This is a service review of the orthotic care provision for children with neuromuscular disorders. Patients from across the region are seen in the neuromuscular clinic and assessed by a neuromuscular physiotherapist who then liaises with the local physiotherapy teams and orthotists. There was significant variation identified in the orthotic care provided to patients seen in the neuromuscular centre. This appears to be dependent on local experience, training and differences in commissioning and service arrangements. The lack of appropriate services in some areas creates a gap that is addressed on an individual case basis with an unsatisfactory journey for the patient and family. Orthoses are important in controlling contractures and maintaining or optimising joint position; appropriate provision is an essential part of managing the progression of muscle disease and promoting function. An audit of current orthotic care across the region is used in addition to patient experience to evaluate the current service. Patients with a range of neuromuscular disorders attending the neuromuscular clinic will be identified via patient database and approached to complete patient and carer questionnaires. A neuromuscular physiotherapist will review the appropriateness of the child's orthosis, compliance with their recommendations which are based on the standards of care for certain conditions and the patient satisfaction with the orthotic provision. The findings will be used to assess the current situation in orthotic care for children with neuromuscular disorders in our region and evaluate the need for a specialist orthotic provision to be established and provided directly via the neuromuscular centre. Gaps in training and services will be addressed through working collaboratively with local teams whilst considering options for centralised specialist orthotic care.