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What is Data for Impact (PF-DFI)

In 2005 the Standardised Data Collection System was developed for private practitioners by Physio First, with the University of Brighton (UoB), and funded by the Private Physiotherapy Educational Foundation (PPEF).

Between 2009 and 2013 Physio First members used this system to collect data which was analysed and then published in 8 snapshot reports which are now available to members by clicking here:Results of the snapshots .

In 2013 the UoB and Physio First evolved a new, shortened version; the short form tool that is easier to complete than the previous versions, and will be permanently available to our members. So, having learned over the past 5 years “how to collect and analyse data”, we can now not only continue to do it, but also begin the process of learning how to use it.

This short form tool was piloted between March and Mid-April 2014, and our preliminary results were analysed. Following the success of this pilot, the full collection project was launched in November 2014. To see the report from our pilot follow this link: Short Form Tool Report

Exciting times

The short rorm tool was launched last November as a permanent, on-line, developing bank of data that is downloaded and analysed every two months.
To see the latest National Interim report please click here: National Interim Report

Physio First, and in time individual practitioners, will be able to draw upon this analysed data to fight our market place battles, “champion” private practice and back up what “we know we know”; without this data, who would listen? Please join in this collection by clicking on the link:  Join the Physio First Data for Impact (PF-DFI) Study

You can contact Liz Bryant, Shemane Murtagh or Lisa Hodgson at the University of Brighton via email or phone 01273 641802 (answerphone). We also have a five minute tutorial that will help you get started in using the online data collection tool Getting started, and second, shorter tutorial that offers instructions on how to update treatment details for patients already entered into the system How to update treatment details 

If you want to hear what our Chairman and Vice Chairman had to say about the value of the project at our 2014 Physio First conference click below to view their presentation: “Data Collection Revealed” Conference Presentation 2014
If you would also like to hear how pivotal this data is to our future and why you really do need to join this collection please click on this year’s presentation from our Chairman – “Physio First Revealed” Conference Presentation 2015: “Physio First Revealed” Conference Presentation 2015

What will our individual Data for Impact reports look like?

To see 3 different examples of the type of report that individual participants in our Data for Impact project will get, please click on the links at the bottom.

These examples come from three current participants in our Data for Impact project and were first made available at our conference in March 2015.

As reported in our May 2015 Update, the reaction to these sample reports from colleagues who saw them for the very first time at our annual conference included:

- “These reports will give us knowledge about ourselves that is knowledge that others don’t have and that feels powerful”

- “A fantastic opportunity to compare against the national average in a non-threatening way”

- “As my practice is 82% self-referral I would be looking to use these reports to inform our patients and the general public about our outcomes alongside other referrers”

- “One of the biggest things for me would be the feeling of ownership and being a part of something very important for private physiotherapy practice”

- “I think the individual reports will confirm lots of what I ‘thought’ about my practice but it will be very exciting to see actual data saying so”

- “They will clearly identify areas of strengths/weakness/opportunities for both practice principals and contributing associates”

- “A big plus is the dynamics that these reports will present for the Physio and our patient – a sense of ownership for the patient that they are part of the project even though they are anonymised which I think will make them feel they are playing their part and ‘feel good’!”

- “The individual reports will give us a peak through the window into how good we are and how we help our patients”

- “It just shows what an amazing profession we are part of”

- “Immediate audit of where patients “come from” and how the majority pay”

Please remember:

- We can join in our Data for Impact Project at any time

- Practiced members say that they can complete the data required at the rate of 3 minutes per patient

- This is a unique Physio First member benefit that is not available anywhere else in the world

- There will be a minimum number of datasets required to make an individual report tenable – this number is being worked on by our new research sub committee but details will be published very soon and it will not be onerous – so start collecting now

- Individual reports will be available twice a year with the first one was available in June 2015

- Individual reports against our national Physio First database will be private to each of us so there is no need to fear this

- This project produces “evidence” and our executive’s view is that “evidence is the new marketplace currency” – do not miss out

So come on … join us … and let’s all start collecting our own evidence and disrupting our marketplace together!

To see the two reports please click here:

Report 1

Report 2

To join our Data for Impact project go to Data for Impact or email our University of Brighton Team on  

August 2015

How can I get an entry in the Physio First block advertisement in Yellow Pages?

Physio First currently have an agreement with Yellow Pages for block advertising for our members. The decision is entirely yours and talking with other local members may help you to identify if advertising in this way is worthwhile.

If you want to take the initiative, phone Yell, 0800 371755 or 0808 100 7890. You can check your area's next publication dates on

You should book at least 2 months before the publication date shown.

You will have to pay the cost equivalent to that of a single line advertisement, but inclusion in the corporate box incurs no further charge.

Otherwise, lists of current members and changes are sent periodically to the central offices of Yellow Pages who will contact you in due course.

August 2015

How can I make use of the Physio First debt collection assistance?

This benefit is available to all members who wish to recover over £100.00 in bad debt.

Full details of how to make use of this service can be found at [link to debt collection details]

If you are trying to recover money owed to you then following this straight forward procedure could help you.

  • Send three letters at intervals to the debtor following this link for an example. The first two letters being polite reminders and the third letter should be sent recorded delivery to ensure you know it has reached its intended target.

  • If no payment is forthcoming after this, download and complete this form. It will only take you a few minutes to complete.

  • Fill in the amount owed to you, the date the debt was incurred and the date of the last correspondence regarding the debt i.e. the third letter.

  • When complete you can either email the form directly to, fax it to 01604 589238 or post it to Physio First, Minerva House, Tithe Barn Way, Swan Valley, Northampton, NN4 9BA.

  • We will then send a letter of intent to the debtor telling them they have two weeks to pay the debt and that failure to do so will result in court action which will add further costs to their account. A copy of the letter will also be sent to you for your records.

  • If after two weeks there is still no response from the debtor, you will need to take out a summons in the small claims court. The costs will be added to the debtors bill.

  • No one likes to resort to court action as it can take a lot of time and expense. Filling in the form on our website will help take some of the stress out of taking legal action against unpaid bills by simplifying the start process for you.

  • Two websites which can help with this part of the process are;

How do I receive breaking news by email from Physio First?

Regular email alerts are sent to our members to keep us informed about education courses, and "breaking news" on marketing scams, problems with insurance companies etc.

In order to be sure that we receive these it is important that our preferred email address is registered with our Physio First head office and that any changes to our email address is notified immediately. You can do this by email ( or by make the changes to your details yourself in the members area of our website.

Please note that if you are with AOL as an internet service provider you may not receive our alerts as AOL automatically treats our communications as "spam" and returns it to us.

We have been in contact with AOL to see if this situation can be resolved but they are unwilling to relax their settings to allow us to email our members. So we don''t see an end to this email blocking in the foreseeable future.

If you are on AOL, you may consider setting up an email account with another provider to ensure that you receive electronic communication from Physio First. You can get free email addresses from providers such as HotmailGmail and Yahoo. The sign up procedure is simple, and once you have been notified that the account is active, let us know your new email address by updating your details in the member area on our website. Once this is in place all emails from Physio First will arrive in your new mailbox - all you have to do is remember to check it!


May 2011

Is the OCPPP Accreditation scheme still operating?

The OCPPP Practice Accreditation scheme was suspended in January 2002 and is no longer operating.

What are the rules for affiliated membership of Physio First?

Affiliated membership is open only to physiotherapists who are employed in a private practice where the practice principal or physiotherapist manager a full Physio First member. They must be paid up members of CSP. Self-employed associates who wish to be members of Physio First would be required to be full members of Physio First.

Full details of the criteria for membership of Physio First can be found in our constitution Constitution



How much does it cost to join Physio First?

For more information about our membership categories and what it costs to be part of Physio First go to: 

What business and regional information will I receive as part of my membership?

One of Physio First's regular publications for members * is  "Update". Posted directly to members four times a year, Update covers business, legal and professional issues for private practitioners. New and upgraded benefits for members are announced here. Update also includes news from our Regional Officers; the latest calendar of events and booking forms for these courses and events and Tips from the team (at our Northampton office) about getting the best from your membership.

To view some past copies of Update follow this link Update


[June 2011]

How can I apply for a contract for a self-employed associate?

This service applies to those clinics whose practice principal is a full member of Physio First working in England or Wales.

-You must complete the attached questionnaire.

-You must read the information about the solicitors duties called the terms of engagement, and theclient care letter. By signing the letter you will be deemed to have done so. This must be sent back with the questionnaire.

-Complete the questionnaire with reference both to this paper and the sample contract.


To comply with Solicitors' money laundering regulations you must supply all of the following:

-A copy of the details page from a current passport or driving licence

-A sheet of headed notepaper for the practice or a business card

-A copy of a bank statement or utility bill (not mobile phone).


These should be scanned and sent with the completed questionnaire to the Physio First self-employment advisory service by email to

If you cannot scan and send the papers by email they should be posted to: Physio First self-employment advisory service, FAO Neil Andrews, Coles Miller, 44/46 Parkstone Road, Poole, Dorset BH15 2PG

The details you provide will be used to draw up a bespoke contract for you and your associate. If you are uncertain about your options, fill in your details and explain why you have included it e.g. if you want a post termination clause that prohibits your Associate from setting up within 3 miles for 1 year, this may be viable in certain circumstances but not in others. For this scheme to work, the time the solicitor needs to spend on clearing up issues must be appropriate for the fees being charged, and if they encounter too many difficulties we will have to revise the rates for this service so please give full information.


Fees for this service

Please contact Coles Miller for this information


Self-employed or employed?

What follows is an explanation of the principles upon which a court would find whether a physiotherapist is an employee or self-employed.

The historic distinction is between an employee, who sells his labour, and a contractor, who sells the end product of his labour. In one case, the employer pays the man; in the other he pays for the job.

The law expresses that by saying that the employee enters an employment contract; the contractor enters a contract for services. The usual illustration of the difference is to contrast the case of the chauffeur with that of the taxi driver. The chauffeur is obviously an employee and the taxi driver is an independent contractor.

However, the distinction is not usually so clear cut. Each case has to be considered on its own facts. As a result of this, in some cases industrial tribunals have held a worker to be an employee for the purposes of unfair dismissal and redundancy, despite the fact that the Inspector of Taxes has held the employee to be self-employed for tax purposes.



One of the first considerations an employer needs to make is whether to take on an employee in the first place. Employees come with a baggage of employment rights and administrative burdens that add to management time. All employees have rights to

-Written particulars of employment

-Disciplinary and grievance procedures

-Statutory sick pay

-Statutory maternity leave and pay

-Protection against all forms of discrimination set out in the Equality Act 2010 (including sex, race, disability, age, religious belief and sexual orientation discrimination) and in many cases unfair dismissal


Modern employers will have in place a number of other policies and procedures to regulate the working environment such as equal opportunity polices and anti-bullying and harassment. Employers become responsible for statutory deductions such PAYE and National Insurance. Employees rights are increasing. The Government has put in place family friendly policies such as

-Parental leave

-Paternity leave and pay

-Right to time off

Managing these statutory obligations and following good employment practice can dramatically impact on small employers able to provide service to their clients.

As a consequence many Employers look for other options. The number of options available often depends on the type of business.


Self-employed associates

Private practice physiotherapists often consider engaging self-employed associates to assist the practice. Self-employed physiotherapists do not qualify for full employment rights and so the statutory burden on the employer is reduced (but not avoided). Self-employed associates are responsible for their own tax and national insurance payments and need not be provided with written particulars of employment.



The flexible arrangement self-employment provides can be attractive to both practitioner and self-employed associate. Both can enjoy tax advantages and relaxed restrictions on the way the work is organised. One of the key advantages for the practitioner is that the practitioner need not necessarily provide work for the self-employed associate giving the ability to adjust levels of cover depending on the work available and reducing overhead. An employee needs to be paid whether there is work available or not. This can also be a key advantage to the self-employed associate who, in the absence of terms to the contrary, can decide whether or not to work.



There are disadvantages and these need to be considered. One of the key disadvantages is the lack of commitment. In the absence of any agreement the self-employed associate has no ties to the business and can decide to leave with almost immediate effect. This can leave the practitioner having to find emergency cover. In addition the cost of the self-employed associate can be greater than an employee due to the more secure position an employee holds.

In order to address the uncertainty of the legal relationship between practitioner and self-employed associate it is advisable to provide a service contract to the associate. This document sets out the minimum requirements of both practitioner and associate, including the requirement to provide professional service, the rate of pay for that service and the notice requirement to end the business relationship.

In practice this means the business owner should have written agreements in place irrespective of whether the worker is employed or self-employed for the benefit and protection of the business. Only the employee though is entitled as a legal right to a written agreement and failure to provide an agreement can result in a claim to the employment tribunal and compensation.


Competition and post termination covenants

In both employed and self-employed examples the owner hopefully is building a successful business and will want to protect that business from competition. It is implied that employees should not compete with their employer during their employment. No such restriction automatically applies to the self-employed. The associate is therefore free to compete against his or her employer. This may be an issue that the employer wishes to address in the service contract.

Neither employees nor self-employed are obliged not to compete after termination of the relationship unless there is agreement to the contrary. It is very common for owners to seek to protect their business by the inclusion of post termination covenants in the written contract.

In both employed and self-employed examples the post termination covenants need to be expressly written into the agreement. The practitioners need to anticipate the worse case scenario of his or her employees or associates taking the business away and protect against this in the contractual arrangement. Incalculable numbers of employers have sought to protect a business too late when the patients have already been contacted and moved over to the employees/self-employed new business.

Getting advice and offering professionally drafted Service agreements such as Physio First's self-employed associate contract makes good commercial sense.

Post termination covenants seek to limit the ability of the leaving employee/self-employed associate to compete with the employer. Different rules apply to employees and the self-employed particularly with regard to the length of time to worker is restrained from competing with the employer.

Typically the worker will be prevented from competing with the employer's business and restrained from contacting clients for a set period of time.

The courts have reviewed post termination covenants on a number of occasions and have allowed the terms to be enforced providing they are reasonable. As a result the employer needs advise to ensure that the clause is reasonable and that the whole restriction on future competition is not undermined by a too greedy provision on the timing of the restriction or too broad drafting of the activities restrained.

This type of clause is meant to protect the business of the employer. If the employer is determined to be protecting more than his or her legitimate business interest the clause will be struck down by the courts.

Good advice is therefore crucial to try to ensure that the clause is robust and enforceable and to prevent the clause either being too weak to be of much use or too strong that it has become worthless and is unenforceable.


Key Terms

Key Terms are common to both the Employment Contract and Service Agreement for the Self Employed. You are looking to create legal certainty and will want to set out certain key features such as:-

-Name of employer and employee

-Date employment and continuous employment began

-Job location


-Working hours

-Job description/job title

-Some words used in the papers are there to ensure compliance for legal purposes e.g. determine in this case means to bring to an end.

Employees have statutory rights to further particulars including the following:-

-Holiday entitlement;

-Entitlement to sick leave, including any entitlement to sick pay;

-Pensions and pension schemes;

-The entitlement of employer and employee to notice of termination;

-Where it is not permanent, the period for which the employment is expected to continue or, if it is for a fixed term, the date when it is to end (referred to in the contract as determined).

-either the place of work or, if the employee is required or allowed to work in more than one location, an indication of this and of the employers address; and

-details of the existence of any relevant collective agreements which directly affect the terms and conditions of the employees employment - including, where the employer is not a party, the persons by whom they were made

-The statement must also include a note giving certain details of the employers disciplinary and grievance procedures.


Tests to be applied

Practitioners may decide to have both Employees and Associates engaged in the practice to meet the business needs but those that engage Self Employed Associates should note that HM Revenue and Customs may seek to challenge the Self Employed status of the worker.


The Courts have devised a number of tests in order to assist them in deciding whether or not they hold the worker to be an employee or an independent contractor. However, no one test is itself conclusive as all the circumstances of each case must be weighed up.

The tests are:-

-Agreement between the contracting parties - Evidence of a Self Employed Service Contract can help to support a claim of self-employment


-The Personal Service Test: It is the essence of an Employment Contract that an employee undertakes to provide a personal service to the employer. So, if the worker is entitled to send along a substitute to perform his duties in his stead, that will usually be enough to demonstrate that the contract is not an Employment Contract. The obligation to render personal service, although of crucial importance, is not conclusive. For example, an independent contractor may undertake to perform a relevant task personally. If the obligation is merely to get the job done, then he is an independent contractor, not a servant. If the obligation is to do the job himself, then he could be either.

-The Control Test: This refers to the degree of control an employer has over what work is performed, and how, where and when the work is performed. The Courts have said that there is significantly greater degree of control in the hands of the worker in a Contract for Services than there is in an Employment Contract. The independent contractor decides how, when and where he will work to perform his contract. The employee does as he is told by his employer, working predetermined hours at the stipulated location, for regular pay.

-The Organisational Test: The Control Test was subject to quite a few difficulties, especially where one had a skilled employee who knew his or her job better than the employer. The Organisational Test refers to the fact that under an Employment Contract, a man is employed as an integral part of the business, whereas under a Contract of Services the work, although done for the business, is not integrated into it; and the worker is simply an accessory to the business. An example would be a doctor, who might be an integral part of a business and so an employee, even though he was not under the direct control of his employer.

-The Economic Reality Test: The Economic Reality Test is whether the worker is truly independent of the employers business, and so likely to be self-employed. This test suggests that, in addition to the degree of control, the workers opportunities for profit and loss, the degree to which the worker was required to invest and risk his own money in performing the job (e.g. by providing his own equipment or uniform), the skill required to perform the work and the permanency of the relationship (e.g. regular salary payments, membership of pension scheme, holiday or sickness pay) are all factors to look at to ascertain whether the worker is really an independent businessman rather than an employee. An independent contractor is unlikely to be tied to one "employer"; instead he is likely to be free to work for others, including rival enterprises.

Each case has to be decided on its own facts. Whatever the parties call the relationship, the Courts will be able to look at the reality of it and decide whether in fact it is a Contract for Services or an Employment Contract.

For additional guidance on the law in this area you are referred to the Inland Revenue and Department of Social Security leaflet number IR56/NI39, entitled "Employed or Self-Employed? this is available free of charge from all tax offices, tax enquiry centres and DSS Contributions Agency Offices.

The conclusion is that you cannot write a contract in such a way that it will create a relationship of self-employment or employment.

As a consequence of the above most staff required on a daily basis, for example receptionists and secretarial support will be deemed employees by the Revenue and the Self Employed Service Contract is normally only suited to fellow Physiotherapists.

This explanation has been provided by Coles Miller, who are please to be associated with Physio First and its members and look forward to being able to help members through the employment and legal minefield.


July 2014

What are the benefits of Physio First membership?

Full details of the benefits of being a Physio First member can be found here: Benefits

What information do you have about scams?

When we receive any information about possible scams that affect our members, our office team will arrange for an e-alert to be sent to advise all members of the situation and how best to deal with it.

Scams are a menace and a despicable and cynical form of theft from hard working people, but they are also now well established and therefore have to be looked for and dealt with appropriately.

Physio First tips for not getting scammed are that you should not;

  • Pay any invoice without question

  • Sign any document without querying it remember if you sign anything you are deemed by law to have read and understood it

  • Respond to any unusual request without question

  • Never part with money up front without seeing the service/product or having references from people you know or trust.

If you stick to these you will never be caught and if you suspect or have been scammed please tell Physio First and we will alert you all.

June 2011


The Office of Fair Trading has details on its website at

Text from the OFT website says:

A scam is a scheme designed to con you out of your cash. Scammers are becoming more sophisticated and aim to con us all.

For details on the different types of scams and to find out how to protect yourself visit Consumer Direct.

If you have been a victim of a scam, or you suspect a scam, you can contact one of the following organisations for advice:

For scams in general - Consumer Direct

Tel: 08454 04 05 06

For investment scams - Financial Services Authority

Tel: 0845 606 1234

You can help to stop scammers by telling your friends and family and by making us aware of any scams that you have encountered. You can do this by submitting an online scam report

Download Research on the impact of mass marketed scams (pdf 299 kb)

Download Download The psychology of scams: Provoking and committing errors of judgement (pdf 3.3 mb)

What are the special rates on patient exercise prescription software from Physiotec?

For information about our relationship with and discounts from Physiotec, please go to Commercial partners

What are the Physio First special rates for product and servicing orders from Patterson Medical?

For information about our relationship with Patterson Medical please click here: Commercial partners

How do I join the Physio First LinkedIn on-line community?

If you wish to join the Physio First LinkedIn on-line community please follow the instructions below.

It is helpful to know that this is an experiment by Physio First to help us understand how best to build an on-line community that will be vibrant, engaging and a tool that will enable us all to share knowledge, experience and information.

This is the second on-line platform that we have used and as we learn, we try to develop it.

Instructions on how to Join

Getting started is easy, but if you have problems please email or ring our very own technical expert Mark Potter.

Mark is (like us) a private practitioner and holds the Physio First elected position of IT Officer (or ITO for short) and has not yet failed to help even the most IT illiterate among us – so please just ask him (contact details below).

So to get started:

  • Join LinkedIn (if you are not already a member)
  • Go to and click on the "Join Group" button
  • Your application will be checked to ensure you are a current member of Physio First. If everything checks out you will receive a notification that you are now a member and can sign in and view the group.
  • Access the group by clicking the Group tab on your LinkedIn toolbar.
  • Please go to the right hand side of the Physio First group page and click on ‘Group rules"
  • This will take you to the Rules of the on-line community, please do read them
  • The rules are not meant to be restrictive just a few suggestions which if we all observe will make the site lively, friendly, informative and enjoyable
  • Next go to the toolbar and Member list – go and have a look at the other Physio First members who are participating.



What is Physio First for, for the next 5 years?

At our 2013 AGM our then Chairman, Sandy Lewis answered the question “What should Physio First be for, for the next 5 years?” 

Her presentation was filmed and so, ify ou would like to find out more about the history of Physio First's journey to our intent please:  Click here


[May 2013]

Physio First 5 Year Goals; what does it means to “me”?

What follows is a really significant explanation … so significant in fact that not everyone will read it… but I would urge you to.

Our future is now planned for the next 5-Years.

We signed off Physio First’s 5 -Year Goals at our executive meeting in October and we now have 9 steps which will take us to becoming the organisation capable of “Championing evidence-based, cost-effective private physiotherapy with Physio First members in the changing healthcare marketplace”.

It is essential that everyone understands where each of our 9 Goals came from and I would like to take you through this process.  

It may seem sad, but exhausted as I am with all the ground that our executive and I have had to cover in the last 6-months, I am still full of enthusiasm and elated with our progress!

We signed off Physio First’s 5-Year Goals at our executive Meeting on 16 October 2013 … 5-Year Goals that were born out of a “must do list” comprising 47 items and distilled down to nine steps that it will take us to become the organisation that is capable of “Championing evidence-based, cost-effective private physiotherapy with Physio First members in the changing healthcare marketplace” and all to be completed in the next five years!

I would now like to take you through the process of how we arrived at these goals, as it is essentialthat everyone understands where each of the nine steps came from, but let me start by giving you a choice.


You choose … read or listen?

you can either carry on and read this FAQ or you can click here and look and listen to me presenting it … whatever suits you best.

What I would like to do first is to make 3 really important points about Physio First and then explain what our 5-Year Goals are, so that we can take everyone with us.



OK, so you decided to read, so please let me explain!

We (Physio First) are a pretty unusual organisation.

On the one hand we are a relatively small professional membership trade association but having spent a lot of time looking for “better” similar sized organisations, we simply cannot find them. So it is probably fair to conclude that as Physio First, we are much more than “a relatively small professional membership trade association”.

One thing that makes us different is that we have learned a good deal of what the best organisations (commercial and membership) need to have in place to really succeed.

We have learned, that to succeed any organisation needs “to be organised” and “being organised” can be summarised in 3-points:


Point 1 – being “functional”, that is, as fit for purpose as possible in everything we do. This means that we plan everything and we consciously try to communicate really well to avoid misunderstandings and frustration. We live by our organisational culture so that everyone knows how we do business. We plan for our successors so that we have continuity and we purchase sophisticated software and professional help when required .We also try to make sure that everyone does not get ill trying to deliver too much, in other words we consciously manage our capacity.


Point 2 – intent - having a clear purpose, direction or Intent so that every resource we have, our time, energy and money, is used to achieve that purpose. But a clear purpose or Intent is not enough … we also have to have a clear view of how we want to be perceived in our own marketplace. Perceived by those “within” and “without” so that as we devote every ounce of our resource to achieving our Intent, we are also able to track how this “perception” develops with our activities. This is known in commercial circles as “positioning” and Physio First is well on our way to completing this exercise. We have received a draft version of it already and will be reviewing it formally at the end of January at our executive committee meeting.


Point 3 - harnessing our passion - if we are anything as a group, we are united in our passion for what we are and what we do. This means that we generate ideas, we want to act quickly and that we tend to throw our hearts and souls into everything. Well, “being organised” means that we try to harness this passion and we do this by having structure which Physio First has i.e. we have job profiles, a business plan, a written down culture, organised office, sub committee and regional officer teams – and all together these make us a powerful force. A force that has the potential to achieve the target that we have set ourselves with our new Intent that is to “Champion evidence-based, cost-effective private physiotherapy with Physio First members in the changing healthcare marketplace”.


So… to our 5-Year Goals

You may remember in my editorial to our July Update (and on YouTube of course) where I tried to explain the outcome of our executive’s strategic facilitation to determine “what Physio First should be for, for the next 5-years” … well what follows is a similar attempt to explain what is the final piece of our whole strategic review – our 5-Year Goals.

Before I attempt to explain them let me show them to you.

I would suggest that you don’t study them too closely here as I will go through them one by one, but the point to note is that the time when we intend to prioritise each goal is set out on this Gantt chart so that we all have some sense of when we expect to achieve each goal.


Click here to view the 5-Year Goals Ghantt chart


So what does this all mean to me, a Physio First member?  

As a member of Physio First we are by definition Chartered physiotherapists, registered with the HCPC and most of us are either self-employed and/or own a majority shareholding in our own ltd company.

As such, “what do Physio First’s 5-Year Goals mean to me?”

This is what I want to address as unless I can communicate what all of this means to us as individual members of Physio First, then we will lose most people – and be left with nothing.

So why set Goals for the next 5 years?

Our executive felt that if we did not get organised with our “Intent” (purpose) and our 5-Year Goals (on what we need to do to get there) we would remain an ordinary professional membership trade association that admittedly provides a prodigious annual conference, a bespoke post graduate education programme, a unique quarterly journal and some creative members benefits as well as some unique marketplace information … but with little actual ability to make a difference in the marketplace!

So few professional membership trade associations actually make a difference in the marketplace!

When we questioned members about what Physio First should be for – the answers, in the main boiled down to

  • “Make a difference in the marketplace”
  • “Enable us as individual members to feel as though we can exert some influence in the marketplace rather than feel the butt of everyone else’s marketplace plans”.


So what does this “getting organised” mean to me, as an individual member of Physio First?

It means that with our Statement of Intent and our 5-Year Goals that we are part of a professional membership trade association who not only want to make a huge difference in our marketplace but who are organised enough, along marketplace lines, to have a chance of succeeding!


So what should I (as an individual) expect?

Tellingly one of the main differences between Physio First before our strategic facilitation and now is that Physio First, which is all of us together, will not aim to do things “for us” any more (as was the case with our last mission statement) but will aim to do things “with us”.


What our executive has set out to achieve is ambitious and we have the wonderful asset of so many volunteers who step up to form our executive committee, four sub sommittees and eighteen regional officers – nearly 50 people – who step up and volunteer time, energy and again “passion”… but this is only 50 people!


To achieve our “Intent” we need many more … something approaching 4,000 members would be nice!


Having greater numbers working “with us” will mean that our 5-year Goals have a great chance of being achieved. Now let me try to explain how each of our 9-Goals within our 5-year Plan is absolutely relevant to each of us as individuals but ... just before I do … think about it for a moment! Together we are several thousand businesses or looked at another way, several thousand outlets. What other national commercial organisations have that many outlets? …not many!


Goal 1 – Commission and implement a positioning exercise to understand how Physio First is perceived by our internal and external stakeholders to provide a benchmark against which we can measure progress


This is where we all get to see what we as members as well as others, to include Private Medical Insurers, commercial intermediaries’ and the CSP, think of us – or more precisely, how they perceive us – as perception is often more telling than fact.


This is the deployment of a precise business exercise called “positioning” and something that will have been completed by December this year with the recommendations  incorporated into our 2014 Business Plan and published to all of us as members so that we have a sense of how we and how others really see Physio First now.


It is an important first step as without it we would have no benchmark against which to measure our progress as we go through our other eight business goals – so I hope this makes sense and that perhaps this explanation gives some reasonable account of why, in the teeth of everything else that has been going on over the last few months, our executive felt that we had to commission this exercise as a matter of urgency!


This exercise was also explained in some more detail in our November edition of  Update and we will publish this report in early 2014.


Goal 2 – review business as usual (BAU) and

  • Examine critically to ensure alignment 
  • Refine our project review and planning processes to ensure that both are fit for purpose


Having redefined what Physio First is for – or rather having produced a really precise reason to exist, we have to go through the exercise of critically reviewing:


  1. Our day to day business as usual on which  we spend most of our resources
  2. Our project management tools and review processes to make sure that they are as fit for purpose as possible – as we are going to need them to be!


BAU is everything from our conference, to our education programme to our In Touch to our member benefits to our advice to members whether in the form of our quarterly newsletter Update, our e-alerts, our responses to member emails or our response to member telephone calls.


The point of reviewing all of our BAU is so that we can make sure that it is “all” aligned to our statement of intent, because any that are not, we have to ask “why are we still doing them?”


Business goal number 2 will be our priority between January and June 2014 – and we will need every second of that period to complete it.


Goal 3 – procure evidence to acquire health industry standing to enable us to win arguments against and/or form a strategic alliance with commercial organisations in order to impact upon the changing healthcare marketplace


We know that to make a difference in the marketplace Physio First – our entire membership of just under 4,000 private practitioners – cannot do so as individuals or as individual businesses. We need to be in a position to articulate who we are and why we are a potential partner to other marketplace players.


We have no idea right now as to who our partners might be but speculating a little they could be organisations as widely diverse as Private Medical Insurers to the NHS itself and any and all commercial entities in between.


The point however is this. “If” the only possible way to attract marketplace partners is to acquire “health industry standing” and health industry standing means having something that marketplace players want … something they value … something they need. Then we have to find out what it is that want, value and need!


Having taken a long hard look at the marketplace and its players our executive has concluded that the marketplace values are “evidence” and “cost effectiveness” … these are the new marketplace currency … the “values” that will provide marketplace “impact”  or put another way – the things that will make marketplace players sit up and take note and this will give us “standing”!


Our executive have taken the view that the alternative to this approach, however we might clothe it, is to become just another  membership organisation complaining about how we wished things would stay the same or go back to how they were and that this language of complaint is not anything that any marketplace player will understand or take seriously.

So where will this “evidence” come from?

We have a great deal of evidence already from our Data Collection Project – clinical evidence, business evidence and service delivery evidence which includes cost effectiveness. The challenge now is not only to work out how to use what we have got  but to work out what other evidence to gather … what next?

Again the Physio First Data Collection Project is evolving as I write with the launch of our national “Data Collection Short Tool” pilot.

A project designed to test and refine our ability to collect our own data from our own businesses which will, at the same time, contribute to Physio First’s national database and which in turn will enable each of us, as individuals and as businesses to compare our own outcomes against Physio First’s national results.

This is cutting edge stuff compared to other groups of healthcare professionals!

In addition to our Data Collection Project we also have the Physio First membership relationship management software (MRM for short) that is now (at last) coming on stream.

This will enable us, as Physio First, to collect and publish more business evidence that, as individuals, we will be able to use to measure our own business performance against Physio First’s national database and it will also enable us, as Physio First, to use this evidence (as per Goal 3) … to acquire health industry standing to enable us to win arguments against and/or form a strategic alliance with commercial organisations in order to impact upon the changing healthcare marketplace.


This to me is exciting stuff. Just by knowing more about how we as members perform, by knowing more about how we as individual businesses perform – is enough to start to make the dream of being able to impact the marketplace, a reality!

All of the “experience” and “knowledge” acquired in Goal 3 will be needed for each of the subsequent Goals and, in particular, it will enable us  to “Increase available resource by exploring and creating mutually beneficial collaboration with individuals/organisations” in Goal 8.


Goal 3 will be our priority between July and December 2014.


Goal 4 – Improve the relationship between the Membership and the Executive so that the gap between them feels closer by:

–       Increasing/improving communication

–       Examining the member journey

–       Managing member expectations


Business Goal 4 came out of a realisation during our executive’s strategic facilitations not that there are bad relations between our executive committee and our members at large, because all of our executive committee are members! No, what came out was a realisation that there was a disconnect … a gap.


The “disconnect” manifests itself in all sorts of ways from the language and commercial discipline that our Executive have learned to apply when volunteering their time and energy to Physio First to the value that our executive places on things like our “published organisational culture”.


The gaps that exist between our executive committee and members have grown out of the discipline that our executive committee have had to learned to apply in earnest to Physio First itself.


Here are three examples of advice that our executive as Physio First post holders understand and value but which, even they as ordinary members too, often do not connect with their day to day businesses:

  1. To rely upon business skills and business disciplines such as the necessity to create and keep alive our own practice business plans and to invest all of the time, energy and money to produce one and to learn to use it properly is sound incontrovertible advice to being in business i.e. there is no credible alternative.


  1. Not to waste time and energy in “good idea” marketing tools such as Facebook, Linked-In or Twitter without really understanding that they are just marketing tools to support a business plan strategy and are not (cannot be) business strategies in themselves. To view them as marketing strategies is to make them a total waste of time, energy and enthusiasm.


  1. That if we as Physio First, want to have an impact on the marketplace then we have no option but to engage with the marketplace on its terms and this means using sometimes excruciatingly hard to bear business skills and disciplines.

–       The first of these is to work out our own, very specific reason for being in business or put another way to work out “what we, as individuals, want out of life” so that our business can be shaped to deliver that and not become some kind of job we grow to hate or that we find tiresome.

–       Businesses succeed from positive energy, passion and enthusiasm but only if allowed to flourish within a sound business structure.


The gaps between our executive committee and members exist because our executive committee have had to learn to do all of this with Physio First and have lived this journey!


So Goal 4 is for us to begin to meet the Herculean challenge of our executive helping to take members “with us” on this journey because if we cannot, then all of the work that we have and are doing will not be enough to enable us to succeed in the marketplace.

The very great thing we have is – like the character of Physio First and dare I say it private practitioners in general – we are passionately ambitious to achieve and are certainly not frightened of “doing” … so we need to pause to do this and Goal 4 makes sure that we pause!


Goal 5 – champion private practice to each internal stakeholder group (i.e. members, contractors and office team) so that they view Physio First as the “go to” organisation


So having obtained  a snapshot of how we are perceived by internal and external stakeholders, having reviewed our project planning tools and all of our business as usual to make sure they are all aligned, having looked hard at how we are going to procure evidence that will make other commercial players sit up and take note, having paused to make sure that we close the gap between our executive and our members … we have now reached the first point in our 5-year Goals that includes the word “Champion”!


In Goal 5 we want to make sure that every internal stakeholder – our sub committees, our regional officers, our office team and most of all our members, regard Physio First as the “go to organisation” as we know that we will never convince anyone else in the marketplace if we do not believe this ourselves and this is no mean Goal!


Obviously we have no chance of succeeding with Goal 5 unless we have goals 1 to 4 in place and we expect to get to Goal 5 between July and December 2015.


Goal 6 – understand how to measure and manage our capacity to operate at 80% of available resource (i.e. of available time, energy and money) to enable us to achieve Goals 7, 8 and 9


We come back to the business discipline of “consciously managing our capacity” and we have learned a thing or two about this already.


Our executive committee have learned that:

–       If we do not manage our capacity consciously, then workloads will overwhelm our resources which are our time, our energy and our money. Not only is this wise advice but we have lived through times when we have worked well over capacity and it feels catastrophic to do so!

–       We cannot manage what we do not understand – so we have to pause to examine and understand our available resources or our capacity, at this point

–       In line with our statement of Intent, we will have spent 2-full years working “with members” and not “for members”. A great aspect of the distinction between “with” and “for” is that Physio First is run by volunteers and these volunteers have decided that doing things “with members” who are as passionate as they are is the only sensible way to make sure that we have available resource and that successors will follow and keep the fire alight

–       80% capacity is the maximum that any functional organisation can run at i.e. running any harder, like an engine, affords insufficient spare capacity to take account of what the journey throws at us – all those little unexpected things – and without the spare capacity to cope with these, the engine explodes – it’s common sense really!


Goal 7 – champion private practice to each external stakeholder group (i.e. the public, the Chartered Society of Physiotherapy and professional networks, the Private Physiotherapy Educational Foundation, Govt Depts, commercial purchasers, sporting bodies and healthcare institutions) so that they value private practice and view Physio First as the “go to” organisation


Now for the second time that the word “Champion” is mentioned but this time the context is “external stakeholders” and thus perhaps more meaningful as it means that we enter the marketplace  – the field, the game, the ring, the pitch, the fight – any analogy will do – but whatever analogy we use – we mean the main event!


By this time we need to have what the marketplace will be interested in hearing about and we believe the marketplace currency of the future is “evidence” and part of that is “cost effectiveness”.


Our executive are totally confident that, based upon the developments that we as Physio First have to hand already in our Data Collection Project and the potential within our MRM software, we will have the evidence to generate interest from external stakeholders and it is this that will make them feel that we are a “go to organisation”.


Being the “go to” organisation is important if we are to become the organisation that is capable of “Championing evidence-based, cost-effective private physiotherapy with Physio First members in the changing healthcare marketplace!”


We expect to be prioritising this between July 2016 and March 2017.


Goal 8 – increase available resource by exploring and creating mutually beneficial collaboration with individuals/organisations


So Goal 8 has us looking at resources again but this time at a new level. One that leaves us capable of increasing our resource (and our aim is to substantially increase our resource) by being clever enough to show marketplace players that we are capable of “creating mutually beneficial collaboration”.


This Goal builds on the experience and knowledge gained in Goal 3 i.e. to “procure evidence to acquire health industry standing to enable us to win arguments against and/or form a strategic alliance with commercial organisations in order to impact upon the changing healthcare marketplace”.


It requires us to show that Physio First has now acquired something that marketplace player’s value. Something that we can negotiate with – something that will lead marketplace players to decide to “give” us something in return for us “giving” them something.


“Something” that has to work both ways and that has to be of commercial/marketplace value!

All of this will be our priority between April and September 2017 and will be in preparation for our final Goal.


Goal 9 – Investigate so that we are able to understand, explain and judge the:

–       Potential impact of cooperatives (i.e. physio owned/controlled business entities)

–       Elements of real branding (that incorporate measured quality and competence) 


Goal 9 – the final piece!

Physio First arrives, for what is certainly the first time in our history, at a point where we will have the ability to realise a version of what has happened in the USA – the rise of Physio owned/controlled business entities, with a clear understanding of branding, should we chose to do so.


Our profession all over the world lost the battle that solicitors in the UK had won i.e. where only solicitors could own a solicitor’s practice. But even solicitors lost this battle when in 2012 the UK rolled back restrictive and self-preserving ownership of professional businesses in a way that it is unlikely to ever return.


The world on the other hand and the UK in particular, is growing keener on shared ownership of a ‘John Lewis’ style – where those who do the work and who together share the risk can also share the reward.


This is not communism – it is pure “marketplace rules”.


We are talking of the rise of consortiums, cooperatives, syndicates and networks where the only difference from the traditional business model is that the business is owned by the suppliers, who employ professionals to manage it but where the suppliers also have some control and are able to share in the reward.


Our Physio First executive hope to see business models of this sort develop anyway i.e. physio supplier owned versions of commercial networks.


We do however want to try to make sure that physio owned networks do have a very good chance of coming into existence. Commercial entities that are capable of competing on marketplace terms and which afford as much private practitioner (supplier as shareholder) control as is possible to preserve what we, members of Physio First, hold sacred i.e. what our training, knowledge and experience can do for patients.


This of course leaves moot the question of what place Physio First might have in such business models which ranges from becoming the engine of a massive consortium or cooperative of private practitioners capable of negotiating national contracts with any organisation to being the catalyst for encouraging groups of private practitioners to create lots of smaller consortiums/cooperatives themselves.


This question has not been answered as it is the marketplace that will produce the answer and it is why we have specifically ended with Goal 9 which takes us to five years hence and which specifically takes us to the point where, having been through all of the other eight Goals we will by then be able to “Investigate so that we are able to understand, explain and judge the potential impact of cooperatives (i.e. physio owned/controlled business entities).


But getting to this point within 5-years is seen by our executive committee members as the progression of an organisation that exists to “Champion evidence based cost effective private physiotherapy with Physio First members in the changing healthcare marketplace!”


As regards “branding”, the second part of Goal 9 - “Investigate so that we are able to understand, explain and judge the elements of real branding (that incorporate measured quality and competence)” 


Our executive know that “branding” requires the customer to perceive predictable and sustained quality from the start to the end of their journey. In fact it requires more than that, every touch of the organisation, from its marketing, to its logo, to the behaviour of its people, to the quality of its product needs to shout “predictable and sustained quality” all of the time.   


“If”, as private practitioners, we are going to aim to have this sort of “predictable and sustained quality” in private practice then we have to be in a position to “measure” it.


In this regard, by the time we get to Goal 9, we aim to understand how to produce a “measure” that is private practitioner defined, private practitioner evidenced and private practitioner lead and that is definitely not something that is imposed upon us by some other external marketplace player – a tall order in anyone’s books!



So as I began this explanation, weary as I am in not only taking part in this strategic journey but in trying to explain every nuance of it, I finish elated!

I feel that Physio First … we as a group of private practitioners … have a vision and a plan, an ambition and a means and as Reinhold Niebuhr said, “Nothing worth doing is completed in our lifetime …”


Well in this case I hope that this is not strictly true as I fully intend to keep on engaging as a Physio First member, but our statement of intent and 9-Goals in five years will not be achieved until after I have stepped down as Chairman, as I step down in April 2015.


But I can honestly say that this matters to me not one jot … all it means is that I will see the journey from a different perspective … as an ordinary member … and I cannot wait to follow the progress!


Kind regards

Sandy Lewis


Physio First


PS Please do engage with me on Linked-In – just click here for instructions if you are not already registered … I would love to hear what you think


December 2013

How can I volunteer to be a Physio First Regional Officer?

Physio First relys on the dedication and work of our regional officers to keep our members updated on the activities of our organisaion both centrally and with regard to their specific regions. 

The implicaitons for our membrers if their regional officer post is vacent are: 

  • your region is not represented on the full committee
  • no regional courses will be run in your region
  • no regional news bulletins will appear in Update.


All of these mean that your region is missing out on the opportunity to feed into our organisation with any of the issues that each region, and our members need to be heard.

Please consider taking on this role for your Region; you know you can do it!

If you have a vacancy in your region and would either like to stand, or nominate another member for a post, complete and return the nomination form (Please click here for form).

For more details about our Regional Officer or Alternate posts and what these roles entail, and can offer you, please click here.


Karen Willcock writes:

I've found it a rewarding experience and have made many friends among the other members of our team. This is a very exciting time to be involved with our organisation, as we move toward our goal of Championing evidence-based, cost-effective private physiotherapy with Physio First members in a changing healthcare marketplace’. To read more about the Physio First Culture, please click here.


If you would like more information or to discuss the role further please contact our Regional Officer Representative


February 2015

Why should you join the Physio First private Linkedin forum?

Physio First private forum … “it’s our future!”
In our November 2014 edition of Update, we speculated about our Physio First private LinkedIn forum and how it is likely to become, if not the absolute replacement for how we communicate the sort of things that we write about in Update, then very much more central to how we communicate.

In preparing this article we scanned “discussion topics” that are taking place on our forum and the posts that are reproduced below really do speak for themselves in terms of the value that this secure and trusted space is providing to those of us who have signed into it.

No other publication could reproduce the information, the interaction, the generosity, the knowledge, the judgment and the trust that we need to champion in the way that our Physio First private forum is doing right now … and our executive committee are just delighted at this progression.

What follows are just some of the discussion topics with one or two posts/comments that go with them that serve to give a mild flavour of what is on our forum. To get a real feeling of it we do need to sign up to it and then just watch the information flood in and begin to “feel” the impact that this can have on our practice … see what you think …

Discussion topic - Is it time to think BIG?

“The recent Update article on goal 9 got me thinking - Intermediary companies are on the rise and I don’t mean whiplash intermediaries. There is another type of intermediary company on ...”
Discussion topic - A Simply Health insurance policy dictating where to get physio.

“I thought it would be helpful to others to describe my recent experience with Simply Health. This was new to me. We have a consultant that has operated on a patient and wants to send ...”

“This is worrying - we have experienced that with Aviva but no-one else so far but it seems likely they may all go that way. We are a small ...”

“This is exactly what I experienced with simply health a few months back, but the difference this time meant that as long as I was ...”

“Perhaps we should ask Physio First to approach the PMI 's to find out what is actually happening and to voice that patients are not ...”

Discussion topic - Physiotherapy practice at home.

“Hi all, I may have to move Physio premises due to rental restrictions. Can anyone advise on the restrictions to having a Physio practice at home in a residential building; not D1 ...”

“I had problems with the leaseholder (OUR HOUSE WAS LEASEHOLD) who wanted £1000'S. I had issues with the council regarding putting a sign ...”

“Thank you all for your advice. It is all very helpful and lots of food for thought. ...”

“I got an exemption letter to practice acupuncture, with no fee, from the Council. But each council differs …”

Discussion topic - Practice management software

“Following on from issues raised below re: practice management software, I thought it would be useful for us to share our experiences to date. What we currently use, others we may have ...”

“… also gives remote access, great as I can view the stats away from the clinic or at home …”

“Cheers - will drop you a line about that!”

Discussion topic - Medical insurance claim

“In October 2013, a Physiotherapist carried out a lumbar manipulation which, sadly resulted in increased low back pain and leg numbness for the patient involved ...”

“Thank you for all your practical suggestions and messages of support - they are very much appreciated ...”

Discussion topic - Increasing Bupa prices

“Hi. Has anyone had any success in raising their Bupa prices and if so how did they go about it? It has been a few years since BUPA forced their lowered prices upon us and with inflation ...”

“It is really good to read this thread. I just hope other Physio’s will stand strong in May. Can Physio First publish something to ...”

“It would be great if everyone actually stood for what they believe we are worth, but they know they can divide and conquer. There will...”

“I echo others thoughts that May will be interesting. However I’d like a heads up before then. Are Physio First and BUPA still having regular ...”


Discussion topic - Hi guys, I was just wondering what your experiences with Pronto were? 

“Having spoken to a lady at AXA she gave me the impression that the Pronto network clinics were ...”

“As Bupa are also using this service I have been asking myself if I should start using … ”

“I had a conversation with AXA PPP this week as a patient had been referred via Nuffield (and NO, we don't give them diary slots, they ring us/e ...”

Discussion topic - What does the 5 year plan really entail?

“It was the observation that very few of us have understood (or bothered/made time to read Update) upon what Physio First is in the process of working ...” 

Discussion topic – Does anyone know anything about search engine optimisation (SEO)?

“I have used several website companies over the years to design and optimise my website. They have ranged from very good to downright cowboys! The current one seems very good but having ...”

“I just have to say that I think that £420/month for SEO is absolutely prohibitive and if my new website company had told me that it would ...”

“I agree - very expensive for optimisation - ours is a quarter of that and we have online bookings too ...”

“We have SEO and we ...”

Discussion topic - I have recently come across a new practice that surprised me in terms of competition for services from a health insurance company 

“I had a client who, if seen by a particular service ...”

“In theory, top up fees are or should be a bit like car insurance. With car insurance you can choose to pay a lower premium by having a higher ...”

“The issue that really affects things is that Simply Health say our going rate to all clients normally so why should this client ...”

“I am new to the forum, so am just catching up on older topics ...”

Discussion topic - Advertising for new clinical staff

“Has anyone got any recent experience of recruiting via CSP Job Escalator? Starting cost is around £440. We have already gone the lineage route in Frontline with no success. In ...”

“I think that people looking at … are also looking at Job Escalator and there is a massive price differential. I think a lot of it ...”

Discussion topic – Playing music in reception at the practice 

“Hi Everyone. We play background music in reception at the practice. We've paid a PRS licence of around £90 for the past 6 years and have just been contacted by PPL and told we need to ...”

“My experience was the same. At first I didn't realise it wasn't my annual PRS invoice which was also due - held off paying it and got ...”

“I agree I would not want to pay that kind of money either ...”

Discussion topic - Premex- yet another company trying to reduce fees 

“Has anyone else had an email from Premex stating that they wish to reduce the fees they pay? Their email gives no real reasoning, other than I presume they just want to reduce their ...”

“Mmmm Nuffield paying £35 for a 45 minutes assessment plus wanting 3 spaces a week blocked off that they never fill , so by my ...”

“We refused to block spaces out for Nuffield, and they still send us referrals (albeit not many!) ...”

“Re Nuffield we have created a space at the end of clinic, if they fill it we either see them then or ring to offer a different time ...”

Discussion topic - Hi, I was wondering how other practices are dealing with Fusion? 

“Have many of you decided to go with them or not? Have they offered practice the charges requested?”

Sounds about right. We find most times the triage notes arrive AFTER the patient's first appointment anyway. I invariably send an ...

“Beware patients bearing Aviva authorisation codes ...”

“We don't work with Fusion for countless reasons. However, we've got these same issues with Pru Health & IPRS. The patients are so confused as ...”

Discussion topic - What exercises do people use for glut med tendinopathy (confirmed on MRI)? Looking for some new ideas. Eccentric?

“Thank you! Great ideas, and will read that JOSPT article tomorrow. I'd forgotten about the mermaid exercise ...”

“My first question would be how have they got the problem? Essentially the best area to look here is at plenty of the work ...”

“Thank you for thoughts. The problem occurred in an elite sportsperson with no OA. And symptoms are almost fully resolved. They have ...”

Discussion topic - Does anyone do work for lawyers medical services? They've recently changed their payment terms to when the case is closed - how long is a piece of string?

“Hi - scroll back through the last few discussions - this lot came up on here 2 months ago on a thread …”

“I guess just encourage as many as possible to engage via Physio First - always surprises me how many independents aren't members, I think ...”

“I assume that this is something that everyone has to deal with but rarely comes up as a discussion from what I can see. We have a method that has evolved to deal with chasing payments ...”

“Hi, thankfully a rare occurrence. I use a couple of strategies in addition to the above. All patients as part of their ...”

“We text our patients via Skype and as far as I'm aware it's free to do that. And incredibly effective ...”

“Not sure what to think!!! Have you heard of Local – Physio who …”

Discussion topic - What do we do with intermediaries and the feeling of no say in regards to numbers of treatments? 

“This is challenge we are constantly dealing with and Physio First has received a lot of frustration from members in the past. Even as recent as last year when Physio First regional ...”

“I agree wholeheartedly. The PMI stance seems to have persuaded us that we should not be treating chronic or difficult conditions at all ...”

“I read that this is a FREE service where you can list your services and GPs can then find you ...”

Discussion topic - Does anyone know if there is a form that can be used to do an audit of patient notes?

“I have used the CSP SOPP audit in the past but it is no longer available from the...”

“So late to the party. Stuck on the M25. We have an audit method we use. We could let you have a copy and I could get my ...”

“Thank you but I have now waded through the CSP stuff and modified it to suit our practice …”

“I hope you guys are all reading the latest edition of In Touch and thank you if you are. We hope it helps to support you guys in your work but also we aim to support Physio First in its ...”

So go on … join over 400 of us … and help us all get on with Championing! 

February 2015

Why should I join Physio First's Data for Impact?

Physio First, together with the University of Brighton and funded by the PPEF have developed the Data for Impact programme which enables our members, through submitting anonymised treatment and outcome data on their patients, to obtain national reports on the efficacy of physiotherapy. This information enables us to champion evidence based, cost-effective physiotherapy to our stake-holders and our patients. 

Full details of how to get involved in our Data for Impact can be found here: Data for Impact


How can I ensure that I received updates from our LinkedIn?

Some members are reporting that LinkedIn no longer sends email notification of new posts in the forums that are signed up for. The easiest way to rectify this situation is to reset your notifications to “bump start” your LinkedIn profile.

To do this you need to log in, click on your profile picture in the top right corner, and in the drop down menu select “Privacy and Settings”

Open the “Communications” tab at the bottom left and select “Set the frequency of emails”.

This will open a page which will display all the groups you subscribe to, and the email digest frequency of each group. 

Select the drop down list next to “Physio First Forum”, change the frequency to another, save the setting, then reselect your preferred frequency and save again.

This should prompt the LinkedIn system to refresh your email preferences, and the notifications should start arriving in your mail box.

Whilst you are in the profile settings it’s probably worth checking you do have the correct email address registered!

February 2015

How do I start a discussion in our LinkedIn Forum?

To join our private Physio First LinkedIn forum you must be a member of Physio First. Details of how to join can be found here [link to LinkedIn details]

What are the details of Physio First's strategic relationship with Vivomed?

For full information on our relationship with Vivomed click here Commercial partners