What does this service provide?

Who we are

We are a multi-disciplinary team consisting of orthotists and physiotherapists.

Multi-disciplinary team: A multidisciplinary team (MDT) is a group of health and care professionals from one or more organisations who come together to discuss how best to care for you.

What we do

We provide patients with an orthosis, which is usually custom made and aims to prevent or resist a deformity and increase function. Each orthosis is fitted and adjusted to meet your needs.

Your orthosis is made from the cast in the John Florence Orthotic Workshop in Lewes. It is then usually ready for fitting within 7–10 days of the cast being taken.

If a minor adjustment of your orthosis is needed, this will be assessed at your appointment and again the orthosis will be sent to the John Florence workshop for the work to be carried out. It is usually then ready for re-fitting within 10 days.

We will explain the process to you at each stage of the process; please feel free to ask any questions. You will be able to contact the physiotherapist and the orthotist between appointments and we will provide you with full information on how to use one or all of your orthoses.

If you have been referred for a new orthosis, this requires wet plaster of paris being applied to the relevant area of your body, for example your foot, trunk or arm. Your personal dignity will be respected at all times. Once the plaster of paris has dried (approximately 3 minutes) the plaster is removed.

Once your orthosis has been fitted, we will probably not need to see you until the orthosis becomes too small or wears out.

Additional information

TLSO – Thoracic lumbar sacral orthosis. This is provided to improve posture or to prevent / resist the progression of a scoliosis (curvature of the spine).

KAFO – Knee ankle foot orthosis (hinged and un-hinged). This orthosis is usually provided to allow for independent walking.

DAFO – Dynamic ankle foot orthosis. A DAFO is usually prescribed when support, flexibility and comfort are required for walking and standing.

WHO – Wrist hand orthosis. A WHO is usually prescribed to provide support and resist deformity.


Appointment information

Appointment types

Appointments are face-to-face in our clinic. The casting for the orthosis is done on site at Chailey Clinical Services in our plaster room. The fitting and any adjustments can be done at Chailey or at John Florence's workshop in Lewes.

Please bring your existing orthosis to your appointment. If you are to be cast for a new one, then it is important to wear clothes which are easy to take off and put on.

If a new orthosis is being made, the appointment will be approximately 45 minutes. If an alteration or minor adjustment is needed, the appointment will be approximately 20 minutes.

Who you'll see at your appointment

You will see one of our orthotists and a senior physiotherapist, who have many years of experience in assessing and casting for orthotics.


How can I access this service?

Referrals can be made to this service by your paediatrician, GP, physiotherapist, or other healthcare professional. Each request for a new orthosis requires a new referral.

We accept referrals from any area but if your GP is located outside of Sussex we will require funding to be obtained before acceptance.

We accept urgent referrals when there is a break down or an imminent break down of your skin (pressure sore), or you are unable to function in your normal capacity due to a broken orthosis.

Sometimes tissue trauma (red areas on your skin) can result from wearing an orthosis and alterations will be dealt with at the next clinic.


How can I contact this service?

Contact details
Telephone: 01825 722 112
Where to find us
Address: Chailey Clinical Services, Beggers Wood Road, Chailey, BN8 4JN

You can find us using the what3words address snippet below on the what3words website:

Alternatively, use the Google map below to get directions and plan your journey:

Opening hours

Clinics are held every Wednesday morning for pupils of Chailey Heritage Foundation and residents of the Chailey Rehabilitation Service. Wednesday afternoon is for out-patients.

The clinics are by appointment only depending on each week each clinic time differs. Families are contacted to confirm the time before booking.

More detailed information about the date, time and location of your appointment can be found on your appointment letter.

Waiting times

You will receive a letter notifying you of the outcome of your referral.

For those accepted, we aim to see all new referral in 18 weeks.


Let's get social

You can also get involved by engaging with our service's social media accounts by helping with the latest fundraisers and events.


Get the best from your NHS

If you want to share a compliment, raise a concern or if you are just not sure who to speak to you can contact our Patient Advice and Liaison Service (PALS).