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This talk will focus on clinical trials involving prosthetics therapies in the UK. Following a successful NIHR-funded feasibility trial (delivered in 2018-2020) that investigated the acceptability of a self-aligning hydraulic ankle-foot to transtibial amputee patients categorised as K2-level users (limited community mobility), the STEPFORWARD full-trial will begin in 2026. This 4-year definitive trial will evaluate the clinical and cost-effectiveness of a self-aligning foot compared to usual care feet for K2-level users. The findings of the trial will inform future decision-making and prioritisation of funding by NHS commissioners for prosthetics. This talk will also present other research involving advancing socket technologies for primary patients.