Physiotherapy for Case Managers
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Treating clients with complex injuries at home, across 20 counties in the UK.
HCPC-registered chartered physiotherapists who work towards your client’s goals, report in your format and fit into your client’s MDT.
Evidence based rehab at home, documented throughout
Our physiotherapists have extensive knowledge of treating complex injuries and report in a form you can put in front of a solicitor, deputy or insurer, and who tells you plainly when a goal is not going to be met.
We work with case managers on long, complicated rehabilitation at home, after road traffic collisions and serious injury, with brain and spinal cord injury, and with the slow rebuilding that follows months in hospital.
- 1 working day from referral to a call back from a senior physiotherapist
- 5–7 working days to assessment in your client’s home
- 3 days from assessment to an initial report with goals, estimated input and cost
- One all-in quote for the initial assessment, travel and report, sent within one working day of your enquiry
- Nothing billed without approval. Invoiced monthly to you, the solicitor, deputy or insurer
- The same physiotherapist throughout, wherever possible
- Full due diligence for every physio completed to your standards
After a road traffic collision or serious injury
Complex polytrauma rarely follows a straight line. Multiple fractures, pelvic and spinal fractures, external fixators and Ilizarov frames, revision surgery and bone infection mean long periods of restricted weight-bearing, deconditioning and setbacks. We work within the surgical plan and its precautions, and rebuild strength, walking and independence at home.
Knowing when it isn’t just slow progress. When recovery stalls because a fracture is healing in the wrong position (malunion) or not healing at all, because infection is setting in, or because the original operation is not going to succeed, we recognise it early. We tell you plainly, and can advise on referral to specialist limb reconstruction and bone infection services, which are often available under the NHS.
An example. A young man came home after three months in hospital following a motorbike accident, with severe injuries to his hip, knee and foot. During his rehabilitation, Will recognised that the hip was not behaving as it should and referred him straight back to the Bone Infection Unit in Oxford. They found the blood supply to the hip had failed and carried out an urgent hip replacement, and his rehabilitation continued at home.
“Will was amazing and soon realised that something wasn’t right with my son’s hip and referred us back to Oxford, where they found the blood supply had died and he needed an urgent hip replacement. Without Will this would not have been done and my son would have been in severe pain for longer.”
Tina, mother · Google review, Reading
Photo: Pagemaker787 / Wikimedia Commons, CC BY-SA 4.0
Traumatic brain injury, spinal cord injury and neurological rehabilitation
After a brain or spinal cord injury, the physical rehabilitation is one part of a bigger picture. We work alongside neuropsychology, OT, SLT and the treating consultant, and build our programme around fatigue, cognition, behaviour and seizure management rather than against them.
- balance, mobility and transfers
- spasticity management, positioning and standing programmes
- fatigue-paced programmes that fit the client’s day
- carer and support-worker training so practice continues between visits
We also treat stroke and progressive neurological conditions at home.
Amputation, older and medically complex clients
Amputation and prosthetic rehabilitation. From the first weeks home through to prosthetic training, gait re-education and phantom limb pain. Our team includes Kate L., for many years an amputee physiotherapist at a major UK limb-loss rehabilitation centre.
Older and medically complex clients. Long admissions, deconditioning, falls and frailty, often funded through CHC, a deputy or a care package, and often combined with our live-in rehabilitation care so progress continues every day.
Physio-led live-in care. We work closely with a live-in care company to provide physio-led live-in rehabilitation care. The carers who live with your client are trained and supervised by our physiotherapists, so rehabilitation happens every day, not just on physio days. It is often what gets someone out of hospital when a standard discharge would not. Find out more about our live-in rehabilitation care.
Your point of contact, from referral to discharge
Your referral is handled by one of our Home Physio Coordinators. Both are chartered physiotherapists with their own clinical caseloads, not administrators. They talk each referral through with you, recommend how to proceed on clinical grounds, and match your client with the right physiotherapist, then stay your point of contact through to discharge.
Chartered Physiotherapist and Home Physio Coordinator
Newcastle, Sunderland, Tyne and Wear, County Durham · View profile
Our Home Physio Coordinators match your client with the physiotherapist who has the right experience for their needs and is based closest to them. That same physiotherapist then stays with your client throughout. If circumstances change, for example a move, new needs or a different specialism being required, we arrange a suitable colleague quickly, with a full handover so nothing is lost.
How an instruction works
- Referral. By phone, email or referral form. We confirm availability and send an all-in costed proposal within one working day, with the proposed physiotherapist’s CV.
- Assessment at home. History, risk assessment and standardised outcome measures, with you, the family and the care team present if you wish.
- Initial report. Findings, baseline measures, person-centred SMART goals (or GAS), the proposed block of sessions and its cost, risks, and recommendations for equipment and onward referral.
- Treatment in blocks. We are instructed by you, and nothing continues without your agreement. We agree on the number of treatment sessions we have to work towards your client’s goals before reporting back to you. For complex cases we can quote for six or twelve months, and we only recommend treatment for as long as the clinical evidence justifies it.
- Progress reports. At the end of each block, or at the frequency you set.
- MDT meetings and case conferences. In person or by video.
- Discharge report. Outcomes against baseline, a maintenance plan, and what to watch for.
Reports written your way
Our reports are written to be used: by you to plan, by the funder to approve and, if needed, in the legal process. Every report is checked by our Clinical Director before it reaches you.
- the goals agreed with the client and family, and where they stand
- baseline and repeat outcome measures
- sessions used, and the sessions and cost proposed for the next block
- barriers, risks and any safeguarding concerns
- recommendations for equipment, onward referral and care
Why that matters. A good report gives you, the solicitor and the insurer the clinical evidence behind every recommendation: where your client started, what was agreed, what changed, and why the next block of sessions is justified. That is what lets a legal team defend the cost of rehabilitation, and what lets a funder approve it without delay.
“Your report is your evidence. It is what you put in front of the solicitor, the insurer or the deputy to justify the next block of rehabilitation. So we write every report to make that easy for you: clear goals, progress measured against where your client started, and a costed plan you can approve with confidence. Fewer queries, less chasing, and your client gets the treatment they need, sooner.”
Will Ferguson, Clinical Director, The Caring Physio
Measured, not just described. We use validated, objective outcome measures at the first assessment and repeat them at every review. They show clearly how your client is progressing, give the funder evidence it can rely on, and tell us early if a plan needs to change.
- Balance and falls risk: Berg Balance Scale, Tinetti (POMA), Timed Up and Go (TUG), Functional Reach
- Walking and endurance: 10-metre walk test, 6-minute walk test, Functional Ambulation Categories (FAC)
- Strength and movement: active range of movement (AROM), Oxford (MRC) muscle power scale, 30-second sit-to-stand
- Neurological: Modified Ashworth Scale (spasticity), Rivermead Mobility Index, HiMAT for brain injury, SCIM for spinal cord injury
- Trauma, orthopaedic and amputation: Lower Extremity Functional Scale (LEFS), pain rating (NPRS), AMPPRO for prosthetic users
- Goals: Goal Attainment Scaling (GAS) and the Patient-Specific Functional Scale (PSFS)
We choose the measures that fit each client. Have a template? We’ll use it.
Fees and terms
- Initial assessment: one all-in quote covering the visit, travel and written report, sent within one working day of your enquiry. The total depends on the distance the physiotherapist travels, so we price each referral individually.
- Treatment: £93 an hour outside the M25, £114 inside, plus 55p per mile for the round trip
- Progress reports: Charged at our hourly rate, usually 1 hr per report.
- MDT and case conferences: Charged at our hourly rate,
- Invoicing: monthly to the case manager, solicitor, deputy or insurer. Nothing is billed without prior approval.
- Cancellation: 50% charge if less than 24 hrs notice given
Costing a care report?
If you’re preparing a medico-legal report or care costing, email us and we’ll send a written schedule of rates, travel and assessment costs within 1 day.
Governance
HCPC registered · CSP members · Enhanced DBS · indemnity and public liability insurance · registered with the Information Commissioner’s Office (ICO) for data protection · safeguarding policy and training · lone-working procedures.
Some of our clinicians who take our complex cases
We have a variety of experienced physios across the UK. You will know who is treating your client before the first visit. Every physiotherapist on complex cases is HCPC registered and has specialised experience in the relevant injury.
Vicky H.
Neuro · Stroke · Early supported discharge
Neurological physiotherapist with extensive NHS experience in stroke and neuro-rehabilitation, including running Oxfordshire’s Early Supported Discharge stroke team.
Oxfordshire and Berkshire · View profile
Victoria S.
Neuro rehabilitation
Neuro physiotherapist with over 20 years’ experience and an MSc in Advanced Clinical Practice (Neuro Rehabilitation).
Berkshire and Buckinghamshire · View profile
Paula C.
Community neuro-rehab
25 years in the NHS, the last 16 in community neuro-rehabilitation.
County Durham, Newcastle, Tyne and Wear · View profile
Kate L.
Amputee · Prosthetic rehabilitation
Around 16 years as an amputee physiotherapist at Queen Mary’s Hospital, Roehampton, a major limb-loss centre.
Berkshire · View profile
Helen C.
Post-op · MSK · Polytrauma
Over 20 years as a chartered physiotherapist, including trauma and orthopaedics at St George’s, Tooting and Northwick Park.
Woking, Guildford, Camberley, Windsor · View profile
Will Ferguson
Orthopaedics · Polytrauma · Rehab care training
Clinical Director and founder, with nearly 20 years in NHS and private practice. Leads our orthopaedic and polytrauma work and trains our live-in rehabilitation carers.
Oxfordshire and Berkshire · View profile
Part of your team
- We work within the MDT, coordinating rather than duplicating, and fit around NHS therapy already in place.
- We train and supervise support workers, rehabilitation assistants and live-in carers, including moving and handling guidance.
- We work within our remit. If something needs a doctor or another discipline, we say so and recommend the referral.
- Consent to share is agreed at the start and reviewed. Records are contemporaneous and available for disclosure.
- Taking over from another provider? We work from the existing reports and run a transition review instead of charging a full new assessment.
- Referring regularly? We can agree service levels or volume terms: named contacts, turnaround times and a reporting schedule.
Examples of how we help our clients
Good rehabilitation is not only what happens in our sessions. Because we see your client at home, week after week, we are often the first to notice when something else is needed, and we know the services that can provide it. Connecting clients to the right specialist, at the right time, is one of the most valuable things we do.
- Back to the surgeons at the right moment. A young man recovering from a motorbike accident was referred back to the Bone Infection Unit in Oxford when his hip wasn’t behaving as it should. They found the blood supply had failed and replaced the hip urgently.
- Hydrotherapy when land-based rehab had gone as far as it could. We then referred the same client to Diamond Quality Care in Newbury for hydrotherapy, and supported him working alongside their rehabilitation team. He did very well with the combined approach.
- From “not strong enough” to a new leg. A man who had spent almost a year in hospital after an amputation was told he was not strong enough to go to the prosthetic rehabilitation ward for a new leg. We got him home with physio-led live-in care. Now he can stand for ten minutes, and he is being fitted with a new limb through a private prosthetic clinic.
- Psychological support when trauma was holding progress back. A client recovering from a traumatic injury was struggling to engage with rehabilitation and a return to work. We recognised that the psychological impact of the trauma was the real barrier, and asked the case manager to bring in support from a psychiatrist, so the team could understand those barriers and help the client re-engage with rehabilitation and their return to work.
We don’t hold on to clients. If another service will get them further, we say so and help make it happen.
Trusted by case managers
“I am a case manager and instructed The Caring Physio to review and treat my client at his home following surgery. Communication with Will and Helen was excellent throughout and they saw him quite quickly. They helped my client both mentally and physically. I would definitely use their service again in the future.”
Georgie P., case manager (Google review)
Case management companies we have worked with: Unite Professionals · Corpore · Proclaim · HCML · Independence Works · Bush & Co
Explore our other physiotherapy services
Case manager FAQs
How quickly can you pick up a new client?
We aim to call back within one working day and assess within 5–7 working days.
Do you treat clients after road traffic collisions and polytrauma?
Yes. It is a large part of our work: multiple fractures, frames and fixators, revision surgery, bone infection and the long rebuild at home.
Do you provide rehabilitation after traumatic brain injury?
Yes. We deliver physical rehabilitation at home as part of the MDT, alongside neuropsychology, OT and SLT, managing fatigue, balance, seizures and cognitive needs within the programme.
Will the same physiotherapist attend each time?
Wherever possible, yes. If they are unavailable, we arrange a colleague to cover, with a full handover.
How do you choose the physiotherapist, and what if things change?
Our Home Physio Coordinators match your client with the physiotherapist who has the right experience and is based closest to them, and we send you their CV first. If circumstances change, we arrange a suitable colleague quickly, with a full handover.
Do you work alongside NHS therapy teams?
Yes. We fit around NHS input already in place and avoid duplicating it.
Can you provide intensive or multiple weekly sessions?
Yes, where clinically justified and agreed with you in advance.
Can you train the care team?
Yes. We train and supervise carers, rehabilitation assistants and live-in staff so the programme continues between visits.
Can you work to our report template and schedule?
Yes.
Do you work under the Rehabilitation Code?
We act as the treating provider under the agreed rehabilitation plan. Immediate Needs Assessments are commissioned separately and independently.
Ready to refer?
Tell us about your client and we’ll come back to you within one working day. It helps to have: client details, injury or diagnosis and date, funder, consent to share, current MDT, goals so far, risks, and your report format and schedule.