Extended Occupational Health Assessment

An extended assessment is a more comprehensive and in-depth assessment of a patient’s problem by one of our Chartered and State Registered Physiotherapists.

The assessments include more objective measures, a more comprehensive report (including fitness for normal, and modified duties) with insights into the patient’s current status, future status and treatment pathways.

Comprehensive assessment

  • Extended assessment (provides a status report and advice on potential treatment pathways)
  • Ask specific questions (e.g. patient has been off work for 20 weeks is it likely they will ever return on normal duties)
  • Longstanding musculoskeletal problems assessed
  • Ability to work (including sickness absence)
  • Modifications of normal duties

Patients who have extended assessments are scrutinised via our clinical scrutiny department:


Senior clinicians

Every report is read and checked by one of our senior clinicians to assess suitability and appropriateness. Any discrepancies and/or questions are then asked back to the assessing therapist for comment/clarification. Jargon/abbreviations/medical terms are explained.


Expert advice

Our scrutiny therapists offer you advice on how to proceed (with the management of the patient). Note, this is advice only the final decision is always yours.

Robust clinical governance and reporting

Each Extended assessment generates a report including:

  • pain levels
  • subjective markers
  • restriction of movement (which ones and how much)
  • objective markers
  • ability to perform normal work role (including predicted absence times)
  • advice on modification of duties
  • permanent changes to normal role
  • diagnosis
  • prognosis
  • recommendations for further tests/medical opinions/treatments

Suitable for


  • All patients (especially suited for long term and chronic problems)
  • All musculoskeletal conditions (one body area per referral e.g. neck/shoulder pain is acceptable, but neck/ankle pain would require two referrals e.g. one for the neck and one for the ankle)
  • Long term sickness
  • Recurring problems
  • Patients with red flags/high yellow flag scores
  • Patients who did not respond to other treatments
  • After surgery status

Not for

  • Multiple body areas (a separate referral is needed per area)
  • Anyone under the care of another Physiotherapist/Osteopathist/Chiropractor/Consultant
  • Medico legal purposes

Delivery methods

National network of 780 Physiotherapy clinics

Physio Med has a national network of 780 Physiotherapy clinics with handpicked Chartered and State Registered Physiotherapists specialising in manual therapy.

Maximum travel time of only 30 minutes

Our large network means patients can access assessments and treatments within 30 mins traveling distance, making the service accessible for all regardless of their location.

Time required

Extended Assessment 1 hour
Overall report turnaround time
Within 5 working days

These reports often require further scrutiny questions, and this can extend the time.

Report Suitable for


  • Patient status (all subjective and objective factors)
  • Long term management of the patient
  • Physiotherapist opinion on overall and future work capability (sickness absence)
  • Modification of duties (including permanent changes)
  • Suggestions for workplace adjustments and/or assessments
  • Diagnosis and prognosis with time frame for expected progress
  • Future management of condition

NOT for

  • Medico legal cases
  • Work place adaptions (an actual onsite review required)
  • Multiple body areas (e.g. ankle and neck)

Referral Guidance

  • The patient must have a muscular skeletal problem centred around a specific area of the body (e.g. back, neck, leg etc.).
  • Please state any questions that you would like answered e.g. can the patient kneel after their knee replacement (questions asked after the fact can be impossible to answer)
  • A job role and description of the ‘real world’ requirements/needs of the service is beneficial otherwise the Physiotherapist will rely on the patient’s description of their duties. Please be as specific as possible and not use a generic job description as found from the patients contract e.g. ‘lifting as required’ should be specific – lifting 40kg washing machines into homes then push/pull to install them as a 2-person team.
  • Include any other relevant medical information that is known

Proud to support...

Private Business

Physio Med Helps John Lewis Partership save over 41,000 working days

Based on the 2,324 Partners who engaged with PAL over the 12 months, JLP estimates it saved 41,010 working days, delivering an estimated saving of more than £2,676,000.

Read more

Public Organisations

Physio Med provide 18.5 to 1 ROI for NHS Trust

We provide East and North Hertfordshire NHS Trust  employees with fast-track access to treatment to support staff health and wellbeing, improve productivity and reduce sickness absence.

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Our Happy Clients

  • Arla
  • NHS
  • Kier
  • Civil Nuclear Constabulary
  • PPG Industries

For more information call now on 0113 853 0500.

Customer Testimonials

Our workforce have full access to physiotherapists and advice on their health and wellbeing. Our team love the service and we have seen a noticeable improvement in our sickness absence records. Our latest report from Physio Med showed we had a 10:1 return on investment.

John Lewis Partnership

Having never used this service before i was surprised at how easy it was to arrange and the physio exercises came through to me instantly. I can now access these exercises wherever I am which is fantastic. They really do make a difference.

James S

The service was quick and user friendly. The video exercises were particularly helpful and relatively easy to incorporate in several parts of my day as some could be done at my desk whilst undertaking work.

Alan P

I found this service very good. The service line was efficient, friendly and very helpful and also very very nice.

Amy R

I was impressed by the speed and efficiency of the service.

Stacey S

I was very impressed with the swift & prompt service which has I believe made real difference to my progress.

Sally T

Very impressed with speed of receiving exercise regime, ease of use, usage of video examples etc.

Nigel L

First class service. Both Physios that I spoke to were very friendly and explained everything clearly. The videos provided are of excellent quality.

Adrian H

I felt at ease with the adviser, and the information given both over the phone and then the exercises given were very beneficial and have helped.

Amanda L

Phone contact was made at appointment times and the advice given was extremely helpful. I also received emails with pictures of how to complete the exercises which proved very useful.

John L

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