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Suggested performance specification for defibrillator cabinets

Suggested performance specification for defibrillator cabinets

Written by experts from the BHTA First Aid Medical Equipment (FAME) and Defibrillator Section.

Download the BHTA guidance document as a PDF here.

Guidance to the mattress and related devices’ General Requirements standard: BS EN ISO 20342-1:2022

Guidance to the mattress and related devices’ General Requirements standard: BS EN ISO 20342-1:2022

Written by experts from the BHTA Beds and Support Surfaces and Pressure Care and Seating Sections.

Overview

The ISO 20342 series of standards covers various aspects of safety, performance, and technical information relating to mattresses and related products, products described in the standards as “Assistive Products for Tissue Integrity” or “APTIs”. Part 1 of the series covers General Requirements, and these are applicable to all APTIs. The information set out within the general requirements standard is intended to help ensure the safety of users.

The devices covered by this standard include all pressure redistributing mattresses and overlays manufactured using a range of materials including foam, gel, air, and foam in combination with air (i.e. hybrid mattresses). Products within the scope of this standard also include all reactive (non-powered) and active (powered) mattresses and overlays. This standard does NOT include wheelchair cushions.

Aspects relating directly towards the clinical efficacy of a product (and therefore the safety-related properties in prevention or management of pressure injuries, for example) are not addressed in this standard, but are topics covered by tests prescribed in other parts of the ISO 20342 series.

The aim of this article is to give the reader a feel as to why they should be aware of the standard’s content and provide an overview of what the standard covers in depth, and therefore its importance in the design, selection, and use of an APTI.

Why is BS EN ISO 20342-1 so important as a safety standard?

BS EN ISO 20342-1 is the first mattress and related device international safety standard. It sets the minimum threshold a device should reach in order to protect the safety of users.

What aspects of device safety does the standard cover?

BS EN ISO 20342-1 covers the key safety elements from an APTI-specific standpoint. These include management of potential hazards and addresses specific areas of mechanical, electrical, and materials safety. Table 1 contains a summary of the areas covered by the standard.

Table 1. List of safety Clauses and Sub-clauses and Annexes included in BS EN ISO 20342-1

ClauseContent
4. General requirements and safety4.1 General; 4.2 Intended use; 4.3 Risk management; 4.4 Usability; 4.5 Design controls; 4.6 Clinical evaluation; 4.7 Foreseeable misuse; 4.8 Test conditions; 4.9 Lifting and carrying means
5. Safety requirements5.1 Information supplied by the manufacturer; 5.2 APTI that can be dismantled; 5.3 Resistance to corrosion; 5.4 Noise and vibration; 5.5 Sound audible acoustic energy; 5.6 Default indicators; 5.7 Feedback
6. Flammability6.1 General; 6.2 Flammability; 6.3 Moulded parts used as enclosures for electrical equipment
7. Mechanical safety7.1 Prevention of traps; 7.2 Moving and folding parts; 7.3 V-shaped openings; 7.4 Surfaces, corners, edges and protruding parts; 7.5 Folding and adjusting mechanisms; 7.6 Instability hazard; 7.7 Temperature of parts in contact with skin; Ergonomic principles; Additional considerations
8. Safety of electrical equipment8.1 General; 8.2 Electromagnetic compatibility; 8.3 Liquid ingress; 8.4 Interruption of power supply; 8.5 Hold to run activation; 8.6 Emergency stop functions
9. Biocompatibility9.1 Biocompatibility and toxicity; 9.2 Animal tissue
10. Contamination10.1 Liquid ingress; 10.2 Cleaning and disinfection; 10.3 Cross infection and microbial contamination
Annex A. General InformationA.1 General; A.2 Design controls; A.3 Packaging; A.4 Noise and vibration; A.5 Flammability; A.6 Ergonomic principles; A.7 (EMC) immunity; A.8 Cleaning and disinfection; A.9 Moisture vapour permeability/microclimate management
Annex B. Environmental and consumer related guidanceCovers Hazardous Substances in an APTI. B.1 General; B.2 All materials; B.3 Textiles; B.4 Plastic materials; B.5 Metals; B.6 Wooden parts
Annex C. Periodic inspection

What is involved in the requirements covered by the Clauses listed in Table 1?

  1. Clause 4 gives the parameters as to which devices will fall under the ISO 20342 series of standards and sets the scene around risk assessment and management as might be relevant to a device. The one quantified item in this clause is 4.9 that covers the means for manual handling devices with a mass more than 20kg.
  2. Clause 5.1 gives an extensive list of what a manufacturer should provide in their documentation, including the pre-sales literature, instructions for use, servicing, and labelling. Where the manufacture considers there to be specific potential risks, these need to be covered by specific warnings in the literature and appropriate labelling of the devices.
    Further safety and functionality risks arise around devices that can be dismantled, and these are considered in Clause 5.2. Resistance to corrosion is in 5.3, while Noise and Vibration aspects are in 5.4. and 5.5.
    Alarm conditions and their indications are the subject of 5.6 and 5.7, where the risk of harm to the patient from a failure and the urgency of a related alarm are considered.
  3. Risk from fire is a major safety concern for the user of an APTI, and the general approach to this risk is handled by Clause 6. (Note that specific resistance to flammability tests for APTIs are being developed and will be published in ISO 20342-9.)
  4. Many APTIs have mechanical parts, and the safety around the design of these is covered in Clause 7. Finger, foot, or head traps arising from both static set-ups and from moving parts are addressed across the Sub-clauses of Clause 7. Other specific mechanical risks are also covered, such as the safety of any protruding parts, instability of potential set-ups, risks of causing burns if temperatures of components made from different materials get too hot, blockage of air tubes, etc.
  5. If there are electrically operated components of an APTI, these come with attendant risks. Clause 8 covers the mitigation of the direct risks and calls up the relevant IEC standards that apply. Indirect risks such as interruption of electrical supply and their consequences are addressed, as are the appropriate IP ratings to protect against fluid ingress around electrical components.
  6. In Clause 9, Biocompatibility is covered by calling up already-existing ISO standards in this area.
  7. There is always a risk of contamination of an APTI from bodily fluids of users and of microbial cross-infection. The design of the products to minimise the risks of ingress of the contaminants, and to facilitate any routine cleaning and decontamination, is the subject of Clause 10. (Materials characteristics and test methods are the subject of ISO 20342 parts 5 and 10.)
  8. Further aspects for consideration around some of the Sub-clauses summarised above are amplified in Annex A. Guidance around forces to operate levers is given special attention under the Ergonomic Principles heading.
  9. Annex B looks at the environmental and human health risks arising from a variety of classes of chemicals that might be used in the production of an APTI, and which of these chemicals should be avoided.
  10. Annex C provides guidance around the processes that should be followed to cover appropriate periodic inspection of a device.

How can the BS EN ISO 20342-1 standard help healthcare providers?

This standard clearly sets out the expected safety requirements for all mattress surface devices, irrespective of which medical device classification they fall into. To deliver safe, effective, harm-free care to patients, it is not unreasonable to assume the use of devices which meet the required level of safety and do not inadvertently introduce any additional risks to users.

With pressure ulcers recognised as a preventable harm and pressure ulcer incidence metrics typically reported at board meetings as a key indicator or care quality, it is prudent for providers to use products that meet the required levels of safety.

Medical bed and mattress image

What does BS EN ISO 20342-1 mean to clinicians/prescribers in a mattress tendering process?

Clinicians will benefit from clear statements around the intended use, intended users, and any device claims around performance and safety, including minimum and maximum user weight on the device.

Furthermore, supporting documents, such as the clinical evaluation and instructions for use, will give additional information about the suitability of the device for local patients/residents. Requesting relevant evidence as part of a tender process will help ensure that claims of device performance are substantiated with appropriate levels of evidence and supporting documentation. This can be particularly helpful when looking to substantiate claims for self-certified, Class I medical devices, which are otherwise externally-unregulated devices.

Where manufacturers’ products align with this standard, it demonstrates that the manufacturers are seeking to attain minimum levels of device safety and that their claims around device performance can be supported by suitable data and evidence, thereby giving clinicians peace of mind when prescribing the products for patients.

Should it be a concern if manufacturers’ products are non-compliant with BS EN ISO 20342-1:2022?

Medical device manufacturers typically strive to deliver the safest, most effective products to the market. Since elements of BS EN ISO 20342-1 will apply to every APTI sold in the UK it would be a concern to understand why a manufacturer would not want their products to comply with this standard.

How can healthcare providers influence uptake of these standards?

Healthcare providers can help encourage uptake of these standards by listing compliance as a prerequisite on mattress tender submissions. If manufacturers need to comply with specific elements of the ISO 20342 series of standards (e.g. Part 1, General Requirements) to be considered for the tender, this would greatly encourage this area of the medical device industry to meet the requirements for BS EN ISO 20342-1:2002.

Where can I get more information on BS EN ISO 20342-1:2022?

BS EN ISO 20342-1:2022 – TC | 31 Aug 2022 | BSI Knowledge (bsigroup.com)

For a broader background to the ISO 20342 series of APTI standards, see the BHTA article: ‘New standards for testing mattresses and related products – An Introduction

Did you know you have a choice when self-funding independent living equipment?

Did you know you have a choice when self-funding independent living equipment?

With funding in the NHS and hospital discharges creating pressure on health and care services on a daily basis, it is possible to find equipment solutions yourself with help from British Healthcare Trades Association (BHTA) members.

This guidance article is designed to advise consumers about the options available when self-funding (paying for equipment yourself) that can help you or a family member return home quicker and maintain an independent life.

Some independent living products are less expensive than you think and can make all the difference between a longer stay in hospital or a quicker discharge. Accepting using a product that improves your independence can also prevent the need to go to a hospital in the first place.

Member companies have skilled and trained staff across the UK, who are already working closely with the NHS and other healthcare professionals and are uniquely placed to help.

Take the first steps by talking to your local BHTA retailer and find out about the products that can assist you to be independent and mobile.

BHTA house image

Choosing the right product for you

We have put products you might need into room settings to help guide you through the types of things you might want to consider to help you around your home. There are many products that are affordable to make things easier for you.

Kitchen choices

If you have arthritis or have had a stroke, there is shaped handle cutlery that gives you a better grip to help you eat. They are easy to take with you when eating out, so you can enjoy your meals without having to ask for assistance to have food cut up. If you prefer your own cutlery, foam grips can easily slip on to give you a better grip.

Accessible cutlery image

Cups with lids and two handles, plates with raised edges, together with non-slip mats can help you eat. Other useful items to consider are openers for jars and tins, cleaning and cooking equipment, a wheeled trolley, or a one-handed tray, which will enable you to move food from the kitchen to the table.

Living room choices

That designer sofa that you bought years ago can suddenly be too low if you’re struggling to sit down or stand back up. You can choose block raisers, making it easier to get on and off, but if this is a struggle you can choose a high-backed chair that can be tailored to your height.

If you need assistance all the way to standing, a gentle riser recliner chair with motors will lift you to a standing position at the touch of a button. Relaxing is the opposite flick of the controls. With a wide range of fabric, you can choose a chair to match close to your existing furniture.

Bathroom choices

Shower chair image

As we get older, it’s not always easy to bend the knees to sit on the toilet, so there are many choices you can consider to improve the situation. A four-inch raised toilet seat on top of your existing toilet can help you to sit down without the help of a carer.

If you’re a bit unsteady and have balance issues, a toilet frame with seat can help you to get up and down easier. These can sometimes save having a commode in other rooms, such as the bedroom, but the choice is available to meet the different needs of everyone. Some commodes can have a dual function as a shower chair, giving the additional benefit of two ways of independent living.

Having a bath sometimes becomes more difficult when you are unable to lift yourself in and out and lift your legs over the side. Portable bath lifts can offer a solution. The bath lift sits in the bottom of your existing bath, and, once you have side transferred onto the seat, the battery-powered motor lowers you gently into the water to enable you to relax and wash. The advantage of a bath lift is that some are removable for other bath users in the home and can travel with you in the car if going away on holiday.

Another useful washing aid is a non-slip bathmat, designed to make bathing safe and create a secure environment.

If a bath is no longer an option, some BHTA members will be able to offer level access showers or a wet room, but these require specialist advice and assessments.

Stair choices

Stairlift image

Handrails and bannisters down the side may just be the help you need to navigate your stairs, but when getting to your bedroom becomes too difficult you still have choices.

Stairlifts or through-floor lifts allow you to stay in your own home longer. It may seem like an expensive option, but compared to the cost of moving house or into a care home, this could be a better option to consider.

BHTA members have the knowledge and skills to advise you what your best solution is. They can help guide you through any grants that may be available.

Bedroom choices

Specialist profiling beds, rails, and pillows can make a difference to a great night’s sleep. If you have to spend more time in bed, profiling beds offer you multi-positioning allowing you to sit up, lie down, and help to redistribute pressure by the ease of changing position. There are plenty of choices you can make inside your home to make life easier and are all available through your local BHTA retailers and suppliers.

Sometimes you can manage to move around the home but going further afield can be another challenge. The next section demonstrates some of the choices you may wish to consider.

Mobility choices

Walking can become more difficult and reduce the range you can travel in your local community or further afield. If you need a small amount of walking assistance, a rollator shopping trolley can offer you support when walking, and some have seats to allow you to rest when you need to.

Mobility scooters open up further choices depending on your aims, and a BHTA retailer will be able to advise you. A lightweight transportable scooter can be dismantled and put into the boot of your car for visits to other places and to take on holiday. These will offer a reduced battery range, as their size is smaller to make them easier to lift.

Mobility scooter image

A mid-range scooter for use on the pavement offers bigger batteries, longer range, and better kerb climbing with larger wheels. These are ideal for getting to your local shops.

If you have been a car driver, the loss of a car may mean that you want to consider a mobility scooter for use in the road, allowing you to go further. These can go up to 8mph and may offer you the range to continue your adventures and go that bit further.

Help and advice is free from all BHTA member companies, all of which sign up to our Code of Practice, allowing you to buy with confidence.

Is your defibrillator ready to rescue?

Is your defibrillator ready to rescue?

Written by experts from the BHTA First Aid Medical Equipment (FAME) Section.

View and download this guidance as a PDF here.

Defibrillator image

Automated external defibrillators (AEDs) are vital life-saving devices and should be checked regularly to make sure they are ready to be used in an emergency.

Add these simple checks into your weekly routine, for example after checking your fire alarms and other safety systems, to ensure your device is ready to rescue.  

1. Can you open the cabinet easily?

2. Is the AED missing?

3. Are the AED pads in date?

4. Is the AED showing low or no battery?

5. Is the AED showing an error?

Six things to consider when buying a second-hand stairlift

Six things to consider when buying a second-hand stairlift

Written by experts from the BHTA Stairlifts and Access Section.

View and download this guidance as a PDF here.

Stairlift image

When looking to buy a reconditioned or second-hand stairlift, consider these six essential points:

1. The stairlift is being installed by a BHTA member company or a company with whose practices and policies you are comfortable.

2. An in-home assessment is made that takes account of the person(s) using the stairlift and the staircase in which it is to be fitted. A survey should be conducted as part of the sales purchase.

3. A warranty period and service cover are included. The stairlift should be installed with a callout number supplied. Check the engineer response time.

4. Stairlifts for curved staircases have unique needs. This means when you buy are conditioned stairlift for your curved staircase, the rails should be made to measure.

5. Consider the many factors that will influence the lifespan of a stairlift. These include age, appropriate usage, number of installations, and regular service.

6. An instruction manual should be supplied for the stairlift. Upon installation, a full user demonstration must be given.

A guide to pressure ulcer prevention in sitting

A guide to pressure ulcer prevention in sitting

This article is designed to help users and carers in the public domain to learn more about preventing pressure ulcers when sitting in a chair or wheelchair. It is not intended for clinicians. The article was put together by BHTA industry expert members.

What is a pressure ulcer?

A pressure ulcer is any area of localised damage to the skin and underlying soft tissue. There are a number of risk factors, including age, diagnosis, medication, continence, nutrition, mobility, and weight. There are also other factors not specific to the person, such as the support surface, temperature, and moisture. (1)

Whilst sitting, the skin and soft tissues get squeezed and deformed between the bone and the support surface. Over time this can cause the cells to die and the area of resulting dead tissue is called a pressure ulcer.

TIP: Everyone is potentially at risk of developing a pressure ulcer (2)

Why is sitting important in pressure ulcer prevention?

When sitting in an upright stable position, we still have localised high-pressure areas:

Seated posture graphic
Through buttocks and thighs: 75 percent
Through the feet: 19 percent
Through the arm supports: 2 percent
Through the back support: 4 percent (3)

Therefore, posture and pressure are linked, with both affecting one another.

Why might someone be at risk of pressure ulcers?

  • Neurological impairment
  • Changes in body shape and size
  • Little or no active movement
  • Movements that are difficult to control
  • Lack of body awareness and/or sensory impairments
  • Difficulty communicating discomfort

What are the signs and symptoms to look out for?

Early symptoms of a pressure ulcer include:

  • Persistent discolouration of the skin
  • Discoloured patches not turning white when pressed
  • A patch of skin that feels warm, spongy, or hard
  • Pain or itchiness in the affected area
  • The skin may not be broken at first, but if the pressure ulcer gets worse, it can form an open wound or blister
  • A deep wound that reaches the deeper layers of the skin
  • A very deep wound that may reach the muscle and bone (4)
Pressure ulcer prevention graphic

How does a pressure ulcer affect a person?

  • The impact of a pressure ulcer on a person is significant, with their being affected physically, psychologically, socially, emotionally, spiritually, and financially (5)
  • Pressure ulcers are often painful and debilitating (6)
  • Infected ulcers can cause an unpleasant odour and further health problems
  • Healthcare professionals may advise keeping weight off the pressure ulcer to allow healing, which can impact on independence and interaction

TIP: With care, pressure ulcers are mostly preventable (7)

Prevention can not only improve a person’s outcomes, but it can also reduce the costs to the NHS and benefit the wider community:

STOP the pressure ulcer campaign graphic

Where can you get further information or advice?

Consult a general practitioner or healthcare professional for information and advice on:

  • Ensuring a regular change of position: a person with a pressure ulcer, or at risk of developing a pressure ulcer, needs to change position frequently
  • Considering pressure relieving and postural management equipment
  • Applying special dressings that speed up the healing process
  • Eating a healthy, balanced diet

TIP: Chair functions, such as tilt-in-space, can be effective in redistributing pressure

Case study:

  • Mrs A, a 72-year-old lady diagnosed with dementia
  • Mrs A is frail, generally weak, and not always aware of her position
  • She struggles to sit upright and tends to slump with her head falling forward
  • Without a chair that is set up to her body shape and size, she is at risk of discomfort, sliding out of the chair, not being able to eat or drink safely, and developing pressure ulcers
  • With the appropriate chair, she is more comfortable, and her risk of pressure ulcers is reduced. She has a more stable upright position and her head is supported, making it easier for her to eat, drink and communicate
  • Needs regular change of position
  • Needs regular skin inspection to check if damage has started
Stop hand sign image


References:

  1. European Pressure Ulcer Advisory Panel (EPUAP), National Pressure Ulcer Advisory Panel (NPUAP), Pan Pacific Pressure Injury Alliance (PPPIA) (2014) Prevention and Treatment of Pressure Ulcers: Quick Reference Guide Available from: http://www.epuap.org/wp-content/uploads/2016/10/quick-reference-guide-digitalnpuap-epuap-pppia-jan2016.pdf
  2. 2. National Institute for Health and Care Excellence (NICE) (2014) [CG179] Pressure ulcers: prevention and management. Available from: www.nice.org.uk/ guidance/cg179
  3. Collins F (2001) Selecting cushions and armchairs: how to make an informed choice Journal of Wound Care / Therapy Weekly Supplement 13(5)
  4. 4. NHS (2017) Pressure ulcers (pressure sores) Available from: https://www.nhs.uk/conditions/pressure-sores/#symptoms-ofpressure-ulcers
  5. 5. Langemo DK (2005) Quality of Life and Pressure Ulcers: What is the Impact? Wounds 17(1)
  6. 6. Moore ZE, Webster J, Samuriwo R (2015) Wound-care teams for preventing and treating pressure ulcers Cochrane Database Syst Rev 16(9)
  7. 7. NHS Improvement (2018) Stop the Pressure Available from: http://nhs.stopthepressure.co.uk/
  8. 8. Jan YK, Crane BA, Liao F, Woods JA, Ennis WJ (2013) Comparison of muscle and skin perfusion over the ischial tuberosities in response to wheelchair tilt-in-space and recline angles in people with spinal cord injury Archives of Physical Medicine and Rehabilitation 94(10):1990-6

A guide on good seating posture practice

A guide on good seating posture practice

This article is designed to help users and carers in the public domain to learn more about good posture when sitting in a chair or wheelchair. It is not intended for clinicians. This article was put together by BHTA industry expert members.

What is posture?

Posture is the way we hold ourselves or body segments in relation to one another and their orientation in space. Body positioning can be intentional or unintentional.

Body segments (1):

Good seated posture graphic

Posture has two main purposes:

  1. Antigravity – to provide the rigidity needed to maintain an erect posture against gravity
  2. Interface with the outside world – to orientate body segments to interact with the environment

The body structure is a very complex system. It is naturally unstable but highly flexible, which allows for a wide variety of postures but also makes it very vulnerable to damage.

TIP: Posture is influenced by body shape and size, the supporting surface, and even health or emotional state

Seated posture image

Why is good posture important?

  • Enables independence
  • Encourages interaction
  • Promotes physiological function
  • Manages comfort levels and quality of life

When poor seated posture is adopted over prolonged periods of time, a person can experience:

  • Muscle fatigue and associated pains e.g. lower back pain or neck pain
  • Organ dysfunction e.g. breathing and digestion
  • Limitations in activity e.g. difficulty with eating and drinking
  • Limited range of movement in joints and/or altered body shape
  • Other health issues e.g. pressure ulcers, bowel and/or bladder problems

What is good posture?

Good posture (2):

  • Facilitates effective functional performance
  • Is energy efficient
  • Does not harm the body systems

TIP: Failure to manage posture can result in many health complications

What is postural management?

Postural management is the use of any technique to minimise postural problems and enhance health (3). It must be individualised, targeting all body segments. It must also take into consideration the full 24-hour period.

How might someone who is having difficulty with their posture sit?

Seated posture graphic
Seat height being too high results in insufficient foot support, reduced stability, and can increase risk of sliding down the chair.
Seated posture graphic
Seat depth being too long can encourage sliding down the chair and can increase the risk of pressure ulcers.
Seated posture image
Seat width being too wide can make the pelvis move unequally and encourage leaning to the side.

TIP: Select a chair to suit body shape and size

Why might someone have difficulty managing their posture?

  • Neurological impairment
  • Changes in body shape and size
  • Little or no active movement
  • Movements that are difficult to control
  • Lack of body awareness and/or sensory impairments
  • Difficulty communicating discomfort

Where can you get further information or advice?

Contact a healthcare professional for advice on postural management.

Case study:

  • Mr. A, a 35-year-old gentleman diagnosed with cerebral palsy
  • Mr. A has muscle spasms and stiffness
  • He has a curved spine and struggles to sit upright
  • Without a chair that is set up to his body shape and size, he is at risk of pain, not being able to eat or drink safely, and developing pressure ulcers
  • With the appropriate chair, he is more comfortable, and his risk of pressure ulcers is reduced. He has a more stable upright position, making it safer for him to eat, drink and communicate, and manage his muscle problems

References:

  1. Pope PM (2002) Posture management and special seating In Edwards S (Ed) Neurological Physiotherapy London: Churchill Livingstone
  2. Pope PM (2007) Severe and Complex Neurological Disabilities: Management of the Physical Condition London: Butterworth-Heinmann
  3. Farley R, Clark J, Davidson C, Evans G, MacLennan K, Michael S, Morrow M, Thorpe S (2003) What is the evidence for the effectiveness of postural management? International Journal of Therapy and Rehabilitation 10(10):449-455

How to use defibrillators

How to use defibrillators

What is a defibrillator?

There are many brands of defibrillator available. While they may look different, all defibrillators are reasonably similar and will deliver a lifesaving shock in an emergency.

Defibrillators are known by several names, including:

  • Automated external defibrillator (AED);
  • Defib;
  • Defibrillator;
  • Public access defibrillator (PADs).

Look out for the defibrillator sign in your workplace and public areas.

Defibrillator image

Types of defibrillators

Fully automatic and semi-automatic:

Semi-automatic defibrillators require the rescuer to press a button to deliver a shock. Fully automatic defibrillators carry out a short countdown and deliver a shock automatically. Both versions have pros and cons, depending upon where the defibrillator is to be used and by whom. Your ambulance service or a BHTA supplier will be able to offer advice to help you make the right choice.

Where are they normally found?

Defibrillator image

There are many defibrillators available in public places such as train stations, shopping centres, airports, and leisure centres. These defibrillators are often known as PADs and are usually found in yellow or green cabinets if they are outdoors or a white cabinet if they are indoors. Whatever the colour, the cabinet will always have the defibrillator sign on it. Some cabinets need a code to open them; some cabinets are already unlocked. If you need to get into a cabinet that is locked, simply call 999 and they will give you the code. These are provided for the use of everyone in an emergency.

If you need to find your nearest PAD in an emergency, call 999 and the call handler will help you if there is one nearby.

Larger companies are likely to situate a defibrillator in the main reception or close to a first aid room. There are many places defibrillators can be found; remember to look for the sign.

Why is it important to have a defibrillator available in the event of an emergency?

The amount of time between arrest and defibrillation is one of the most important factors during a cardiac arrest.

Statistics

Using a defibrillator within the first three minutes of collapse can increase the chances of survival by up to 70 percent. http://www.nejm.org/doi/full/10.1056/NEJMoa040566#t=article

Every minute after this reduces chances by approximately 10 percent. It is critically important to act quickly.

Misconceptions

Legal issues

Some people mistakenly feel that they may be held responsible if the casualty does not recover. This is not the case; a person using a defibrillator cannot be held liable for trying to rescue a casualty.

http://www.legislation.gov.uk/ukpga/2015/3/contents/enacted

Defibrillator image

It’s impossible to get it wrong

Defibrillators are designed to be used by anyone, with or without training.

A defibrillator will never deliver a shock unless the casualty needs one. Training is advisable but is not compulsory. Training will improve the user’s confidence in an emergency.

Defibrillator image

How to use a defibrillator

Access

Most defibrillators can be accessed easily, without keys or codes. Some community defibrillators are protected by a locked cabinet. In this instance, instructions on how to open the cabinet in an emergency will be clearly shown.

Instructions

Both visual and audible instructions will be given by the defibrillator. The instructions are simple to follow and clearly given.

Maintenance

All defibrillators are maintenance free.

  • Defibrillators should be checked regularly, be free from obstruction, and kept clean.
  • Defibrillators will perform regular self-tests to ensure they are ready for use in an emergency. If the self-tests find a problem or concern the defibrillator will indicate this. Different defibrillators use different methods to show that a fault or concern has been detected. Some use flashing lights, some use a screen, and some use an audible signal.
  • Defibrillators use disposable electrode pads and disposable batteries. Most of these have an expected life of between two and five years. Some defibrillators have displays that show the remaining life, and some rely on the dates being checked manually. Pads should be replaced close to their expiry date. Batteries should be replaced when the defibrillators indicates that the battery power is getting low.

Where to get one?

Click here and search for “First Aid Medical Equipment” for further information on reputable brands, manufacturers, and suppliers.

A guide on orthoses and orthotics

A guide on orthoses and orthotics

What are orthoses?

Orthoses are medical devices that are applied externally to the body for therapeutic effect. Orthoses are designed to alter the biomechanics of the human body. They may be used to redistribute pressures acting on the body, offload or immobilise painful joints, improve stability, optimise body alignment, and improve walking patterns.

Examples of orthoses include footwear, inlays, simple insoles, bespoke devices, braces, splints, supports, and callipers. Orthoses can be prescribed for all parts of the body, from the head to the toes.

Orthoses image

Who may benefit from orthoses?

There are many types of patients who may benefit from an orthotic device, these include people with:

  • Joint conditions – Including arthritis and hypermobility (degenerative or systemic arthritis)
  • Musculoskeletal concerns – Including fractures, sprains, and strains sustained from a traumatic accident or sporting injuries
  • Neurological impairments – Including cerebral palsy, stroke, and spinal cord injuries
  • Muscular weaknesses/disease – Including polio, drop foot, muscular dystrophy, and multiple sclerosis
  • Neuropathy/Nerve damage – Including diabetes and Charcot-Marie-Tooth disease
  • Spinal problems – Including curvature of the spine and trauma
  • Congenital disorders – Including talipes equinovarus (or club foot), hip dysplasia, and plagiocephaly (flat head syndrome)

If you would like to know if an orthosis can help you, it is always best to speak with your GP or healthcare professional.

What are the goals of treatment?

Orthotic image

The goals of treatment will be different for each person who uses an orthotic device.

For some, an orthosis will enable them to carry out their daily activities with less pain, helping them to maximise their lifestyle. Others will use an orthosis to help improve their mobility and undertake tasks that would otherwise be a challenge or unachievable.

Surgeries carry risks, and not every person may be a candidate for an operation. Orthoses are routinely used as an alternative to surgery or as a tool to help a person until they are fit and well for an operation. Post-surgical rehabilitation and recuperation timescales can be lengthy and therefore using an orthosis can help a person postpone or delay surgery until a convenient period in their life.

Orthoses are often used in wound prevention, particularly for those identified at high risk of tissue breakdown. Use of an orthosis in this manner may allow a person to maintain their current lifestyle with confidence, given the knowledge that their body is being protected.

What type of orthosis is best for me?

To find out which type of device will work best, a thorough biomechanical assessment is advised. This can be provided by an orthotist who is a healthcare professional qualified to assess, prescribe, and supply orthoses.

For many, a simple ‘off the shelf’ or ‘over the counter’ device may be sufficient to help them manage their condition. For those with more serious, complex, or critical health conditions, provision of a tailored or fully bespoke orthosis may be in their best interests. This will be decided between you and the orthotist.

Who is an orthotist?

Orthotists are allied health professionals (AHPs) who assess for, prescribe, and fit orthoses. They are HCPC registered and regulated. The status of an orthotist can be checked via the HCPC website.

Orthotists complete in-depth university teaching to ensure expert knowledge of the body: its anatomy, function, and pathology. Training develops skills in biomechanics, material science, engineering design, and workshop craft.

Orthotists are uniquely placed to offer the best services to those who may require an orthosis. Whilst there are many orthotic specific services, orthotists are increasingly integrating with their healthcare colleagues to provide joined up services.

Orthotists can work in both the NHS and independent service sectors.

Orthotic image

What should I expect from an orthotic consultation?

An orthotic consultation should start with a discussion about your medical history and current health conditions that you would like the orthotist to help manage. Your aims and goals of treatment should always be considered.

With your consent, a physical assessment will be undertaken, and the orthotist will explain their findings. For some health conditions, the orthotist may advise that further tests or imaging are required to learn more about your alignment. If your health condition affects your walking, it is normal for the orthotists to observe your gait (walking pattern) to examine how this can be made more efficient or more comfortable.

It is always useful to bring with you any orthoses that have been prescribed in the past. This will help the orthotist to see what has or hasn’t been successful.

After assessment, the orthotist will formulate an orthotic prescription. This is a design blueprint that details the specifications for the device that you will require. At all times, the orthotist will consult with you to consider your preference, if there are different styles available or aesthetic options.

Once a prescription is agreed, the orthotist will take measurements required to allow manufacture of your orthosis. Sometimes a foam impression box, 3D scans, moulds, or plaster casts of the body may be required to ensure a bespoke fitting orthosis can be made.

The orthotist will arrange a treatment cycle including fitting and tailoring sessions, supply appointments, and a review format. When you are supplied your device, you should be given full instructions as to how to use and care for the orthosis as well as on how to adapt to the correction level.

Orthotic image

Accessing services – The NHS

Referral routes to NHS services will vary on a local level. Typically, this will be via your GP, consultant, or healthcare therapist. In some regions, you may be able to self-refer to your orthotics service.

Many NHS services are contracted out to independent orthotic service providers, many of whom are BHTA members.

Orthotic image

Accessing services – Private care

You can also arrange to see an orthotist privately. Private treatment may be an option for a person who requires additional devices to that provided by their local NHS service, expedited supply of an orthosis, a specialist orthosis for sporting or vocational use, and secondary consulting opinions.

All expected consultation fees and anticipated product fees should be outlined to you at the time that you book a private consultation.

When buying orthoses privately for your own personal use you may not have to pay VAT. Where this is the case, your provider will ask you to complete a VAT relief claim form and will then deduct the VAT.

Ensuring that the manufacturer of your orthosis and/or the provider of your orthotic service are BHTA members is important for several reasons. BHTA members subscribe to a Code of Practice that is designed to protect the consumer and encourage higher standards than those simply outlined by law. Should you be in the unfortunate position that you require to make a complaint, BHTA members are signed up to an impartial complaints and mediation service.

Why should I look for the BHTA logo?

A list of BHTA members is available on the BHTA website here. Search for orthotics to find manufacturers and suppliers.

Orthotic image

Further information

The British Association of Prosthetists and Orthotists (BAPO)
www.bapo.com

The Health and Care Professions Council (HCPC)
www.hcpc-uk.org

The International Society of Prosthetists and Orthotists (ISPO)
www.ispoint.org

NHS Choices
www.nhs.uk

Flying with a disability: A guide to help you plan your flight to and from the UK

Flying with a disability: A guide to help you plan your flight to and from the UK

This article was developed in partnership with QEF Tryb4uFly.

Flying is an essential and desirable form of transport for millions of UK citizens each year, whether for business, pleasure, family, or health reasons.

Am I fit to fly?

Speak to your GP or consultant in the first instance. Airlines want to ensure that your condition is stable and may ask you a set of questions when you book.

You can view specific flying advice related to your disability, for example at the Stroke Association or the British Heart Foundation. The UK Civil Aviation Authority (UK CAA) features advice for disabled passengers before planning their journey.

Where do you want to fly to?

That is up to you! Bear in mind that each country’s disability discrimination laws vary, and it pays to research your own essential requirements before you fly. If you have not flown before or want further guidance, speak to specialist travel agents who are experienced in supporting disabled travellers, for example, Enable Holidays.

What items can you take on the aircraft?

Flying to and from the UK, you are allowed to take an additional two pieces of mobility equipment free of charge. This can include a wheelchair, a special seating system, or specialised buggy. Always check with your airline when you book. Some travellers like to hire equipment instead at their destination. Consider Mobility Equipment Hire Direct.

Can I take my wheelchair or scooter?

Wheelchair user with plane image

Yes, you can take your manual or powered wheelchair or scooter. If battery powered, it is subject to the dangerous goods requirements. The airline you choose to fly with will ask about the make and model of your wheelchair, its weight, and dimensions. If it is a powered chair or scooter, the airline will also need to ensure the batteries are safe in transit.

You can look at the BHTA website for information about your wheelchair and how it will need to be immobilised when stored in the aircraft hold. Consider the use of an Airsafe Plug. Take a copy of your wheelchair manual, and notify your wheelchair services if it’s not privately owned.

What medications can I take?

If taking over 100ml of medication, you will need a doctor’s letter. There is no limit to the amount you can take with you in the cabin. It’s advisable to take a doctor’s letter declaring medical implants, and if you are travelling to Middle Eastern countries check the legality of any drugs you plan to bring with you.

The UK CAA has an Aviation Health Unit for medical questions related to being in the cabin. Take essential prescriptions with you should you be delayed at your destination.

Selecting appropriate insurance

Always pre-disclose medical conditions. Consider the cover you will need not just for yourself but for your travelling companions, any staff accompanying you, and essential equipment.

Bear in mind that cover for some countries will cost significantly more than others, and, if airlines damage essential equipment, there is an international limit to the amount they may reimburse you, regardless of the value of your equipment. Speak to specialist disability/travel insurers like Fish Insurance or Free Spirit.

Booking your flight

Whether you book directly with the airline on your phone, via a travel agent, or online, it is your responsibility to communicate your requirements at least 48 hours in advance of your journey – or preferably when you book. ‘Pre-notifying’ helps the airline and airport to plan the support you require for both outbound and inbound flights. Check your request for assistance has been received with your airline.

Airport image

Arriving at the airport

According to European Law 1107/2006, you have the right to assistance from the time that you arrive at the airport. This can include getting from a hotel within the airport boundary to the terminal entrance. Take the time to look at the maps and videos of the airports you are using before your day of travel. These will show you where the special assistance receptions are and identify them.

Car parking

Take the time to see the arrangements your airports have in place if you are parking. Most will allow you to park at the short- and long-stay car park for the normal fee. By prior arrangement, you may take a copy of your Blue Badge on your journey. Take a look at the AA (www.theaa.com) for advice on how you can use your Blue Badge abroad.

Requesting assistance when you arrive at the airport

However, you arrive at your airport, you can request assistance from call points to help you make your way to the special assistance reception. Here, your assistance needs will be checked for your onward journey through the airport and boarding the aircraft. This can include chaperoning, support with carrying luggage, and boarding.

Flying with a disability image

Proceeding to check in

If you have luggage, you will need to visit the check-in desk, so your bags can be stored in the hold. If not, it’s likely you will have already checked in online and have either a printed or on-screen boarding pass. Remember that you can stay in your wheelchair all the way through to the aircraft door and that it will be tagged, in the same way that luggage is. You may be asked about your wheelchair dimensions and weight again.

Advice for travellers with autism

Visit the airport before you travel. Take a look at the resources airports provide the autistic traveller, including videos and online checklists.

Airport lounges can be a good investment for a place that is quieter, and make a plan should your flight be delayed. Request special assistance before you travel.

Consider a journey by coach, train, or underground as a means of assessing you or your travelling partner’s suitability if you have never flown. Bring items that soothe, relax, or distract for the journey, and have a plan if your flight is delayed.

What happens at security?

It is likely you will be fast tracked – you may be invited to join a queue for families. You can remain in your wheelchair if you use one; the team will take a small swab and wipe it on an item of your clothing to check that you are not carrying any unauthorised substances.

Wheelchair at plane exit image

Before any ‘pat down’, inform the staff member of any particular requirements and if you wish this to be done away from the queue. Be prepared that security checks may be somewhat different when you return from your destination airport.

Waiting in the departure lounge

Once through security you will be in the departure lounge. Most airports have a prominent special assistance area where you can wait for information or go shopping. Some provide a pager to notify you when you need to return. It is from here that you will board an airport buggy to take you to your gate.

Using the toilet

Check the facilities at the airports you are flying from, and to. While most should have accessible toilets, check with Changing Places to find out the availability of full changing facilities.

Getting to the gate

Getting to your aircraft can involve surprisingly long distances. You may want to save your energy for another part of the journey, so make the most of the assistance airports provide. Maps are available online of the distances involved in travelling through airports to help you plan.

How you board the aircraft

There are different ways to board the aircraft: by using steps, an Ambulift, an Airbridge (or jetty), or an Aviramp (a portable slope). A stairclimber is also available for smaller aircraft and airports. You may need to use a bus to get to the aircraft stand.

It’s important to know that airlines use different means of boarding depending on the aircraft type, what is available at the airport, and their arrangement with the airport. Ask questions about the arrangement the airline has in place at your airports when you book your flight.

Aeroplane image

Entering the aircraft and getting to your seat

Once you reach the outside of the aircraft, you will be welcomed on board by the aircraft cabin crew. Bear in mind that in the UK and Europe, if you require assistance, it will be the airport team that continue to assist until you get into your designated seat. If you use a wheelchair, you will now need to move into a transfer chair. The airport team will support you with your manual handling requirements. Communicate your requirements to the team before you are lifted.

A more dignified transfer can be achieved with the use of a Promove sling. Some UK and international airports also provide the mobile Eagle Hoist. Check for its availability at Haycomp.

Seating location in the cabin

Generally, airlines want to seat you so that you have a short distance to travel from the front or rear of the aircraft. If you are travelling alone, you will be asked to sit in a window seat in an economy seat configuration. There can be further restrictions on seating location due to cabin safety rules. Use SeatGuru to look at your seat choice ahead of your flight, and always check with your airline.

Seating and leg room

The amount of room for your legs is measured as ‘seat pitch’ and not leg room. If you need additional support, consider options including the Stabilo Cushion, Crelling Harness and MERU TravelChair for children. These are available to try ahead of your flight at QEF’s Tryb4uFly service. All aircraft seats will be required to be in an upright position for take-off and landing.

Using the toilet

Cabin crew can assist you getting to the door of the toilet using a narrow aisle chair. Toilets are small. If you have particular concerns, we recommend speaking to your continence nurse/adviser. Some new aircraft have two adjacent toilets with a folding wall that provides double space, including the Boeing 787 Dreamliner, depending on configuration.

During the flight – accessing oxygen

If you need oxygen for medical use, you can bring small gas oxygen or air cylinders with you, but you will need to seek the airlines approval first. International safety rules allow small gaseous oxygen or air cylinders required for medical use (no more than 5kg gross mass per cylinder), but the airline’s approval is required.

Devices containing liquid oxygen are prohibited. There is no blanket airline prohibition on the passenger using their own oxygen. Passengers should check with their airline.

Airport image

During the flight food and drink options

Discuss your requirements with your airline when you book. If there are any specific liquids or drinks that you need to bring and they exceed 100ml, you will require a letter from your doctor.

Preparing to land

If you use a wheelchair, remind cabin crew before you begin your descent that you will be expecting your wheelchair to be available immediately when you exit the aircraft.

Exiting the aircraft

If you are a wheelchair user or require assistance, anticipate exiting the aircraft last. While this can result in a delay to your journey, often you will make up this time as you are escorted through the airport. Remember that your destination airport is likely to have different facilities and access options. Investigate these before your flight.

If things don’t go as planned with your flight or at the airport

Always make a contingency plan if your flight is delayed, for whatever reason. Contact your airline or airport in the first instance if your journey does not go as planned. If they have not dealt with your complaint satisfactorily, contact the UK CAA online or call 0207 4536888.

Using electric scooters and wheelchairs: A Highway Code for users

Using electric scooters and wheelchairs: A Highway Code for users

Why we have a Highway Code for electric scooters and wheelchairs

Powered mobility products are divided into Class II, Class III, and ‘not in a class’ vehicles. Class II are limited to up to 4mph and in general are designed for pavement use. Class III mobility products have a maximum speed of up to 8mph for road use but have a switch to reduce the maximum speed to 4mph so they can also be used on a pavement. Class III vehicles need to be registered with the Driver and Vehicle Licensing Agency (DVLA).

Where pavements do not exist, you may have to use the road until you can return to a pavement at the first opportunity.

Both Class II and Class III vehicles can be used on cycle tracks. However, Class II and Class III mobility vehicles cannot be used on cycle lanes.

‘Not in a class mobility vehicles’ are those that can go more than 8mph, are wider than 0.85 metres, and weigh more than 150kg (or 200kg if you need any equipment attached to it – for example, medical equipment). Not in a class vehicles can only be used on the road.

Not in a class vehicle owners will also need to get a valid driving licence to drive one and register their vehicle with the DVLA. You may also need to insure your vehicle.

If you are unsure of what class your mobility vehicle falls under, the retailer or manufacturer should usually be able to tell you. Otherwise, you can check based on its speed, width, and weight.

Driven safely, mobility products can give people freedom and independence. In the wrong hands, they can do considerable damage to property and other pedestrians.

Which Highway Code category do wheelchair/scooter drivers come into?

The categories of road users in the Highway Code are pedestrians, cyclists, motor cyclists, and motorists. As a wheelchair/scooter user, you don’t really fit any of these categories. You may however partly fit one of them.

Road or footpath?

Some wheelchairs/scooters can only be driven safely on the road. This does not always make it safe to do so. To drive safely on the road, it is advisable to have a Class III vehicle capable of doing 6/8 miles an hour, equipped with headlights, rear lights, flashing indicators, and a horn. Even with all this, you may not use dual carriageways unless you also have an additional flashing beacon light. You are not permitted to use bus lanes or cycle tracks.

Under no circumstances is it permissible for scooters or wheelchairs to be driven on motorways.

Mobility scooter image

General points to consider before buying your vehicle

Make sure you are able and fit to use it safely. It is usually possible to get advice through your local social services or occupational health service and your doctor.

You need to be able to:

  • See well enough to be safe.
  • Adequately control your vehicle and do all the possible manoeuvres, such as reversing, climbing, and descending kerbs and turning safely.
  • Cross busy roads. This is not as easy on a scooter/wheelchair as on foot.
  • Know the rules of safety and consideration for yourself and other people.

It is important to talk through your requirements with a BHTA specialist or talk to your therapist or healthcare professional if you need advice. This applies even if you have driven a car previously, as it is very different from driving a scooter/wheelchair. If you would like advice from a BHTA specialist, click here and type in “mobility” in the Find a Member section.

Insurance

At present, there is no overall legal obligation about insurance, though some finance companies insist on it. Nevertheless, it is a very good idea to make sure you are covered for fire and theft, accidental and malicious damage, and third-party damages – just in case. The BHTA has members that can provide insurance for your mobility vehicles.

Comfort and safety

Make sure your vehicle is the right one for you. Get advice when choosing and watch for things like seat and handle positions and height. It is important you are comfortable and in full control of your vehicle.

The reasons for choosing three- or four-wheeled vehicles are varied and depend on many factors such as your weight, size and height, weight of chair for lifting, and quality of your roads. You need to be extremely careful when ascending and descending kerbs and when turning, as if this is not done carefully and properly the scooter will tip.

Range

The manufacturer’s literature and owner’s manual will tell you the range of your vehicle, but remember this is a guide only. Generally, they tell you the range if driven on the level on a smooth surface and when the batteries are new. Few people would want to drive round a smooth car park for 20-25 miles!

Rough surfaces, hills, gradients, cold weather, kerbs, and carrying a load of shopping will all reduce the distance you can do without charging your batteries. Recharge your batteries according to the manufacturer’s instructions.

Do not be too ambitious where distance is concerned. Build up your experience and range gradually.

Roadside assistance

Many mobility insurance packages include a “get you home” service within their policies, so it is worth discussing with your local BHTA specialist for advice.

Consider investing in a mobile phone

Some service providers will provide a special low rate for occasional users who need the phone for possible emergencies.

Speed limits

On the footpath, the limit is 4mph (6.4kph), whatever the capacity of your vehicle. On the road, it is 8mph (12.6kph). If driving a Class III vehicle on the pavement, it must be switched to 4mph mode.

Carrying loads

Do not overload your mobility product. It may make the vehicle unstable and reduce its range. Place heavy loads inboard in the middle. Not behind the back wheel, which can lighten the steering or cause the front end to lift off the road on a bump, and not at the front, which might make steering heavy.

Watch your brakes

Never try to drive, or even sit on, your vehicle while it is in “free wheel”. The electronic brake will be out of action, and the vehicle could run away with you.

Maintenance

Get your vehicle serviced regularly according to the manufacturer’s advice.

Tyres

Keep tyres at the pressure recommended by the manufacturer. They will last longer and be safer. Replace them when they become worn.

Mobility scooter user image

Lights

Check bulbs regularly and replace if not working properly. Use your lights frequently, at dusk onwards, and on a dull or rainy day.

Owner’s manuals

These are normally provided with all new mobility products and can give you good advice on how to use and maintain your vehicle. If buying second-hand, it is always worth trying to obtain a copy from the manufacturer for advice.

Sensible guidelines for safety

When using the footpath

Just because you are on a footpath or pedestrian precinct does not make you a pedestrian. If you are on a motorised vehicle, you are no longer a pedestrian.

Remember, pedestrians always have right of way. Many people on foot will be kind and helpful to drivers of a wheelchair/scooter but not everyone!

In a crowded precinct or market area, or footpath, it is your responsibility to ensure you do not run into anyone or do any harm with your vehicle. While many people will make way for you, you cannot expect everyone to do so. Some will appear to not even realise you are there. They will climb round and even over your vehicle rather than allow you room to move. Make sure you have your vehicle set to 4mph if it is a Class III (6/8 mph) product.

Do not yield to the temptation to ram them!

When climbing or descending kerbs

Always approach at right angles, with your front wheels straight on the kerb. In some powerchairs, it is necessary to descend high kerbs backwards.

Do not try to climb or descend kerbs higher than the manufacturer recommends. Move carefully to avoid traumatic bumps to yourself or your vehicle.

Watch out for

  • Children – They may well run in front of you without warning. You may only be moving very slowly, but you could still injure a child.
  • Elderly people – They may be unable to quickly move aside to let you pass. Give way to them.
  • Disabled people on foot – Give them space and time.
  • Other motorised vehicle users – You may be doing all the right things. This does not guarantee they will do likewise.

When you need help

You may need to ask people to open doors for you. Most people are willing to help, if asked politely. Don’t struggle to do the impossible or even the very difficult things when there are people around who would help if asked.

Driving inside shops and buildings

This is where you have the advantage over car users! Not many supermarkets would welcome a car driving round their store. But bigger shops and even some quite small ones are accessible to wheelchairs and scooters.

Once inside the store, it is your responsibility to drive safely and not damage the fittings, the stock, or hurt other shoppers or store workers. You may need to ask for help. Again, in most cases, people are willing if asked properly. Don’t risk pulling down a whole display to reach the top shelf. Ask for help.

Speed in shops and buildings – Reduce it!

It is a good idea to set the speed control to a lower level to avoid any accident. Be especially careful if you need to reverse; check that your way is clear of shop fittings and people. Three-wheeled scooters with their manoeuvrability and lightness of steering are more suited to shopping.

On the road

Remember you are not driving a car but a very small and slow vehicle, which is therefore more vulnerable. If it is possible, use the footpath. It is wise to avoid using roads, particularly busy ones.

When driving your vehicle on the road

Remember, although this is legal for all vehicles, it is not always safe or sensible to do so. You are responsible for your own safety and that of other road users. The normal rules of the road apply but modified.

You must observe the law about:

  • Driving on the left side of the road. Never drive against the traffic.
  • One-way streets – Never drive against the traffic.
  • Giving way where cars would give way (details in the Highway Code).
  • Obeying traffic lights and all other road signals and instructions.
  • Giving way to pedestrians on crossings.

But always remember your vehicle is not a car and is small and vulnerable.

If you need to turn right across traffic, try to get on to the footpath before the turn, and then use a safe pedestrian crossing or traffic light control crossing. Only try to turn right if you are completely sure it is safe to do so. Do not rely on your mirror. It may give a false impression of distance. Always give clear indication of intention to turn left or right.

Remember – The car you can see when you look behind may appear a long way away, but it is almost certainly moving faster than you are, often deceptively so. It could well be upon you before you complete your manoeuvre. And it may not be able to stop in time.

When passing a parked vehicle

Take great care you are not moving into the path of a faster moving vehicle coming behind you or towards you. Always signal your intention to pull out.

In the event of a difficult or dangerous situation, use your hazard lights, but do not drive with them on unnecessarily.

Be visible to other pedestrians and road users. When out and about on your mobility vehicle, you can make your presence increase by wearing high visibility jackets or some other reflective wear. It is better to be seen and be safe.

Further advice

Also read our article on ‘Buying a mobility vehicle’ before purchasing a mobility product.

If you are travelling away from home in the UK and experience a fault or breakdown with your NHS-provided wheelchair, the National Wheelchair Managers Forum has a helpful leaflet called ‘Right to travel UK’ with important information about the support available to wheelchair users.

How to make sure your wheelchair remains stable

How to make sure your wheelchair remains stable

What is stability?

Generally, for a wheelchair to remain stable, it must be upright on its wheels with the combined centre of mass of the wheelchair and user being within the wheelbase of the wheelchair. These guidelines should only be used in conjunction with the manufacturer’s own manuals and instructions for safe use.

What affects stability?

Ramps and slopes can present a high risk to users if they try to climb, descend, or travel across slopes that are steeper than the safe working limit of the wheelchair. Appropriate gradients and surfaces should not cause problems if they are within the capability of the wheelchair. Wheelchairs should only be used on ramps or slopes that are less than the maximum safe slope specified by the manufacturer.

Note: it is important to talk to your local BHTA retailer or supplier. They will give you good advice regarding capability and suitability of each wheelchair.

Wherever possible, wheelchairs should be tested on any slopes that will be used regularly.

Steps, kerbs, and soft ground

When travelling up, down, or across a slope, contact with relatively small obstacles can cause instability leading to tipping or sliding. Hitting obstacles can also cause the seated occupant to slide forwards or fall forwards out of the wheelchair. Use on soft ground can lead to similar problems, as small or narrow wheels tend to sink into the ground. Negotiating kerbs or steps should be undertaken following the manufacturers’ instructions, but always try to use dropped kerbs and ramps where possible.

Cushions

The addition of some seat cushions can raise the centre of gravity of the wheelchair and reduce the stability of the wheelchair in all directions. The addition of a backrest cushion will move the centre of gravity forward, improving rearward stability but decreasing forward stability.

Seating systems

Seating units fitted into wheelchairs, tilting seating units, or reclining backrests can have similar effects on stability to the addition of cushions, by moving the user upwards and possibly forwards or rearwards within the wheelchair compared to the original seating position. This will affect stability in all directions.

Added weight

The attachment of accessories or other items such as shopping bags, ventilators, or oxygen cylinders hung or positioned on the rear of the wheelchair will move the combined centre of gravity of the user and wheelchair rearward. This may not cause problems on level ground, but it can make the wheelchair unstable when climbing a slope or ramp. Never carry passengers.

User body movement

The stability forwards, rearwards, and sideways can be reduced by the user moving their upper body or by leaning out to operate switches or pick something up. However, rearward stability can be improved when climbing slopes if the user can lean forward.

Brakes

In some cases, the wheelchair will slide down a slope with its brakes applied or tip if it is nearing its limit of stability. Users and carers should be fully aware of the correct method of operation of all the brakes on their wheelchair, and that the effectiveness of brakes can be reduced when the wheelchair approaches its stability limits. Keep tyres inflated to the manufacturer’s recommended pressures.

wheelchair user image

Anti-tip devices

Anti-tip devices can be added to the front or rear of some wheelchairs to give physical restriction to the amount of tipping that can occur. It is essential that any anti-tip device will have sufficient strength to function correctly when the wheelchair is carrying its maximum user mass on the steepest intended slope.

Rear wheel positions

To improve rearward stability, some wheelchairs have the option of moving the rear axle mount backwards. This could be part of an adjustable mounting or a fixed position further rearward than standard. Rear axle mounts can also be moved forward to improve the manoeuvrability and allow easier tipping to climb kerbs, but it is critical to strike the appropriate compromise between instability and ease of propulsion.

Propulsion by motor

The majority of powered wheelchairs now have the ability to programme the response of the control unit. Users should be aware that any sudden movement of the input device on a wheelchair programmed for fast acceleration can cause instability, particularly on slopes or uneven ground. If this is a problem for a user, then the control unit should be reprogrammed to lower acceleration settings.

Propulsion by hand

The position of the axles is critical to the safe operation of the wheelchair, and any sudden or violent movement can cause the wheelchair to become unstable when climbing, descending, or traversing slopes.

Weather

Care should be taken in wet or icy weather, particularly on sloping pavements or vehicle run-ups, as wheelchairs tend to slide to the lowest point.

Maintenance

Lack of maintenance or poor maintenance can lead to the wear or failure of components that may cause the wheelchair or the user to change position unexpectedly. This could lead to the user falling from the wheelchair or tipping over with the wheelchair. Manufacturer maintenance instructions should be adhered to. Always use a qualified technician to service or repair the wheelchair. See also this BHTA article about getting more from your battery.

Transportation

If the wheelchair is approved by the manufacturer for transportation by a seated person, make sure that you use the wheelchair tie-down and occupant restraint system approved by the manufacturer. If you are using large public buses or trains, use the dedicated wheelchair space and any restraint systems provided.

Help is at hand

There is a range of guidance articles on our website. You will also be able to find your nearest BHTA retailer for advice and assistance. Visit the Find a Member section here.  

A wheelchair user’s guide to public transport

A wheelchair user’s guide to public transport

As a wheelchair user, you will find that more and more public transport is becoming accessible to you. New regulations mean that in future, trains, buses, and taxis will all have to be designed so that most wheelchair users can travel in them.

Here are some basic facts that you might find it helpful to know, particularly if you do not use public transport but would like to do so.

The majority of wheelchair users will be able to use public transport. But you may find that you can’t if:

  • Your chair is very big (taking up a space – when you are in it – of more that 700mm wide or 1200mm long), or
  • Your chair is very heavy, or
  • You need to travel with your legs fully extended or the backrest reclined, or
  • You have a scooter (which will be difficult to manoeuvre and may be unstable in a vehicle).

You must ensure that your wheelchair is in a safe condition to travel. This means, for example, making sure that it is correctly maintained, that the tyres are properly inflated, and that you have not overloaded the back of the chair with bags (this can cause the chair to tip over backwards on a ramp). If you have a powered chair, you must also ensure that the battery is secure.

If your chair has adjustable kerb climbers, you should check that they are set so that they do not catch on the ramp.

The transport operator has the right to refuse to let you travel if they believe that your wheelchair is not in a safe condition.

There will continue to be a need for door-to-door transport services for those who cannot be public transport users.

wheelchair user on public transport image

Getting on and off

There are different kinds of boarding aids to help you use public transport.

  • In future, low-floor buses will have a ramp. In towns, most will be power operated by the driver from his seat. In rural areas, the driver may operate the ramp manually.
  • Higher-floor buses and coaches are more likely to have lifts, which will be operated by the driver or another member of staff.
  • On most trains, manual ramps are kept on the platform or on the train.
  • Taxis generally have manual ramps, which the driver will operate.
  • Modern trams and rapid transit systems have level boarding, so you can move straight from platform to tram without a ramp or lift.

On board

On mainline trains (intercity, suburban, and cross-country) and in buses there is a space designed for you to travel in safety and comfort. You must always use this space.

  • In a low-floor bus, this will be facing the rear of the vehicle in a position that provides handholds and protection behind you. You may need to manoeuvre your wheelchair backwards and forwards in order to get into the space. The wheelchair will not be secured. If you use a powered wheelchair, you should also make sure that the power is switched off when the bus is in motion.
  • On trains, there is generally more space to move into position. Your wheelchair will not be secured.

The reason the wheelchair doesn’t need to be secured in the conventional way on these types of vehicles is because of their design and movement characteristics. They are more stable than smaller or higher floor vehicles, so there is less sway while the vehicle is travelling. But you should always apply your brakes when the vehicle is moving.

Most trams or light rapid transit systems also have a dedicated space for wheelchair users. On systems that don’t, it is important not to sit where you are blocking gangways or doors, particularly if the vehicle is crowded.

In a taxi or a high-floor bus or coach, you may find the wheelchair position is either forward or rear facing, but, in either case, the wheelchair must be secured to the floor of the vehicle with a restraint system. There will also be a passenger seat belt or harness. This is to ensure that you are safe and that your wheelchair cannot move around inside the vehicle and injure you or other passengers. Again, your brakes should always be applied. You should never travel facing sideways. It is not safe.

If you have never used public transport before, don’t be put off. Many transport companies now offer disabled people the chance to see how the system works – perhaps by a visit to the bus or railway station – before you travel for the first time.

Don’t pick a busy rush hour for your first journey if you are uncertain how you will manage. Travelling in the middle of the day will give you more space and time to build up confidence.

Public transport companies have invested time and money in making their vehicles and services accessible. They want you as their customers!

Help is at hand

These are some of the organisations who provide useful information and advice.

Community Transport Association

Telephone: 0161 351 1475
www.ctauk.org

Living Made Easy

Telephone: 0300 999 0004
www.livingmadeeasy.org.uk

How to buy healthcare equipment safely

How to buy healthcare equipment safely

When you buy the equipment that is right for you, it can make a real difference to your quality of life, giving you freedom and independence. Whatever you need, this step-by-step guide is designed to help you make that right choice.

You need to be sure about what you need. There may well be so much choice out there that the right product for you may not be obvious. So, take advice, and, if you can, try before you buy. If you need professional help, contact your doctor, who may refer you to an occupational therapist or, for certain equipment, recommend a physiotherapist or speech therapist.

You need to know where to buy. Again, you’ll be spoilt for choice! You can find products in retail shops and stores as well as via mail order and the internet. If you are buying from the internet or via mail order, remember that whilst the prices may be keen, you can’t try before you buy or discuss your requirements face to face. There are two useful website links which can spell out your rights on distance selling in this article.

Many retailers are members of the British Healthcare Trades Association (BHTA), specialists in what they do, which means that you can buy with confidence because they are governed by their Code of Practice, the only one in this industry to be approved by The Chartered Trading Standards Institute.

Wherever you choose, try to have someone with you, like a friend or relative, and do test and try the equipment before committing yourself. BHTA members will guide you through the selection process looking at your current and future needs.

There are consumer exhibitions and shows throughout the year like Naidex, Kidz to Adultz, and Mobility Roadshow, where you can see and compare new products, and get the information you need to make an informed choice. See upcoming exhibitions here.

You need to know how much to pay. It makes sense to spend some time whether you need something as straightforward as a walking stick or a mobility scooter, spending a few pounds or investing thousands. You need real value for money: price is obviously part of it but so are the quality of service, the assessment of your needs, the guarantees, and warranties. Make sure that you understand the terms and conditions and the cancellation period (if there is one), should you change your mind or have second thoughts.

If you are disabled, you may not have to pay VAT, so check when you are buying. You may even get equipment free from your local council if you are eligible. A scheme runs in some parts of the country where you can get a voucher or prescription to redeem at an accredited retailer. It could also be worth your while contacting your local council or NHS trust, as they might have schemes to help. Your local BHTA retailer will guide you through the process.

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What to do if things go wrong

Unfortunately, sometimes things do go wrong. Hopefully, with common sense and goodwill, matters can be sorted out amicably to everyone’s satisfaction before resorting to the law.

If you have bought from a BHTA member company – and there are over 400 member companies in the UK – you have the reassurance of the Code of Practice. All companies adhere to the code, which rigorously upholds your interests. It is the only one in the industry to be approved by the Chartered Trading Standards Institute. See a copy of the Code of Practice here.

If the company involved is not a BHTA member, you should contact your local Citizens Advice Bureau through www.citizensadvice.org.uk or phone 03454 04 05 06 (03454 04 05 05 Welsh language).

Help is at hand

These are some of the organisations which provide information and advice.

Which?: Impartial advice and in-depth reviews.

www.which.co.uk

Grants: Grants are available through local authorities for house adaptations and equipment. The main sources are Disabled Facilities Grant (DFGs) in England, Wales, and Northern Ireland or an Equipment and Adaptations Grant in Scotland. You must apply before buying equipment or starting any work.

DFGs are available to disabled people who own or rent their home. They can also be paid to landlords on behalf of tenants. The grant is means-tested, so the amount paid depends on your income and savings. The authority pays the grant but has to consult the social services department to find out if you need the adaptation or equipment and whether it will be appropriate for you.

The whole process can take some months. DFGs may be mandatory or discretionary. If the work is essential for you to be able to move around your home, you will be considered for a mandatory grant. You may qualify for a grant if, for example, your disability makes climbing the stairs virtually impossible and if you need the stairs to reach an essential facility such as a bathroom.

At the time of publishing this article, the latest information about grants and repair assistance is available at the following web addresses:

Living Made Easy: Offering clear, practical advice, this is a website that lets you read reviews of products and add your own comments.

www.livingmadeeasy.org.uk

Getting more from your battery: A guide to maximising the performance and lifespan of batteries for powered mobility equipment

Getting more from your battery: A guide to maximising the performance and lifespan of batteries for powered mobility equipment

No vehicle performs to its full potential without an efficient fuel system. The batteries fitted to electrically powered wheelchairs and scooters act as their fuel tanks and should be charged up and well maintained accordingly.

Common questions and answers

When should I charge mobility vehicle batteries in order to get the most out of them?

If your vehicle has gel batteries (most powered wheelchairs):

  • Fully charge them to begin with.
  • Charge daily and for as long as possible, even on days with low usage. Be careful not to get stranded with flat batteries!
  • The charger supplied with your mobility device should fully charge your batteries overnight. Overcharging is not a problem with today’s smart chargers as they are voltage limited and shut off automatically. Sealed VRLA Gel and AGM batteries do not exhibit a “use it or lose it” capacity-robbing effect known as “memory”.
  • Chronic undercharging is a common cause of premature battery failure. Charging for a minimum of eight hours each night is the standard recommendation for proper battery function. To further enhance battery life, it is recommended that a 12-hour charge be performed at least once or twice each month.
  • Never allow batteries to run completely flat.

Do batteries have a break-in period?

Gel battery performance improves once the battery has been cycled (discharged and recharged) 15-20 times. This break-in period is necessary to fully activate the battery for maximum performance and longevity. Thus, range and running time of your mobility device could initially increase with use.

If your vehicle has sealed lead-acid batteries (most scooters):

  • Fully charge them to begin with.
  • Recharge them when you have finished with the vehicle for the day or if you are unable to do this, charge them once a week.
  • Every two months, let the batteries discharge until the battery gauge shows a low charge.
  • Never allow batteries to run completely flat.

How should I charge mobility vehicle batteries?

Whatever type of battery your vehicle has:

  • Use the equipment manufacturer’s automatic charger for all routine charging.
  • Never use an automotive or wet-type charger on Sealed VRLA Gel or AGM batteries as doing so will damage your battery.
  • Depth of discharge affects cycle life. The harder a battery has to work, the shorter its life expectancy. Longer use typically means longer recharge times.
  • Do not leave the charger switched off whilst connected to the vehicle – some chargers will allow batteries to drain quite quickly if you do this. Always disconnect the charger from the mains when disconnected from the vehicle.

When will my batteries need replacing?

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Occasionally, depending on many factors, batteries will need replacing after 12 months. More commonly, they will still be going strong after two or more years. As they grow older, their capacity reduces. It is time to replace them when you find that the battery gauge on your vehicle shows a low state of charge after your day’s use.

What are the factors that can affect range on powered mobility equipment?

Weight of the vehicle or user, ambient temperature, state of battery charge, tyre pressure and terrain can all affect the range of a battery. If the temperature ranges outside of our yearly averages, i.e. above 35 degrees Celsius and below freezing, this will affect the range of the battery. If the battery’s “state of charge” is low, then consequently the battery capacity will be low.

You also need to know that:

  • Most gel and sealed batteries can be transported by aeroplane. Your battery or wheelchair supplier can provide an IATA Certificate to prove this but most airlines will know this. Alternatively, the battery may be marked on top with a sticker explaining it is IATA approved.
  • If you are storing your vehicle for a long period, you should fully charge the batteries and disconnect them from the vehicle so that they will only drain their charge naturally.
  • You can bend the rules of when and how to charge your batteries occasionally without reducing the life of your batteries – if the battery gauge shows that they are low and you want to go out, by all means give them a short charge so you can go out. Just don’t make a habit of it!
  • These batteries will not spill if overturned and need no maintenance.
  • You cannot harm your vehicle by charging its batteries wrongly. You will only reduce the life of the batteries.
  • Always refer to the manufacturer’s own manual/handbook when referring to these guidance notes. The cost of fully charging batteries is minimal, only pence. The cost of leaving them connected long-term is even lower.
  • Connecting your own lights or other items to your batteries may well ruin them, especially if they are 12 volt.
  • Gel batteries are treated differently from sealed lead-acid because when new, they only give around 60 percent of their potential capacity. It takes around 20 full discharges for them to reach 100 percent. If you do not follow the charging rules, you will not get the full capacity. If charged according to the rules, they will survive significantly longer than sealed lead-acid batteries.
  • Always dispose of batteries through an approved source. Your BHTA dealer will do this when supplying new ones.
  • You must not use a car-type charger for these batteries: it would permanently damage them. The charger supplied with the vehicle is designed for the purpose.
  • The reason for letting batteries run low every two months is that it is often found that this can “rejuvenate” them for a while. Not everybody recognises this, but there is certainly nothing to lose by doing so.

Please note: The advice in this leaflet does not cover wet (old type, open-cell) batteries. They are very rare these days.

We acknowledge the help and assistance by Matthew Major (MK Battery) in creating this advisory article.

Buying a mobility vehicle: A guide to helping you make an informed choice

Buying a mobility vehicle: A guide to helping you make an informed choice

Mobility vehicles can improve your independence and lifestyle, enabling you to travel from your home, around your local community, and further afield.

Making the right decision

The best way to ensure you make the right decision is to see and try a wide range of models from different manufacturers. You should first contact a local BHTA retailer and visit their local showrooms.

Here, you can see a number of models and make proper comparisons of size, comfort, and handling. You will also meet and get to know their staff and your backup team. If you cannot visit, then book a home demonstration, and try the different products in and around your own home. Give yourself time and try to avoid rush decisions.

Making an informed choice

Today, it is increasingly common to see a scooter or powerchair being used by people of all ages and abilities. People have now found out that these mobility vehicles are popular because without them they would be housebound or restricted to only very limited distances and that they are easy to control, economical to keep, and actually pretty good fun!

However, deciding on which model to see and which company to buy from is very important and can be difficult. You need to know that the product is suitable for all your needs and that the company is a qualified and experienced supplier. You need to know that they will look after you and your vehicle, now and in the future.

This is why the BHTA has produced this guide to help you choose the best combination of product and supplier, helping you to make an informed choice and decision.

Points to consider:

  • Is the company a member of the BHTA?
  • Does the company offer a choice of manufacturers and models?
  • Is the company based near you with showrooms, servicing facilities, and on-the-road repair and service engineers?
  • Can the company provide servicing and finance plans and information about comprehensive insurance?
  • Do you know the cost of callouts and in-house servicing?
  • Does the company supply other independent living products to help you maintain your independence?

If away on holiday, you can find a list of BHTA members on our website should you need some help in the UK. Always look for the BHTA and Chartered Trading Standards Institute logo as a sign you are dealing with an approved member.

If you are travelling away from home in the UK and experience a fault or breakdown with your NHS-provided wheelchair, the National Wheelchair Managers Forum has a helpful leaflet called ‘Right to travel UK’ with important information about the support available to wheelchair users.

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Scooters – How do I choose?

There are many variations of scooter, offering differing features to suit you, the environment you live in, and the terrain you wish to cover. Here are some questions to discuss with your local BHTA retailer when considering your options:

  • Is the scooter comfortable to ride?
  • Can I get on and off it easily?
  • Are the controls suitable and comfortable for me to use over a long period?
  • Is the scooter going to suit my needs for at least a few years?
  • Can the scooter carry me and my shopping?
  • Will the scooter be suitable for all types of terrain I anticipate wanting to use it over?
  • Do I need the scooter to be able to climb kerbs?
  • Can I dismantle the scooter to transport it in the car if needed?
  • Does the scooter give me the mileage range I need, not only when shopping locally, but also, for example, when I want to visit a National Trust stately home or gardens, participate in outdoor activities, or when I go rambling?
  • Is the scooter stable and safe enough for my needs?
  • Do I have somewhere to store and charge up my scooter?

The models offered come in many styles: the smaller offering easy manoeuvrability, and portability, but often with smaller wheels which will not go up kerbs or over rough ground. Small batteries restrict range (possibly down as low as 10 miles), however, they may be better for indoor or short journeys. BHTA members are there to guide you through the process and make sure all your questions are covered and offer you reassurance.

Note that dismounting and mounting kerbs with any mobility vehicle can be very bouncy, and for some people can be uncomfortable, but with the increased availability of dropped kerbs and pedestrian areas, you should find the need for kerb climbing less necessary.

Powerchairs – making the right choice

Powerchairs are usually more difficult to select than scooters. Most of the aspects you would consider when buying a scooter still apply, but generally a powerchair user has more limitations to their personal mobility and will probably be using their vehicle more regularly, often all day, and may depend on it in their home and outside. Comfort and support are essential, and battery range is important if using all day.

Points to ask:

  • Where do I want to use it? Indoors – size of doors? Outdoors – level or rough ground? Are dropped kerbs available?
  • How far do I want to go?
  • Do I need it to go in a car? Does it dismantle easily? Who will dismantle it? How often?
  • Where will my vehicle be stored and charged?
  • Will I be in the vehicle for long periods?
  • Can I use it easily and safely?
  • Do I need it to be adapted for my particular comfort and safety?
  • Do I need special seating, backs, armrests, or footrests?
  • Is there clear indication of the amount of charge remaining?
  • Is it available in different colours of frame and upholstery?
  • Who will service my vehicle?
  • Do I want extended warranty, insurance, and a service contract?
  • Does my supplier adhere to the BHTA Code of Practice?

Once you have decided which mobility vehicle is right for you and made an informed purchase, further information about the safe use of electric scooters and wheelchairs can be found in the BHTA article ‘Using electric scooters and wheelchairs: A Highway Code for users’.

Is it a good idea to buy second-hand?

Buying a second-hand scooter or wheelchair can be as difficult as buying a second-hand car. But it is here that you will reduce the dangers if you buy from a BHTA retailer.

  • They will check that your second-hand vehicle is safe and road worthy, and they offer a proper guarantee.
  • They will help you to assess its suitability.
  • They will offer all the services of training and backup that you would receive if you had bought new.

Training me to use my vehicle

All of our BHTA retailers are keen to provide you with proper training to help you be in proper control and at ease with your newly found independence. So, ask them to accompany you in and around your home and out to your local shops and venues. Your BHTA retailer will want you to feel confident so that you get the most pleasure and use from your new product.

All BHTA mobility retailers are encouraged to take part in Driving Mobility’s Powered Wheelchair and Mobility Scooter (PWMS) Retailer Training Scheme. This scheme, which is supported by the Department for Transport, provides customer assessment and safety training for retailers of mobility scooters and powered wheelchairs.

Battery care

Looking after and regularly charging your vehicle will increase its reliability and reduce its running costs. You must always read your owner’s manual and take particular note about how to charge the batteries. Battery charging uses about the same electricity as a 100-watt light bulb, so it won’t eat you out of house and home.

For further information see the BHTA article ‘Getting more from your battery’.

For more information about the safe practices for use, maintenance, and disposal of lithium batteries, read the BHTA’s ‘Lithium battery safety guidance’.

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Safe storage and charging

Before buying a mobility vehicle, there are some points to be aware of to ensure that your equipment is stored and charged safely.

Battery-powered mobility scooters and wheelchairs pose a fire risk if they are not stored and charged correctly and safely. This is because the batteries themselves are flammable, so it’s paramount you follow safety guidelines to reduce any fire risks.

Battery-powered mobility scooters and wheelchairs should be stored in a safe place – preferably in a separate room – and away from fire escape routes. For example, your mobility vehicle should not be stored near a door. This is so that the vehicle does not obstruct any exit routes in the case of a fire. Also, if your vehicle catches fire near an escape route, this could affect the exit.

To safely charge your mobility vehicle’s battery, this should be done in a specially designated, well-ventilated area. You should also charge the battery during the daytime, so that if something goes wrong with the battery and there’s a fire, someone will be awake to dial 999.

Further information about the safe storage and charging of battery-powered mobility vehicles can be found in the National Fire Chiefs Council ‘Mobility Scooter Guidance for Residential Buildings’ guidance.

Caring for my vehicle

Your BHTA mobility retailer will always discuss the long-term needs of you and your vehicle. After years of extensive design and development these products have become more reliable and durable, and you should enjoy independence without worry. However, you must appreciate that with time, as with any mechanical product, components can go wrong.

It is at these times it is most important that you have taken your local BHTA mobility retailers’ advice on regular servicing plans, extended guarantees, and policies. If you are unfortunate enough to break down, you will realise why it was so important that you have a BHTA mobility retailer supply your mobility vehicle supported by factory-trained and qualified service engineers; they will get you back on the road quickly and efficiently.

For years to come

Looking after your mobility vehicle properly will help you ensure trouble-free mobility. However, just like a car, you should expect to incur some running expenses for servicing and new batteries, for example.

So, we recommend putting a little aside each week to cover maintenance costs, or, alternatively, investigating extended warranties, service contracts and insurance. We hope you enjoy your newly found freedom.

Help is at hand

These are some of the organisations which provide useful information and advice.

Driving Mobility

Driving Mobility is a network of 20 independent organisations covering England, Scotland, Wales, and Northern Ireland, which offers professional, high-quality information, advice, and assessment to people who need to gain or retain independence through mobility.

Telephone: 0800 559 3636

www.drivingmobility.org.uk

Motability

Motability is a scheme that lets you lease a mobility scooter, powered wheelchair, or car using your benefits. It also runs Motability One Big Day events where you can see and try out equipment.

Telephone: 0300 456 4566

Textphone: 0300 037 0100

www.motability.co.uk

National Federation of Shopmobility UK

If your local shopping centre or town centre has a Shopmobility Scheme, you can hire a scooter from it. Find out more from The National Federation of Shopmobility.

Telephone: 01933 229644

www.nfsuk.org

Which?

Publish independent test reviews on 10 smaller scooters on its subscription website.

www.which.co.uk

BHTA members

Remember to always look for the BHTA and Approved Code Trading Standards logo to get the support and advice you need to make the right choice.

How to access a wheelchair or mobility scooter

How to access a wheelchair or mobility scooter

Need a wheelchair or mobility scooter? Not sure where to go and how to get one? Do you know your options?

When you find yourself or someone you know requiring a wheelchair, mobility scooter, or powered wheelchair then you should be talking to your local BHTA member retailer.

Dealing with a lack of mobility, whether due to an ongoing, chronic illness, or to a sudden incident, can be a confusing and stressful time. We all see manual and powered wheelchairs and mobility scooters being used, but where do they come from? How do you get one? Until you find yourself in a situation of needing one, it’s not something most people think about.

The wheelchair may be needed full time to get around the house, or to work, which may be a different model from something that may be used occasionally for trips to the doctors or for visiting friends where you may need assistance.

Your options

NHS

You can ask your GP for a referral to your local NHS wheelchair service if you are having mobility issues. They will discuss your situation with you and may provide an assessment for your needs. If they determine that you require a wheelchair, and you meet their criteria, they will offer to provide you with one. Wheelchair services provide both manual and powered wheelchairs but do not currently provide mobility scooters.

You may have an option to request a voucher, or to use a personal wheelchair budget (PWB), which can be used to purchase a chair from a mobility retailer if you want a higher specification or options that they cannot provide.

Sometimes you may require a wheelchair temporarily, whilst you rehabilitate, or while awaiting delivery of an NHS wheelchair. The British Red Cross in your area will usually have wheelchairs available for temporary use.

You can also contact your local BHTA Member retailer, which may have different types of wheelchairs available for temporary hire.

Private purchase

If you do not qualify for a wheelchair through NHS wheelchair services, or simply wish to purchase your own wheelchair or a mobility scooter, you can contact a BHTA-registered mobility retailer.

BHTA member retailers

BHTA members across the UK offer mobility products and many independent living aids to enhance your life and keep you independent at home and outdoors. They will guide you through a detailed assessment to ensure the product meets your current needs. The BHTA member retailer will discuss the model that will most suit your lifestyle and demonstrate this to ensure you are capable of controlling the mobility product in a safe environment before you head out on your adventures.

Once you have identified the correct model, the BHTA member retailer will be able to also advise you on other topics such as finance, insurance, and any extended warranty packages that are available.

All BHTA members sign up to a Code of Practice which is approved by the Chartered Trading Standards Institute. This ensures you are dealing with a company that will give you good advice, guide you in your discussion making and will not cold call you or use pressure selling techniques. A copy of the Code of Practice is available to download here.

Once you have had your assessment, agreed your needs, and purchased all you need, your local BHTA member retailer will set up your mobility product, carry out pre-delivery inspection, and ensure you know how to charge your vehicle so you are ready to get out and about, unless you opt to take it away with you from their showroom.

Having someone local for backup, aftersales, and servicing is important for your own peace of mind, so should you have any issues you have somewhere local to talk to and visit. The BHTA member retailer will have a wealth of experience about your product, and their engineers will be trained and experienced to assist you with any issues you may have with your product.

To find your nearest BHTA member retailer visit this page and put “mobility” in the search box.

If you are looking for a second-hand piece of equipment, check with your local BHTA member retailer, which will be able to advise you on availability and suitability for your needs.

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Charities

If you need assistance with the funding of a mobility scooter or wheelchair, there are numerous charities that may be able to assist you, and many BHTA member companies will have links to these on their websites and will be able to give you advice when they carry out an assessment with you.

Use your PIP allowance

In some cases, people can use a portion of their Personal Independence Payment (PIP) allowance to lease a mobility vehicle through companies providing this option.

Finance

Some customers buy their mobility products via credit cards, bank personal loans, or finance that is available through a number of specialist companies that have packages designed to meet the needs of the mobility industry. With a variety of options available, it is worth discussing the best options that suit your situation with your local BHTA member retailer.

Insurance

There are many things to consider when thinking about insurance for your new mobility vehicle or wheelchair. There are insurance companies that provide dedicated insurance policies for mobility products. Some home contents insurance policies will cover mobility products, but it is always important to check that the cover is right for you.

Your home cover may pay for a replacement product if stolen but does it cover you for personal injury and public liability, for example, should you accidentally cause any damage with your mobility product or have an accident?

Your BHTA member retailer can advise you of insurance companies that provide specific mobility policies.

Extended warranty and service packages

Most wheelchairs and scooters when purchased new, come with a 12-month guarantee. Sometimes this may be longer, and there may be options for purchasing extended warranties and/or service and maintenance packages.

Your BHTA member retailer can discuss these options with you to help you make an informed decision about what’s best for you.

Helpful advice

BHTA publishes a number of guidance articles to assist consumers when choosing a mobility product. The articles contain useful tips on buying safely to help guide you through the process and point out questions to ask and things to consider.

Using a tourniquet: A guide to haemorrhage control pathway

Using a tourniquet: A guide to haemorrhage control pathway

The British Healthcare Trades Association (BHTA) has published a helpful guide on using a tourniquet. This advice is about the haemorrhage control pathway following a catastrophic bleed. It also contains important information about the different methods of treating a catastrophic haemorrhage depending on the severity and location of the injury.

Click below to view and download the PDF guidance.

Personal wheelchair budgets: An introduction to using your NHS wheelchair funding

Personal wheelchair budgets: An introduction to using your NHS wheelchair funding
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Since December 2019, people who access NHS wheelchair services in England now have a legal right to a personal wheelchair budget (PWB). A PWB is a resource available to support your choice of wheelchair, whether accessed within the NHS wheelchair service or utilising the funding they provide in the private sector. PWBs enable postural and mobility needs to be included in wider care planning and can support you to access a wider choice of wheelchair or accessories.

PWBs have replaced NHS wheelchair voucher scheme. They build on progress to offer personal health budgets (PHBs) to more groups of people and ensure people receive care that is right for them.

PWBs have been developed by NHS England’s Personalised Care Group to empower people and their families to have far greater control over their own care and break down barriers between health and social care.

‘It’s like my mum picking my clothes for me’

Wheelchair services tend each to have their own criteria to be met to supply a person’s basic mobility needs. Thus, a chair that can get you around on level pavements and in your home may be what you are offered but may not give you full access to the lifestyle you seek.

The aim of PWBs is to give the option to be able to upgrade your basic mobility option to one with extras that meet your broader needs. The PWB will have the value of the basic chair as a starting point, and this can be supplemented from your PHB, from your social services personal budget, from educational funds, from charity funds, and/or from your own personal funds.

As one client observed: “The wheelchair service option on its own was like my mum picking my clothes for me, whereas the PWB process treated me as an individual. It helped me feel more independent.”

The NHS England website has various blogs on it showing different benefits that different clients have gained from the extra options that their PWB has offered. These have included seat-raiser options to help the client get up to eye level with standing people, electric powered leg-lifters to handle swelling of the feet, lighter weight chairs than on the basic offer, better quality cushions or other accessories, etc.

Can I get my chosen solution outside the NHS?

In many parts of England, you can take your PWB to a manufacturer or retailer and get the solution you need. This does have an element of postcode lottery to it, as the details depend on where you live and your local wheelchair service’s policies.

A note of caution, though: The wheelchair services often have contracts with manufacturers where the price is lower than on the high street, but the choice will be limited to what is on the contract. Also, your local service may wish to offer a refurbished chair that has been returned from another client. If what the service offers meets your need, that’s great, but if it does not you can go to the private sector to supplement what the wheelchair service has to offer or for the complete solution.

You would be advised to go to a company that is a BHTA member. The BHTA is the first trade body within the healthcare industry to have a code of practice overseen by the Chartered Trading Standards Institute (CTSI). All BHTA members adhere to the Code of Practice ensuring you get appropriate advice and guidance about products that you may need to maintain independent living.

The NHS England website is also an excellent resource to give you more information, including answers to frequently asked questions. A number of these have been condensed into this article:

What can I expect with my PWB?

With a personal wheelchair budget, you should expect to have:

  • A personalised assessment where you are supported to identify the health and wellbeing outcomes you wish to achieve.
  • A care plan which captures the health and wellbeing outcomes identified, which may be part of any wider care plans you require for your care, for example, an education, health and care (EHC) plan.
  • Care that is better integrated, meaning that different agencies work together to support your postural and mobility needs and achieve your health and wellbeing outcomes.
  • Information provided upfront about the amount of money available in your personal wheelchair budget and the options available locally to you to use it.
  • Information about the repair and maintenance of wheelchairs, if the option to purchase a wheelchair outside of the NHS commissioned service is taken.

Who can get a PWB?

The PWB model is for people who have been referred to, and meet the eligibility criteria of, their local NHS wheelchair service and receive a face-to-face assessment with a clinician. People who are already registered with the wheelchair service are eligible when they require a new wheelchair, either through a change in clinical needs or in the condition of their current chair.

Note: Local eligibility criteria for wheelchair prescription vary, and these variations still apply.

wheelchair image

How much money will I get in my PWB?

The amount will be based upon what it would cost the NHS to meet your assessed postural and mobility needs via your wheelchair service. (Note: The amount varies from service to service.)

For those who have additional health and social care needs, the PWB could be pooled with funding from other statutory services, such as your PHB, your social care personal budget or your education support. (This needs to be agreed by all services involved as meeting the person’s assessed needs and is cost effective.)

Can I add additional funds to the money I get from my PWB?

Yes. You can contribute to the cost of your wheelchair. You can also choose to access non-statutory funding that may be available via voluntary support or charitable organisations, both nationally and locally.

What are my options for managing a PWB?

A PWB can be managed in the following ways:

  • Notional personal wheelchair budget: This is where you choose to use your PWB within the wheelchair service and the service purchases and provides the chair. This also offers the option for contributions to the PWB to enhance the wheelchair you can access.
  • Third-party personal wheelchair budget: This is where you choose to use your PWB outside of the wheelchair service, e.g. from a retailer or the manufacturer.
  • Traditional third-party personal health budget: where an organisation legally independent of both the NHS and the person holds the money and manages the budget. This could include provision of a wheelchair as part of a package of support.
  • Direct payment: This is where the budget holder holds the money in a bank account or an equivalent account, and takes responsibility for arranging the care and support, in line with the agreed personalised care and support plan. (Direct payments are currently not routinely available as an option for managing a standalone PWB.)

Note: Your local wheelchair service may have limitations on various of these options, such as requiring you to use service-approved third-party providers.

Will PWBs be available to everyone who has an assessment via their wheelchair service?

PWBs will not be right for everyone. Once you have been found to be eligible for a wheelchair, your healthcare professional will discuss with you the options for how this can be provided. Everyone should have an assessment focused on the health and wellbeing outcomes and goals they wish to achieve and have the opportunity to have their wider needs considered.

Note: It may not be clinically appropriate for someone with rapidly changing, or very complex needs, to use their PWB outside the wheelchair service as regular adaptations and changes may be required which would be likely to require close monitoring and adjustment. They could, however, be offered a notional budget. Such decisions will be made on a case-by-case basis, rather than using set criteria that restrict people who have certain conditions or diagnoses from accessing the full range of options.

If my wheelchair is purchased outside of the NHS wheelchair service, how is quality and safety checked?

As part of the care and support planning process, the PWB will need to be agreed by the responsible clinician involved in your care and that the wheelchair chosen is the correct specification to meet your assessed clinical needs.

BHTA independent supplier members sign up to a Code of Practice that gives a level of accreditation to give you confidence that you are dealing with people able to make appropriate decisions about meeting the aims of your assessment.

Does a PWB include the cost of assessing my needs?

No, in that PWBs do not change the duty on statutory services to assess a person’s needs for a wheelchair. A PWB is for the equipment only.

wheelchair image

Is repair and maintenance included in a PWB?

Yes. A third-party PWB and direct payment (where the money is spent outside the NHS) should include a contribution towards the repair and maintenance costs. If a notional budget is taken, repair and maintenance will be provided via the wheelchair service. If the notional budget includes contributions to the cost of extra features, such as a seat riser, then repair or replacement of these features may not be covered by the wheelchair service.

Who owns the wheelchair provided by a PWB?

People who take a third-party PWB become the owner of the equipment, whereas wheelchairs accessed via a notional PWB remain the property of the NHS. Where there are multiple funding streams involved, the ownership of the wheelchair needs to be agreed locally on a case-by-case basis.

Does a PWB cover items such as seating cushions, accessories and harnesses/ belts?

If you choose to use your PWB outside of the wheelchair service and your assessment indicates the clinical need for accessories (this could for example include specialist seating or pressure-relieving cushions), then the NHS has a duty to provide these either as part of the PWB, or via the wheelchair service.

How do I access NHS wheelchair provision?

NHS wheelchair service provision is accessed via a referral from a healthcare professional. This could be obtained through consultation with your GP or issued via a therapist that you work with.

What to consider when buying a stairlift: A guide to help you make the right decision

What to consider when buying a stairlift: A guide to help you make the right decision

There are currently over 23 million households in the UK, many in buildings more than 50 years old and most of which contain steps. This isn’t a problem when you have no difficulty climbing stairs, but if – for whatever reason – even a couple of steps becomes a major barrier or physical hazard, your own home can suddenly quite seriously disable you.

When this happens, you are left with four choices: do nothing, all too quickly losing the ability to live independently in your own home; you can re-organise the house in order to live and sleep downstairs; you can move to a bungalow or ground floor flat; or you can install some form of domestic lift, such as a stairlift or a through-the-floor lift. This last option is likely to be the least distressing, the most practical, and financially prudent means of ensuring you retain as much independence as possible.

Stairlift image

Choosing your stairlift

Who to turn to?

When installing a domestic lift, your first move should be to get an independent assessment of your daily living needs by a BHTA stairlift member. Occupational therapists (OTs) and other healthcare professionals can often offer independent advice, not only on potential access solutions, but also on the variety of grants and funding options that may be available to help with the cost, which will be financially means tested.

Independent Living Centres can also help. This discussion will help you to decide how best to solve your problems, and you’ll be in a much better position to get the support and facilities you need.

Access options

Domestic lifts, such as a stairlift or a through-the-floor lift, come in a variety of forms; your final choice ultimately depends on your own particular needs and situation. There is a misconception that many people think that stairlifts are fixed to the wall. All stairlifts are fixed to the stairs, not the wall.

Fixed stairlifts are powered mechanisms mounted on stair-fixed tracks, which follow the line of the stairwell (so can be either “straight” or “curved”). A majority of these are used by people who can walk but find stairs a problem; the user is normally seated during transfer, although some models allow you to perch or stand, which might be preferable if you have difficulty bending your knees.

There are also fixed stairlifts with a wheelchair platform, but although the platform usually folds up against the wall, they do take up a lot of room and many domestic stairwells may not be broad enough.

A through-floor or homelift may be ideal if you are able to stand or sit and come in compact or wheelchair accessible sizes.

Naturally, building work is involved to create the aperture for a lift, but your homelift provider will be able to take care of that for you. Homelifts are more expensive than some stairlifts.

Short rise lifts are ideal for coping with small changes in floor level – at a front step or in a split-level hallway – where there is insufficient space to put a ramp. Some structural work may be required to ensure that the main mechanism is sunk below ground level.

Making your choice

The value of a professional assessment by a local BHTA stairlift member cannot be over-emphasised, as there are lots of questions that need to be answered before you can proceed. For example:

  • If you opt for a stairlift, will you prefer to sit (the most common option), perch, or stand (if you can’t bend your knees)?
  • Do you need lift-up armrests and a swivel seat to ease access?
  • To what extent will the width and angle of your stairs dictate the range of equipment you can install?
  • Do you find it easier to use joysticks and toggle controls as opposed to buttons and switches?

Further points to ponder

Your physical condition could deteriorate, so it may be wiser to consider installing a through-the-floor lift so that, in the future, it can accommodate a wheelchair.

You need to take into consideration the home environment, not just in relation to the physical things like doors, bulkheads, and radiators, but also family members, pets, and visitors.

Make sure a stairlift covers the whole length of the staircase if you’re buying second-hand; one that covers 11 stairs in one house might only cover 10 in yours.

All installations should be carried out by a manufacturer-trained engineer. It is advisable not to use untrained staff for installation.

Check whether the company you’re dealing with is a member of the BHTA. All BHTA members commit to a Code of Practice, approved by the Chartered Trading Standards Institute. The code sets out the levels of service you can expect from the company.

Wheelchair user looking at documents image

What to look for?

Choosing the right stairlift will make a great deal of difference to your comfort and confidence in using it. There are various aspects to consider and products designed to suit different needs.

Your house

Stairlifts can be fitted to most properties. If you have a curved, spiral, or unusually shaped staircase it may be possible to install a more specialist product. Outdoor steps and stairs can also be accommodated. These come with water-resistant components and covers protecting them from the elements.

The shape of your stairs

Straight stairs

All manufacturers make lifts for straight stairs, so there are many models to choose from.

Stairways which turn at the top for a few steps

You might feel able to get off the lift and walk up the last few steps, but you need to decide if you are likely to be able to go on doing this. If you need to travel the entire way to the top of the staircase, you may need to consider a curved stairlift from the outset. Always seek advice from your stairlift installer if you are unsure of the right model for your application.

Curved stairs

Curved stairlifts are made bespoke to the staircase and, in some cases, can even be fitted to spiral stairs.

The size of your stairs

You always have to think about how much room you need for your knees or feet to accommodate you on a stairlift in a seated position. It is worth talking to a specialist BHTA member, as there are variations between models and they can guide you through the assessment.

Doorways

If there is a door close to the bottom of the stairs, the stairlift may have to travel across it. To avoid everyone using the door and stepping over the rail, most lifts have folding rails as an optional extra, which lift the rail up and out of the way. Changing the stairlift to the opposite side of the staircase may be another solution.

The top of your stairs

In most houses, there is enough space at the top and bottom of the stairs for getting on and off the lift comfortably. In some houses, you have to be careful not to bang your knees on radiators or other obstructions. Consider removing any obstructions (radiators may be re-sited or replaced with smaller models for convenience). Seek advice from your stairlift installer.

You can park the lift at the top or the bottom because you can send it back up or down the stairs once you have got off. Some curved lifts can also have intermediate park points.

You

If you use a wheelchair, you need to be able to transfer on and off a stairlift seat and to sit in it safely. If you cannot transfer, you will need to think about a stairlift with a wheelchair platform or a vertical lift.

Comfort

Stairlifts need to be comfortable to sit on. All the models come with a safety belt that you should always use. If you have stiff limbs or difficulty bending your knees, it may be easier to choose a lift with a footrest you stand on and a perching stairlift, which has a small, high seat or ledge to give support during travel. You may consider a downward facing seat.

Folding the stairlift

If other people use the stairs and you have a narrow hall and landing, you will probably need to fold the lift up when you are not using it. The armrests and footrests fold on all models with seats. The seats fold too on most models, although, on some, only the front section of the seat flips up.

Getting on and off

How easy it will be to get on and off a stairlift is affected by the height of the seat and the amount of space in your hall and landing, so seek advice from your BHTA stairlift member company, which will recommend the best solution for you and your stairs.

As a guide, your minimum seat height should be the distance from the crease at the back of your knee to the floor. Some models have adjustable seat heights, and some will have a one size fits all.

Armrests

All stairlifts with a seat have two armrests. All armrests lift up to fold back. These can be raised separately to assist you when transferring or standing up. This is particularly helpful if you are transferring across from a wheelchair.

Your BHTA specialist will give you helpful advice and user tips when carrying out an assessment.

Stairlift image

Swivel seats

Swivel seats help, because you can swing round to face away from the stairs and towards the landing. The swivel is operated by levers which are usually on the side and just below the seat cushion. The size and shape of these varies. Some manufacturers offer a powered swivel option.

Controls

Stairlifts usually have two controls – one to switch the power on and off, and one to make the lift move up or down. Most up/down controls are either operated by a joystick or pushbutton, dependent on the model.

On stairlifts the controls are usually on the armrest – either on the top or on the end; but make sure that it is not where you might accidentally switch it on when you are getting on or off the stairlift. This can be a problem if your hand slips easily or if you make involuntary movements.

On standing and perching lifts, the controls are on the guard rail or on the armrest – you can reach them when the seat is folded up. You do have to press the up/down control continuously while the lift is moving – if you don’t it will stop.

Most lifts are supplied with wall-mounted call and send switches at the top and bottom of the stairs. Some manufacturers and suppliers provide handheld and remote call and send switches with their lifts.

Safety belts

All stairlifts are supplied with a seat belt. Some are retractable belts, and some are lap straps. Most manufacturers also offer a harness option.

Diagnostic lamps or displays

Diagnostic lamps or displays can guide you should the lift not operate correctly. This is especially helpful when contacting the service engineer. Many simple issues can be resolved over the phone saving on callouts.

Installation

The lift can be installed quickly if you are buying directly, using your own money. But it can take several months if you are waiting for a grant.

Installation itself is usually done in a day. You might not be able to use the stairs while the work is being done. Installation will need a power socket so that the stairlift can remain plugged in or wired directly to the spur socket and must remain switched on at all times.

What is involved?

Homelifts and vertical through-floor models will need building work, and this needs to be considered as part of the planning before installation.

If you buy a stairlift direct, the manufacturer or distributor will deliver and install it. This will include all electrical work and the removal of any obstructions on the stairway, such as a handrail. Ask the installer what alterations will be needed, and who will be responsible for them, including any making good.

Neat fitting

The running rail for most stairlifts is fitted directly on to the stair treads, so holes have to be made through the carpets. Decorations are affected where the controls are fitted to the walls.

Getting it right

The installer will show you how to operate the stairlift and make sure that you can manage it and that you are comfortable on it. He/she should make any necessary adjustments. Make sure that your feet fit on to the footrest and that it is a comfortable distance from the seat.

You should be given written instructions and a telephone number to use if you have any queries or problems. It’s a good idea to stick the number on the lift.

Safety

Any stairlift should meet European Standard BS EN 81-40 as well as the relevant European CE marking. Through-the-floor lifts should meet British Standard BS5900, which covers the installation and the use of powered homelifts.

European Standard BS EN 81-40 requires a number of safety features:

  • Delay mechanism: After you push the start control, the lift waits a few seconds before moving off, to make sure you are ready.
  • Overspeed governor: Stops the lift going too fast (not more than 0.15m every second).
  • Obstruction sensor: Automatically stops the lift if it touches any obstruction on the stairs.
  • Lockable On/Off switch; This is particularly useful if children are around.
  • Flame retardant fabric: All the stairlifts with upholstered seats have flame retardant fabric and plastics for body covers.

Money matters

A stairlift is one of the more significant pieces of equipment you are likely to buy to make your house easier to live in. If you do not have the funds yourself, there are different ways to access grants or other financial help.

Grants

Grants image

Grants are available through local authorities for house adaptations and equipment. The main sources are: Disabled Facilities Grant (DFGs) in England, Wales, and Northern Ireland  or an Equipment and Adaptations Grant in Scotland. You must apply before buying the stairlift and starting any work.

DFGs are available to disabled people who own or rent their home. They can also be paid to landlords on behalf of tenants. The grant is means-tested, so the amount paid depends on your income and savings. The authority pays the grant but has to consult the social services department to find out if you need the adaptation or equipment and whether it will be appropriate for you. The whole process can take some months and can be subject to a priority waiting list.

DFGs may be mandatory or discretionary. If the work is essential for you to be able to move around your home, you will be considered for a mandatory grant. You may qualify for a grant if your disability makes climbing the stairs virtually impossible and if you need the stairs to reach an essential facility such as a bathroom.

At the time of publishing this article, the latest information about grants and repair assistance is available at the following web addresses:

Housing association grant

If you live in housing association property, you may be eligible for the grants described above. Alternatively, a grant can be paid to the housing association if you are assessed as needing an adaptation or equipment.

In England and Wales, grants are available through the Housing Corporation; in Scotland through Scottish Homes; and in Northern Ireland grants come direct from the Department of Environment, Northern Ireland.

Social services

If you do not qualify for a grant, or it does not cover the full cost of your stairlift, and you cannot afford the sum required, you might consider approaching social services for some assistance.

Charities

National and local fund-giving bodies and charities may be able to give you financial help. Local libraries have directories of these. The Disabled Living Foundation publishes a free fact sheet on sources of finance for disabled people.

Value Added Tax

You may not have to pay Valued Added Tax (VAT) if you are buying a lift for your own use or you may only have to pay a reduced VAT rate of five percent. You do not have to be registered disabled. The supplier will give you a form to complete if you are eligible.

Maintenance

All new lifts come with a minimum guarantee of 12 months. This covers the cost of parts, labour, and callouts. Most firms supplying second hand lifts give a six- or twelve-month guarantee. Beyond that, the main types of aftersales support are:

Servicing

As recommended by British safety standards, it is imperative that your lift is serviced annually. This safety check is very important, as it can identify if the lift safety features are all working correctly, and bolts and fittings are tightened and checked.

Fully comprehensive extended warranty

This is generally an extension of the guarantee. The cost varies between companies and according to how many years you opt for. This cover includes parts, labour callouts, and servicing checks.

Service only

This is a cheaper alternative to an extended warranty. It may be the only option available for lifts bought second hand. You book a service, once a year. The cost covers labour, but you have to pay for any replacement parts.

Emergency callouts

If the lift breaks down and you don’t have a maintenance contract, you will need to call out the manufacturer, retailer, or a repair firm. Typical costs will be comparable to a plumber or electrician’s callout charge, excluding parts. Before taking on any type of maintenance contract, check what it includes and hours of callout availability.

Stairlift user image

Paying for servicing

Depending on where you live and how you buy your stairlift, you may be able to get help with servicing costs from your council, registered social landlord, or social services. This is dependent on local policies, but it is worth making enquiries before you enter into any service agreement. Check if you are required to pay for any maintenance work if the lift is supplied as part of a grant.

Insurance

The warranties offered by stairlift firms cover the lift only for mechanical failure. If you want cover against accidental damage, and things like fire, theft, or flooding, you will need to take out insurance on the lift.

Insurance companies vary in whether they insure stairlifts under contents or buildings policies, or indeed at all. Always tell your insurance company when you are having a stairlift installed.

If your local authority is responsible for the stairlift and for servicing, it might also pay for insuring it.

Specialist insurers are able to give specific policies for stairlifts. Information on these can be acquired from your stairlift supplier.

Help is at hand

Disabled Living Foundation (DLF)

A national charity providing independent advice on mobility aids, disability aids, daily living equipment. Certified as a producer of reliable health and social care information.

Telephone: 0300 999 0004

www.dlf.org.uk

Living Made Easy

Offering clear, practical advice, this is a website that lets you read reviews of products and add your own comments.

www.livingmadeeasy.org.uk

Royal College of Occupational Therapists

Tel: 020 3141 4600

www.rcot.co.uk

Research Institute for Disabled Consumers (RiDC)

An independent research charity providing free practical and detailed guidance for older and disabled consumers. RiDC has an online guide to choosing and buying a stairlift.

Telephone: 020 7427 2460

www.ridc.org.uk