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The largest part of the work of the surgical appliance service deals with the supply, adaptation and repair of footwear. This work is carried out by an orthotist or a trained orthotic technician who will measure the patient and advise on the best course of treatment for the particular condition.

The following list shows the types of items supplied and gives an indication of the frequency of replacement for those items.



  • One pair of prescribed footwear will be issues on the basis of clinical need.
  • Within six months, and provided the first pair is satisfactory, a second pair of prescribed footwear will be made and supplied.
  • Thereafter, footwear will be replaced when necessary to ensure the patient has two pairs in good condition.
  • New shoes will only be issued to replace worn out footwear and will not be issued automatically annually.



  • All non-specialist repairs, i.e. to heels and soles, must be carried out by a commercial repairer and will not be carried out by the Trust.
  • The Trust will repair footwear only if a complex adaptation to the sole or heel has to be made.

If you are unsure whether you qualify for repair of your item, please contact the surgical appliance officer who will be able to advise you.


Adaptation to Patient’s Own Footwear (Raises)

  • The maximum entitlement is two in one year.
  • Raised footwear will only be repaired by the Trust if the shoe also has complex orthopaedic adaptations.


Children (Paediatrics)

  • A maximum of three pairs of Piedros or custom made shoes will be supplied annually unless directed by the referring consultant.
  • Insoles – up to three pairs annually will be supplied.

All paediatric cases should be regularly reviewed by their consultant or a physiotherapist to evaluate the effectiveness of the treatment.


If you are unsure about any of the times listed above, please contact the surgical appliance office for advice.


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