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Vital orthotic support devices for long-term wheelchair users.

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Dear Scottish Government Health and Social Care Directorates,

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

Scottish Government Health and Social Care Directorates

2 Attachments

 

Dear H Steenkoolstad,

 

Please see attached acknowledgment of your request dated 29 August 2019
under the Freedom of Information (Scotland) Act 2002 (FOISA).

 

Yours sincerely,

 

Healthcare Quality and Improvement Directorate

 

 

 

 

                                                                                 

 

Scottish Government Health and Social Care Directorates

1 Attachment

Dear H Steenkoolstad,

 

REQUEST UNDER THE FREEDOM OF INFORMATION (SCOTLAND) ACT 2002 (FOISA)

 

Thank you for your request dated 29 August 2019 under the Freedom of
Information (Scotland) Act 2002 (FOISA).

 

Your request

 

You asked:

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 health
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.

 

Response to your request

 

While our aim is to provide information whenever possible, in this
instance the Scottish Government does not have the information you have
requested.  However, you may wish to contact NHS Scotland’s Rehabilitation
Technology Information Service (ReTIS) at [1][email address] who may be
able to provide some or all of the information you are looking for, and
could answer your additional questions.

 

The reason why we don’t have the information is as follows:

 

Section 17(1) of FOISA (information not held) requires the Scottish
Government to notify you if it does not have the information you
requested.  The Scottish Government does not have the information you have
asked for because the Scottish Government does not hold information of
this nature centrally.  NHS Scotland’s regional Wheelchair & Seating
Services may hold this information.  This is a formal notice under section
17(1) of FOISA that the Scottish Government does not have the information
you have requested.

 

Your right to request a review

 

If you are unhappy with this response to your FOI request, you may ask us
to carry out an internal review of the response, by writing to Professor
Jason Leitch, Room 1E.19, St Andrews House, Regent Road, Edinburgh EH1
3DG, or via email: [email address].  Your review request should
explain why you are dissatisfied with this response, and should be made
within 40 working days from the date when you received this letter.  We
will complete the review and tell you the result, within 20 working days
from the date when we receive your review request.

 

If you are not satisfied with the result of the review, you then have the
right to appeal to the Scottish Information Commissioner.  More detailed
information on your appeal rights is available on the Commissioner’s
website at:
[2]http://www.itspublicknowledge.info/YourR....

 

 

Yours sincerely,

 

Alan Burns
Policy Manager – Strategic Planning and Clinical Priorities Team
Directorate for Healthcare Quality and Improvement
DG Health and Social Care
GER, St Andrews House

Regent Road

Edinburgh

EH1 3DG
Tel. 0131 244 3418

BB 07580700776

 

References

Visible links
1. mailto:[email address]
2. http://www.itspublicknowledge.info/YourR...

We don't know whether the most recent response to this request contains information or not – if you are H Steenkoolstad please sign in and let everyone know.