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Is your child receiving the correct standard of care?

One of the interesting things that arises when 'Reach' families get together is how variable their experiences of care from health professionals can be, even within the same geographical area. Some people find that they are encouraged to attend limb fitting centres when their child is very small, others that it is a real battle to be referred. What matters is that in the early days no-one knows whether their child will be suitable for the fitting of prostheses or whether they will even take to them but it is vital for parents to have as much information as possible to make the right decisions. Often the limb fitting centres harbour the best expertise in the area and early referral could save a great deal of heartache. Reach child

In December 1977, the Amputee Medical Rehabilitation Society,a body of committed professionals produced a booklet called: 'Congenital Limb Deficiency, Recommended Standards of Care'.

They set out minimum standards of care for congenitally limb deficient children, with a view to establishing a code that will assist parents to get the best for their children and help to provide some consistency of provision throughout the country.

In October 2003 under their new name of British Society of Rehabilitation Medicine, they published the 2nd edition of Standards and Guidelines for Amputee and Prosthetic Rehabiliation and included a section on Congenital Limb Deficiency.

These are useful tools for parents as they set out standards for the quality of care you might expect your child to receive. Of course many of you may have experiences which fall far short of the standards, and while the recommendations are not enforceable in any way it will be useful, for example, to point out to your local paediatrician that three eminent practitioners in the field suggest that every limb deficient child should visit a Limb Deficiency Centre (LDC) within the first month of life!

To read the main recommendations from each document you can download and print the following .pdf files:

AMRS Document December 1997 standardssummary.pdf 70Kb

BRMS Document October 2003 standards.pdf 120 Kb

Download the Limb Deficiency address list here dsc_addresses.pdf 58Kb

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