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Southend Wheelchair Service. Karen Christensen Head of OT, Wheelchairs and Equipment Services Directorate of Integrated Adult Services. Who Are We?. A community wheelchair service funded by South East Essex PCT A team comprising therapists, technicians and administrative staff (8 wte)
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Southend Wheelchair Service Karen Christensen Head of OT, Wheelchairs and Equipment Services Directorate of Integrated Adult Services
Who Are We? • A community wheelchair service funded by South East Essex PCT • A team comprising therapists, technicians and administrative staff (8 wte) • Based at Southend Integrated Resource Centre, alongside the OT team, Equipment Service and Minor Adaptations Project
What Do We Do? • Provide equipment to meet peoples long term mobility, seating and pressure care needs • Provision is free • Service is provided in accordance with criteria set down by SEHA • Long term need is considered to be over 6 months • Service is from birth
A Bit of Background • Active caseload of ca.3500 clients, of whom 10% are children • 1500 referrals per annum • Assessments take place in clinics, day centres, at home or in the workplace, at specialist and general hospitals • Waiting lists are operated as demand exceeds available resources
Specialist Services • For the most complex needs resulting in long term postural instability we refer to the Regional Special Seating Service at Harold Wood • Currently there are 80 clients who have custom made contoured seating supplied • A full episode of care from referral to provision of the bespoke seating is ca. 1 year
Budget • Non staff budget currently £ 647k • 45% of funding pays for approved repairers, special seating and rehabilitation engineering contracts • Average cost of an EPIOC £ 10,000 • EPIOC funding increased from £53k to £148k this financial year
Waiting Lists • As at September 2006: • 52 clients waiting for an occupational therapy assessment, max. 12 months • 57 clients waiting for an assistant assessment, max wait 3 months • 34 clients waiting for assessment for indoor/outdoor power chair, max wait 4.5 years
Electrically Powered Indoor/Outdoor Chairs (EPIOCs) • Currently 78 EPIOC users ( = 2% of total) • Assessment involves cognitive function, vision, environment, H & S, therapist • Waiting list vs. costs vs. funding vs. priority • LDP bid successful – increased funding from £53k to £148k
How are we improving the Service? • Purchased stock of EPIOCs with additional funding • Identified funding and employed 2 full time OTs • Continue to work with the Regional Special Seating Centre to look at ways of improving their service delivery • Continue the Wheelchair Accredited Assessors Course • Re-launch our Wheelchair User Group