Everyday Prosthesis

Last modified
22 November 2021
RAP item number
AW07
RAP item category
Prostheses
Is this a contracted item

No

Is prior approval required

Yes

Comments

The provision of an everyday prosthesis follows assessment by the multidisciplinary prosthetic team and requires support from the Amputee Clinic team or Specialist. The request should include specific functional goals with evidence of the clinical appropriateness, prosthetic evaluation and review.

Details of the assessment may include but not be limited to the following: stump integrity, residual limb, general muscle strength and endurance, balance, cardio-vascular fitness, the presence of comorbidities and/or psychosocial factors that may influence compliance and functional goals.

In addition, there should be evidence of use of relevant standardised outcome measures, such as Six Minute Walk Test, Activities-Specific Balance Confidence Scale, Amputee Mobility Predictor - K level, C-Leg Evaluation Protocol, Timed Get Up and Go Test.

Replacement of a prosthesis and componentry also requires support from the Amputee Clinic team or Specialist.