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This document is dated 1 st June 2016 227

GRADUATED COMPRESSION HOSIERY Explanation of garments available Light (Mild) Support Compression at ankle 14mm Hg 17mm Hg Indications - Superficial or early Varices. - Varicosis during pregnancy Styles - Thigh length/below knee with knitted in heel (reciprocated) I Medium (Moderate) Support Compression at ankle 18mm Hg 24mm Hg Indications Styles - Varices of medium severity - Ulcer Treatment and prevention of recurrence. Mild Oedema - Varicosis during pregnancy - Anklets and Kneecaps: for soft tissue support - Thigh length/below knee with knitted in heel (reciprocated) II Strong Support Compression at ankle 25mm Hg 35mm Hg Indications Styles - Gross Varices - Post Thrombotic Venous Insufficiency - Gross Oedema - Ulcer Treatment and prevention of Recurrence - Anklets and Kneecaps: for soft tissue support - Thigh length/below knee open or knitted in heel (reciprocated) (Text accompanying diagrams on following page) Figs 1 & 2 are available in a range of stock sizes or may be made to measure. Sizing All articles must conform to BS 6612: 1985 with regard to size designation. Labelling All articles must state clearly on the packaging that they conform to the Drug Tariff Technical Specification No 40. The packaging should also provide clear washing instructions in conformity with hand washing at 40oC as defined in BS 2747 and washing instructions should be durably and clearly marked on each garment. The packaging should clearly define the garment percentage fibre content. 228

229

General Notes Prescribing 1. Quantity Single or Pair 2. Article including any accessories 3. Compression, II or III Constructional Specification The Complete Structural Specifications, as well as performance requirements, are contained in Specification No 40. Specially Made 1. In cases where stock sizes are not suitable for patients owing to irregular limb dimensions, surgical stockings in the prescribed compression class, to be made to the patients individual measurements should be specified. 2. All such garments are specially shaped during manufacture and may have a knitted-in or open heel and open or knitted in toe. Description of Articles Available Price Per Pair In Pence 230

Compression Class Type of Garment Stock Sized Made-to-measure Knit Style I Circular Thigh 824 4360 B. Knee 752 2727 Light Wt Thigh 2206 Elastic Net B. Knee 1722 II Circular Thigh 1224 4360 B. Knee 1100 2727 Net Thigh 2206 B. Knee 1722 Flat Bed Thigh 4360 B. Knee 2727 III Circular Thigh 1451 4360 B. Knee 1247 2727 Flatbed Thigh 4360 B. Knee 2727 Accessories Price Per Item in Pence Acti-glide 1447 Additional Price for Fitted Suspender 71 Arm Butler 800 Easy-Slide (application aid for open toe stockings) S, M, L, XL 1233 EZY-As compression hosiery applicator 3240 EZY-As compression hosiery applicator handles 1525 Foot Butler 800 GUS Comfort 1428 Juzo Easy Fit 3399 Juzo Easy Fit XL 3399 Magnide M, L 1417 Mediven 2 in 1 1271 Neo-Slip S, M, L 711 Rolly 2856 Sockaid 1304 Spare Suspender for thigh stockings 71 Suspender Belt 549 NB: The reimbursable price for one item is half the price of a pair 231

Description of Articles Available Price Per Pair In Pence Compression Class Type of Garment Standard Stock Sized Made-to-measure Knit Style CII Circular Anklet 721 721 Kneecap 721 Flat Bed Anklet 1498 1597 Kneecap 1498 1597 Net Anklet 1417 Kneecap 1177 CIII Circular Anklet 1006 1006 Kneecap 961 961 Flat Bed Anklet 1006 1597 Kneecap 961 1597 SEE APPENDIX - NEXT PAGE 232

NOTES TO CONTRACTORS APPENDIX previously supplied against the discontinued Specification No 14 and which also meet the performance standards in Specification 40 are listed below. Activa Healthcare Ltd. Activa Activa I Activa II Altimed (Parema) Altiform Altiform Altiform Credenhill Ltd Credalast Supreme Flatbed Medi UK Ltd Duomed Soft Duomed Soft Duomed Soft Flatbed Kendall (Tyco Heathcare UK Ltd) Lastosheer Lastosheer I Lastosheer II E Sallis Ltd Nyfine Nyfine Lycra Circular Standard Eesiness Flat Bed Sheerine Flat Bed Below Knee Stout Thread Scholl (SSL International Group Plc) Softgrip Thigh Length Softgrip Thigh Length Softgrip Thigh Length Softgrip Below Knee Softgrip Below Knee Softgrip Below Knee Softgrip Below Knee Cotton Rich Softgrip Thigh Length Cotton Rich Ultima Below Knee Ultima Below Knee Ultima Thigh Length Ultima Thigh Length I II I II I Class l I II I I I I I I II I II I II I I I I NB: Size charts for these garments may differ from others in a manufacturer's range. 233