActive() || !accessibleInterface)
         return;
     switch (event->type()) {
     case QAccessible::ObjectCreated:
     case QAccessible::ObjectShow:
     case QAccessible::ObjectHide:
     case QAccessible::ObjectDestroyed:
-        invalidateCache(event->accessibleInterface());
+        invalidateCache(accessibleInterface);
+        switch (accessibleInterface->role()) {
+        case QAccessible::Window:
+        case QAccessible::Dialog:
+            // Bigger changes to the UI require a full reset of VoiceOver
+            UIAccessibilityPostNotification(UIAccessibilityScreenChangedNotification, nil);
+            break;
+        default:
+            // While smaller changes can be handled by re-reading the layout
+            UIAccessibilityPostNotification(UIAccessibilityLayoutChangedNotification, nil);
+        }
         break;
     default:
         break;
diff --git a/src/plugins/platforms/ios/qioswindow.mm b/src/plugins/platforms/ios/qioswindow.mm
index 99f9e38846..8de094533b 100644
--- a/src/plugins/platforms/ios/qioswindow.mm
+++ b/src/plugins/platforms/ios/qioswindow.mm
@@ -75,6 +75,7 @@ QIOSWindow::~QIOSWindow()
     [m_view touchesCancelled:[NSSet set] withEvent:0];
 
     clearAccessibleCache();
+
     m_view.platformWindow = 0;
     [m_view removeFromSuperview];
     [m_view release];
diff --git a/src/plugins/platforms/ios/quiview_accessibility.mm b/src/plugins/platforms/ios/quiview_accessibility.mm
index 366141ef81..04e1f8cfb3 100644
--- a/src/plugins/platforms/ios/quiview_accessibility.mm
+++ b/src/plugins/platforms/ios/quiview_accessibility.mm
@@ -54,7 +54,6 @@
 - (void)clearAccessibleCache
 {
     [m_accessibleElements removeAllObjects];
-    UIAccessibilityPostNotification(UIAccessibilityScreenChangedNotification, @"");
 }
 
 // this is a container, returning yes here means the functions below will never be called