1 / 15

Prosthetists and Orthotists Role in HSC

Learn about the essential roles of prosthetists and orthotists in providing gait analysis, engineering solutions, and personalized care for patients with limb loss or neuro-muscular and skeletal problems. Discover how these autonomous practitioners design prostheses and orthoses, reduce falls, improve mobility, and enhance quality of life, ultimately reducing NHS costs and supporting better healthcare outcomes. Explore the current service provision, evidence supporting these services, and recommended solutions for optimization in the healthcare system.

hayley
Télécharger la présentation

Prosthetists and Orthotists Role in HSC

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Prosthetists and Orthotists Role in HSC Jonathan Bull BAPO chair www.bapo.com

  2. Prosthetists • Autonomousregistered HCPC practitioners • Gait analysis and Engineering solutions to patients with limb loss • Mechanics, Bio-mechanics, and material science • Anatomy, Physiology and Pathophysiology. 

  3. Prosthetists • Competent to design and provide prostheses that replicate the structural or functional characteristics of the patients absent limb. • Qualified to modify CE marked prostheses or componentry taking responsibility for the impact of any changes.

  4. Prosthetist caseload • Includes – • congenital loss • loss due to diabetes • reduced vascularity • infection • trauma • Military personnel • Whilst they are autonomous practitioners they usually work closely with physiotherapists and occupational therapists as part of multidisciplinary amputee rehabilitation teams.

  5. Orthotists • Autonomous registered HCPC practitioners • Gait analysis and Engineering solutions to patients with problems of the neuro, muscular and skeletal systems • Mechanics, Bio-mechanics, and material science • Anatomy, Physiology and Pathophysiology.

  6. Orthotists • Competent to design and provide orthoses that modify the structural or functional characteristics of the patients' neuro-muscular and skeletal systems enabling patients to mobilise, eliminate gait deviations, reduce falls, reduce pain, prevent and facilitate healing of ulcers. • Qualified to modify CE marked orthosesor componentry taking responsibility for the impact of any changes.

  7. Orthotist Caseload • Include - • diabetes • arthritis • cerebral palsy • stroke • spinabifida • scoliosis • MSK • sports injuries • Trauma

  8. Orthotists • Often work as autonomous practitioners • Form part of multidisciplinary teams such as within the diabetic foot team or neuro-rehabilitation team.

  9. Current Service Provision in HSC • Predominantly Contracted Model • 6 Prosthetists • 8 Skilled and Experienced Prosthetic Technicians • 9 Orthotists (equates to 6-7 WTE) • 12 Skilled and Experienced Orthotic Technicians • 3MTO – 1 in Muckamore, 2 in Royal

  10. Orthotics in Diabetes • Reduce ulceration risk • Increased mobility • Better quality of life • Reduced NHS costs • Able to maintain employment

  11. Orthotics in Stroke • Quicker rehabilitation – less need for multiple therapists if correct orthosis is used • Early mobilisation • More independence • Earlier discharge

  12. Orthotics Reduces Falls • Reduction of Hospitalisation • Better independent mobility • Improved balance

  13. Service Supporting Evidence • Fully Equipped 2000 • Fully Equipped 2002 • Orthotic Pathfinder Report 2004 • APLLG Orthotics Charter 2008 • Hutton York Economics Report 2009 – Cost saving case studies • AFO Best Practice Statement following Stroke 2009 • CEBR Report 2011 • BAPO Standards for best practice • Prosthetics and Orthotics Career Framework, Education and Preceptorship Guides

  14. Recognised service problems and solutions • 'The current fragmentation of the Orthotics Service.allwith their own standards and policies, is a recipe for inequity and inefficiency' (Audit Commission, 2000) • 'Orthotic Services should be managed within one Clinical Directorate, with a dedicated budget' ( British Society of Rehabilitation Medicine , 1999) • 'Develop protocols and guidelines for direct referrals by health professionals to Orthotic Services' ( South Thames Health Authority, 2002) • 'Implement condition-based direct GP Access' ( Orthotic Pathfinder PASA , 2004)

  15. The financial cost of not implementing findings from the Orthotic Pathfinder report • The cost to the NHS of delaying implementing of these changes is £390m per annum.(£1.1million per day)

More Related