Dr Paul Taylor

Odstock Medical Limited and Salisbury NHS Foundation Trust

Paul Taylor is a biomedical engineer specialising in Functional Electrical stimulation. His main area of work has been the development, clinical testing and service delivery for FES systems used to assist gait for people with dropped foot due to stroke, multiple sclerosis, spinal cord injury, Parkinson’s disease and other neurological conditions.

He also has an interest in developing and accessing systems for upper limb training in stroke and spinal cord injury. Paul is president of the UK and Ireland chapter of the international FES Society and is visiting professor at Bournemouth University.

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FES for Dropped foot. Economic justification and new applications in Parkinson’s

FES is an effective intervention for dropped foot and has a mean usage of 4.9 years1. The National Institute for Health and Clinical Excellence applies a cost-utility ceiling of £20,000 per Quality Adjusted Life Year (QALY) for an intervention to be considered. Previously the QALY gain derived from the effect of FES on walking speed gave a cost per QALY of £15,406.

However, analysis of new data, presented at this seminar, gives a mean cost per QALY of £5,705 making it comparable to the cost per QALY of hip and knee replacements.

The above analysis was carried out using FES with people who had MS or who had had a stroke. Recently we have been investigating the use of FES for the reduction of Bradykinesia in Parkinson’s Disease in a randomised controlled trial (n=68) funded by NIHR. The trial protocol, treatment methods and preliminary results will be presented in the seminar.