The EAT service will work with the user to provide access to their computer when the standard interfaces are difficult or inoperable. There are a range of solutions which give control of the device back using alternative interfaces.  Some examples of how a computer can be set up include:

• Alternative keyboards: this could be a keyboard with larger keys, a guard over the keys or one on the screen of the computer.
• Alternative Mice: there are alternative mice options for hand control but also for operation using other parts of the body. For example roller ball mice can be used with the hands or feet, there are options for head control and eye control of a computer.
• Voice operation:  software options that enable the user to control the computer using their voice.
• Software: there are options for software to be installed to adapt the way the computer works and changes the way it can be controlled.
• Switch operation: accessing the computer using a single switch, employing methods of scanning the items on the screen.

A computer can be a desktop or laptop or a smartphone or tablet. When referring into the service it is important to include what device is to be used as this helps in the assessment process.

The team will work with users on their own device, the NHS do not fund the provision of a computer.

The EAT service will ensure the user is shown how to use the equipment to access the computer, however it is not possible for us to train the user on how to use the computer (for example to use Windows or the Apps on the iPad. The criteria state that the user must understand how to use a computer or have support locally to learn.

Environmental control enables operation of a range of electronic and electrical devices via remote control. These systems range from being very basic with only a few functions to very complex systems. Each is tailored to meet the needs of the user which is determined through the specialist assessment conducted by the clinical team.

Examples of equipment that can be operated include:

• Intercoms
• Alarms
• Pagers
• Telephones
• Electric Beds and Chairs
• Home Entertainment Equipment
• Lights
• Smaller Electrical appliances such as lamps, fans etc.
• Door locks and openers
• Curtain openers

The needs of the user will be examined at the assessment with the clinical team, and a recommendation made for equipment. The control of the appropriate functions is often set into a single controller; the method of accessing this controller is tailored to meet the physical ability of the user.

Not all functions are funded through the NHS and alternative funding and provision through other agencies has to be sourced. These include:

• Door, window and curtain openers.
• Page Turners
• Building adaptations
• Electrical, joiner/ carpentry or other minor adaptation
• Telecare Equipment

The Electronic Assistive Technology Service consists of a multi-disciplinary team. The team is as follows:

Clinical Scientist & Service Lead

• Jemma Newman

Occupational Therapist's

• Rebecca Curtis
• Andrea Hollands

Clinical Scientist

• Bernadette Deere (Trainee)

Technicians

• Paul Jones
• Rob Bradley
• Hywel Morris
• Tony Scarlett
• Jonathon Andrews

Administrative Assistants

• Nicola Atwill
• Lucy Quick

Urogynaecology and Pelvic Reconstructive Surgery

The department of Urogynaecology & Pelvic Reconstructive Surgery offers coordinated, holistic care to cover all the aspects of female urinary incontinence and utero-vaginal prolapse. The unit is accredited by the British Society of Urogynaecology (The British Society of Urogynaecology (BSUG)) receiving recognition for the high standards of care provided to women with pelvic floor problems.

We offer a comprehensive range of treatment options from conservative treatments to advanced surgical procedures if appropriate (including keyhole surgery). Treatments are delivered by a dedicated team of doctors (surgeons), specialist nurses and pelvic health physiotherapists.

There is a nurse led pessary service for women requiring fitting, insertion, or changes and for those encountering pessary problems. 

Conditions treated include:

• Female urinary incontinence
  • Stress incontinence: leaking with activities.
  • Overactive bladder: urgent need to pass urine, frequent trips to the toilet and getting up at night associated with or without urinary leakage.
• Painful bladder conditions
• Utero-vaginal prolapse
  • Cystocele: Prolapse of the front wall of the vagina
  • Rectocele: Prolapse of the back wall of the vagina
  • Uterus: Prolapse of the womb
  • Vault: Prolapse of the top of the vagina after a hysterectomy

We work closely with the departments of urology and colorectal surgery in complex pelvic floor problems involving the bladder and bowel.

Useful links and further information

• British Society of Urogynaeology (BSUG)
• International Urogynaecological Association (IUGA)
• The Royal College of Obstetricians and Gynaecologists (RCOG)
• International Continence Society (ICS)
• Bladder and Bowel Foundation
• Patient Health Information
• Information about pelvic floor exercises produced by our physiotherapists including a useful video. Pelvic floor exercises for women | North Bristol NHS Trust

© North Bristol NHS Trust. This edition published January 2025. Review due January 2028. NBT003773

GNC Number: 6106690

Year of first qualification: 2000, Turin Medical School

Specialty: Plastic and Reconstructive Surgery 

Clinical interests: Malignant Melanoma, Non Melanoma Skin Cancers, Sentinel Lymph node Biopsy, Post MOHS Reconstruction

Secretary: Rachael Jones

Telephone: 0117 414 7603

Email: Rachael.jones@nbt.nhs.uk

GNC Number: 6027153

Year of first qualification: 2001, University of Southampton

Specialty: Rheumatology

Clinical interests: General rheumatology, early inflammatory arthritis and connective tissue diseases

Secretary: Pamela Stone

Telephone number: 0117 414 2851

Dr Lynsey Clarke is involved in all aspects of adult rheumatology.

Dr Clarke has particular interests in early inflammatory arthritis and connective tissue disease.

She is a member of the British Society for Rheumatology and the Royal College of Physicians.

We hope that you are pleased with the service you have received and that you never have reason to feel concerned about our services. However, if you do have an issue, the best thing to do is speak with a senior member of the team, either the Senior Nurse in charge or the Matron on duty. If you do this as soon as possible we can hopefully resolve the matter immediately. We understand that you may not feel comfortable doing this, or it may not be the right time. In which case, please contact the Patient Experience Team.

A concern

You may not wish to raise a complaint but would like us to be aware of an issue and try to make it right. In this case, our Patient Advice and Liaison Service (PALS) will deal with your concerns and try to resolve these for you as quickly as possible.
To raise a concern, you can:
• Complete the form selecting ‘raising a concern’
• Pop in to see the PALS team in the PALS office (Frome Room), Monday to Friday from 09:00 to 12:30, Gate 18, Brunel building, Southmead Hospital – outside of these hours please call and leave a message or email us and we will contact you within two working days.
• Email pals@nbt.nhs.uk
• Call 0117 414 4569

A complaint

If you are unhappy with the treatment or service you have received and you would like this to be formally investigated and responded to, you have the right to make a complaint. Making a complaint helps us to see where we can improve and make positive changes.
Please note the complaints process takes around 35 working days.
To make a formal complaint you can:
• Complete the form selecting ‘making a complaint’
• Email complaints@nbt.nhs.uk
• Call 0117 414 4567 
• Write to:
Complaints Team,
Beaufort House,
Southmead Hospital
Bristol
BS10 5NB

If you wish to see a copy of the complaints policy, please contact pals@nbt.nhs.uk

Healthwatch

Healthwatch Bristol, North Somerset & South Gloucestershire is your local, independent health and social care champion. If you use GPs and hospitals, dentists, pharmacies, care homes or other support services, they want to hear about your experiences.  

Healthwatch has the power to make sure NHS leaders and other decision makers listen to your feedback and improve standards of care. They also help people find reliable and trustworthy information and advice. Share your views by completing a feedback form based on the area you live in. Healthwatch collect demographic information but your personal details will never be passed on to any service without your consent.

www.healthwatchbristol.co.uk/share-your-views

www.healthwatchnorthsomerset.co.uk/share-your-views

www.healthwatchsouthglos.co.uk/share-your-views

Wheelchair Services

Accredited Referrers Only:

A user guide is attached which will assist you in navigating the format.

The new personalised referral form and password will be accessible by emailing: wheelchairs@nbt.nhs.uk  – please make any referrals using this method and we will process these requests.

Further information

If you have any questions regarding the system/format, please contact the Wheelchair service on 0117 414 4900 or by email at: wheelchairs@nbt.nhs.uk.

Who can refer a client to the wheelchair service?

Which Referral Form should I complete?

Who is eligible for a wheelchair and related seating from Bristol Centre for Enablement?

Are electrically powered wheelchairs available? Yes, under the criteria as below.

What about the client’s environment?

Do you provide any additional equipment for private wheelchairs?

Do you provide headrests and trays?

What is NOT provided by the Wheelchair Service? 

Do you provide ‘lightweight’ wheelchairs?

What is a Personal Wheelchair Budget?

How long does it take to get a wheelchair?

For more information

A Personal Wheelchair Budget (PWB) is a scheme offered to provide a wider choice for wheelchair users. At your assessment you will work with a clinician to identify what you want to achieve with your wheelchair. If the clinician identifies that a new wheelchair is required you will be prescribed an NHS wheelchair and be told the cost of this provision. This is your Personal Wheelchair Budget. You have the following choices on how to use your PWB:

NHS Provision (Notional)

Accept the wheelchair prescribed to meet your needs. The wheelchair will remain the property of the NHS.

Cost to you: No cost to you.

Repairs/maintenance: Provided by Bristol Wheelchair Repair Service.

Top-Up Alternative Wheelchair

You can upgrade to an alternative model of wheelchair within the NHS range. The wheelchair will remain the property of the NHS.

Cost to you: Cost difference between NHS provision and the model that you choose.

Repairs/maintenance: Provided by Bristol Wheelchair Repair Service.

Top-Up Accessories

You can add additional features to the wheelchair provided with guidance of the clinician. The wheelchair and any additional features will remain the property of the NHS.

Cost to you: Cost of any ‘add on’ features.

Repairs/maintenance: Provided by Bristol Wheelchair Repair Service but you will incur a cost for any repairs for the additional features (including call out and labour charges).

Third Party PWB

You can choose a model of wheelchair outside of the NHS range, provided it meets your identified needs, from an independent mobility provider.

Cost to you: Cost difference between NHS provision and the model that you choose.

Repairs/maintenance: You will own the wheelchair and will be responsible for any repairs or maintenance required.

Frequently Asked Questions

A PWB will be in line with expected life of equipment; a typical adult wheelchair lasts 5 years, a typical children’s wheelchair or buggy will last 3 years due to expected growth of the child. A new PWB within this period will not be issued unless there are significant and unpredicted changes in your needs which will need to be agreed by a clinician at a further assessment.

All equipment prescribed by the NHS will be new or ‘as new’ refurbished by manufacturer.

Do I need an appointment?

Yes – A clinical assessment is essential to the process of identifying your needs and the value of your Personal Wheelchair Budget (PWB).

What happens after the appointment?

The required paperwork will be sent to you detailing your final PWB calculation and how to proceed.

PWB - Top-Up

Who pays for the Top-Up contributions?

Essentially you, but you can investigate financial assistance from charities or other organisations.

How do I make a payment for the Top-Up PWB?

Currently payment by cheque or by telephone to the Cashiers Office at North Bristol NHS Trust. Details available upon request.

PWB - Third Party

When can I purchase my wheelchair with the third party PWB?

No payments should be made to any supplier until the service has approved the supplier specification.

How do I pay for my wheelchair with the third party PWB?

We pay the chosen supplier the value of the PWB. You will need to pay the supplier any additional costs.

Does the PWB cover the cost of my choice of wheelchair through the Third Party Scheme?

In some cases the PWB does not cover the whole cost of an alternative wheelchair from a supplier. Additional funds may be required as above.

If you or the individual you are caring for need support reading this leaflet please ask a member of staff for advice.

How to contact us:

Bristol Centre for Enablement
Highwood Pavilions
Jupiter Road
Patchway
BS34 5BW
(Sat Nav postcode BS34 5SP)
0117 414 4900 (9:00am-4:30pm)
wheelchairs@nbt.nhs.uk

© North Bristol NHS Trust. This edition published July 2021. Review due July 2023. NBT003393

How long does it take to get a wheelchair?

What happens if my condition changes and/or the wheelchair no longer meet my needs?

What is a ‘Personal Wheelchair Budget’?

Could I have a tray for my wheelchair?

Could I have a headrest?

I have a private wheelchair; can the NHS provide me with a cushion?

If I do not meet the criteria for wheelchair provision via the NHS, what can I do?

How do I know my e-referral has been received by the Wheelchair Service?