BAPO

Covid-19

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New position statement for children’s services

We would like to draw attention to the need for prosthetic and orthotic intervention to continue for children and young people. We ask that prosthetic and orthotic services are protected to enable this aspect of the service to continue throughout the pandemic and ensuing winter pressures.

The impact of COVID-19 on children and young people, especially those with special educational needs and disabilities (SEND), has been significant. Access to prosthetic and orthotic services in the UK is vital in supporting children’s physical health, mental health and development. With orthotics, access to timely treatment ensures the effectiveness of some therapy treatment which relies on orthotic intervention for optimum results. It is important that children have access to prosthetic treatment to ensure that the prosthetic devices they use for daily activities are revised appropriately to prevent mobility issues and potential physical damage due to ill fitting devices.
As the COVID-19 pandemic continues, we need to protect families, children and young people who rely on prosthetic and orthotic treatment as an adjunct to surgery, medical intervention, serial casting or therapy treatment, to be able to function at their best. Children are growing, conditions changing constantly and with targeted input from our services when they are required, long term disability and harm can be avoided.

We therefore ask that services remain open and an appropriate number of Prosthetists and Orthotists are protected from redeployment, to ensure that families with children and young people, have access to the support they sorely need.

We recognise the need for flexibility in areas where acute pressures are high, where individual discussions may be appropriate, however, we ask that the impact of the lack of access to prosthetic and orthotic services are discussed and understood from a multi-disciplinary perspective. Prosthetic and orthotic services should not be left without the staff or facilities to deliver essential treatment as occurred earlier in 2020.

British Association of Prosthetists and Orthotists

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Prosthetist Profiled

BAPO loves to share what our members have been doing, especially when they have been featured in articles and publications. Clinical Lead for the Isle of White, and BAPO member Carol Mabey; has had a lovely interview published discussing the challenges of a prosthetic service during lockdown. To read the article click here

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Access to Vaccinations

 

BAPO have made a statement across all the home nations on their stance regarding the new Covid-19 vaccination. The statement is below

The British Association of Prosthetists and Orthotists (BAPO) is the professional body representing clinicians working in our field in the UK.

Prosthetist/orthotists are one of 14 Allied Health Professions (AHPs) providing key frontline services in the NHS. They work in many different environments from emergency care to rehabilitation, primary care to schools. Prosthetist/orthotists work with people of all ages and our roles require face to face intervention often with the most vulnerable of society.

Prosthetist/orthotists provide a clinical service to local trusts. They also travel between multiple clinic locations to support wider services such as vascular, diabetic care, paediatrics, elderly care and between different trusts.

Prosthetist/orthotists are either employed directly by the NHS or are subcontracted to provide NHS clinical services as their full-time role.  Due to our small numbers, these key AHPs, working within the NHS directly with patients, can be excluded or forgotten when it comes to national initiatives such as vaccinations for front line staff.

The Joint Committee on Vaccination and Immunisation (JCVI) advises that the first priorities for the current COVID-19 vaccination programme should be the prevention of COVID-19 mortality and the protection of health and social care staff and systems (30th Dec 2020).

It is imperative that ALL AHP’s, including contracted Prosthetist/orthotists are included in all local vaccination plans for COVID-19 protection. Therefore, all NHS providers should ensure that Prosthetist/orthotists working within their organisation are recognised as frontline patient facing staff and are entitled to vaccination in line with national set priorities. This action will protect the staff concerned, NHS service providers and their patients, whilst ensuring that vital prosthetic and orthotic services are maintained.

We are therefore looking to NHS providers to protect our members, the patients they treat and NHS colleagues they work with.

Regarding the stance in England BAPO has received assurance from the Deputy Chief AHP Officer for England that the current national vaccination plans are to apply to ALL frontline health and care professionals, wherever they work and whoever employs them.

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Workforce Survey

Thanks to those who have responded to our ‘Workforce Survey’. This poll has been designed to get a perspective on members experiences and, through comments, their views on the current Covid-19 crisis; providing the opportunity to explain how this has affected them, the services where they work and patients they treat.

In responding to the crisis BAPO are engaging with patient/user groups and stakeholder bodies, and are seeking out concerns raised by their members. In addition we are also reaching out to the national P&O managers groups and employers to clarify if there is a shared position in response to the crisis.

Initial issues which have been raised include:-

  1. Unclear position on urgent care being offered
  2. Unclear provision for growth in children who depend on an orthosis or prosthesis
  3. What pathways will be available to those not be able to obtain a prothesis or orthosis?
  4. What are the plans to manage access once services resume (including how will the backlog be prioritised and will social distancing impact on capacity)?
  5. How can parents/users access advice (including access to remote advice and information)?

 

We aim to collate the returned initial views and opinions by Friday and then draw on those to produce initial guidelines for all stakeholders. This is so that they can be used to advise and signpost clinicians, managers, carers, parents and service users.

As a follow up we plan to organise a webinar for the week of May 4th to communicate with service users and stakeholders; to share those guidelines. BAPO will now aim to develop a consensus on the best way to manage the current challenges and those which will emerge as P&O clinical services reboot.

 

Best wishes

Lynne

Lynne Rowley

Chair BAPO

 

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BAPO Guidelines for Virtual Patient Assessment

In light of the Covid-19 Pandemic and the challenges it has caused to normal practice, a working group was formed to assist our clinicians in providing a virtual service.

This group has worked incredibly hard in a very short timescale to produce some new guidance for the profession and we would like to thank them all for their work.

The attached guidelines have been created to allow Orthotists to pro-actively rise to the challenges faced in the current climate and enable Orthotists to still treat non-urgent patients without the need for face-to-face consultations in a standard orthotic clinic

You can find these guidelines here BAPO Guidelines for Virtual Patient Assessment or in the education resource section of the website

If you have any feedback or questions relating to these guidelines please email enquiries@bapo.com