Occupational therapy services are designed to help people who have a disability achieve the maximum degree of independence. Many occupational therapists work in the Health Service Executive (HSE) or Primary Care Teams. Occupational therapists will assess for aids to daily living – these include wheelchairs, mobility aids, specialised chairs, bath, shower and toilet aids, stairlifts, hoists, etc.
Physiotherapists will assess for movement, strength and balance training equipment, walking aids and exercise device.
Speech and language therapists will assess for communication, speech therapy, and training aids. We have had feedback from people with severe ME who have swallowing and speech issues that require attention.
Other relevant therapists may be involved in carrying out assessments, depending on the equipment or appliance required, it will very much depend on the individual.
For more information re the community therapists and supports mentioned above, contact your Local Health Services Office, which can be found via the link here: -
https://www.hse.ie/eng/services/list/1/lho/
What to do: You select your county first and then the health office nearest to you and make a call, most local numbers are shown. You may have to speak with the public health nurse or you can ask directly for the relevant therapist.
There may be a waiting list to see an occupational therapist/other therapist and applications are prioritised according to need.
Prescribed aids and appliances are available free of charge to medical card holders, people on the Long Term Illness Scheme and people who have a Health Amendment Act Card. Brief information on some of those schemes below.
Equipment for people with disabilities, sometimes referred to as aids and appliances, is usually supplied free of charge to medical card holders. The card holder must first be assessed by a suitably qualified therapist who can recommend and prescribe the most appropriate equipment.
People who have one of the conditions listed as qualifying under the Department of Health’s Long Term Illness Scheme may be eligible to receive items of equipment, essential for the primary condition, free of charge.
Usually, an occupational therapist (OT) carries out an assessment of your ability to function in relation to the normal requirements of living – dressing, eating, bathing, etc. Your home arrangements are also assessed and the occupational therapist decides what assistance you need by way of aids and appliances. For example, a wheelchair, chair lift or downstairs bathroom.
The occupational therapist may then arrange for the provision of some appropriate aids and appliances by the HSE, if you are eligible, or may certify that you are eligible for the housing adaptation grant for people with a disability. They may also provide advice and assistance to you, your family or your carers about what changes or adaptations need to be made.
You may apply directly to your Local Health Office for the services of an occupational therapist, or apply via a public health nurse, family doctor (GP) or hospital. It depends on which part of the country you live and your circumstances. You may just need to get in touch with the Occupational Therapist at your local health office yourself without any referral, but you might have to provide supportive evidence from your GP as part of an assessment process.
An alternative way of contacting the HSE to make any queries is to phone: 1850 24 1850 or to email: hselive@hse.ie
Feedback shows that people with ME have made direct contact with occupational therapists. You can also ask your GP for help with an application for devices and aids. Your GP will be involved in completing a section of the OT's assessment on your behalf. It may be helpful to let them know your intentions to apply for supportive devices.
Did you know you can get a housing adaptation grant from your local authority to make your home more accessible?
There are three grants available to help make your home more suitable to your needs. Grants are means-tested and come from your local authority.
- Housing Adaptation Grant for People with a Disability
The Housing Adaptation Grant assists people with disabilities to have necessary adaptations, repairs or improvement works carried out on their homes to make their accommodation more suitable for their needs.
Examples of qualifying works include an extension for an accessible bedroom or bathroom, ramps and grab rails.
The maximum grant is €30,000 which may cover up to 95% of the approved cost of works.
- Mobility Aids Grant
The Mobility Aids Grant is available to cover a basic suite of works to address the mobility problems of a member of a household.
Examples of qualifying works include the provision of ceiling tracking hoists, stair lifts, level access showers, access ramps, grab rails and some minor adaptation works.
The maximum grant is €6,000 which may cover 100% of the costs of the work.
- Housing Aid for Older People Grant
The Housing Aid for Older People Grant assists older people living in poor housing conditions to have necessary repairs or improvements carried out.
Examples of qualifying works include structural repairs or improvements, re-wiring, repairs to or replacement of windows and doors, provision of water supply and sanitary facilities, and provision of heating. It is for people aged 66 years or more.
The maximum grant is €8,000 which may cover up to 95% of the approved cost of works.
More information is available from the National Disability Authority, which published a book entitled ‘Buildings for Everyone’. To obtain a copy, or for further information, contact the authority at (01) 6080400.
More information on the Mobility Aids Grant Scheme here
Powered Wheelchair |
- Referral received for assessment for a Powered Mobility Equipment (PME)
- Medical assessment form sent to GP prior to assessment
- Completed medical assessment form returned from GP
- Home Visit – Environmental Assessment
- Other possible assessments may take place. The OT will likely assess your health and safety ability for driving a mobility scooter/powered wheelchair as well as assess how quick physical responses are. You may also be required to have an eye assessment. You will also be measured for the purposes of finding the most suitable mobility scooter/wheelchair for you.
- The HSE generally supply the heavy type of scooter which are only suitable for taxis and mini buses with ramps where you may have to sit on the scooter/wheelchair during the journey. Some portable scooters are more expensive so that may be the issue with poor choice.
- HSE may assume you have someone to lift a heavy scooter/powered wheelchair to and from a car so make sure that you can get a mobility aid that you or your carer can manage, a lighter one for example, or one that comes apart or folds. Some OTs may tell you that the HSE don't provide lighter mobility scooters but this seems to depend on the rep that comes out and also on the area you live in, i.e., which CHO area you are in.
- There may be other relevant criteria brought up, e.g. whether you drive a car or not may affect the outcome. Feedback has shown that those who mention owning or driving a car can be turned down getting a mobility scooter/powered wheelchair, perhaps because the assessor assumes that the person can get about in a car, they may not realise the other difficulties people with disabilities have getting around on foot.
- It is advisable not to put in any application or say during an OT assessment that you can walk any distance especially if you have difficulties walking/being upright or need to recover afterwards - it may be that you can only walk a very short distance sometimes and this could be misleading. Don't forget to consider your worst periods with illness and disabilities and focus on those.
- Guide the occupational therapist fully re what it is you need and let them know about you and your needs and circumstances. What they suggest may not suit you so tell them that and they will take your needs into account more. At the end of the day an assessment is not just about getting a mobility aid, it is about the person getting an aid that is completely suitable for their needs.
- The Occupational Therapist usually sends a form to your GP to complete on your behalf. You may need to check up on your GP to make sure they have returned the completed form, especially if you feel that there is a delay your GP's end.
- The process from application to obtaining a mobility aid is quite long so be prepared for a long wait. It seems to depend on the CHO area and on funds and resources available.
- It may be possible to get a temporary mobility aid while you wait. Feedback tells us that some people received a manual wheelchair/other device while waiting. Renting devices privately may also be an option.
- The choices of mobility scooters/powered wheelchairs available from the HSE is small, you may have to look at alternative ways to obtain one that suits you, e.g., buying a second hand one or paying for a new one privately.
- You may need to adapt your home in some way to make it suitable for a mobilty aid as large as a mobility scooter or powered wheelchair.
- Temporary ramps to access your home via mobility aid may not satisfy the HSE criteria so you may have to put in a permanent ramp. This may depend on the assessor/CHO area and the mobility aid you decide on. It should be a straightforward adaptation, not too complicated.
- Consider applying for the housing mobility grant if the doorways in your home will be an issue, you need a GP's letter for such an application.
- The mobility aid you receive via the HSE remains the property of the HSE but you would have it indefinitely unless your circumstances changed.
- You will likely be told by the occupational therapist that you would need to complete lessons before you use a new mobility aid when out and about. The therapist will explain more.
- You may also have to do a cognitive assesment with the OT in addition to and as part of the overall assessement for a mobility aid.
- The HSE/supplier usually have a breakdown and repair service for the mobility aid they supply to you. Make sure to get the details re same from the OT.
- When considering a mobility scooter/powered wheelchair check the height of the base from the ground. Some can be only 1” high which is fine in a shopping centre or on flat even surface, but may not be practical in a village, at a park, or when dealing with kerbs etc, it may cause an issue.
- Try something lightweight that can be transported.
- Check if it can be taken apart/folded
- Check the weight of the heaviest item taken apart to see what you or carers can cope with.
- Check for hoists and ramps etc that could be used with cars to help lift mobility aids in and out of the boot of a car, etc.
- Some mobility machines like a scooter may be too big for the car and too big for using around a house.
- Check if it has 2 gearsets, one for indoor the other for outdoor.
- The wider the diameter of the wheels the more stable the scooter and the thicker the tyres the better.
- Make sure that you are going to feel safe and visible.
- Check if repairs and maintenance are available.
- Portable scooters are very heavy to carry.
- Consider that you may have to charge batteries as soon as possible after each outing.
- Mobility scooters will need regular maintenance
- Dublin Bus gives lessons to scooter users re getting on and off the buses. You need to contact them yourself.
- Check if the electric wheelchair has tilt-in-space for when you want to rest. Also check for elevating legrests.
- Ramps - If you are a wheelchair or mobility scooter user then more than likely you would need an access ramp at some stage. Ramps can be used in a variety of different circumstances and have multiple purposes. There are portable ramps and small ones for over doorsteps etc you can find online.
- You may want to think about storage when it comes to getting a mobility scooter or powered wheelchair, you will need an area to store it indoors safely e.g., in the hall/other place.
Some companies/suppliers will give equipment for a try-out period before purchase. Enquiries should also be made about maintenance (if it will be required), maintenance contracts (if relevant) and whether a user manual is provided with the equipment (essential).
When purchasing from any supplier, it is important to remember that it is their business to sell. There may be several suppliers of that particular piece of equipment or different manufacturers of the same type of equipment, so always shop around.
The purchaser has the option of:
- personally funding the cost of the equipment,
- applying to charities, etc for funding,
- buying second-hand,
- checking with your health insurance company, if a member, to see if, or what, reimbursement is available (more further below on this)
- Try something lightweight that can be transported.
- Check if it can be taken apart/folded
- Check the weight of the heaviest item taken apart to see what people can cope with.
- Check for hoists and ramps etc that could be used with cars to help lift mobility aids in and out of the boot of a car, etc.
- Some mobility machines like a scooter may be too big for the car and too big for using around a home.
- One option to buying would be to rent for a period. Mobility scooters are also sometimes sold second-hand online e.g. on Done Deal. Not only does this mean that one has options in terms of getting them cheaper than a new one but one could also try to sell it if a particular model didn’t work out.
- Check if it has 2 gears, one for indoor the other for outdoor. The wider the diameter of the wheels the more stable the scooter and the thicker the tyres the better.
- Check if repairs and maintenance are available.
- Portable mobility scooters are very heavy to lift and carry.
- Consider that you may have to charge batteries as soon as possible after each outing
- Transportable scooters will need regular maintenance.
- Dublin Bus gives lessons to scooter users on getting on and off the buses. Ypu need to contact them yourself.
- Sometimes your medical Insurer may give grants towards your purchase.
- Check if the electric wheelchair has power tilt-in-space for when you want to rest. Also check for elevating legrests.
- Ramps - If you are a wheelchair or mobility scooter user then more than likely you would need an access ramp at some stage. Ramps can be used in a variety of different circumstances and have multiple purposes. There are portable ramps and small ones for over doorsteps etc you will find online.
- You may want to think about storage when it comes to getting a mobility scooter or powered wheelchair, an area to store it indoors safely in your hall/other place.
- It may be possible to have repairs or parts replaced on a mobility aid such as a scooter depending on the supplier, it is worth checking out when buying and finding out who does the repairs.
- Also some suppliers, depending on where you make a purchase may sell you a mobility aid with a tax exemption, I think it depends on where you buy from. The supplier would email a tax exemtion form, you fill out the declaration section, sign and send back to the supplier. See more here
- The Importation of Goods for people with Disabilities, information here
- When considering a mobility scooter/powered wheelchair check the height of the base from the ground. Some can be only 1” high which is fine in a shopping centre or on flat even surface, but may not be practical in a village, at a park, or when dealing with kerbs etc, it may cause an issue.
- Go Mobility on Airton Road in Tallaght have a very good website and give quite an amount of information and advice on Electric Mobility Scooters. Website here
- Mobility Hire provides a rental service of mobility equipment throughout Ireland. With a comprehensive booking system including text reminders and the ability to extend your rental online, it really is a simple and easy process. Offering a delivery service throughout Ireland and a click and collect facility from our office in Tallaght, Dublin 24 and Talbot Street, Dublin 1. They have a home demonstration service for all their mobility scooters. No matter where you are in Ireland, they can call out and demonstrate a vast range of mobility scooters in the comfort of your own home. To avail of the home demonstration service, all you need to do is call on 01 866 336 See more here
- Shop Mobility Equipment Rental are another mobility equipment rental service. 'All our outlets are now offering a hire service for Manual Wheelchairs & Mobility Scooters. So if you are planning a holiday or short break in Ireland or abroad consider renting a mobility scooter or manual wheelchair. Ideal for family or friends visiting that have mobility problems.' See more here
- Shop Mobility - Support While Shopping - Some shopping centres provide a mobility aids service for free. In order to use the service clients must join as a member of the Shopmobility scheme and to do so must be able to prove their identity by producing 2 types of ID (proof of address and signature). No deposit is required and customers will be given a membership card that must be produced every time they use the service. More here
- A Pride GoGo Elite Traveller Plus mobility scooter will pull apart to go in any car, easy to use, slightly higher off the ground than most & longer battery life (18 amp hour batteries) and a bit longer between seat and steering for legs (or luggage!) Current cost circa £630 in the north and VAT exempt. Cost in the south vastly more. It can be used inside with standard doors. Great to take on a plane and goes into a tiny car boot with careful packing, but much easier in an adapted vehicle. £100+ to replace battery. Available in shops like Murrays Medical in Dublin, see more here
- Travelscoot seems to be the most reliable and lightest scooter on the market, as per patient feedback. Some people with ME who can no longer get around as well as they used to use it to go everywhere inside and outside the house, to shops, inside other buildings and for going for long drives in nature. You can fold it up and put it in the boot of the car, it is lightweight and foldable, fits into the boot of any car and handles a bit of rougher terrain. The folding mechanism allows the scooter to be folded flat enough to fit in practically any car trunk with the push of a button. The entire seat assembly and support can be removed by simply releasing a single lever clamp, and, if necessary, be taken down further into three components. For more details including a testimonial page see here
- Lightweight Mobility Scooter The main advantage to a lightweight mobility scooter is that it can be broken down into 5 parts none of which are heavy (the heaviest is 11 kg) and then transported in the boot of a car in quite a small space. Here's how how the lightweight mobility scooter can be broken down to transport via link and here’s the manual
- Wheelchair 88 Information here (not Irish)
- Demo Van have a shop in Foulksmills, Co. Wexford. If you have difficulty getting to them Demo Van can visit you in your home for your convenience. Simply call with your requirements and their Demo Van will bring a selection of products to meet your needs. Geographically the Demo Van can only cover Dublin, Kildare, Wicklow, Carlow, Wexford Waterford and Kilkenny. More here.
- Murrays Medical Equipment, medical suppliers in Ireland have an excellent website with various mobility aids and devices and lots of images, advice, and reviews, see more here
- Wheelchair Ramps - there is some advice about the ramps that are available at Go Mobility on Airton Road Tallaght. Link to page here, or Email: info@gomobilityireland.ie or visit Address: Go Mobility Ltd, Airton Business Park, Murray's Bldg, Block C, Airton Rd, Dublin 24; and here are links to two other companies who provide portable ramps for wheelchair and mobility scooter users: The Ramp People: https://www.theramppeople.ie/wheelchair-ramps, The Mobility Shop Ireland: https://www.themobilityshop.ie/wheelchairs/wheelchair-ramps.html
- Benoit Systemes - Various lightweight removable power packs for wheelchairs with options to choose the model that suits you, designed for all manual wheelchair users, whether occasional, temporary or permanent. These power packs are quite expensive, as are other devices mentioned previously. https://benoitsystemes.com/en/motorisation-legere.php
- Disability Resource Centre - There is a disability resource centre in Dublin where aids and equipment suitable for people with a disability can be examined and tried out. The centre can be contacted at (01) 8747503.
How to reclaim VAT on aids and appliances for persons with disabilities here and here.
The main companies offering private health insurance in Ireland are:
Voluntary Health Insurance (VHI)
Irish Life Health
Laya Healthcare
GloHealth
Did you know that a Shopmobility scheme operates in
- Liffey Valley Shopping Centre in Clondalkin,
- Blanchardstown Shopping Centre in Dublin 15,
- Mahon Point Shopping Centre in Cork,
- Dundrum Town Centre in Dublin and Whitewater Shopping Centre in Newbridge, Co Kildare.
- Am I entitled to a mobility aid/appliance free of charge? Answers from the Irish Wheelchair Association via the link here.
- Assistive Technology - The Alzheimers Society of Ireland's booklet which I skimmed through has very good ideas re assistive technology that may include something useful for some people in the ME community, especially those with severe ME, see more here.
- Find a Private Occupational Therapist – Irish Association of Occupational Therapists
- Find a Private Physiotherapist – Irish Society of Chartered Physiotherapists
- Information on Hoists & Slings for Lifting People with Disabilities - here
- Apply for an NAS Advocate to Act on your Behalf It is by no means an easy task to apply for or buy a mobility device when unwell and/or disabled. If you are not able to do such a task yourself and do not have the support of family or friends to assist you, you could apply to the National Advocacy Service (NAS) to have an advocate to support you. The National Advocacy Service (NAS) is an organisation which helps adults with disabilities. NAS provides a free and confidential advocacy service to adults with a disability, aged 18 years and over.
See more information here, NAS Easy-To-Read-Guide here and access the online application form here
- HSE Prescribing Guidance Manual for Aids & Appliances for Community Healthcare Organisations (CHOs) updated in 2021 here. Many of the suppliers listed further above sell/rent a broad variety of useful aids and devices. It is worth browsing the entire HSE manual, you may see aids and devices you have never thought about or realised exist, aids that could make a great difference to you and to your independence.
- The National Disability Authority (NDA) is the independent statutory body, providing evidence-based advice and research to Government on disability policy and practice and promoting Universal Design. More here.
- WHO Classification ICD 10 G93.3 classified as a Neurological disorder
- WHO Classification ICD 11 8E49 classified as a Neurological disorder
- SNOMED Classification SCTID: 118940003 classified as a disorder of the nervous system
- NASS (HRB) G93.3
Many thanks to members of the ME community for your valuable feedback in relation to your obtaining and use of certain mobility devices and aids, in particular to the individual who provided feedback on which the story re applying for a powered wheelchair via the HSE is based.