Premier Orthotics

Our Services


Medical Legal

Medical Insurance

Orthotic Services

Your Appointment

Parking is free and close to the main Hospital entrance. Your Orthotic Consultation is conducted in the comfortable surroundings of a private Hospital with coffee available on arrival. Please arrive just prior to your appointment time as Appointments are typically prompt. Sufficient time is allocated for a full initial assessment. If you are unable to attend your appointment please inform us 24hrs prior to your appointment; otherwise a charge will be incured for non-attendance.


Consultation Preparation

In preparation for your consultation it is advised that you come prepared for an examination of your legs/body and wear shorts or appropriate attire.

Bring an additional pair of shoes in case we need to further examine the wear pattern, or take the footwear as a point of  reference or alteration.

If you wish to be chaperoned by another staff member please inform us beforehand, so that arrangements can be made.

Data Privacy

Your personal data (Name, address,  date of birth, contact numbers and email) will not be passed on to any third party other than for the purposes of informing your referrer or GP etc, who are directly involved in your care, the outcome of your Orthotic Consultation. Acceptance of this appointment and subsequent interactions with Premier Orthotics will automatically assume consent to this information being held. Your ‘privacy information’ will be retained for eight years and then be archived or destroyed by ‘confidential waste shredding’. Should you NOT wish us to hold information please contact us.


Mark Elmer has been working with Paediatric patients for over 30 years and dealt with complex neuromuscular cases, such as those found in children with cerebral palsey, though all types of medical conditions can be addressed.

Domiciliary Visits

Domiciliary visits (home visits) can be arranged, the cost of this is dependent on your location.

Referral Method

Referrals can be via:

  • Consultants
  • GPs
  • Physiotherapists
  • Health Professionals
  • Self Referral

An Orthotic referral form is available to medical staff should they choose to use this rather than send a letter, alternatively an email can be sent or appointment made by phone.


Medical Legal Reports

Orthotic consultations and Professional cost effective Medical Legal Reports carried out on behalf of legal firms for their clients.

Expert Witness Reports presented in a detailed but easy to read manner and promptly provided, for both Claimants & Defendants. Also, Case Management Reports.

Mark Elmer is experienced in Report Writing and has attended the Expert Witness Institute course for Part 35 CPR Report Writing.

Mark Elmer has been engaged in providing Medical Legal Orthotic Reports for over10 years. Previously registered with the Expert Witness Institute. 

  • Compliant with Part 35 of the Civil Procedure Rules (CPR)
  • Single Joint Expert
  • Party Appointed Expert
    • Bath
    • Bristol
    • London
    • Yeovil
  • CV & T&Cs available upon Request

Orthotic Consultations and Professional cost effective Medico-Legal Reports carried out on behalf of legal firms for their clients.

Expert Witness Reports presented in a detailed but easy to read manner and promptly provided, for both Claimants & Defendants. Also, Case Management Reports.

Mark Elmer is experienced in Report Writing, has attended the Expert Witness Institute course for Part 35 CPR Report Writing.


“I am very pleased to state my appreciation of the work done by Mark Elmer of Premier Orthotics, with whom I have worked over many years.  His work was recommended to me by a local Professor of Orthopaedics who had prepared an expert report on a client of mine with severe lower limb injuries.  Mark provided an early appointment and assessed my client’s immediate needs for orthotics and then reviewed the case at a later date.

As a personal injury lawyer, I am always keen to have the best expertise to assist in the valuation of a case and Mark has provided advice on a whole range of orthotics, most recently on the splints and other orthotic equipment needed by a severely brain injured young man with extensive needs in a multi-million pound claim.  Mark is helpful and knowledgeable in claims across a range of values both as a treating practitioner and as an independent expert for the Court”.

Kay McCluskey  |  Head of Personal Injury, Partner

Medical Insurance

Mark Elmer is registered with most of the Private Insurance companies, and commonly the insurance company will pay for the cost of the  consultation, though probably not the orthosis cost.

We would however remind patients that it is their responsibility to ensure funding is available, and to contact their Insurance  Company’s Advice Desk as necessary.


Your Initial Consultation

Hospitals are increasingly requiring patients to provide credit card details on first appointment.  They may require this even  though it can be unrelated to your Orthotic appointment.


Full payment of the Consultation Cost is required at the initial appointment.

Additionally, due to the nature of procuring Orthotic products a deposit may be taken at the initial consultation, and then deducted from the final cost.

The Invoice will show both the product(s) and consultation costs separately itemised. Settlement of the outstanding costs is required at the issuing of the orthoses.

Many Orthoses are deemed as ‘single use items’ which means that once the orthosis is issued to the patient they are liable for its costs. Terms and conditions are supplied on request.

Payment Method

  • Debit/Credit cards
  • BACS
  • Cheque – made payable to Premier Orthotics Ltd.
  • Cash

Insurance Authorisation

Premier Orthotics manages all aspects of the consultation process, however, if you have private medical insurance you will need to ensure they are prepared to pay for your Orthotic treatment.

    • Commonly insurance companies will pay for the consultation costs if supported by a referral from a medical consultant.
    • They will not always fund the cost of the Orthosis (product)
    • You should request an authorisation number from your Insurer, prior to your appointment.
    • Patients should realise that ultimately, funding of the treatment is their responsibility, and their contract and insurance funding details is not the responsibilty of Premier Orthotics Ltd.

Non-Attendance of Appointments

If you need to Cancel an appointment please do so at-least  24hours prior to that appointment otherwise the appointment costs are required in full.

On the rare occassion patients forget their appointment, unfortunately, due to room hire & professional costs, the cost of this appointment must be met by the patient, and is required prior to their next appointment.


Should you have any concerns in the management of your treatment at any stage please feel free to phone or write. We will endeavor to make all aspects of your treatment experience as easy and efficient as possible.

Clinic Locations

Premier Orthotics Ltd
Bristol Nuffield Hospital – The Chesterfield
3 Clifton Hill

The Nuffield Hospital are unable to admit children 3 and under.

Premier Orthotics Ltd
The Bath Clinic
Claverton Down Road
Combe Down

The Bath Clinic are unable to admit children 18 and under.

Premier Orthotics Ltd
London, Harley Street

(Medico-Legal Reports)