Observership day
A single day shadowing assessment and procedure. Free of charge for referring clinicians.
Arrange a day
Home/Clinical Care/For Physicians
Refer with confidence,
not with hope
Published indication criteria, a two-page referral form, and a written report back to you at every review point. Your patient stays yours.
- 48hReferral response
- 5 yrOutcome reporting
- 1 in 4Declined as unsuitable
- CMEAccredited training
Referral
How the process works
Designed so that referring costs you one form and gains you a documented second opinion.
- Step 1
Send the referral
Two-page form plus imaging. Email, secure upload or post — whichever suits your practice.
- Step 2
Triage within 48 hours
A consultant reviews against published indication criteria and replies to you directly — including when the answer is that we cannot help.
- Step 3
Assessment appointment
Your patient is seen within two weeks. You receive the assessment letter the same day it is written.
- Step 4
Shared decision
The written treatment plan is copied to you before consent is taken, so you can raise concerns while it still matters.
- Step 5
Outcome reporting
Structured reports at 6 weeks, 3 months, 6 months and annually to 5 years. Your patient returns to your care throughout.
Referral pack
Referral form, eligibility checklist and the full indication criteria document.
Download PackDiscuss a case first
Our consultants take clinician calls directly between 14:00 and 16:00, Monday to Friday. No referral needed to have a conversation.
+91 44 1234 5679Indication Criteria
Who we will and will not treat
Published so you can screen before referring, and so we can be held to it.
| Indication | Accept | Decline | Evidence base |
|---|---|---|---|
| Knee osteoarthritis | KL grade 1–3, symptomatic | KL grade 4, or BMI > 40 | RCT + registry |
| Hip osteoarthritis | Mild to moderate, function-limited | Advanced collapse | Registry |
| Rotator cuff tendinopathy | Partial thickness | Full-thickness tear | RCT (negative for adjunct PRP) |
| Lateral epicondylitis | > 6 months, failed conservative care | < 3 months duration | RCT |
| Non-union fracture | Atrophic, > 6 months | Active infection | Case series |
| Diabetic foot ulcer | Wagner 1–2, perfused | Critical ischaemia, osteomyelitis | Registry |
| Spinal disc disease | Not offered | All presentations | Insufficient evidence |
| Neurological indications | Not offered | All presentations | Insufficient evidence |
The last two rows are the ones other clinics will treat. We do not, because the evidence does not support it.
Common Questions
What colleagues ask us
No. We provide an episode of care and report back to you at every review point. We do not take over general management, and we do not market other services to your referrals.
We will call you before writing anything that contradicts your assessment. Disagreement gets discussed clinician to clinician, not delivered to your patient in a letter.
Yes, with the patient's consent. Many referring clinicians attend once before referring regularly. Contact the academic office to arrange an observership day.
Actively. If you are seeing volume in an indication we are studying, a joint protocol with harmonised endpoints benefits both of us and produces data that can actually be pooled.
Professional Development
Training for referring clinicians
CME workshops
Two to five day accredited programmes with live laboratory sessions.
See calendarCertificate course
Three to six months, hybrid, for clinicians who intend to practise in this field themselves.
Programme detailDiscuss a case before you refer
Consultants take clinician calls directly, 14:00–16:00 Monday to Friday.