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Business referrals
Medico-legal physiotherapy terms
Service scope, reporting and working arrangements for organisations referring to Nexus. Fees are agreed privately in your service schedule.
Service terms
Your service schedule confirms the agreed services, fees and arrangements before referrals are accepted. They do not replace separate private-patient terms.
Download medico-legal physiotherapy terms (PDF)Referral information
Scope, reporting, fees and next steps.
Clinical scope and delivery
- Musculoskeletal rehabilitation
- Assessment and rehabilitation for personal injury and case-managed musculoskeletal care, including suitable neck, back and limb injuries. We confirm the appointment location and availability when reviewing your instruction.
- Care matched to the individual case
- Complex cases, children, home visits and other delivery requests are reviewed individually for clinical suitability, location and capacity before acceptance.
Rehabilitation reports and expert evidence
- Routine rehabilitation reports included
- Standard rehabilitation packages include initial, routine interim and discharge reports: findings and treatment plans, progress and barriers, then outcomes and remaining needs.
- Standalone and additional clinical reports
- Report-only work, bespoke questions and detailed additional reporting are quoted separately. We review the questions, available information and any assessment needed, then agree the fee and delivery date.
- Separate CPR Part 35 expert-witness instructions
- Expert evidence requires a separate instruction and suitability review, with scope, fees and dates agreed in advance. The expert's overriding duty is to the court; routine rehabilitation reports are not automatically expert reports.
A clear quote before work starts
- Treatment and reporting agreement
- Direct rehabilitation packages are quoted individually. Your quote confirms appointment duration, authorised visits or budget, included reporting and how further work is approved. Existing client agreements continue to apply.
- Payer and terms
- The responsible payer, invoice recipient, price, payment terms and cancellation or missed-appointment charges are confirmed before you accept the quote.
Timescales and sending a referral
Keep patient identifiers, clinical information and case documents out of the public enquiry. The team confirms an appropriate secure route after discussing the service.
- Standard agency assessment target
- After accepting a standard agency rehabilitation referral, we aim to arrange the initial assessment within 10 working days of first contact with the patient, subject to clinic and patient availability.
- Initial and discharge report targets
- For standard agency rehabilitation referrals, we aim to send each initial assessment and discharge report to the agreed recipient within 5 working days of the relevant appointment, through the agreed secure route.
- Other dates and target conditions
- Direct instructions, interim updates, report-only and expert-report dates are agreed individually. Working days exclude weekends and bank or public holidays in England. Targets depend on the necessary information and disclosure permissions; delays and revised dates are discussed with the referrer.
- Formal instruction checklist
- Through the agreed secure route, provide the organisation, case handler and reference; necessary patient information and records; treatment authority; payer; report recipients and requirements; and patient consent or other applicable disclosure permissions.
