For patients
& referrers.

We measure success by functional milestones, not procedures completed. Climbing stairs unaided. Sleeping through the night. Holding a child. We track both the functional milestone regained and the clinical outcome.

We package a programme — months to years of multi-specialty care, with a clinical case-manager and a senior consultant. A trip-shaped surgical operation belongs to the sibling. The same patient often passes through both.

Multidisciplinary board within 72 h. A clinical case-manager with medical training, not a logistical coordinator. Senior-consultant first contact. Private suite with family accommodation for admissions. Premium-care here is clinical infrastructure, not luxury hospitality.

No. We concentrate on the functional and age-related-decline axis. Oncology, cardiology, and transplantation are out of scope; we refer to partner tertiary centres for those.

You don't need to know. Pick the closest institute — or 'not sure' — and the board routes it. Most cases touch more than one institute anyway; they're read as one case.

That usually means nothing more can be done there. Four institutes re-read the full case together and return a written second opinion — agree or disagree, with reasons.

You don't travel to start. Records are read remotely, and a medically-trained case-manager plans travel only if — and when — treatment justifies it.

Nothing. The board's first review is free, and before anything is scheduled you receive a fixed, written plan — no open-ended invoices.

Yes. We review your current DMT and monitoring, and either continue it or propose a change with the reasoning written out for you and your home doctor.

No. After the in-person work-up, many monitoring reviews are protected video calls with your named consultant.

Only some patients benefit. We assess candidacy thoroughly and tell you plainly — including when the honest answer is medication optimisation instead.

Often not. Plateaus frequently reflect under-dosed rehabilitation; a fresh, intensive, well-targeted programme can still move function.

Bring the list. A structured review of what's been tried — and how — often reveals a preventive strategy that hasn't been given a fair trial.

Many knee-replacement patients climb a flight without resting around week six — but the honest answer depends on your starting point, which we'll set out plainly.

Not always. Some injuries do better with structured rehabilitation; we'll tell you which camp you're in before anything is booked.

For many disc and stenosis problems it is, and recovery is quicker. Complex cases may need open surgery — we'll be clear about which yours is.

Often yes. Reconstruction plus dedicated hand therapy can recover function that was written off elsewhere.

Plateaus often reflect dose, not ceiling. An intensive, well-targeted block frequently restarts progress that had stalled.

Yes. We request the operative details and build a protocol that respects exactly what was done.

Through sport-specific strength, control and load tests against your baseline and the demands of your sport — not a fixed number of weeks.

With the right graded plan, yes — and it's usually the most effective treatment. We start where you are and build carefully.

Usually not. Most herniations settle without an operation, and a scan finding on its own is not an indication — what your leg, your walking and your night pain do matters more. If surgery is genuinely indicated, the orthopedic surgeon is at the same board and will say so in writing.

An injection lowers the pain enough to let you move and train. On its own it is temporary; paired with a graded programme it is what makes the programme possible.

Because placement can be confirmed rather than assumed. In a randomised trial across 148 painful joints, sonographic guidance reduced procedural pain by 43% and pain at two weeks by 59%, and raised the responder rate by 26% (Sibbitt et al., The Journal of Rheumatology, 2009).

That is answered after the first one, by what changes. A plan that commits you to a course of injections before seeing the response is selling a course, not treating a joint.

No — it supports and guides the pattern so you can produce far more correct repetitions than a therapist could assist by hand. The work is still yours; the device removes the ceiling on how much of it fits in a session.

Combined with physiotherapy after stroke it probably increases the odds of walking independently (OR 1.65, 95% CI 1.21–2.25; 62 trials, 2,440 participants, moderate-certainty evidence — Mehrholz et al., Cochrane Database of Systematic Reviews, 2025). Nine patients need treating for one more to walk independently. Used alone, that difference is not there.

Longer than anyone wants — it moves through a painful phase, a stiff phase and a thawing phase, and the treatment differs in each. What we can say at the first visit is which phase you are in and what the next six weeks should look like.

Not completely. Tendons respond to graded load and get worse with prolonged rest. The skill is in choosing the load that helps rather than aggravates, and adjusting it on measurement.

That you are admitted to the hospital for the programme rather than travelling in for appointments. Therapy happens on the ward on a daily timetable, with nursing and medical cover in between and a consultant reviewing you through the stay.

It is decided by assessment, not by a package. Typical intensive blocks run two to four weeks, and the honest answer is that we can only give you a range before we have seen you — what we will commit to in writing is what the block is aimed at and when it is reviewed.

No. This is physical therapy and rehabilitation after stroke, surgery, injury or deconditioning. We do not provide drug or alcohol rehabilitation, and if that is what you need we will say so rather than take the admission.

Sleeve gastrectomy, gastric bypass or a revision — matched to your history and metabolic picture by a senior bariatric surgeon and the board, not decided before you are seen.

The metabolic programme, nutrition and long-term follow-up are written into your plan before the operation — for years, not weeks, so the result holds.

Yes. Complex revision after surgery performed elsewhere is fully worked up by the board before any decision is made.

No. Medication is one tool where it's indicated; the programme is built on senior medical ownership, nutrition and behaviour change together.

For some, structured weight and metabolic work allows a safe, supervised reduction. We'll be honest about what's realistic for you.

Yes. Long-term post-bariatric monitoring is exactly what this pathway is for, wherever the surgery was done.

Better-controlled weight, glucose and sleep measurably lower surgical risk and improve recovery — it's worth the weeks it takes.