Orthosis(ses), orthotics: Calliper, brace, knee-ankle-foot orthosis (KAFO), neck collar, corset, splint, or any sort of orthopaedic appliance or specialist footwear, including shoe inserts and insoles.

Orthotist: Health professional who provides your care and will normally prescribe and fit your orthosis.

Department of Orthotics: May previously have been called the Appliance Office.

Technician: Manufacturing technician who will be working under the instruction of a prescribing Orthotist.


Ease of Referral

Q: After an initial consultation, can I self-refer if I have a problem or do all referrals have to be made through a GP?

A: Ideally after the first referral, if there are issues, someone should be able to refer themselves back into the system (up to 3 years from last appointment) without waiting months for an appointment. This reduces the risk of further problems developing.

Q: Can I choose where I go for treatment?

A: We provide Orthotic services across a variety of sites in Lothian and they can be specific to the referral pathway. We do endeavour to match patient choice with clinic preference however this is not always practical.

Q: How do I make the choice?

A: Your referrer will let you know which hospitals and clinics you could attend and should be able to advise which is best for your particular requirements and circumstances.


Accessibility of Service

Q: How easy should it be for me to access the service?

A: The service should be made as easy as possible for you to access. For example, you should expect:

• Hospital arranged transport for those who need it

• Interpreters for those who need it

• Rooms of reasonable size to accommodate wheelchairs and those with restricted mobility


Appointment Length

Q: How long should I expect for my appointment?

A: Appointments should be of adequate length to ensure the Orthotist has fully understood your requirements and gives you the correct prescription. You should have time to ask any questions and talk through issues. The minimum appointment slot for an Orthotist is 20 minutes

Q: What happens if I am late for my appointment?

A:. If you are over 10 minutes late for your appointment we may have to rearrange your appointment to a later time and date.

Q: How long do I wait for my Orthosis between assessment and fitting?

A: The waiting time between appointments should be kept to a minimum, especially if an orthosis needs to be returned for adjustment or repair. Without the orthosis it could be very difficult for you to get around. Your Orthotist should provide you with information re your next appointment and explain clearly any waiting time.



Q: If I need to complain about my treatment or any aspect of the service, how do I go about it?

A: The first step is to raise your concerns directly with the Orthotist, relevant team member or the manager of the service concerned. Hopefully this will result in a quick and effective local resolution of the problem.

If your Orthotist follows good prescribing practice, this should reduce the risk of poorly designed or fitted orthoses and ongoing problems.

If you wish to make a complaint information is available on the NHS Lothian website at www.nhslothian.scot.nhs.uk