Ausschreibungen

Medical specialist services. Medical aids. Provision of a prosthetics service to the Defence Medical Rehabilitation Centre (DMRC) Headley Court. The Defence Medical Services (DMS) provide a comprehensive rehabilitation service for ill or injured military personnel. DMRC provides in-patient facilities/resources and is the Armed Forces Centre for rehabilitation of service personnel. DMRC is located in Surrey, approximately 20 miles from central London. Military amputees present an unique challenge, having high expectations for service provision and for their future function mainly suffering limb loss as a result of military operational service. Average age of patients is early 20s with activity level K4, many are complex cases with multiple limb loss, fractures, open wounds and complicating neurological conditions. The whole spectrum of prosthetic rehabilitation; from managing the early assessment and prescription of prosthetics for patients with open wounds and un-healed fractures - to late stage running re-education is required. The successful contractor will provide a high quality amputee limb fitting service tailored to meet the needs of this patient population delivering both inpatient and outpatient care, for more established prosthetic users. Inpatients at DMRC are undergoing intensive rehabilitation and it is vital that their prosthetics are fitted and delivered quickly and efficiently, in line with key performance indicators, to enable rapid progression through initial rehabilitation. In the event of prolonged periods of increased throughput, which may exhaust the capacity of the prosthetic facilities at DMRC, the contractor must be prepared to undertake additional services in alternative off-site facilities, sourced and provided by the contractor. These will be within 15 km of DMRC and serve as a secondary site for fitting and manufacture of prosthetic limbs. Outpatient care will be delivered at DMRC, but there is a likely future requirement for the development of regional delivery of outpatient prosthetic services at a small number of nominated regional prosthetics centres, the number and location of which will be agreed between the Authority and contractor. The contractor will be required to provide the following: on-site management of the Service in order to provide the prosthetic and orthotic service. Prosthetic and clinical assistant sessions to meet the clinical need, the requirement is for approximately 70 and 10 sessions per week respectively. Provision of a visiting prosthetist, approximately one visit per fortnight depending on patient numbers and complexity, to assess inpatients at the Royal Centre of Defence Medicine. Prosthetic technical support for the amputee service specifically with relation to manufacture of prosthetic devices as directed by the prosthetist. The requirement is for approximately 100 technical sessions per week. Staff will need to be trained in the use of the Tracer CadCam system. The contractor will be required to provide limbs by accessing the whole available market range and must include the use of current and developing technology commensurate with patient and MoD requirements. An Orthotic support service consisting of approximately 2 sessions per week. Administration and computer software to enable the effective co-ordination of a comprehensive stock control and ordering process. The contractor needs to ensure that clinical practice is supported by appropriate research and development activity and ensure that prosthetists are registered with the Health Professionals Council and be conversant with the guidelines published by the British Association of Prosthetist and Orthotists (BAPO, 2000). Have 2 years post registration experience in the care of amputees. It is highly desirable that prosthetists have experience with the management of young traumatic amputee patients. The Enabling Contract shall apply for the period from 1.10.2011 to 30.9.2014, subject to the Authority’s right of earlier termination. Subject to the Authority’s requirements and to a high standard of performance by the contractor throughout the period of the contract the Authority will reserve the right to extend the period of the contract with the contractor beyond this period up a maximum of a further 2 years.

Provision of a prosthetics service to the Defence Medical Rehabilitation Centre (DMRC) Headley Court.

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