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Vital orthotic support devices for long-term wheelchair users.

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Dear Powys Teaching Health Board,

Who have you commissioned to provide any of the following orthotic devices which are vital to prevent damage and pain to the lower spine in long-term manual wheelchair users:

1) A measured spinal-restriction-brace, designed to stop long-term wheelchair users prevent stress induced damage and pain to their lumbar-sacrum region, where the spine joins the pelvis;

2) Power-assist motors such as:
* Trike attachments
* Pushers such as the Alber Smoov and Permobile Smart-drive
* Joystick- and push-rim- controlled hub motors?

Please send me the minutes of the meetings discussing this essential support for wheelchair users, and a copy of the contract you commissioned.

If nothing has been commissioned, or if nothing has been considered for commissioning, what is the official protocol to get the consideration of such orthotic devices put onto the agenda? Is there a form members of the public can fill in?

Have you commissioned a study showing how many people have been immobilised with medical complications because the essential orthotic devices are not freely accessible, and what the cost is to the heath system for these avoidable medical complications? If no such study has been undertaken, has one ever been suggested, and why was the study not actioned? How can such a study be instigated?

Please also provide data showing if any of the above orthotic devices have been provided under the Individual Funding Request system, and if so, which overseeing clinical pathway was responsible for identifying the device required, eg:
GP
Wheelchair service
Orthotic Department
Spinal Orthopedic Surgeon
Neurologist
Neurosurgeon
Pain Clinic
Orthotic Department
Occupational Therapy Department
Physiotherapy Department
Etc.

Yours faithfully,

H Steenkoolstad

FOI (Powys Teaching Health Board - FOI), Powys Teaching Health Board

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Regards

FOI Team

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FOI (Powys Teaching Health Board - FOI), Powys Teaching Health Board

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Please see the attached in response to your request for information.
Regards
FOI Team

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