COVID-19 Guidance

Last updated 04.02.22

Do we continue to wear full PPE?

We have a legal and ethical duty of care to protect staff, patients and visitors and to minimise their risk therefore, pending further guidance from Public Health England Infection Prevention and Control teams, the current PPE guidance remain in place until further notice.

You can find the most recent guidance here. This guidance does not make any distinction between vaccinated and non-vaccinated patients.

Last updated 04.02.22

Can we insist on patients wearing masks?

It is the view of CSP and Physio First that masks wearing should remain routine for both the therapist and the patient during treatment sessions. We cannot insist on this as it is not the law, we can only request that they protect the therapist that is treating them. If they refuse, we can only mitigate the risk of spreading the virus by wearing PPE and not spending too much time in close proximity, routine cleaning between patients (no set time) and any other risk management strategies in your particular clinic.
Last updated 04.02.22

Are there any COVID-19 considerations I need to think about as part of gaining informed consent for my patients?

Yes. Informed consent means that there is evidence of information exchange and shared decision-making between you and your patient, so that the patient is able to make their own decision to agree to treatment based on receiving information that is relevant to them. In the current situation, that will also include a patient agreeing to a face to face appointment and understanding what the impact of COVID-19 has on their expectations of treatment and the clinic/visit processes. Informed consent cannot be evidenced by a tick in either a box or a template.

There must be evidence that demonstrates the information exchanged and/or conveyed to your patient, and any discussion that have taken place as a result of any questions that the patient has asked, which must now include things related to COVID-19. Remember: Disclaimers and declarations that seek to require patients to sign that they absolve you of your duty of care to them are legally invalid. There is no guarantee any such wording will protect you from any legal claim arising at a future date from an alleged failure on your part to discharge your duty of care to your patient, and/or any health and safety workplace legal obligations you may have. Similarly, whilst you can expect patients to provide honest, accurate and complete information to the best of their knowledge when they attend for treatment, it is unreasonable for you to seek to hold patients liable for any harm caused to others caused as a result of the information they provide. You have a professional duty to explain to patients how you are adapting your practice and your clinic/visit environment in the light of COVID-19 to ensure a safe working and clinical environment for both staff and patients.

Last updated 04.02.22

Do you want to promote your online physio service alongside your face to face clinic?

On Thursday 10th September 2020 Physio First hosted a webinar presented by Gerard Greene on 'Providing and promoting your online physio service alongside your face to face clinic'. 

Members learnt how to:
•    Develop, maintain and build an online clinic
•    Continue their online clinic alongside their bricks and mortar clinic
•    Utilise zoom interviews, YouTube and social media live events to promote your clinic

Gerard Greene combines teaching and research with working in his specialist pelvic health physio clinics in Birmingham. His clinics specialise in female and male pelvic health Physiotherapy in addition to MSK/sport. Gerard has built up his online clinic and courses through lockdown and beyond and is generously sharing his experience with Physio First members. 

We would like to thank Gerard Greene, Lorna Saunders and Gemma West for their time, efforts and contributions towards this event. 

If you missed this event or would like to rewatch it, you can log in to watch the full webinar here

Covid-19 business support

Last updated 29.07.21

Is there any update on Business Interruption Insurance?

Aviva amends stance on business interruption claims after CSP and Physio First pressure


This breakthrough in Aviva's position follows sustained pressure from CSP and Physio First, working with James Hallam Insurance Brokers, to provide extensive evidence in support of our members' claims.

Members affected by a qualifying claim will start to receive letters from Aviva from 23 July, explaining the new position and giving details of what they will need to do next.

Click here to read the full letter from James Hallam.

Last updated 29.07.21 

What if my business interruption insurance is not with Aviva and arranged through Graybrook Hallam?

You will have seen that we published news about Business Interruption clinic policies purchased through James Hallam on Friday 23 July 2021. Click here to see the full bulletin and a news article by Insurance Times here

If you are experiencing challenges to your BI claim, which is not provided by Aviva, please contact the professional advice service team: at CSP and they may be able to help you.

They will need the following details:

  • Your CSP membership number
  • Your insurance provider
  • The underwriter for the policy
  • The broker you used (if applicable)

Last updated 29.07.21

Did Physio First do anything to lobby the government?

Please click here to read a joint letter sent to the Chancellor on 8th April 2020. 

Last updated 08.04.20

Have Physio First done any lobbying about rate relief for small businesses?

Physio First and the CSP are part of an alliance of professional and trade bodies that has called on the Chancellor of the Exchequer to extend rate relief to professionals operating through small businesses. To read the letter please click here. 

Last updated 13.05.20

Will my business interruption insurance policy cover me for Covid-19?

See FAQ above with news about policies with Aviva arranged by James Hallam. For full details and to follow the High Court action by the FCA to challenge the non-payment of business interruption Insurance for a range of other policies click here to visit the FCA website to follow their statements as we await final clarification for many policies. 

Going forward we all probably know now the value of business interruption insurance will depend upon the terms and conditions of the specific policy. All post Covid 19 policies are likely to be drafted in a way that tightens up the protection for the insurance provider. So, it is essential to really understand them, which means spending time reviewing and discussing them with your insurance broker.
Whilst it may not always be true, it is likely that the amount of cover will increase with the cost of the premium. In addition, insurers will be working very hard to try to ensure that they are not as exposed as they were. So, there are likely to be clearer exclusions for events such as Covid 19. This begs the question as to what to do? Certainly, the answer has to come from your discussion with your broker to include the value of saving contingent sums of money to cushion any such future catastrophe insurance cover that they may have to offer.   

Last updated 29.07.21

I’m Self Employed, what support is available for me after the 5th November?

The Self-Employment Income Support Scheme Grant has been extended in the form of two grants, each available for three month periods covering November 2020 to January 2021 and February 2021 to April 2021. And now another from May 2021 to end September 2021 which is the 5th grant available.

To be eligible for the Grant Extension self-employed individuals, including members of partnerships, must:

  • have been previously eligible for the Self-Employment Income Support Scheme first and second grant (although they do not have to have claimed the previous grants)
  • declare that they intend to continue to trade and either:
    • are currently actively trading but are impacted by reduced demand due to coronavirus
    • were previously trading but are temporarily unable to do so due to coronavirus

The extension will last for six months, from November 2020 to April 2021. Grants will be paid in two lump sum instalments each covering a three-month period.The first grant will cover a three-month period from 1 November 2020 until 31 January 2021. The Government will provide a taxable grant covering 55% of average monthly trading profits, paid out in a single instalment covering 3 months’ worth of profits, and capped at £5,160 in total.

The grants are taxable income and also subject to National Insurance contributions.

Claim the fifth grant if you think that your business profit will be impacted by coronavirus (COVID-19) between 1 May 2021 and 30 September 2021. 

You’ll need to confirm that you meet other eligibility criteria when you make your claim. You should make your claim on or after the personal claim date HMRC has given you.

Please continue to check here for updates.

As Physio First we are trying to make finding the information as easy as possible. Whilst we will update each FAQ as quickly as we can, please check against Govt rules before taking any action – see link here

Last updated 29.07.21

Is there any other help for businesses and individuals who are struggling to afford to pay tax at this time?

There are a few ways in which the government are helping individuals and businesses who are struggling to pay tax at this time. They are as follows:

  • Deferring Value Added Tax (VAT) payments for 3 months from 20 March 2020 until 30 June 2020. This is an automatic offer with no applications required. Business’ will not need to make VAT payments during this period. Taxpayers will be given until the end of the 2020/21 tax year to pay any liabilities that have accumulated during the deferral period. 

UPDATE: On 24 September 2020, the Chancellor announced that businesses who deferred VAT due from 20 March to 30 June 2020 will now have the option to pay in smaller payments over a longer period. Instead of paying the full amount by the end of March 2021, you can make smaller payments up to the end of March 2022, interest free.You will need to opt-in to the scheme, and for those who do, this means that your VAT liabilities due between 20 March and 30 June 2020 do not need to be paid in full until the end of March 2022. Those that can pay their deferred VAT can still do so by 31 March 2021.

  • Time to Pay extended. HMRC have scaled up their Time to Pay offer to all firms and individuals who are in temporary financial distress as a result of COVID-19 and have outstanding tax liabilities such as Income Tax or Corporation Tax. These arrangements are agreed on a case-by-case basis and are tailored to individual circumstance and liabilities. If you have missed a payment or fear you might miss your next payment due you can call HMRC’s dedicated helpline: 0800 0159 559

As Physio First we are trying to make finding the information as easy as possible. Whilst we will update each FAQ as quickly as we can, please check against Govt rules before taking any action – see link here

 Last updated 29.07.21

Resources to help you connect with your patients in virtual consultations

Guidance for virtual consultations

Our Physio First team have been looking into the many and varied ways in which our members can continue to support their patients while following government guidelines.

We have collated advice and resources to help you connect with your patients in virtual consultations. Download a copy of our e-booklet.

Last updated 02.08.20