Reference Quantity: ST0601

Particulars of ordinary

Occupational profile:

A Prosthetist and orthotist is a registered clinician. This distinctive occupation supplies the chance to apply in two areas of healthcare. Most will specialize in Prosthetics or Orthotics; a small quantity proceed in each. Prosthetists Present gait (strolling) evaluation and engineering options to sufferers with limb(s) loss. They’re educated in mechanics, bio-mechanics, and materials science together with anatomy, physiology and pathophysiology. They’re able to design, present and modify prostheses that replicate the structural or purposeful traits of a affected person’s absent limb(s). They supply care to sufferers with congenital (from beginning) loss in addition to loss resulting from situations together with diabetes, decreased vascularity, an infection and trauma. Orthotists Present gait (strolling) evaluation and engineering options to sufferers with issues of the neuro, muscular and skeletal programs. They apply mechanics, bio-mechanics, and materials science together with anatomy, physiology and pathophysiology when assessing sufferers. They design and supply orthoses that modify the structural or purposeful traits of a affected person’s neuro, muscular and skeletal programs enabling them to mobilise, get rid of gait deviations (enhance strolling), scale back falls, scale back ache, stop and facilitate therapeutic of ulcers and stop bodily deformities from progressing. They match and modify Orthoses, and are accountable and accountable for the influence of any modifications. They supply care to sufferers with a variety of situations. Prosthetist and orthotist handle their very own affected person caseloads, work throughout all age ranges and with all kinds of situations, usually offering lifetime care. While autonomous practitioner with management and administration tasks they work as key a part of a Multi-Disciplinary Group (MDT) to offer holistic care to sufferers and work collaboratively with members of the MDT by way of the availability of rehabilitation and long-term care. Prosthetists and orthotists work for each the NHS and unbiased corporations. Prosthetist and orthotist show confidence, compassion, competency and efficient judgement about threat and be accountable and accountable for his or her choices.  Prosthetist and orthotist instruct and information their technicians within the specification and manufacture of prostheses and orthoses. Additionally they advise them in issues of affected person interplay and care when the technicians are dealing instantly with sufferers for instance for repairs. They use present proof to guage the effectiveness of their apply with the goal of frequently enhancing outcomes for sufferers. They’re accountable for guaranteeing their very own information and expertise are present and help the event of others.

Day after day actions embrace:

  • Present Prosthetist and orthotist  care to sufferers, mostly inside a hospital setting, working intently with medical workers, physio and occupational therapists
  • Assess and prescribe tailor-made orthoses and / or prostheses remedy; working in partnership with sufferers to tailor remedies to their wants and develop a remedy plan (which can be a part of a wider MDT bundle of care
  • Analyse affected person’s wants and contain them within the designand alternative of their devise, take measurements (together with moulds) and/or use pc modelling to supply a design of the prostheses or orthoses suited to the affected person
  • Present and match the orthoses and prostheses; educate the affected person on learn how to handle and modify their system to enhance operate additional
  • Assist sufferers to maximise their potential over the time of remedy – which might be life lengthy
  • Perform medical follow-up checks with a affected person to see how they’re managing with their system and with the ability to spot ill-fitting, sub-optimal functioning and take applicable motion
  • Use analysis, proof and medical expertise to develop professionally and enhance outcomes for sufferers and the career (Together with participation in medical audit) 


Employers will set choice standards. This may embrace GCSEs, A ranges, different related {qualifications}, related expertise and/or a flair check.

Qualification necessities:

Apprentices will likely be required to finish a Well being and care professions council (HCPC) authorized BSc (Hons) programme in prosthetics and orthotics. Apprentices with out degree 2 English and maths might want to obtain this degree previous to finishing the end-point evaluation. For these with an schooling, well being and care plan or a legacy assertion the apprenticeships English and maths minimal requirement is Entry Degree 3 and British Signal Language qualification are a substitute for English {qualifications} for whom that is their main language.

Skilled registration:

On profitable completion, apprentices are eligible to use to the HCPC for registration as Prosthetist and orthotist, which is a requirement to apply below the protected title. (See HCPC Requirements of Proficiency

Degree: 6


Length: Usually 4 years


Evaluate date: After 3 years

Values Behaviours
Professionalism, expert, caring, compassionate, conscientious, sincere and reliable.                                                                                                                                                                                                                         You’ll deal with folks with dignity, respecting affected person’s variety, beliefs, tradition, wants, values, privateness and preferences. You’ll present respect and empathy for these with whom you’re employed with, have the braveness to problem areas of concern and work to proof primarily based greatest apply and consensus. Additionally, you will be adaptable, reflective, dependable and constant, present discretion, resilience, self-awareness and show management. You’ll be focussed on drawback fixing and show tenacity.


It is possible for you to to: You’ll know and perceive:

Prosthetic and orthotic care

  • Work with sufferers to analyse their wants and contain them within the design and selection of their system as applicable
  • Analyse and critically consider the data collected
  • Analyse and examine regular and irregular gait, locomotor operate and motion utilizing each qualitative and quantitative means
  • Choose and use applicable investigation and evaluation strategies, finishing an correct medical evaluation
  • Develop and implement a remedy plan, adjusting and altering as required to fulfill the affected person’s wants (together with crucial sensible expertise)
  • Assess components necessary to the related design, utilizing applicable strategies to seize physique form
  • Develop the mannequin required to fabricate the system and modify, modify the mannequin the place crucial
  • Prescribe orthotic or prosthetic intervention together with, the place crucial, the specification for manufacture
  • Undertake analyses the place required for unapproved combos or functions of elements
  • Recognise when units require rectification, restore and take applicable motion
  • Exhibit a logical and systematic strategy to drawback fixing utilizing analysis reasoning to find out applicable actions

  • The construction and performance of the human physique, along with information of well being, illness, dysfunction and dysfunction together with: human construction and performance of the musculoskeletal system; the aetiology and pathophysiology of human illness and basic genetic ideas; and a spread of issues which might be amenable to prosthetic or orthotic remedy and their limitations
  • Gait, locomotor and motion features and methods to test them
  • Methods to undertake and document a radical, delicate and detailed evaluation
  • Methods to formulate and consider a remedy plan for a affected person together with setting applicable evaluate targets and timelines; the vary of prosthetic and orthotic units obtainable; learn how to place or immobilise sufferers accurately for protected and efficient interventions together with becoming a prosthesis or orthotic system
  • The theoretical foundation of prosthetic and orthotic science and design; a spread of strategies for capturing physique form
  • The construction and properties of supplies and their applicable utility to prosthetic or orthotic {hardware} and medical apply; a spread of modelling strategies; learn how to measure and modify a mannequin
  • Biomechanical ideas and the suitable utility of forces to the human physique following prescription and provide of a tool in a way which makes the applying of such forces protected and efficient in an episode of remedy
  • Methods to undertake analyses when required for unapproved combiniations or functions of elements
  • How gear works and learn how to preserve it to a excessive commonplace always, when and the place to report faults; high quality management and the way it applies in prosthetic and orthotic design and supply
  • The vary of orthotic and prosthetic merchandise obtainable permitting probably the most applicable product to be offered and manufactured to fulfill the particular wants of the affected person
  • Methods to establish modifications within the match of prostheses and orthoses over time (resulting from modifications within the affected person and/or supplies) and the way greatest to return the system to optimum effectiveness or the place applicable to resume and substitute

Particular person centred care

  • Work in partnership with sufferers to evaluate their wants and train skilled judgement, utilising the very best analysis proof obtainable, medical expertise and affected person aspiration
  • Work in partnership with sufferers to establish targets and agree applicable remedy plans and that work is predicated on mutual respect and trust-always sustaining excessive requirements of care
  • Apply a spread of communication interventions and interpersonal expertise to help sufferers receiving prosthetic and orthotic care

  • Recognise and take account of the big selection of wants a affected person has together with bodily, psychological, social and cultural wants (recognising when to consult with different professionals)
  • Exhibit medical reasoning and the processes that underpin decision-making and drawback fixing
  • Recognise the worth of case conferences and different strategies of evaluate

  • Equality, variety and inclusion laws; learn how to deal with folks with dignity and respect; learn how to assess the character and complexity of a affected person’s wants together with learn how to empathise with sufferers; understanding how incapacity impacts and influences prosthetic and orthotic administration; the requirement to adapt apply to fulfill the wants of sufferers coping with emotional wants resulting from a spread of circumstances and experiences
  • Methods to make use of your judgement to develop remedy plans that mirror a affected person’s wants and preferences
  • Methods to recognise how communication impacts evaluation and engagement of a affected person and to have the ability to apply a spread of communication strategies; bearing in mind a affected person’s emotional state, The phases and processes of medical reasoning and perceive how they underpin efficient choice making age, capability, understanding, studying and bodily capability, tradition, ethnicity and non secular beliefs
  • Methods to help the communication necessities of sufferers; together with recognising the necessity to use interpersonal expertise to encourage the lively participation of sufferers; learn how to recognise the boundaries of prosthetic and orthotic apply within the context of affected person care; together with when to not proceed with a remedy intervention in the very best pursuits of a affected person
  • The phases and processes of medical reasoning and perceive how they underpin efficient choice making


Governance and security

  • Obtain, act on and make referrals (to others) as applicable
  • Follow safely, in accordance with obtainable proof and inside competency degree, sustaining health to apply
  • Work collaboratively in partnership with different professionals, sufferers and carers focussed on reaching agreed targets
  • Get hold of knowledgeable consent for prosthetic and orthotic care
  • Safeguard sufferers, together with susceptible adults and youngsters
  • Conduct threat evaluation of the setting, affected person and the system prescribed and equipped
  • Safeguard confidential data regarding sufferers always
  • Preserve information which might be match for goal and course of them accordingly
  • Handle and lead colleagues and workers as applicable
  • Adjust to native and nationwide requirements relating to reporting of medical system failures and incidents
  • Follow throughout the scope of HCPC Requirements of proficiency
  • Consider analysis and different proof to tell apply
  • Work safely, together with with the ability to choose applicable hazard management and threat administration, discount or elimination strategies in a protected method in accordance with well being and security laws
  • Choose applicable private protecting gear and use it accurately
  • Set up protected environments for apply, which minimise dangers to service customers, these treating them and others, together with the usage of hazard management and notably an infection management

  • Methods to work collaboratively with those that present companies to sufferers; recognising the boundaries of prosthetic and orthotic apply and when to hunt recommendation and/or refer to a different skilled
  • What is supposed by health to apply; learn how to work inside laws, requirements, protocols and codes of conduct (e.g. Medicines and Healthcare merchandise Regulatory Company HCPC); the boundaries of your personal competence and function
  • How to have the ability to apply skilled information, expertise and expertise as a part of a multi-professional staff to make sure a affected person’s wants are met
  • What is supposed by knowledgeable consent and learn how to safe it throughout the age vary and in step with cognitive capability; the significance of offering sufferers with data that permits them to make knowledgeable choices and safely handle their situation and equipped units
  • What is supposed by responsibility of care; medical ethics; safeguarding of adults and youngsters and the way it applies to your function
  • Well being and security laws, insurance policies and procedures; methods to evaluate dangers that ensures security and safety of the prescribed system; learn how to steadiness the wants of the affected person and private threat taking; a spread of evidence-based fashions of threat evaluation associated to prosthetics and orthotics and your personal function
  • Ideas and theories of management and administration and the way they apply the medical setting
  • Methods to preserve confidentiality and apply the ideas of data and medical governance
  • The significance of managing information and information in accordance with laws, protocols and greatest apply
  • The necessity to take part in coaching, supervision and mentoring
  • High quality pointers and system design ideas that apply to affected person units; incident reporting and escalation
  • The nationwide requirements and authorized framework inside your scope of apply; together with sustaining a excessive commonplace of private skilled conduct; the necessity to hold expertise and information updated and the significance of career-long studying
  • Methods to cut back occupational stress and the significance of sustaining your personal well being and well-being
  • The worth of important reflection on apply and the necessity to document the end result of such reflection
  • The construction and performance of well being and social care companies within the UK
  • A spread of analysis methodologies


Regulated commonplace

It is a regulated occupation.

Regulator physique:

Well being and Care Professions Council

Coaching supplier should be authorized by regulator physique

EPAO should be authorized by regulator physique

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