From (bottom of page) http://www.enable.health.nsw.gov.au/home/forms-and-guidelines/hrp
Consumables Clinical Criteria
This criteria has been developed in consultation with expert clinicians and is based on available evidence at the time of development. This document is designed to specify the criteria to access assistance through EnableNSW for this group of assistive technology, and provide a basis for consistent and transparent decision making.
VOICE PROSTHESIS, ELECTROLARYNX AND RESPIRATORY CONSUMABLES FOR LARYNGECTOMY
Included Equipment - Voice
Indwelling Voice Prosthesis or
Up to 2/yr
Non-indwelling Voice Prosthesis
Up to 6/yr
Voice Prosthesis Consumables: dilator; gel cap insertion system; gel caps; flushing device; cleaning brush
Speech Pathologist with >1 year experience + 3 previous prescriptions for equipment in this category
Included Equipment (Non Standard) - Voice
Tracheostoma/hands free speech valve starter kit
Speech Pathologist with >3 years experience + 5 previous prescriptions for equipment in this category with input from the treating physician
Included Equipment – Respiratory Consumables
Heat Moisture Exchangers (HME)
Foam stoma covers
HME attachment devices:
Standard adhesive seals (base plates)
Non-standard adhesive seals
Laryngectomy tubes (fenestrated or non-fenestrated)
Laryngectomy tubes/tracheostoma button securing device:
The primary prescribing team may include: Speech pathologist in consultation with a specialist physician in Respiratory Medicine, Ear Nose and Throat, Head and Neck, or Intensive Care.
Contracts in place
318 Respiratory Consumables
Consumers who are eligible for services and equipment to be provided under any of the following will not be eligible to receive equipment through EnableNSW (see EnableNSW Policy).
Equipment Eligibility Criteria
the voice prosthesis is required for ongoing, long term use by the consumer for primary communication
For laryngectomy respiratory consumables the most clinically appropriate, cost effective option should be considered. Therefore please assess the suitability of a tracheostoma button as a method of attaching heat moisture exchange cassettes.
Key information to consider or include in the Equipment Request Form (ERF)
Social/ Carer Factors
Environmental and Equipment Factors
Plan for delivery and evaluation
Non standard equipment may be approved under exceptional circumstances when:
Tracheostoma/ hands free speech valve starter kit
The consumer is motivated to use hands free speech due to self care needs (please specify relevant self care needs). The consumer should demonstrate compliant use of heat moisture exchange devices and attachments, and have the required dexterity and cognitive ability to manage a hands free speech valve.
Non Standard Adhesive Seals
The consumer has trialled a standard adhesive seal for 2 months and due to poor seal or dexterity is unable to safely use the standard adhesive seal
Non standard annual allocation may be approved when:
Indwelling Voice Prosthesis
There is evidence of ongoing fungal infection with poor response to treatment, resulting in early failure of the voice prosthesis. Information regarding average device life of the voice prosthesis and what anti-fungal measures have been taken must be provided. Use of non indwelling prostheses, or fungal resistant voice prostheses, should be considered. A maximum supply of 4 indwelling voice prostheses may be supplied annually.
One will be supplied for consumers who independently change the voice prosthesis out of the clinical setting.
Gel Cap Insertion kit
One will be supplied for consumers who independently change the voice prosthesis out of the clinical setting
One pack will be supplied for consumers who independently change the voice prosthesis out of the clinical setting.
Cleaning brushes and flushing device
One pack of each will be supplied.
Voice Related Devices and Respiratory Consumables V2 August
2014 - -