S l i d e AMPUTATION CLAIMS TRENDS

S l i d e AMPUTATION CLAIMS TRENDS & SOLUTIONS Mark Burton & Stephen Foster 1 February 2018

a d e r B l a c k INTRODUCTION

e n t s ted Kingdom) Contents Introduction Lower limb tech Upper limb tech Osseointegration Legal review Claims inflation Tactical rehabilitation management Conclusions 3

a d e r B l a c k LOWER LIMB TECH

d ted Kingdom) C o n t e n t Lower Limb Prosthetics Rapid developments in the industry • The past - mechanical limbs…. . • The present – hydraulic microprocessor limbs 5

d ted Kingdom) C o n t e n t Current Products on the Market Lower limb above knee amputation Genium X 3 Genium (non-waterproof) Life cycle – 6 years 6

d ted Kingdom) C o n t e n t Current Products on the Market Lower limb above knee amputation C-Leg 4 Life cycle 6 years 7

d ted Kingdom) C o n t e n t Current Products on the Market Lower limb below knee amputation Empower foot Life cycle 6 years 8

d ted Kingdom) C o n t e n t Current Products on the Market Lower limb below knee amputation Meridium ankle / foot prosthesis Life cycle 6 years 9

d ted Kingdom) C o n t e n t Current Products on the Market Lower limb below knee amputation Triton ankle / foot prosthesis Life cycle 6 years 10

d ted Kingdom) C o n t e n t Current Products on the Market Through Hip amputation Helix hip prosthesis Life cycle 6 years 11

a d e r B l a c k UPPER LIMB TECH

d ted Kingdom) C o n t e n t Basic prosthetics • Passive arm cosmesis • What is it? • Pros & cons • Body-powered prosthesis • What is it? • Pros & cons 13

d ted Kingdom) C o n t e n t Advanced prosthetics • Myoelectric prosthesis – What is it? – Pros & cons • TMR (Targeted Muscle Reinnervation) – What is it? – Pros & cons 14

a d e r B l a c k OSSEOINTEGRATION

d ted Kingdom) C o n t e n t Osseointegration • • 16 What is it? Process Suitability Rehab

d ted Kingdom) C o n t e n t Osseointegration • • 17 Benefits Drawbacks Costs The future

a d e r B l a c k LEGAL REVIEW

d ted Kingdom) C o n t e n t Issues • Compensation principle vs reasonable need 19

d ted Kingdom) C o n t e n t Approach • Miller v Imperial College Healthcare NHS Trust (2014) 20

d ted Kingdom) C o n t e n t Strategies • • 21 Liability & con neg Settlement timing Experts Prosthetics Inter-dependent losses Synchronise Future chances PPOs

a d e r B l a c k CLAIMS INFLATION

d ted Kingdom) C o n t e n t Case study • Super-inflation contingency • Adverse impact on exams & career • London property model 23

a d e r B l a c k TACTICAL REHABILITATION MANAGEMENT

d ted Kingdom) C o n t e n t Problems • Fait accompli • Case manager • Rehab Code 25

d ted Kingdom) C o n t e n t Solutions • • 26 Alternative rehab models Trade your funding Agree ground rules Second opinions

a d e r B l a c k CONCLUSIONS

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