david holmes emea business director. a simplified version of a complex system
TRANSCRIPT
THE PROVISION OF ORTHOTIC, PROSTHETIC AND REHABILITATION
EQUIPMENT
U.K. MODEL
David Holmes
EMEA Business director
Medical Aid Shops
Very few exist due to improved hospital and private facilities
offering better technology and expertise
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.
Orthotic/Prosthetic Practitioners
University education at O&P colleges
3 Years plus 2 years intern
Option of extra year to obtain Masters Degree
Charges to patients
Pharmacy medication GBP 7.40
Orthotic devicesHosiery GBP 15.30
Fabric supports GBP 37.90
Prosthetics – standard limbs free
Rehabilitation equipment - free
Individual hospitals control their own budget for the provision of
orthotics, prosthetics and rehabilitation equipment
O & P Service Provision
Mainly private companies
Competitive tenders (1-5 years) for service and/or products
Few government workshops - excluded from tender process
Patients with Chronic Conditions
HospitalCare Home with resident nursing
staffPatient’s own home
Team decision
Home Care
Equipment installed
Visiting nurses (24 hours if necessary)
Visiting therapists
Transport for hospital visits
Value for money
National Institute for Clinical ExcellenceN.I.C.E.
Cost effectivenessProduct testing
Sweden is divided into 20 County Councils
each having its own O&P facility7 owned by County Councils13serviced by private companies
selected by tenders (3-5 years)Facilities situated mainly in major
hospitals
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 ShoesPatient pays Euros 35-60 children
Euros 75-120 adults
Chronic patients (rheumatoid arthritis, diabetes, stroke etc) free of charge
Amputee patients receive limbs free