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Delivery of services

Evolving equipment services should build upon established provision so as to harness and best deploy experienced specialist personnel

Specialist services require substantial investment in expertise and infrastructure and should serve catchments in excess of one million people

Clinical Governance and Competence

Clinical governance offers a framework within which specialist professionals should facilitate and oversee a co-ordinated provision

Supernumerary training posts should be established to facilitate training, promote innovation and support professionals seeking to further their expertise

Allocation of resources

Budgetary provision for specialist equipment services should be sourced jointly from local authorities and Specialist Commissioners

Services should highlight any financial shortfall rather than tolerating inappropriate and delayed provision

The document marks the beginning of an eighteen-month consultation process with service users, user groups, professional bodies, service providers and commissioners to stimulate debate and promote best practice.  At the end of the consultation period, the RCP and IPEM intend to host a symposium and produce a final set of recommendations.

"Specialist Equipment Services for Disabled People: The Need for Change" is featured on the RCP and IPEM websites, http://www.rcplondon.ac.uk/ and http://www.ipem.org.uk/ with details of how to respond to the consultation.

Hard copies can be purchased priced £7 incl.UK p&p. from the RCP Publications Department on 020 7935 1174 ext.358.

A weblink to the document appears below.

Specialist Equipment Services for Disabled People


Using Direct Payments for Community Equipment

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The ICES team has asked local services about use of direct payments for community equipment.

Responses have indicated that there is still a considerable number of organisations who "don't do" direct payments for the provision of equipment.  

This is for a number of reasons, namely:

It appears to be complex to administer.

It appears that suppliers are charging individuals a hugely inflated purchasing price.

No requests have yet been made for a direct payment for equipment.

There are concerns about warranty and maintenance.

There are concerns about ownership.

Direct payments guidance issued in 2003 makes it clear that if a service user requests a direct payment, then it should not be turned down unless the user is unable to give informed consent and neither should the user be advantaged or disadvantaged through the receipt of a direct payment.

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