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Oxford University Hospitals NHS Foundation Trust

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Prosthetics

OCE runs the regional specialist service covering Oxfordshire and surrounding counties. This is currently funded through national specialist commissioning. The service is primarily run on an outpatient basis, but patients are occassionally admitted.

This service is available for people of all ages, whatever the reason is for the loss of a limb part, and is available to patients while they have or need a prosthetic limb.

Patients who have had an amputation recently are first seen in the Combined Prosthetic Assessment Clinic by a doctor, nurse, physiotherapist and prosthetist. If considered appropriate, a limb is then made and provided, and the physiotherapy and other therapy needed will be organized. This is usually provided by a local service.

Existing patients who already have a prosthesis may come back at any time to have the prosthesis adjusted or repaired. Patients who have or develop particular problems relating to the amputation itself, usually pain felt either in the residual stump or in the "phantom limb" may be seen in a specialist medical clinic. However most patients have vascular disease and diabetes, or other medical causes and many of their medical problems relate to the specific underlying disease and not to the amputation itself and the patient is more appropriately seen in the appropriate specialist clinic.

A few patients will know that a limb is going to be amputated, and under these circumstances they may well be seen by a specialist doctor from the service before amputation both to discuss what the service can provide afterwards, and also to advise the surgeon what might be best from the point of view of a prosthesis.

Any patient referred for the first time will be seen in a multi-professional clinic. They will see a doctor, nurse, a physiotherapist and a prosthetist. After the clinic the different professions meet to agree on the best way forward. The person concerned will already have heard from the different professions what is most likely, and they will receive a copy of the letter outlining the plan.

In general the process of providing an artificial limb starts within four weeks of limb loss and referral.

The therapy and rehabilitation needed is provided by local therapists; for patients coming from Oxfordshire then it will be from the Centre but the patient is from other surrounding counties then it will be provided locally in liaison with this service.

Any person who has a problem with their prosthesis should make contact with the centre. See contact details.

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The team

The service has a multidisciplinary team that includes:

  • doctors
  • prosthetists
  • a nurse
  • physiotherapists
  • occupational therapiss
  • a counselling service.

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Location

First floor in the OCE (Rivermead) building. See how to find us.

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Referrals

Any person who has a medical problem specifically relating to the amputation, such as pain can be seen in an outpatient clinic and the general practitioner should make a referral.

How to make a referral

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