Costs
C o n t a c t
D e t a i l s
Specialist Disability Service
Oxford Centre for Enablement
Nuffield Orthopaedic Centre
NHS Trust
Windmill Rd
Headington
Oxford
OX3 7LD
Phone: 01865 227447
Fax:
01865 227317
www.noc.nhs.uk
PP May 2009 Version 3
© 2007 Nuffield Orthopaedic Centre
The costs of the assessment and
involvement of staff are met, if the
client’s local Primary Care Trust
has a service level agreement with
the Nuffield Orthopaedic Centre
NHS Trust. This will be checked
before an appointment is made. If
there is no service level
agreement an application will be
made to the clients Primary Care
Trust.
Equipment that is recommended is
not funded by the centre.
An estimate of cost of provision of
customised seating will be
provided for consideration of
funding by the client’s local
services.
Management
of Posture in
Severe
Physical
Disabilities
A leaflet for professionals
Introducing the 24 hour posture
management service as part of the
Specialist Disability Service at the
Oxford Centre for Enablement,
Nuffield Orthopaedic Centre NHS
Trust.
Introduction
Services available:
People who are limited in ability
to move and change their
position are at risk of developing
complications such as
contractures, deformities,
pressure sores, respiratory
infections and pain and
discomfort, unless proper
attention is directed to the
alignment of their posture
during day and night.
 Assessment of client taking the
They may also suffer from
neurological symptoms such as
spasticity of muscles which can
cause additional distress.
 Identification of aims of the
Further, if posture and
positioning is not managed
effectively, functional ability
may be compromised.
 Setting objectives with all
The team comprises:
Specialist physiotherapists,
occupational therapists and
rehab engineers.
following area’s into account:
Activities of daily living
Physical condition
Mobility
Communication
Comfort
Environmental, social and
emotional consideration of client
and carers
client, carer, referrer
 Identification of problems
concerned
 Recommendations in relation to:
Advice on equipment for the
control of body posture in lying,
sitting and standing.
Customised seating/lying
supports.
A regime for the maintenance of
optimum physical status.
Advice and training in all aspects
of physical management
Moving and handling
 Reports with copies to all
concerned including the client.
 Action plan.
 Provision of equipment,
manufactured by the
engineering department, if
funding approved by clients
local services.
Provision of equipment
manufactured by outside
agencies working with local
teams.
 Advice on wheelchair controls.
Assessment
This can be carried out at the
Oxford Centre for Enablement or
locally to the client. Local staff will
be invited to be present.
An inpatient stay can be arranged
as necessary.
Accessing the service
Referrals can be made by Social or
Health Care professionals. Referral
forms can be obtained by phoning
01865 227447 or from our web site:
www.noc.nhs.uk