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Choosing a mobile hoist You may require assistance when moving from one position to another. Manual lifting and handling can place a severe strain on your carer which may result in back pain or other injuries. By selecting the correct type of moving and handling equipment, and by using it effectively, the risk of sustaining injury can be greatly reduced. Provision of moving and handling equipment Moving and handling equipment, such as hoists or small transfer boards, may be provided by the statutory services following an assessment by an occupational therapist or, in some cases, a district nurse. If a hoist is needed to assist you in everyday life then it is seen as daily living equipment. If it is used by community nurses for medical reasons, such as moving you onto the bed in order to change a dressing, it would be considered as nursing equipment. Uncertainty about the difference between home nursing equipment and daily living equipment often creates an element of confusion as to who is responsible for providing the equipment. In some areas well defined local agreements between Social Service Departments and Community Nursing Services attempt to clarify responsibility. However, in many areas it is not clear cut, and budgetary constraints may determine provision, or other factors such as which service is visiting most frequently or which service visited first, who is the primary user of the equipment - the person, the carer or the healthcare professional. Unfortunately, this lack of clarity can lead to a delay in provision. A referral for an assessment of your, your carer's or both of your needs can be made by you, your carer, your GP, district nurse or other healthcare professional.
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