Whoever issues the stick should demonstrate the cord rather than describe it. Threaded from below it lies across the back of the hand and lets the fingers open; threaded the other way it tightens on the wrist. That is a thirty-second demonstration and it decides which of the two the person gets.
Falls prevention should consider where the person goes. Doors, lift thresholds, trolleys, kerbs and gates are ordinary obstacles, and a tethered stick meets all of them. Where those dominate someone's week, a removable cord is the better arrangement.
Community teams should record whether the cord is fitted or removed for a given person, and why. It is a decision rather than a default, and it is easily reversed by whoever next picks the stick up.
Equipment services should treat the clip as a load-bearing part with a rating, not a trim detail. Routes across NHS trusts, local authority equipment services and independent providers each ask for their own evidence. The conformity documentation those procurement routes require is issued by the manufacturer and provided by the seller.


