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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

The Provision of Orthotic, Prosthetic and Rehabilitation EquipmentU.K. Model

David Holmes

EMEA Business director

the u k national health service principle for all treatments free at the point of supply
The U.K. National Health Service principle for all treatments.Free at the point of supply
slide5

FamilyDoctor

Shop

Blood

tests

X-ray

Physio-

therapy

Hospital

consultant

Pharmacy

Nurse

medical aid shops
Medical Aid Shops

Very few exist due to improved hospital and private facilities offering better technology and expertise

medical aid shops1
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.

slide8

Hospital Consultant

Orthotics Prosthetics Physiotherapy

orthotic prosthetic practitioners
Orthotic/Prosthetic Practitioners

University education at O&P colleges

3 Years plus 2 years intern

Option of extra year to obtain Masters Degree

funding
FUNDING

Central Government

National Insurance

Patient Contribution

charges to patients
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

slide12

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

o p service provision
O & P Service Provision
  • Mainly private companies
  • Competitive tenders (1-5 years) for service and/or products
  • Few government workshops - excluded from tender process
rehabilitation equipment
Rehabilitation Equipment
  • Competitive tenders for bulk purchase
  • Individually negotiated prices
patients with chronic conditions
Patients with Chronic Conditions

Hospital

Care Home with resident nursing staff

Patient’s own home

Team decision

home care
Home Care

Equipment installed

Visiting nurses (24 hours if necessary)

Visiting therapists

Transport for hospital visits

value for money
Value for money

National Institute for Clinical Excellence

N.I.C.E.

Cost effectiveness

Product testing

product testing
Product testing

Bio-engineers

Doctors

Therapists

Orthotists/Prosthetists

product testing1
Product testing

Function

Material testing

Clinical trials

Studies

slide22

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

prescribers
Prescribers

Mostly qualified physicians

Family doctors

Physio. And Occupational Therapists

funding1
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

slide26

Chronic patients (rheumatoid arthritis, diabetes, stroke etc) free of charge

Amputee patients receive limbs free

objective and conclusion
Objective and Conclusion

To return the patient to as near normal function as possible

slide29

Thank you

for

your

attention