Services for Employers

As specialists in fitness for work assessment and return to work rehabilitation we can help employers manage employees with complex pain and injury issues that have not been able to return to work following standard medical care, investigations, surgery and physiotherapy, or those who take recurrent periods of absence for the same condition or even apparently unrelated conditions.

We provide a bespoke Designed2Move Fitness for Work Assessment which is based on the latest evidence (Using a biopsychosocial approach) for identifying obstacles to return to work (RTW) and then making recommendations for how these may be overcome as part of a structured & supported return to work and rehabilitation plan.

Our assessment service comes with a report as standard, and can stand alone as a second opinion:

  • to help support the employer to make informed decisions when considering the next stage in an employee’s absence management process

  • and / or to direct an occupational rehabilitation process under the requirements of the Equality Act 2010

  • we can incorporate a workplace assessment into our assessment as needed, with many of our team having additional training in workplace ergonomics.

(Please note we do not work in an arbitration role or as expert witnesses in legal processes)

We also provide occupational rehabilitation programmes that combine workplace and health interventions to support the employee to return to work in a safe and sustainable manner. Many of our team have worked in Occupational Health for many years in a variety of physically demanding work environments such as engineering, manufacturing, healthcare, retail, military, emergency services and outdoor occupations, and are amongst national award winners in their profession.

  • Back in Work Project 2000 (Heather & Juliet)

  • ACPOHE runner up in workplace research award 2006 (Heather)

  • 2015 winners NHS ENGLAND innovation Challenge award for Rehabilitation for MSK Fitness for Work service (Jayne,Heather)

  • 2015 winners CHARTERED SOCIETY OF PHYSIOTHERAPY service excellence award “promoting activity & healthy lifestyles” for a musculoskeletal fitness for work service(Heather, Jayne, Mike)

  • 2015 runner up - VOCATIONAL REHABILITATION ASSOCIATION VR practitioner of the year (Heather)

Several of our team are also actively involved in the post graduate education of physiotherapists in occupational assessment of fitness for work and rehabilitation:

  • Occupational Rehabilitation & Work Hardening – Heather & Jayne

To find out more about how we can help you:

  • Request a call back to discuss a potential client
  • Request a referral form or download one by clicking here
  • Request a brochure
  • Book a webinar for you and / or your team to find out how we can help you
  • Book onto one of our open webinars to find out more about our services - email us for a password
  • Book onto one of our networking or education events - by clicking here or sign up to the newsletter to keep informed by emailing us

Services available

Designed2Move Assessment
Every client must undergo an initial assessment which evaluates their current situation, measures their current capacity, considers if there are any obstacles to recovery and assesses their rehabilitation needs. It concludes with recommendations for whether we think our service can help or not, and if so, what components we would suggest need to be included in a recovery programme to maximise the chances of success.
Designed2Move Fitness for Work Assessment
As specialists in work rehabilitation we have the option of a specific Designed2Move Fitness for Work assessment that assess a clients current fitness for work, identifies any obstacles to recovery or return to work that may be slowly progress, and makes recommendations for supporting the client to return to work. The location of this assessment depends on the situation.
Designed2Move Functional Restoration Programmes
After the initial assessment, if the client and funder wishes to proceed a bespoke programme will be designed to include components most relevant to the clients needs and long term goals. These can be provided as a package or modules.

Case examples

Multiple orthopaedic injuries including spinal fractures following a motorcycle accident.
Programme included treatment of multiple areas, pain management and graded return to physical activity including walking, cycling and gym, with support to remain at work part time.
Bilateral lower limb fractures with internal fixation, pelvic and lumbar fractures following a work related climbing accident.
Programme included pain management support, functional movement retraining, support for pacing and work scheduling, and collaboration between client, physiotherapist and a climbing instructor to restore confidence for returning to climbing as part of work.
Unilateral lower limb injuries with internal fixation surgery at ankle and hip, contra-lateral upper limb injury from a serious road traffic collision.
Programme included pain management support, home exercise programme, supplementary gym based programme, walking re-education, advice and support for managing return to work which included long distance and over seas travel.
Persistent regional pain syndrome of upper and lower limb that followed an acute work injury several years previously,
Resulting in associated poor general health and fitness. Programme included pain management and education for improving positive self coping strategies, graded walking programme with gait re-education, home based movement and relaxation exercises, accompanied gym sessions, advice on activity management and sleep routines to support recovery.


1Where do you do assessments?
We can carry out assessments at the employee’s home or at the workplace depending on what is most appropriate for the case
2What do we need to do to refer someone?
In the first instance please request a call back so that we discuss the case with you. If we think we can help we will send you a referral form and further information about what to do next
3Do we need the employee’s consent to refer them for assessment?
Yes, the employee needs to be aware that you want to refer them to us, and you need to seek their consent to do so. We will then need them to consent to the assessment itself and the report that we produce. This does not prevent us from supplying you with a report, but it may limit what we can tell you. However, we do discuss this fully with the employee to ensure they understand the benefits of consent to enable the employer to provide support for return to work
4How can we fund your service?
You will need to either directly fund the services as the employer organisation, or seek funding via your insurer. We do require payment for the assessment at the time of booking.
5What are your fees?
Our fees are dependent on the time required for the assessment and report writing and the location of the assessment. We do have to charge for travel time and expenses where incurred. We can give you a quote once we have discussed the case with you.
6Can we just talk to you about a case?
Yes, you can just talk to us about a case. We are happy to have brief conversations about whether to refer a case, but we can also provide a Case Review option as a meeting between you and one of our clinicians, without the employee. This is charged on a case by case basis. Please note any advice from these case reviews are necessarily limited as we are not able to do an assessment of the individual, and is therefore advisory only, making broad recommendations for ways to progress the case constructively. More detailed and specific information can only be given from a full assessment.
parallax background

Meet the Clinical Team

We are small but growing team who are passionate about what we do and helping people fulfill their potential after injury! Click the button to read more about our Specialist Clinicians.

Referrer feedback

  • “Your practical approach to meeting the challenges of supporting clients in their return to work in specific occupations is, I believe, much needed in the field of personal injury rehabilitation and case management. Certainly from my experience of working as a case manager this latter stage of a person’s rehabilitation is where progress can slow down and we often struggle to find Physiotherapists who are experienced in providing functional restoration programmes that are tailored towards the goal of helping the injured person achieve the transition from clinical setting back into their specific world of work.”
    Clare Martin, Rehab Solutions Ltd.
  • “Heather and I have worked together on complex cases helping folk get back to their jobs. Heather understands the need to look at the whole person and takes every care to design a rehab programme that helps to restore function using real and simulated (job orientated where required) tasks. Heather also takes pride in building a close rapport with a person and ensuring her rehab is evidence-based.”
    Jain Holmes, OT and Author of “Vocational Rehabilitation”
  • I would totally recommend Heather and her service to any case managers. I found her clinical assessment and rehabilitation skills to be first class, but not only that; her approach, her manner and her flexibility when dealing with quite a difficult client was greatly appreciated. Designed 2 Move are a very holistic and innovative service, far beyond the scope of most standard physiotherapy services. For clients who have physically demanding jobs, hobbies or interests, but still have limitations after 'standard' physio has finished, it would be well worth your while contacting Heather to see how Designed 2 Move could help them achieve their outstanding goals.
    Catherine Cottle - Case Manager, Unite Professionals Ltd.