Our purposeChildren’s Wheelchair Service

West SussexAnn Dyson: Service Manager

Children’s wheelchair service

• 9% of the total wheelchair caseload (10,287)

• 823 contacts (1st April 2014 – 26th March 2015)

• 58 cases of direct provision

• £264 - budget per head

Bognor225

Horsham368

Worthing312

Number of children / young people (0 -18yrs) = 905

Referrals

• Referrals (01/04/14 – 27/03/15)

• Triage and ‘behind the scenes’ work

New referrals

Re-referrals Total

Bognor 27 91 118

Horsham 39 204 243

Worthing 27 189 216

Total 93 484 577

Responsive service

‘Chair in a day’ – requires context

Sample = 30 referrals in January 2015

Average time between referral and assessment = 19 wds

Outcomes

Chair h

ande

d ove

r

Resolv

ed by

telep

hone

Issue

s res

olved

at ax

Equipm

ent o

n orde

r

Referra

l on

Appt n

ot ye

t arra

nged

Other

Not eli

gible

0

2

4

6

8

10

12

Preferred range

Preferred range

BuggiesBasic folding McLaren Major Elite BuggyReclining folding buggy Tendercare SwiftyTilting Buggy Tendercare Snappi Bug Ormesa

Seating for ChildrenIndoor Outdoor Use up to age 5 Tendercare Snappi (Size 1)Indoor Outdoor Use over age 5 Tendercare Snappi (Size 2) orRea Azalea MinorSeating Systems R82 X Panda (with R82 chassis) or

Active Design CAPSIIManual wheelchairs - childrenFolding Transit Invacare Action 3 Junior

Ben9NGFolding SP (Self Propeller) Invacare Action 3 Junior

Invacare Action 2NG/3NG

Wheelbase to support Seating System or Special Seating Tilting Seating Chassis small Tendercare Snappi (Size 1) Tilting Seating Chassis large Southwest Seating Neo

n Or Otto Bock DiscoveryFor use with R82 Xpanda R82 Combi or Multi-frame

Powered wheelchairs – childrenIndoor outdoor powered wheelchair Invacare Spectra Blitz/Plus

Client centred service

• Wheelchair clinics in localities

• New Worthing clinic at the Queen Alexandra Hospital Home

• School clinics

• Mobile clinics - ‘man in a van’ concept

Wheelchair skills training

Procurement

• Purchase from a range of manufacturers and suppliers

• Economies of scale – lean pricing (minimum band 4)

• Consignment stock holding

• Product support and training for staff

Wheelchair maintenance contract

• Free repair and maintenance service: 8am – 11pm, 365 days of the year

• Contract being re-tendered this year? What do service users want from this contract? What are the most important elements?

Activity (under 19s) April – Dec 2014Repairs 246Collections 131

Deliveries 193Emergencies (outside hrs) 42

User experience

Continual improvement cycle …

• 3 formal complaints

• Plaudits

• Friends & Family test

• School clinic questionnaire

• AJM Healthcare – customer satisfaction survey

Current initiatives

• Further Rehabilitation Engineer post being advertised for Bognor and Horsham

• New posts in Horsham

• Introduce a drop-in service for repairs, review and annual maintenance

• Paediatric wheelchair prescribers course for OTs and Physios