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@brokenbetty
Cheers guys. I've shown him some of the suggestions but he isnt enthusiastic. It's hard, I think he's scared to try anything that might help in case he fails and feels even worse.
I found that mouse from the US site for sale in the UK. The critical search term was "switch adapted". It is literally a normal mouse with external buttons on wires so it's familiar. He seemed ok with the idea so I've ordered it for him...fingers crossed.
(Still quite fancy a stream deck for myself mind!)