QUOTE (allister @ Sep 14 2009, 06:09 PM)

Hi Clara,
The waiting list for a NHS wheelchair services waiing list appointment is 6 - 9 weeks.
You'll see an OT who will ask why you need a chair, and whats it to be used for. )Pretty dum questions really)
He'll then offer what they class as "meets basic needs" Probably like they did for me, an Invacare Action 3.
Its heavy, uncomfortable, moves and handles with as much finess as a house brick!
If (as I know you will) decline it,they'll tell ou about the voucher scheme.
Basicly they'll give you a voucher for the value of the chair they offered, say £300.00 and in my local NHS trust,
they'll also put up half the cost of the chair you pick from their approved supplier.
However, they will not pay toward optional extra's on a chair like spinergy wheels, non standard paint finishes - upholstry-frog legs casters.
Example , the chair I'm in the process of ordering, a Topend Crossfire T6 topped the scales at £2995.00.
Nottinghamshire PHCT will cough up £300 + £1250. They won't give me half because of non standard fittings; frog legs and spinegy spox wheels. and retractable push handles.
Go along to Bromakins, and Peter will measure you if you want a GOOD chair custom build, or have alook at the "off the shelf" range with standard fit sizes.
They also carry a small range of Trade-ins , which you could easily make look new in half a day.
Al x
This "meets basic needs" crap is something that nobody who will use a chair 24-7 should ever consider. It's ludicrous. Those things are detrimental to your health (as if the SCI wasn't bad enough). Simply put, the more weight and bulk you have to push all day, the worse it is for your joints. The "basic needs" chairs are generally much heavier, and much more difficult to handle than a good chair. Also, NHS (UK), and the insurance companies here, fail to consider is that "meets basic needs" chairs do not meet basic needs of those who will use them 24-7. The "meets basic needs" chairs are not designed to be used and pushed 24-7 by the user. They are designed to be pushed and loaded by a caregiver most of the time. The differences in design are caused by differences in intended uses. Lighter chairs were developed for those of us who will use (propel and load/unload) them all the time. The heavier ones (now that we can make lighter ones) are left as cheap options for those who will have somebody pushing them. I think if you take a ride in one of the "meets basic needs" chairs for about 10 minutes, and then get into a chair meant for daily independent use, you will see and feel the difference for yourself quickly. Another piece of advice, NEVER skimp on your cushion. Get what you need. Don't let anyone talk you into anything short of the best for you. Avoiding pressure sores is worth it. As for height of the user, there are tons of options. Many of the chairs have somewhat adjustable backrest heights as well. I use a pretty short back, as I'm not in the chair except for going from couch to office chair, office chair to pickup, etc. If somebody spends more time in the wheelchair (using it as the primary chair for everything) then a higher setting back will usually be preferred. Of course, at 6'7", any backrest would likely be taller than mine...I'm only 5'9". lol
There's a 6-9 week wait to get a chair fitted and ordered?? And people wonder why I'm against the fed govt running healthcare. My state rehab agency, on the other hand, paid the whole price of my $5,800 (3,538 British pounds) QuickieGTi after only a 3 day wait to fit and order (once I let my agency counselor know I needed one). The thing is, the SPOX and the froglegs can be justified here (when the state is paying...not with medicare, and not with insurance either), especially for help with back pain and shoulder problems (shock absorption and light weight). "Non-standard" fitting is what having chairs like the Crossfire and the GTi is all about (In the US, standard sized are in 2-inch increments. 14inch, 16, 18, etc. Quickies, etc come in odd inch measurements that are considered "non-standard."). How about those "non-standard" upholsteries? Does that mean that if you need a J3 type of back, you have to buy it on your own? It's ridiculous to say "We're going to pay for the absolute basics, and if you need something different (for back support, back pain relief, spasm prevention, or just overall joint wear prevention), you're on your own." So can cushions not be justified for payment there, either? If one needs a Roho cushion, would it not be paid for by the healthcare system? And if froglegs aren't even paid for, how can you get custom-built chairs paid for? I'm probably missing something (or lots of somethings) here, so if you wouldn't mind filling me in, I'd appreciate it. Always happy to learn.