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The Provision of Orthotic, Prosthetic and Rehabilitation Equipment U.K. Model

The Provision of Orthotic, Prosthetic and Rehabilitation Equipment U.K. Model. David Holmes EMEA B usiness director. A simplified version of a complex system. The U.K. National Health Service principle for all treatments. Free at the point of supply. Referral System. Family Doctor.

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The Provision of Orthotic, Prosthetic and Rehabilitation Equipment U.K. Model

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  1. The Provision of Orthotic, Prosthetic and Rehabilitation EquipmentU.K. Model David Holmes EMEA Business director

  2. A simplified version of a complex system

  3. The U.K. National Health Service principle for all treatments.Free at the point of supply

  4. Referral System

  5. FamilyDoctor Shop Blood tests X-ray Physio- therapy Hospital consultant Pharmacy Nurse

  6. Medical Aid Shops Very few exist due to improved hospital and private facilities offering better technology and expertise

  7. Medical Aid Shops Only sell wheelchairs, walking aids, crutches, seating accessories etc. Only to the private market Orthotics/Prosthetics/Rehabilitation equipment supplied from hospitals or specialist centres.

  8. Hospital Consultant Orthotics Prosthetics Physiotherapy

  9. Orthotic/Prosthetic Practitioners University education at O&P colleges 3 Years plus 2 years intern Option of extra year to obtain Masters Degree

  10. FUNDING Central Government National Insurance Patient Contribution

  11. Charges to patients Pharmacy medication GBP 7.40 Orthotic devices Hosiery GBP 15.30 Fabric supports GBP 37.90 Prosthetics – standard limbs free Rehabilitation equipment - free

  12. Individual hospitals control their own budget for the provision of orthotics, prosthetics and rehabilitation equipment

  13. O & P Service Provision • Mainly private companies • Competitive tenders (1-5 years) for service and/or products • Few government workshops - excluded from tender process

  14. Rehabilitation Equipment • Competitive tenders for bulk purchase • Individually negotiated prices

  15. Patients with Chronic Conditions Hospital Care Home with resident nursing staff Patient’s own home Team decision

  16. Home Care Equipment installed Visiting nurses (24 hours if necessary) Visiting therapists Transport for hospital visits

  17. Value for money National Institute for Clinical Excellence N.I.C.E. Cost effectiveness Product testing

  18. Product testing Bio-engineers Doctors Therapists Orthotists/Prosthetists

  19. Product testing Function Material testing Clinical trials Studies

  20. Less expensive v More expensive

  21. SWEDEN MODEL

  22. Sweden is divided into 20 County Councils each having its own O&P facility 7 owned by County Councils 13serviced by private companies selected by tenders (3-5 years) Facilities situated mainly in major hospitals

  23. Orthotic/Prosthetic Practitioners Same system as U.K.

  24. Prescribers Mostly qualified physicians Family doctors Physio. And Occupational Therapists

  25. Funding Custom made orthotics and prosthetics funded by Social Security (Taxation) Ready made supports called “self care devices” partly paid by patients (Euros 25-65) Orthopaedic Shoes Patient pays Euros 35-60 children Euros 75-120 adults

  26. Chronic patients (rheumatoid arthritis, diabetes, stroke etc) free of charge Amputee patients receive limbs free

  27. Objective and Conclusion To return the patient to as near normal function as possible

  28. Thank you for your attention

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