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Cystic fibrosis (CF) is one of the UK's most common, life-shortening, genetically inherited diseases. There are currently more than 10,500 people in the UK with CF with an annual expenditure for CF in England of approx £100m, (£9,500 per patient). In the last 50 years there have been major advances in CF care, however each new therapy has added the heavy burden of treatment. The aim of this project is to investigate if a new model of care has the ability to engage children and adolescents with CF in self management and as a result, reduce the burden of care.

The adequate provision of prostheses for children and young people is complex, reflecting the changing size, diversity of activities, as well as early social and psychological development of this cohort. The critical concerns of the child, the parent and the healthcare professional are that care promotes independence, is tailored to the individual, and complements their needs by maximising choice. Currently, this process is restricted due to cost and increased demand on limited NHS resources. As such, this proposal looks to address these concerns through the provision of affordable, multi-grip, robotic prostheses for children and young people with upper limb deficiencies.

Spinal deformities are very common in children and young people with cerebral palsy. Treatment requires supporting the torso. However, traditional manufacturing is slow and distressing for the child, often resulting in poorly fitting supports. Andiamo are world leaders in 3D-printed orthotic services. We are adapting our innovative technology to create a back brace service-pathway for children with spinal deformities to assist and restore function.Our back brace service will be the first of its kind and has potential to revolutionise quality of life for children and young people by reducing the need for surgery, increasing mobility, independence and restoring function