Advice and Guidance Service

Electronic consultant level Advice & Guidance can be obtained from GHNHSFT using the NHS e-Referral Service (formerly Choose & Book) within a range of specialties. Please view the resource for further information.

Functional Electrical Stimulation (FES) for Drop Foot of Central Neurological Origin

Functional Electrical Stimulation (FES) is used to treat the effects of upper motor neurone lesions that can result from conditions such as stroke, cerebral palsy, multiple sclerosis, or spinal cord injury but may occur in other conditions. Functional electrical stimulation involves stimulation of the peripheral nerves that supply the paralysed muscle using electrodes that may be implanted or placed on the surface of the skin. The aim is to restore muscular function. 

Functional Electrical Stimulation (FES) is not normally suitable for patients with lower motor neurone lesions.

If all conventional approaches for drop foot have been tried and patient meets the Gloucestershire CCG IFR access criteria for Functional Electrical Stimulation (FES):



All other requests outside of NICE criteria will only be considered in exceptional circumstances. An Individual funding Request application should be submitted to the CCG in order to seek funding approval.

If patient meets the criteria - make contact with a Functional Electrical Stimulation (FES) Trusted Accessor who will advise accordingly.


Referrals are accepted from any Healthcare Professional i.e.; not just from GPs/Consultants. Once a referral has been agreed locally with a trusted assessor, all that is required is a clinic letter giving all patient details and condition. Referrals will then be triaged by their clinical team and if there are any questions, they will contact the referrer and discuss.

Referrals can be sent via email or posted to the contacts below:

Sophie Pearce, Funding and Contracts Manager at:

Professor Paul Taylor
Odstock Medical Ltd
Salisbury NHS Foundation Trust

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