Physical Health
NHS Services

Welcome to our NHS Musculoskeletal (MSK) Services

One in four of us will be affected by a musculoskeletal problem each and every year.

Vita Health Group gives you easy access to Musculoskeletal Services (MSK)  near you.

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Our Services

Self Help Resources

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We all get aches and pains, so don’t let them bring your life to a halt. The good news is that most of these conditions can be easily treated by you, at home. Vita Health Group provides self-help resources here. We can help you to help yourself!

We deliver a range of NHS Physical (Musculoskeletal) Health services that involve helping people from age 16+ to the elderly, from all walks of life. We have a team of experts who are committed to improving the way you move and enhancing your quality of life, by giving you the most suitable treatment for an injury or condition.

As per the Chartered Society of Physiotherapy guidelines we continue to offer virtual first approach to all physiotherapy appointments. This includes telephone, video calls and online groups. We are taking a phased approach to opening our NHS clinics in line with government guidance on social distancing to ensure we keep you and our staff safe. We can now offer a limited number of face to face appointments based on individual clinical presentation and with clear consent from you regarding risk.


  • Reduce waiting times and improved access for patients
  • Reduce health inequalities
  • Improve quality of service delivery
  • Reduce commercial pressures on GPs and Commissioners
  • Decrease time pressures on GPs dealing with musculoskeletal complaints
  • Increased patient and GP Satisfaction
  • Help develop better care pathways and deliver better clinical outcomes

Group Exercise Classes

What Is A Group Exercise Class?

Recovering from injury often requires a real commitment from patients. Group Exercise Classes are small rehabilitation groups that are specifically designed to deal with common injuries or conditions that patients experience.

Group Exercise Classes are a safe and effective way to help patients recover. Exercising in a group environment i.e with other people with the same or similar condition provides:

  • Exercises which are specific to a patient’s condition
  • Exercises set at the right intensity for an individual
  • A Physiotherapist on hand to field any questions or concerns
  • Encouragement and support from other patients in a similar situation
  • Education about specific conditions, managing symptoms and the benefits of exercising
  • The overall physical and psychological benefits of being more active

The exercises in a class are prescribed and performed for various reasons including strengthening muscles, improving the cardiovascular system and developing or maintaining physical skills like balance. Our physiotherapists are experts in prescribing the right exercises to resolve various problems e.g low back pain, early OA etc.

What is involved?

  • 1 class per week over a 6 week period led by one of our physiotherapists
  • Over the 6 weeks, the exercise will gradually increase but we will help you pace this
  • Each class will last 1 hour but everyone tends to start at slightly different levels

Group Exercise Classes are delivered on a rolling program so patients can access them at any time. All we ask is for patients to be able to commit to a regular time every week to benefit from the classes.

Physio Direct

Telephone Triage is rapid access to a telephone advice service, operated remotely by specially-trained Chartered Physiotherapists. It is available to patients 52 weeks a year, including evenings.

This service gives you peace of mind and allows you to access expert advice and support easily.

Our Service

  • A Triage Team will screen all Musculoskeletal (MSK) referrals against evidence based criteria, dismissing any clinical red flags (i.e. whether they require urgent medical attention) and assessing the individual’s psychosocial response to their MSK injury.
  • Following referral, individual’s have the option to discuss their problem with a Physiotherapist at a pre-booked telephone appointment.
  • An assessment is made using questions designed to establish a provisional diagnosis and screen for any non-MSK conditions. Advice is given to the patient, supplemented with bespoke information which is dispatched the same day by post/email.
  • The service would maintain regular contact with the individual, to ensure progress is being made, with a face-to-face referral always remaining an option.


  • Patients would receive earlier intervention. By tackling MSK problems earlier on, the likelihood of them becoming long lasting is reduced. Accessing intervention at the earliest point will allow self management and treatment to begin efficiently and reduce the likelihood of progression from an acute to a chronic problem.
  • A reduction in the need for ‘face to face’ Physiotherapy appointments.
  • This earlier intervention improves health and well-being and results in a reduction in absence and associated related costs.

Physiotherapy Services

What Is Physiotherapy?

Physiotherapy is a therapeutic health profession concerned with improving the way you move and enhancing your quality of life, by giving you the most suitable treatment for an injury or condition.

If you suffer from back or neck pain, a sports injury, arthritis – in fact, any joint or muscle problem – Physiotherapy can help relieve your pain and get you moving again. This therapy helps you physically, and mentally, to treat pain and lead a happier, healthier life.

Who Can Be Treated With Physiotherapy?

Physiotherapists are involved in helping people of all ages, from young infants to the elderly, from all walks of life. They commonly treat people suffering back or neck pain, general aches and pains and sports injuries.

This means we are able to help with any muscle, bone, joint or ligament problem you may have. We also have physiotherapists, who treat issues such as continence and pregnancy-related pain.

How Can Physiotherapy Benefit You?

We have an award-winning team of physiotherapists who are trained to assess the underlying causes of joint, muscle and nerve injuries so you can be confident of the treatment and advice that you receive.

You will get effective treatment that uses a wide range of techniques to:

  • Relieve your pain
  • Restore your movement
  •  Prevent any further problems

To do this, the treatment you receive may include education and advice about your condition and your health, joint mobilisation and manipulation, therapeutic exercise and stretches, and soft tissue massage.

Our team are experts in diagnosing and treating injuries and will provide you with easy to understand and helpful advice. Our approach is a holistic one that takes into consideration every aspect of your life. This unique approach allows us to understand your concerns better and provide more robust treatment plans.

Health and Wellbeing Programs

Our health and wellbeing programme is divided into three sections to address the three aspects of health and wellbeing (physical, psychological and social wellbeing).

Physical Wellbeing

The first part of the programme focuses on physical wellbeing. It consists of strength and conditioning exercise stations followed by Pilates exercises, aiming to increase participant’s endurance, strength and flexibility. Whatever occupation a person has requires a certain level of cardiovascular fitness, which can be lost quickly if they become inactive or reduce their normal levels of activity following an injury or onset of certain conditions.

Functional strength and conditioning tasks to mimic job-specific activities including lifting weights overhead, step-ups, twist in standing, walking while carrying weights, sit to stand squats and step-ups, amongst others that could be easily adapted for participants with more specific job tasks.

Pilates exercises are included in the programme to enable patients to engage core muscles needed for bracing that is recommended for best practice in manual handle and lifting techniques.

Psychological wellbeing

The second part of the programme focuses on psychological wellbeing, by practising relaxation methods such as mindfulness and breathing techniques.

This aims to address the psychological aspect of health and the importance of stress management to enable patients to better manage their pain, as well as stressful situations that they may encounter on returning to work.

Social wellbeing

The final part of the programme focuses on social wellbeing. There is a group educational talk which covers a different topic over each of the six weeks. Topics include Exercise Benefits, Stress and Pain, Healthy Behaviours, Wellbeing and Sleep, Occupation and Flags, Moving Forward, Communication and Goal Setting.

The educational talks give participants a platform to ask questions and to discuss and share ideas on the different areas of health and wellbeing; and how they are important for returning to and remaining at work.

Social wellbeing is addressed by participants interacting in a group situation throughout the day of the programme as well as specifically in-group tasks in parts of the educational talk.


MCATS stands for Musculoskeletal Clinical Assessment and Treatment Service. It is provided as part of an overall Musculoskeletal Pathway and effectively screens patients so they can be seen by the right clinician/service at the right time.

MCATS services are led by Extended Scope Physiotherapists (ESP’s) who are physiotherapists working at a high level of expertise and have extended their practice and skills in musculoskeletal medicine. ESP’s provide a high degree of skill in assessing patients and have advanced clinical reasoning skills.

Typically, a range of investigations can be ordered to help with the diagnosis and management of a patient. These investigations can include Blood tests, X-rays, MRI scans, Ultrasound scans and some other selected tests. The clinicians are able to act on the findings of these tests and will invariably have close working relationships with Radiology and other Secondary Care colleagues.

Within the MCATS clinics a range of peripheral joint injections can also be administered as a first line treatment option. This provides an additional level of access to this modality of treatment without the need to make a referral into secondary care.

ESP’s have a broad knowledge of both the conservative and surgical options that may benefit a patient in the management of their condition. This enables them to have a wide ranging discussion with the patient to help inform and advise them of the available options, most appropriate next step in their treatment, and likely outcomes.

Patients who are referred to Secondary Care are generally worked up so that the consultants are better able to work through the options with the patient at the Initial Outpatients appointment.

Patients tend to have fewer follow-up appointments and significantly higher conversion rates to surgery if they have attended an MCATS service before being seen in Secondary Care.

Patients and GP’s have demonstrated high levels of satisfaction with MCATS services across all variables measured.


Podiatry, also known as Chiropody, is a health profession that deals with the prevention, diagnosis, treatment and rehabilitation of medical and surgical conditions that occur in the feet and lower legs.

Vita Health Group has a highly trained and experienced team of Podiatrists and Podiatric Surgeon who are registered with the HCPC and Society of Chiropodist and Podiatrists.

What is a General Chiropody Treatment?

Routine Chiropody involves trimming of the toenails and management of everyday foot care such as:

  • Thickened toe nails
  • Callous
  • Athletes foot
  • Verrucae
  • Corns
  • Fungal nail infections
  • In-growing toe nails

What is a Biomechanical Analysis / Gait Analysis?

A Biomechanical analysis or Gait analysis is the assessment of how people are walking or running. If you have a lowered arch (pronated) or high arched profile ( supinated) then you may be predisposed to certain symptoms in your feet, knees, hips or lower back. Muscle tightness or weakness, footwear choices and activity levels can all affect on the way you walk or run.

Assessment of all these factors including structure and function of your lower limbs will give a detailed assessment of which factors are contributing to your symptoms or biomechanical abnormalities.

Podiatry treatment may include:

  • Shoe padding
  • Exercises
  • Steroid injection therapy
  • Custom made/ Bespoke orthotics
  • Strapping
  • Correct shoe advice and/or
  • Acupuncture

Can Insoles/ Orthotics Help me?

Orthotics can help with many foot, ankle of lower leg symptoms such as:

  • Thickened toe nails
  • Callous
  • Athletes foot
  • Verrucae
  • Corns
  • Fungal nail infections
  • In-growing toe nails