Reference Quantity: ST0601

Particulars of ordinary

Occupational profile:

A Prosthetist and orthotist is a registered clinician. This distinctive occupation supplies the chance to observe in two areas of healthcare. Most will concentrate on 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 skilled 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 practical traits of a affected person’s absent limb(s). They supply care to sufferers with congenital (from delivery) loss in addition to loss as a consequence of 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 practical traits of a affected person’s neuro, muscular and skeletal programs enabling them to mobilise, remove gait deviations (enhance strolling), scale back falls, scale back ache, stop and facilitate therapeutic of ulcers and forestall bodily deformities from progressing. They match and modify Orthoses, and are accountable and accountable for the impression 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, typically offering lifetime care. While autonomous practitioner with management and administration duties 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 supply of rehabilitation and long-term care. Prosthetists and orthotists work for each the NHS and unbiased corporations. Prosthetist and orthotist display confidence, compassion, competency and efficient judgement about threat and be accountable and accountable for his or her selections.  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 judge the effectiveness of their observe with the goal of regularly bettering outcomes for sufferers. They’re accountable for guaranteeing their very own data and abilities are present and assist 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 employees, physio and occupational therapists
  • Assess and prescribe tailor-made orthoses and / or prostheses therapy; working in partnership with sufferers to tailor therapies to their wants and develop a therapy plan (which can be a part of a wider MDT package deal 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 provide 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 regulate their machine to enhance perform additional
  • Help sufferers to maximise their potential over the time of therapy – which may very well be life lengthy
  • Perform scientific follow-up checks with a affected person to see how they’re managing with their machine and having the ability to spot ill-fitting, sub-optimal functioning and take acceptable motion
  • Use analysis, proof and scientific expertise to develop professionally and enhance outcomes for sufferers and the career (Together with participation in scientific audit) 


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

Qualification necessities:

Apprentices will likely be required to finish a Well being and care professions council (HCPC) authorised BSc (Hons) programme in prosthetics and orthotics. Apprentices with out stage 2 English and maths might want to obtain this stage previous to finishing the end-point evaluation. For these with an training, well being and care plan or a legacy assertion the apprenticeships English and maths minimal requirement is Entry Stage 3 and British Signal Language qualification are an alternative choice to 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 observe underneath the protected title. (See HCPC Requirements of Proficiency

Stage: 6


Length: Sometimes 4 years


Overview date: After 3 years

Values Behaviours
Professionalism, expert, caring, compassionate, conscientious, trustworthy and reliable.                                                                                                                                                                                                                         You’ll deal with folks with dignity, respecting affected person’s range, 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 finest observe and consensus. Additionally, you will be adaptable, reflective, dependable and constant, present discretion, resilience, self-awareness and display management. You may be focussed on downside fixing and display 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 machine as acceptable
  • Analyse and critically consider the data collected
  • Analyse and examine regular and irregular gait, locomotor perform and motion utilizing each qualitative and quantitative means
  • Choose and use acceptable investigation and evaluation methods, finishing an correct scientific evaluation
  • Develop and implement a therapy plan, adjusting and altering as required to satisfy the affected person’s wants (together with needed sensible abilities)
  • Assess components vital to the related design, utilizing acceptable methods to seize physique form
  • Develop the mannequin required to fabricate the machine and modify, regulate the mannequin the place needed
  • Prescribe orthotic or prosthetic intervention together with, the place needed, the specification for manufacture
  • Undertake analyses the place required for unapproved mixtures or functions of parts
  • Recognise when gadgets require rectification, restore and take acceptable motion
  • Display a logical and systematic method to downside fixing utilizing analysis reasoning to find out acceptable actions

  • The construction and performance of the human physique, along with data 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 common genetic rules; and a spread of problems which are amenable to prosthetic or orthotic therapy and their limitations
  • Gait, locomotor and motion capabilities and methods to verify them
  • How you can undertake and file an intensive, delicate and detailed evaluation
  • How you can formulate and consider a therapy plan for a affected person together with setting acceptable overview targets and timelines; the vary of prosthetic and orthotic gadgets accessible; learn how to place or immobilise sufferers appropriately for secure and efficient interventions together with becoming a prosthesis or orthotic machine
  • The theoretical foundation of prosthetic and orthotic science and design; a spread of methods for capturing physique form
  • The construction and properties of supplies and their acceptable software to prosthetic or orthotic {hardware} and scientific observe; a spread of modelling methods; learn how to measure and regulate a mannequin
  • Biomechanical rules and the suitable software of forces to the human physique following prescription and provide of a tool in a way which makes the applying of such forces secure and efficient in an episode of therapy
  • How you can undertake analyses when required for unapproved combiniations or functions of parts
  • How tools works and learn how to keep 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 accessible permitting probably the most acceptable product to be offered and manufactured to satisfy the precise wants of the affected person
  • How you can determine modifications within the match of prostheses and orthoses over time (as a consequence of modifications within the affected person and/or supplies) and the way finest to return the machine to optimum effectiveness or the place acceptable to resume and exchange

Particular person centred care

  • Work in partnership with sufferers to evaluate their wants and train skilled judgement, utilising one of the best analysis proof accessible, scientific expertise and affected person aspiration
  • Work in partnership with sufferers to determine targets and agree acceptable therapy plans and that work relies on mutual respect and trust-always sustaining excessive requirements of care
  • Apply a spread of communication interventions and interpersonal abilities to assist sufferers receiving prosthetic and orthotic care

  • Recognise and take account of the wide selection of wants a affected person has together with bodily, psychological, social and cultural wants (recognising when to confer with different professionals)
  • Display scientific reasoning and the processes that underpin decision-making and downside fixing
  • Recognise the worth of case conferences and different strategies of overview

  • Equality, range 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 observe to satisfy the wants of sufferers coping with emotional wants as a consequence of a spread of circumstances and experiences
  • Methods to make use of your judgement to develop therapy plans that mirror a affected person’s wants and preferences
  • How you can recognise how communication impacts evaluation and engagement of a affected person and to have the ability to apply a spread of communication methods; considering a affected person’s emotional state, The phases and processes of scientific reasoning and perceive how they underpin efficient resolution making age, capability, understanding, studying and bodily capacity, tradition, ethnicity and non secular beliefs
  • Methods to help the communication necessities of sufferers; together with recognising the necessity to use interpersonal abilities to encourage the lively participation of sufferers; learn how to recognise the boundaries of prosthetic and orthotic observe within the context of affected person care; together with when to not proceed with a therapy intervention in one of the best pursuits of a affected person
  • The phases and processes of scientific reasoning and perceive how they underpin efficient resolution making


Governance and security

  • Obtain, act on and make referrals (to others) as acceptable
  • Apply safely, in response to accessible proof and inside competency stage, sustaining health to observe
  • Work collaboratively in partnership with different professionals, sufferers and carers focussed on reaching agreed targets
  • Receive 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 machine prescribed and equipped
  • Safeguard confidential info referring to sufferers always
  • Keep information which are match for function and course of them accordingly
  • Handle and lead colleagues and employees as acceptable
  • Adjust to native and nationwide requirements relating to reporting of medical machine failures and incidents
  • Apply inside the scope of HCPC Requirements of proficiency
  • Consider analysis and different proof to tell observe
  • Work safely, together with having the ability to choose acceptable hazard management and threat administration, discount or elimination methods in a secure method in accordance with well being and security laws
  • Choose acceptable private protecting tools and use it appropriately
  • Set up secure environments for observe, which minimise dangers to service customers, these treating them and others, together with using hazard management and significantly an infection management

  • How you can work collaboratively with those that present providers to sufferers; recognising the boundaries of prosthetic and orthotic observe and when to hunt recommendation and/or refer to a different skilled
  • What is supposed by health to observe; 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 position
  • How to have the ability to apply skilled data, abilities and expertise as a part of a multi-professional workforce 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 according to cognitive capacity; the significance of offering sufferers with info that permits them to make knowledgeable selections and safely handle their situation and equipped gadgets
  • What is supposed by obligation of care; medical ethics; safeguarding of adults and youngsters and the way it applies to your position
  • Well being and security laws, insurance policies and procedures; methods to evaluate dangers that ensures security and safety of the prescribed machine; 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 position
  • Ideas and theories of management and administration and the way they apply the scientific setting
  • How you can keep confidentiality and apply the rules of knowledge and scientific governance
  • The significance of managing information and information in accordance with laws, protocols and finest observe
  • The necessity to take part in coaching, supervision and mentoring
  • High quality tips and machine design rules that apply to affected person gadgets; incident reporting and escalation
  • The nationwide requirements and authorized framework inside your scope of observe; together with sustaining a excessive commonplace of non-public skilled conduct; the necessity to hold abilities and data 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 essential reflection on observe and the necessity to file the end result of such reflection
  • The construction and performance of well being and social care providers within the UK
  • A variety of analysis methodologies


Regulated commonplace

This can be a regulated occupation.

Regulator physique:

Well being and Care Professions Council

Coaching supplier should be authorised by regulator physique

EPAO should be authorised by regulator physique

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