This covers establishing a monthly a mdt combined clinic & service with psychology, prosthetics, surgeons, & hand therapists. We offer everything from stump revision/pain surgeries through autologous reconstruction/allotransplant, to a full suite of upper limb prosthetics including patient controlled electronics, to rehab and psychology support, to home improvement. It has enabled recruitment of first in world translational research collaborations, and humanised the care of this very deserving patient group.