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 Prostheti sthetics cs Team am  Specialist Multidisciplinary Team  Nurse Specialist  Physiotherapist  Occupational Therapist  Podiatrist  Counsellor  Prosthetists  Technicians  Assistant Practitioners  Rehabilitation Consultant

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

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

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)

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

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

Orthoti thotics cs  Locally commissioned  Average of 800 referrals per month  Tariff based service  Weston contract  7 wte orthotists, Assistant Practitioner and Support Staff

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

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

Many thanks Helen.Harvey@nbt.nhs.uk 0117 414 5862