Orthotic services in the UK are usually contracted to an external service provider who deliver the service in both community and acute settings. Some orthotic services are provided in-house by NHS orthotists.Services are commissioned by trusts and clinical commissioning groups, which creates a variation of contracts styles that attract differing budgets.Orthotic services strive to provide clinical excellence by ensuring there is equity and consistency in the care provided.One such method to achieve this is the use of evidence-based pathways (EBPs) that can be implemented in all service styles. EBPs are created in partnership with other relevant health professionals that are involved in the treatment of a specific patient group. A comprehensive EBP for orthotic intervention in stroke patients was developed in 2011 internallyby and for Blatchford Clinical Services, and to use nationally in the orthotic services it provides to the NHS. It offers recommendations based on the available literature, as well as opinions and experiences from clinicians. This pathway was introduced to orthotists nationally and