© Total Physiotherapy Limited 2019
Total physiotherapy are a trusted provider to the NHS and deliver community based physiotherapy services to the public, working closely with Clinical Commissioning Groups (CCGs), GP federations, primary care networks (PCNs) and care homes. Our patient centred approach means that people are seen quickly, by the right practitioner, in a convenient community-based location.
We are one of the largest, independent providers of community musculoskeletal (MSK) services in the UK; together with our sister company Integral Medical Holdings (IMH) we work with a large number of CCGs across more than 40 GP practices nationwide.
Total physiotherapy currently provide a first contact physiotherapy (FCP) service to 18 GP practices, based across Yorkshire and Leicestershire. Evidence supports the view that MSK problems account for up to 30% of a GPs caseload (rising to 50% for patients over 75 years), and yet 85% of these do not need to see a GP. The involvement of physiotherapists in Primary Care has shown to reduce referrals into secondary care by 10-20%, therefore reducing waiting times and demand. We have delivered a number of different service models, and understand the challenges faced when establishing a first contact physiotherapy service, and how to work with the MDT to overcome these.
Over time we have collated both qualitative and quantitative data to support the effectiveness of this type of service; 94% of patient that receive care would recommend it at as ‘very good’, and a full time physiotherapist providing 20minute appointments is able to save up to 100 GP appointments per week. Our experience and position within the FCP markets has positioned us to further innovate services by include non-medical prescribing, fit note prescription and injection therapy amongst a physiotherapists skill set.
The founders of our company established high street clinics with a view of providing quick and easy patient access to physiotherapy services, by offering evening and weekend appointments. There is now a robust body of evidence to support the view that amongst working age adults clinical and social outcomes are improved through providing early access to care, helping to reduce the risk of chronic pain, work absence and onwards referral to secondary care. As an independent provider of NHS services, we are sufficiently agile and mobile to provide physiotherapy clinics on an evening and weekend basis, helping patients to see the right professional at the right time and location. As an organisation we understand that improving access is a key NHS driver, and work collaboratively to provide a patient focused extended access (EA) physiotherapy services to several GP alliances.
As an organisation Total Physiotherapy are well positioned to support Primary Care Networks to provide more integrated and joined up care to reduce short waits for planned care (FCP and EA), boost community care services (physiotherapy led rapid response teams, care home physiotherapy, falls and frailty assessment), reduce pressure on emergency care services (physiotherapy and MDT assessment pathways) and provide better care for major health conditions through physiotherapy led community based cardiac rehabilitation, neurological physiotherapy (stroke patients), respiratory care (including pulmonary rehabilitation for COPD or breathless patients) and weight management for adolescents and adults.
The use of digital based technology is a key component of the NHS plan, and we can provide telephone and video based ‘virtual’ assessments as part of stepped approach to the management of MSK conditions. We are also developing an online platform to support patient self-management.
As an established nationwide provider of physiotherapy services, our aim is to work closely with NHS stakeholders to deliver innovative new models of care that improve clinical and patient related outcomes, by embracing the fundamental changes taking place across the NHS.