1. Which of the following Orthotic Services does your Trust/Health board provide?
2. If your service is run by a contractor:
Please name them
When did the current agreement start?
What is the total value of the contract?
Is the tender covering both service and product? Please state what it covers
3. How is your orthotics service commissioned?
4. Please provide annual volumes of orders for the last 12 months (2015-16), and manufacturer lead times for:
Stock paediatric Footwear
Modular adult Orthotic Footwear
Bespoke Orthotic Footwear
Orthotic Footwear repairs
Moulded EVA Insoles
Plastic Heel cups
Carbon Fibre Insoles
Bespoke AFOs
5. Can you give the breakdown of your financial performance versus budget for your Orthotic PRODUCT annually for the last 5 years?
6. Can you give a breakdown of your financial performance versus budget for your orthotic service excluding all NON-PAY items.
7. Over the last five financial years, how many orthotics appointments were made for your entire service?
8. Over the last five financial years, how many patients were seen in your entire orthotics service?
9. Out of the patients treated, as detailed in the above table, how many of these patients were under 18 years of age? (Broken down in patients seen per year)
10. What is your average DNA (Did not attend) rate across your service over the last 5 years?
11. Is your orthotics service part of the 18 week referral to treatment pathway?
12. Regarding your current Orthotic Service Waiting times –
What is your average waiting time from referral to assessment for a routine adult appointment?
What is your average waiting time from referral to assessment for an urgent adult appointment?
What is your average waiting time from referral to assessment for a routine paediatric appointment?
What is your average waiting time from referral to assessment for an urgent paediatric appointment?
What is your average waiting time from assessment to supply of paediatric AFOs?
13. Does your orthotics service take part in multidisciplinary joint clinics?
14. Does your service have access to the following facilities?
3D instrumented gait laboratory
2D Video vector analysis
Video analysis
Other gait analysis facilities
15. Are children seen in separate paediatric clinics?
16. Please answer the following section considering Orthotic Sessions run over the last 12 months (2015-16):
What is your average number of Orthotist sessions (session meaning 1 clinic usually of 3 hours) per week?
What is your average number of Limited orthotic practitioners (LOP) sessions per week?
How many full time equivalent Orthotists work in your trust?
How many Administration staff do you employ to work within the Orthotics Service?
17. Does the orthotics manager have a clinical background?
18. Please give details of the skill mix of orthotists currently within your orthotics service:
19. Do orthotist’s working with complex and highly complex conditions already have or are provided with additional post-graduate training in orthotic management of these conditions?
20. Do your orthotists have protected continued professional development (CPD) time?
21. Do you have any orthotist vacancies at the moment?
22. Are you currently employing locum/agency orthotists to cover any aspect of your orthotics service?
23. Have you employed locum/agency orthotists at any time over the last 5 years?
If yes, please give details of all locum/agency orthotists you have utilised over the last 5 years:
24. How many formal and informal complaints have you received regarding your Orthotic Service in the last 5 years?
25. How many orthotic related incidents have been logged on your Trust/health board incident reporting system over the last 5 years?
26. Does your service monitor patient satisfaction?
27. Does your service use outcome measures for the orthotic interventions you issue to patients?
28. What Key performance indicators (KPI) does your Trust monitor for the orthotics service?
29. Does your service accept direct GP referrals?
30. Do you have an orthotic service patient entitlement allowance for the following orthoses or is provision as needs require?
