ICES Partnership Nottingham City & Nottinghamshire
Integrated Community Equipment Service
Provision of Equipment for Children:
Specialist Seating/Postural Management
Assessment Tool
May 2012
Nottingham & Nottinghamshire Integrated Equipment Service (ICES)
Version 4.0 dated 8.6.12
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ICES Partnership Nottingham City & Nottinghamshire
Specialist Seating/Postural Management Assessment
Date of Assessment:
Assessor:
Child’s Name:
Address:
DOB:
Tel: Home
Tel: Mobile
ID Number:
(BRC client ID
plus the one
specific to
your
organisation)
Postcode:
BRC client ID:
School:
NHS No:
Consultant:
Framework:
GP Practice Code:
Carefirst:
GP Address:
Diagnosis/Disability:
Assessments: (attach if relevant)
(Chailey/oxford)
Present Situation (seating currently in use if known):
What the carer feels they need for the child:
Where will the chair be used? (environment suitability):
For what activities will the chair be used? (eg relaxation, feeding/eating, play):
Will the child be supervised in the chair?
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ICES Partnership Nottingham City & Nottinghamshire
How long does the child currently spend in seating? (time/frequency):
Carer motivation, limitations, etc:
Measurements
Height cm
Weight cm
Hip width cm (a)
Floor to back of knee cm (b)
Seat base cm (c)
Seat base to mid scapula cm (h)
Seat Base to top of shoulders cm (d)
Seat Base to top of head cm (e)
Shoulder width cm (f)
Arm rest height – base to elbow cm (g)
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ICES Partnership Nottingham City & Nottinghamshire
Postural and Functional Observations
Observations
Postural Requirements /
Potential Solutions
1. Pelvis/Hip Position
2. Trunk Control / Sitting
Balance
3. Extensor Spasm
Muscle Tone / Reflexes
4. Head Control / Neck
5. Left Leg & Foot
Position
6. Right Leg & Foot
Position
7. Left Arm / Hand
Function
8. Right Arm / Hand
Function
9. Mobility
10. Transfers
11. Behaviour
12. Risk of tipping chair
13. Sensory Function
14. Skin Condition
15. Continence
16. Swallow/suction
needs – risk of
aspiration
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ICES Partnership Nottingham City & Nottinghamshire
17. Eating / Drinking
18. Respiratory
(oxygen/ventilators)
19. Other
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ICES Partnership Nottingham City & Nottinghamshire
Seating Accessories Required – see appendix A
Summary
To include type of seating/positioning equipment required: fully
supportive height adjustable seat or floor based 90/90 seat with anti
tipping
Possible Options to consider: see Appendix B as a starting
point:
Signatures/Authorisation
Clinician
(OT/Physio)
Team Manager
(Budget Holder)
Date:
Date:
Budget to be charged
Version 4.0 dated 8.6.12
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ICES Partnership Nottingham City & Nottinghamshire
Appendix A
Seating Options
LOW
90/90 floor based seating
MEDIUM
increased postural support,
Hi/lo option, wheeled base
HIGH
multi-adjustable hi/lo, tilt in space,
fully supportable seating system
1
Seat Base Options
1.1
Flat - Generally used for children who have low level sitting needs and have a
symmetrical sitting position and good sitting stability.
1.2
Ramped/contoured - Shaping of the seat cushion can be used to encourage
pelvic stability and symmetry, and encourage alignment of lower limb joints. It
can also be used specific positioning such as hip abduction. The shaping is
normally predominantly placed along the inner or outer aspect of the thighs, or
in front of the gluteal crease. This accommodates the difference in thigh
dimensions and supports the femurs in a horizontal position.
1.3
Moulded - Individually moulded seats are used for children and young people
who are generally unable to use any of the other types of seating base. When
the child’s posture is significantly asymmetrical moulded seating is able to
accommodate and support the posture for maximum comfort. By ensuring that
there is maximum body contact with the seat there is a reduction in the risk of
tissue trauma and the development of pressure sores.
1.4
Split - Accommodates leg length discrepancy.
1.5
Saddle/Straddle- Normally can be tilted forwards to encourage anterior tilt of
the pelvis with and extended spinal posture. For improved hip stability as well
as trunk and lower limb alignment. Children who have high muscle tone in
their legs may find that sitting in abduction in a saddle or straddle style seat
helps to reduce their tone.
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ICES Partnership Nottingham City & Nottinghamshire
2
Back Options
2.1
Flat Back – This is the most basic of back rests suitable for children who have
independent trunk control or who need a little bit of extra support required in
conjunction with trunk supports.
2.2
Contoured – Usually shaped symmetrically and providing support to the
curves of the spine and / or give some side support. In some instances this
type of back rest can be built up to suit the individual child’s contours and
accommodate pronounced spinal curvature/deformity. This improves pressure
relief as the weight is more evenly distributed. The R82 Wombat chair back is
contoured and particularly effective in supporting kyphosis.
2.3
Adjustable Lumbar support/pad. Is provided to increase support to the
lumbar curve. In younger children the lumbar curve may not be developed and
this pad can sometimes be moved to encourage this area to develop correctly
or used to provide support where it is needed.
2.4
Adjustable sacral support/pad. Is provided to increase support to the sacral
area. When a child’s position is not correctable the pad may need adjusting to
accommodate a deformity.
2.5
Dynamic - Allows children to extend and push back against relatively light
resistance and then regain the desired sitting position without compromising
pelvic position. A lockable option may be desirable for eating and drinking
situations.
For Example: The R82 x:panda and the JCM Triton Dynamix have dynamic
back supports that absorb the energy of extension and return the child to a
functional seating position upon relaxation. These systems are useful for
clients with a strong extensor spasm and varying muscle tone. Any extreme
forces are absorbed, making it less susceptible to structural failure in the back
and footplate.
The R82 x:panda allows the back to be locked if preferred for activities such
as feeding.
The JCM Triton allows the strength of resistance and power of return to be set
to suit the individual requirements of the user.
2.6
Recline - Some chairs have a backrest which can recline. This can be used
for children who tire easily and need to have their hip angle opened up to
provide a more relaxed posture. Also some children do not tolerate a full 90 /
90 position and require their hips to be slightly more opened on a regular
basis. Some seating has an incremental approach to hip opening and chairs
can be set according to the child's specific needs. In some cases families may
be advised to leave the recline function alone once it has been set specifically
for their child.
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ICES Partnership Nottingham City & Nottinghamshire
A recline option can make it difficult for the user to regain their original
position. If accessories are necessary to encourage positioning then the
recline can affect the set up of such. The recline can increase shearing forces
and compromise skin integrity. It is also important to ensure that the recline
facility does not encourage sacral sitting (sliding down chair – thereby
encouraging posterior pelvic tilt). Such can contribute to shearing forces and
pressure problems in addition to deformity.
2.7
Pressure Relief - Some specialist seating has pressure relieving cushions
built into the seat base/back. Specialist pressure relieving cushions can be
assessed for via the tissue viability nurse but cushions to fit paediatric seating
are difficult to find.
3
Supports
3.1
Head Rests - A wide range of head supports are available to maintain
optimum head position and support in resting or active positions.
Simple headrests can often be fitted on a multi-adjustable carrier which offers
adjustment in three planes. This enables the correct height, angle and
distance forward or backwards from the carrier to be achieved. Some
companies will mount specialist headrests eg Whitmyer, Prowalk or i2i.
Multi Grip Head Rest - This comes on multi-adjustable carrier and offers very
individual support for a wide range of children. Within the comfortable cover
are "fingers" that can be moved and molded to create an infinite variety of
support shapes that can control ATNR, help with feeding, address the
problems of unilateral inattention and many other problems.
3.2
Hip Pads - To assist with correct positioning of the bottom and also add
support along the length of the thigh.
 standard length
 extended bilaterally
 right leg extended
 left leg extended
3.3
Thoracic Laterals (Short/fixed) / Thoracic Laterals (Flip Away with Chest
Strap)
 Thoracic Laterals – Required to help support posture, upper trunk control
and sitting balance (fitted rib height, underneath armpits).
 Flip away laterals – Provided to assist with transfers (either hoist or slide).
 Fixed Laterals – Provided to support upper trunk control and sitting
balance.
 Wrap Around Laterals – Provided when increased trunk control is required.
Ideal for children who have sensory needs and would benefit from light
pressure ‘snug fit’. May also reduce the need for a harness or waistcoat.
 Consider options when assessing girls around the age of puberty.
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ICES Partnership Nottingham City & Nottinghamshire
3.4
Waistcoat - Provides a higher level of upper body support, increased trunk
control and sitting balance. Ideal for children who are low/high tone and
require more support when sitting.
Clips – Required when only a slot is available to attach harness straps to
chair.
3.5
Harness - Required for upper trunk control, to maintain positioning and to
reduce the child bending/tipping forward in the chair.
3.6
Lap Straps (2 point and 4 point) - Will provide correct hip alignment and
prevent unwanted pelvic movement.
 Consider whether dual or single pull is required to ensure belt is tightened
to the correct tension on each use.
 Padding or upholstery on the lap belt helps to distribute the pressure of the
belt and reduces the potential for skin entrapment.
 2 point is for basic positioning and less dependent children
 4 point belt, which attaches at 2 points on each side of the chair, and
provides a directional pull both downward and backward, holds the pelvis
more securely making it suitable for clients with a lot of movement and
moderate to severe positioning needs
3.7
Buckles - Buckles can come in a variety of forms
 Velcro – provides minimal support
 Clip buckle plastic (ensure there is no skin trapping risk)
 Metal Buckle (like seat belt)
 Safe buckles (which are difficult to press and for use when child may undo
belt by themselves and put themselves at risk)
3.8
Abduction Block/Pommel - Abduction block otherwise known as a pommel.
Fits under the centre of seat base or can be moulded into the seat base. It
helps with the alignment of the legs especially if the child has increased tone
in their legs which as a result adopt a position of adduction
Note that not all chairs are able to have this retro fitted and may require
adapting.
Also note that this is not an accessory to prevent child from slipping forward
and if used as such could cause injury.
 Assists with prevention of wind sweeping
 (on toileting equipment this can assist with minimising urine escaping)
3.9
Knee Blocks - These are designed to maintain the pelvic position and keep
the hips in neutral. They can also be used to correct pelvic rotation. However
the incorrect use or placement of these can cause significant pain and
damage. Only to be used if the hip joints are stable and the child’s orthopaedic
surgeon has agreed that knee blocks are a safe way to proceed.
3.10
Footplate, Bootees, Sandals - All seating provision should include some kind
of foot support to ensure feet are not left dangling. Improves pelvic and trunk
stability.
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ICES Partnership Nottingham City & Nottinghamshire



Single footplate without any straps (basic)
Moulded foot plate or box (retains feet within a specific area)
Two individual footplates - these provide a little more support and position
the feet more accurately. Child will sometimes need the feet strapping into
these to maintain their position. Useful if the child has a leg length
discrepancy
Sandals can come in various forms and requires shoes to be worn.
 Sandals which specifically position the foot and is of the same size as the
child’s shoe. This may have two straps and can be fitted by either going
across the child’s foot or criss crossing over the child’s foot. The strapping
should be determined as part of the assessment.
 Sandals may also be provided together with an ankle straps and a toe
strap (if required)
 Snug feet / bootees /ankle huggers require details of the ankle
circumference for fit. Assists with foot positioning and prevents incorrect
foot positions. Secures the feet without being tight. Helps increase safety
of child in the chair. Improves pelvic and trunk stability. Child may be able
to use softer footwear (such as slippers)
3.11
Shoulder Protractors - Provided to prevent shoulder retraction and facilitate
an improved posture during functional activity. Can also reduce the risk of
entrapment down the side of the chair.
3.12
Elbow Blocks (small/large) - To encourage correct arm positioning to enable
function. Ideal to reduce shoulder retraction and risk of arm entrapment
especially for children who have jerky arm movements.
3.13
Arm Rests - To encourage balance, support upper trunk control and facilitate
the fitting of a tray. Adjustable height angle and removable to facilitate slide
transfers.
3.14
Tray - Different shapes, colours and materials make it possible to find exactly
the right tray for the user. Some trays are made with an edge to keep toys etc.
on the plate, while others are made without to provide more freedom of
movement.
Some of the trays are made with one centre bar mounted in the armrest,
making it possible to swing-away the tray before placing the user in the chair.
Other trays are mounted with twin bars into both armrests.
Trays can often be padded if needed. Some users might benefit from using
one of the transparent trays but this is not recommended where there is a
visual impairment.
3.15
Grab bars/ rails - These can help to stabilise upper limbs to assist with hand
function and self feeding and they can be used to attach toys to the tray. It is
important to consider the height and position of a grab bar and how easily it
can be moved out of the way to allow the whole tray to be used. Suction grab
handles can be used on a tray with a smooth surface.
Version 4.0 dated 8.6.12
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ICES Partnership Nottingham City & Nottinghamshire
4
Bases
4.1
Skis - Improves the stability of the chair. Only use the correctly compatible
parts for the chairs.
4.2
Wheels - Facilitates moving the chair. The number of brakes on the chair will
vary from range to range.
4.3
Braked Castors - Chairs can come with a variety of usually two brakes or four
brakes. If 2 braked, these are usually placed at the rear of the chair. In some
instances you may feel 4 brakes would be beneficial to ensure the chair
remains still for transfers in and out. Recommend checking on assessment as
to whether the chair as standard has 2 or 4 brakes wheels.
4.4
Static or Star base
 Static base (no wheels). May be used if child is able to self transfer / child
is a baby or if rocking type chair is in use
 Wheeled base
- consider number of braked castors required
- whether wheels are swivel to ease movement
 Star base (often acceptable to family’s on first chair as footprint is smaller
than hi / low bases)
 Hi low base (always on wheels) – can facilitate independent transfers/
hoisted transfers. For use when the chair is needed for a variety of
activities such as social interaction and then up to family table
4.5
Hi-Lo Base - Many chairs are now supplied with a base which can have
height adjustment. Often these will facilitate a low down transfer such as for a
child who may be independent. The chair can then be raised to facilitate use
up to a table or work top. The action of the raising can be hydraulic or by
electric. Some hydraulic chairs may need some manual assistance.




4.6
If a child becomes heavy the manual assist chairs can become quite hard
to operate. Electrically operated chairs are more expensive and require
regular charging
Note the leg position of children if being pushed up to a worktop. Is there
enough space if their legs gain in length for them to get safely under the
worktop
Check the range of height adjustment
Advise keeping the chair lower if the child rocks, or strongly extends. If
they are to be left alone at any time in the chair as the increased height
heightens any risk of the chair being able to be tipped over
Tilt in Space - is particularly recommended for those individuals that present
with:

Posterior pelvic tilt (sliding down chair/sacral sitting often associated with
extensor tone and patterns of movement)
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ICES Partnership Nottingham City & Nottinghamshire





individuals at risk of pressure areas
individuals using communication tools that need to remain in position
discomfort whilst seated for long periods
problems with sitting tolerance
generally difficult to seat individuals that require optimum support and
positioning assistance in the form of postural accessories
Whilst maintaining the physical angles at hips, knees and ankles the tilt offers
a change in orientation and redistributes pressure thus eliminating shearing
forces often associated with recline mechanism. It is therefore beneficial in
reducing risk of pressure sores and damage to skin integrity and allows the
user to alternate position throughout use.
Transfers can become an issue in that the seat to floor height is raised with tilt
systems. It may also be difficult to position at tables without a height
adjustability option.
5
Miscellaneous
5.1
Covers - Consider whether the seat has removable covers for washing or a
wipe down finishing. Is the child able to manage their temperature regulation
themselves. Will the covers be constantly in the wash, leaving the seat
unusable or can the seat be used without the covers.
5.2
Colour of covers - Do NOT offer colour choices, all chairs and chairs
purchased through ICES must be neutral non gender specific.
6
Other Definitions
6.1
Chailey Score - The Chailey approach is a method of assessing postural ability
in children with movement disorders and is a validated assessment tool. It
considers a child’s posture in each of five positions – lying supine (face up), lying
prone (face down), floor sitting, box sitting and standing. Each of these postures
has between six and eight descriptors with level 1 being greatest abnormality and
asymmetry and the top level (level 6 in some areas and 8 in others) representing
normal. The detailed breakdown of skills, within each level are a useful guide to
therapists as to areas of specific weakness to work on.
6.2
Oxford Assessment - a comprehensive range of trunk, upper and lower limb
measures to assist in prescribing supportive postural equipment.
6.3
Gross Motor Function Classification Score (GMFCS): 5 levels to indicate
level of gross motor function from Level 1 (walks without aids) to level 5
(mobility is severely limited).
Version 4.0 dated 8.6.12
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ICES Partnership Nottingham City & Nottinghamshire
APPENDIX B
TABLE OF POSSIBLE CHAIRS WITH SIZING
Seating
Approx
age
range
Seat
depth
Seat width
Seat to
footplate
Backrest
height
User
height
Notes
All measurements in MM
A2U
Odyssey A
Odyssey B
Odyssey C
Consolor Ltd
Zitzi Delphi Pro 1
Zitzi Delphi Pro 2
Zitzi Delphi Pro 3
Zitzi Sharky 1
Zitzi Sharky 2
JCM
Sunbeam
StarX 1
StarX 2
2006/2007 Triton 1
2006/2007 Triton 2
2006/2007 Triton 3
0845 2574967
200-320
280-400
320-450
01202 827650
170-270
240-340
300-400
400-450
450-500
01733 405830
3mth-3yr
150-275
1yr-4yr
200-300
4yr-8yr
250-350
185-305
240-360
340-460
2006/2007 Triton 4
170-290
200-330
230-410
210-330
230-380
290-470
360-460
420-520
460-562
240/270/300
280/310/340
320/350/380
>400
>500
600-1000
900-1200
1100-1600
125-160
150-185
165-365
175-355
210-405
185-360
200-410
240-460
0-280
130-300
130-350
140-360
140-360
200-425
250-450
330-390
365-425
320-460
320-460
400-600
440-560
240-510
200-425
400-600
2010 Triton 0
150-300
150-275
130-210
2010 Triton 1
2010 Triton 2
2010 Triton 3
2010 Triton 4
225-325
300-400
375-475
450-550
170-325
220-375
270-425
320-475
215-295
295-375
360-440
430-510
Version 4.0 dated 8.6.12
250-350
220-320*
350-475
400-525
475-625
525-675
The 2006/2007 Tritons have a
'pointed' foot pedal and are
raised/lowered on a gas ram
requiring manual assist. The
footplate hanger is reversible to
give a smaller seat to footplate
height.
2010 Tritons have a 'round' foot
pedal and are raised/lowered on a
hydraulic mechanism. Triton 0 has
a long sitting pad option.
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ICES Partnership Nottingham City & Nottinghamshire
Seating
Approx
age
range
JCM (continued)
2010 Neptune 1
Seat
depth
Seat width
Seat to
footplate
Backrest
height
01733 405830
18mth-5yr
200-325
165-325
130-290
200-325
2010 Neptune 2
5yr-10yr
325-450
265-425
260-420
325-450
Jupiter Junior
3yr-10yr
280-400
170-310
350-450
350-570
Jupiter Senior
8yr-adult
360-500
220-380
470-550
480-630
Heritage Eclipse
Jenx
Adult
400-520
0114 2853376
350-500
525-600
660-810
Bee
4mth-5yr
110-350 *
130-250
85-345
270-360
Giraffe
Junior 1
Junior 2
Junior 3
Zeta 1
Zeta 2
Beta 1
Beta 2
Beta 3
9mth-4yr
1yr-5yr
3yr-8yr
5yr-12yr
8yr-14yr
12yr-18yr
1yr-5yr
3yr-8yr
5yr-10yr
150-310
210-305
240-320
275-390
330-430
410-530
- -320
- -400
- -465
130-230
170-330
170-330
170-330
210-360
250-390
150-330
150-330
150-330
120-350
175-280
240-380
240-420
260-530
260-530
115-320
165-335
260-380
270-360
300-420
350-470
400-520
350-500
450-660
375-460
390-495
430-535
Beta 4
9+
270-300
240-375
235-480
450-625
Gamma 1
Gamma 2
1yr-5yr
3yr-8yr
185-265
220-320
160-330
180-330
170-310
170-360
350-455
390-495
Gamma 3
5yr-10yr
270-370
180-330
170-360
430-535
285-450
355-520
200-440
200-440
250-470
250-470
465-590
525-660
Multiseat 4
Multiseat 5
Version 4.0 dated 8.6.12
User
height
Have a gas ram raise/lower
requiring manual assist but can be
put on a Triton hydraulic base.
Doesn't control hip abduction.
Covers washable at 30.
Both sizes recline from vertical to
25°. Tilt from horizontal to 20°
back.
* Long sitting pad available. Seat
depth can become 370-600 with
long leg conversion (using 75mm
back pad)
No hi/lo base.
Beta 1 & 4 have not been in
production since 2010 but may still
be in stores. Inbuilt abduction roll
to seat children in an abducted
position.
Discontinued since 2010
(superceded by the Junior). Can
be used with a X base or a Y
base.
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ICES Partnership Nottingham City & Nottinghamshire
Seating
Approx
age
range
Leckey
Squiggles
Mygo 1
Mygo 2
Kit 1
Kit 2
Easy seat 1
Easy seat 2
Easy seat 3
Easy seat 4
Seat
depth
Seat width
Seat to
footplate
Backrest
height
0800 318265
1yr-5yr
3yr-10yr
8yr-14yr
12yr-18yr
16yr-adult
1yr-3yr
2yr-5yr
3yr-8yr
190-290
270-420
350-470
360-480
410-560
175-250
225-300
250-350
160-260
200-325
220-345
215-370
215-370
125-225
150-250
225-325
122.5-270
215-350
315-470
330-510
330-510
150-230
220-300
250-350
320-480
360-470
460-570
500-620
560-675
225-285
265-340
325-425
6yr-11yr
300-400
275-375
300-420
400-500
Discontinued (produced in 1994),
no dimensions available.
Produced in 4 sizes.
Discontinued (produced in 2001),
no dimensions available.
Produced in 3 sizes.
Whoosh
Advance seat
R82
Nandu 1
Nandu 2
Nandu 3
Nandu 4
Wombat Basic 1
Wombat Basic 2
Wombat Upgrade1
Wombat Upgrade 2
Wombat Upgrade 3
0121 5612222
170-240
210-280
240-310
280-360
160-290
230-360
160-290
230-360
300-480
220
250
290
320
210-300
280-370
160-290
230-360
350-440
280-340
310-280
280-340
310-280
390-500
Panda Standard 1
220
220
290
Panda Standard 2
240
220
390
Panda Standard 2 1/2
280
250
410
Version 4.0 dated 8.6.12
User
height
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ICES Partnership Nottingham City & Nottinghamshire
Seating
Approx
age
range
R82 (continued)
0121 5612222
Seat
depth
Seat width
Seat to
footplate
Backrest
height
Panda Standard 3
310
290
440
Panda Standard 4
360
320
520
Panda Standard 5
430
350
590
Panda Active 2
240
220
350
Panda Active 2 1/2
280
250
380
Panda Active 3
310
290
400
Panda Active 4
360
320
450
Panda Active 5
430
350
590
X-Panda 1
160-260
X-Panda 2
220-320
X-Panda 3
260-390
X-Panda 4
380-530
Seating Matters
320-420
350-470
500-690
400, 450,
500, 550
400, 450,
500, 550
Phoenix
Version 4.0 dated 8.6.12
270-370
028 777 66624
Sorrento
Smirthwaite
Heathfield 1
Heathfield 2
Heathfield 3
Juni 1
160, 200,
240
200, 240,
280
260, 310,
360
360, 400,
460
User
height
01626 835552
180-240
220-310
260-340
180-240
240
280
325
240
180-230
200-300
240-370
160-220
250
280
320
260
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ICES Partnership Nottingham City & Nottinghamshire
Seating
Approx
age
range
Smirthwaite (continued)
Juni 2
Juni 3
Samba 1
Samba 2
Samba 3
Samba 4
Strato 1
Strato 2
Strato 3
Strato 4
Strato 5
01626 835552
220-300
260-360
180-280
245-340
300-400
375-500
220
260
300
350
400
Seat
depth
Seat width
Seat to
footplate
Backrest
height
280
325
300
345
345
400
250
290
370
450
450
200-280
240-340
150-170
200-250
255-335
310-460
180-280
180-280
270-350
330-420
400-500
290
325
310-605
310-605
310-605
310-605
270-400
270-400
410-550
410-550
490-660
Discontinued, no dimensions
available.
Jive
Symmetrikit/Helping Hand company
Tiltrite small
Tiltrite medium
Tiltrite large
Version 4.0 dated 8.6.12
User
height
01531 635388
2yr-7yr
230-350
125-360
190-400
560-690
340-500
340-500
200-500
200-650
270-470
395-595
585-820
685-920
Small not available in powered
version.
18
ICES Partnership Nottingham City & Nottinghamshire
ICES Document Review
Timescales:
Review Annually
Document Authors:
Date
17.5.12
Officer
Sarah Bailey
Frances Vint
Helen Dabbs
Esme Hobbs
Heather Patterson
Ruth Keys
Melanie Dean
Sarah Hole
Version 4.0 dated 8.6.12
Position/Group
ICES Partnership Manager
ICES Childrens Clinical Group
Notts County Disabled Childrens Team
19