Professional referrals

Specialist Posture and Wheelchair Support for Case Managers

Independent specialist assessment, clear clinical reasoning and coordinated equipment support for people with complex disability or changing long-term needs.

Illustration representing coordinated professional referrals

Specialist input within the wider case plan

Complex posture, seating and equipment needs rarely sit in isolation. They may affect care, mobility, housing, transport, education, work, family routines and longer-term planning. We work with case managers to define the clinical question, assess the individual and provide recommendations that can be understood by everyone involved.

Our role is clinical. We contribute specialist assessment and equipment reasoning while the case manager retains coordination of the wider plan and treating clinicians retain responsibility for their own areas of care.

Illustration representing specialist clinical assessment

Referral circumstances

Referrals may involve catastrophic injury, complex disability, long-term rehabilitation, changing function or equipment that no longer meets need. Input can be focused on a specific question or form part of a broader 24-hour posture management review.

  • Wheelchair seating and mobility assessment
  • Postural assessment across sitting and lying
  • Equipment review, specification and trials
  • Clinical reassessment following change
  • Clear clinical reporting and justification
  • Liaison with families, clinicians and suppliers
Illustration representing clear clinical reporting

Assessment, reporting and equipment trials

The scope, stakeholders and reporting requirements are agreed at referral. Assessment considers the person’s priorities, clinical presentation, environments, current provision and the outcomes being sought. Where equipment options need to be explored, trials can be planned with appropriate suppliers and members of the wider team.

Reports aim to set out relevant findings, options considered, recommendations and the clinical reasoning behind them. Recommendations remain proportionate to assessed need and practical use; cost is considered, but not in place of clinical suitability.

Illustration representing continuing case review

Communication and continuing review

Good communication reduces delay and duplication. With consent and an agreed remit, we liaise with the individual, family, carers, treating teams, commissioners and suppliers so that responsibilities and next steps are clear.

Review can be planned after provision or when growth, health, function, living arrangements or care needs change. This supports long-term decision-making and helps identify when adjustment is sufficient and when a fuller reassessment is needed.

Enquire

Discuss a professional referral

Share the clinical question, intended scope and relevant circumstances. We can confirm whether Wheel of Health is an appropriate service for the referral.