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Pr Prostheti sthetics cs Team am
- Specialist Multidisciplinary Team
- Nurse Specialist
- Physiotherapist
- Occupational Therapist
- Podiatrist
- Counsellor
- Prosthetists
- Technicians
- Assistant Practitioners
- Rehabilitation Consultant
RUST RISTOL P RO ETICS AN AND O RT ICS S ERV ICES ROSTH THETICS - - PowerPoint PPT Presentation
RUST RISTOL P RO ETICS AN AND O RT ICS S ERV ICES ROSTH THETICS - - PowerPoint PPT Presentation
N ORT RTH B RI STOL NHS T RU RUST RISTOL P RO ETICS AN AND O RT ICS S ERV ICES ROSTH THETICS RTHOT OTICS RVICE Helen Harvey MSc BSc(Hons) HCPC Clinical Manager, Prosthetics and Orthotics CRG Member Complex Disability and Rehabilitation Pr
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Na National tional Co Contex text
- National Commissioning for Specialised Services
- CQUIN’s
- National Service Specification
- https://www.england.nhs.uk/commissioning
- Review
- ‘Murrison Centre’
- New Policies:
- Microprocessor knees
- Multi-grip hands
- Development of National Currency and Tariff
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Pa Patient tient Pa Pathway thway
- Pre-Amputation Consultation
- Primary MDT Assessment
- True MDT Approach
- Patient Centred
- Goal Setting
- Prosthetic Rehabilitation Plan
- Introduction to service users and families
- School/Nursery support
- Ongoing review and Community Therapy Team
support
- Combined Clinic with BCH Children’s Team
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Pr Prostheti sthetic c Pr Prescrip scriptio tion
- NHS Prescription Guidelines (local)
- Sockets
- Upper Limb – customised to individual’s needs
- Cosmetic
- Body powered
- Myo-electric
- Lower Limb - linked to activity levels
- MDT Review – required for requests outside of
guidelines
- Individual Funding Request (IFR)
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Pa Paedia diatric tric Spor ports ts Li Limbs bs
- £1.5m allocated by
Chancellor in 2016 budget
- Research funding
- Component funding
- NHSE protocols
- Criteria
- Time frame
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Re Research earch an and In Innovati novation
- Capital Investment and
wider patient benefit
- New innovations
- Research projects:
- Open Bionics – 3D
printed multi-grip hand
- University of Bath –
residual limb volume change
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Orthoti thotics cs
- Locally commissioned
- Average of 800 referrals per month
- Tariff based service
- Weston contract
- 7 wte orthotists, Assistant Practitioner and Support
Staff
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Cl Clinic inical al As Aspects pects
- Cover all aspects of orthotics from simple insoles to
lycra garments and complex KAFO’s
- Variety of Clinics including
- Combined diabetic foot clinic
- Lower Extremity Activity Pain (LEAP)
- Brain Injury Rehabilitation Unit (BIRU)
- Bristol and Avon Multiple Sclerosis Centre (BRAMS)
- Paediatric clinics – off site and at community schools
- Wards at Southmead and Weston Hospitals
- Multiple sites including BCE, Cossham, Clevedon, Frome,
Wells
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Technology chnology
- Off site manufacture
- Increased use of carbon fibre
- Robot carver
- Laser cutter
- E-cast
- 3D Scanning – helmets, AFO’s
- Check shoe
- Tablet – scanning
- Improving quality and patient pathway
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