Article

PURPOSE: To develop rigorous clinical standards for National Health Service (NHS)
wheelchair and seating services in Scotland. METHOD: Clinical standards and an
evaluation tool were developed by a working group using a well-established
methodology. The available evidence was reviewed and a person-centre, iterative,
consensus decision-making approach was employed to draft the standards. A public
consultation was undertaken. The draft evaluation tool was tested during pilot
visits to two wheelchair and seating centres. RESULTS: The majority of the 34
consultation responses were supportive, recognising the need to encourage and
measure improvements and for a consistent approach to service delivery. Piloting
found that the standards were challenging but achievable. The finalised standards
and evaluation tool have been issued to health boards in Scotland. CONCLUSIONS:
Following a structured, interdisciplinary and consultative process, the first
clinical standards for NHS wheelchair and seating services in the Scotland were
developed. They emphasise the need for an anticipatory approach, shifting from a
reactive model of service delivery to a proactive one. Although developed in the
Scottish policy context and service delivery model, many aspects of the standards
will be applicable to services based in other parts of the UK and beyond.
Implications for Rehabilitation Clinical standards should be developed and
validated using established, rigorous methodology with a person-centre and
consensus decision-making approach that includes public consultation and
piloting. Wheelchair and seating service provision should be anticipatory and
person-centre. The clinical standards and the supporting evaluation tool provide
the basis for consistent, high-quality services for those individuals who require
wheelchair and seating provision.

Langue : ANGLAIS