I think that you'd be better on a specific disabled forum, JLK, to ask this question - something like BBC's "Ouch", I know some of us use Motabilty cars but not sure if anyone uses hand controls... If you are looking into fitting them then its also worth contacting Motability as they have contacts with firms who can come out and demonstrate it.
(Also I'd turn off your Cap Lock as it makes it look as though you are shouting - think thats what BB was getting at!)
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Several forums etc on the (ex) DDA's website www.mobilise.info/Index.asp
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Vehicle adaptations information can be found at:
www.motabilitycarscheme.co.uk/main.cfm?type=CADA
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