248 Patient Contacts Managed | 213 Patients Supported | 85.9% Engagement Rate | 94 WorkWell Referrals | 53.25 GP Hours Released | 3 Clinicians
Between February and June 2026, Promni Health, working in partnership with Bordesley East Primary Care Network, delivered a multidisciplinary work and wellbeing pathway supporting patients with work-related health needs through coordinated assessment, fit note support, onward referral and early intervention.
Delivered across 3 clinicians embedded within the PCN, the service was designed to:
- Reduce GP administrative burden
- Improve access to work-focused support
- Support earlier intervention
- Facilitate more integrated patient management across primary care and wellbeing services
Outcomes (February–June2026)
- 248 patient contacts managed
- 213 attended patient contacts supported within the pathway
- 85.9% patient engagement/utilisation rate
- 14.1% DNA rate
- 94 onward referrals into WorkWell and associated support services, helping connect patients to wider work, wellbeing and vocational support
- 3 clinicians embedded across the PCN
- Multidisciplinary coordination across physiotherapy, MSK, wellbeing and work-focused pathways
Estimated GP Capacity Released
Promni Health managed 213 attended patient contacts within the pathway.
Using a conservative estimate of 15 minutes per GP appointment, this equates to approximately:
53.25 hours of GP clinical capacity released
This enabled GP capacity to be redirected toward more clinically complex care, while ensuring patients with work-related health needs received timely support through a dedicated multidisciplinary pathway.
Physiotherapy-Led Work & Wellbeing Support
The pathway was delivered through a physiotherapy-led and multidisciplinary model focused on:
- Functional recovery
- Return-to-work support
- Lifestyle medicine principles
- Early MSK intervention
- Workplace adjustment advice
- Coordinated rehabilitation pathways
Rather than operating as a standalone fit note service, the pathway focused on helping patients:
- Remain in work where appropriate
- Access earlier support
- Improve functional capacity
- Receive coordinated onward care tailored to work-related health needs
Supporting Return-to-Work and Early Intervention
Patients accessing the pathway were supported through:
- Work-focused clinical assessment
- Rehabilitation and self-management support
- Onward referral into WorkWell pathways
- Physiotherapy and MSK services
- Wellbeing and lifestyle interventions
- Coordinated multidisciplinary management
The service supported a more proactive approach to work and health management, aligned to emerging NHS priorities around prevention, integrated neighbourhood working and reducing avoidable pressure on general practice.
Why This Matters
As NHS England explores new fit note approaches with a greater focus on multidisciplinary work and health support, there is increasing emphasis on:
- Reducing GP administrative workload
- Earlier intervention and prevention
- Supporting patients to remain in or return to work
- Improving integration between primary care, wellbeing and vocational services
- Delivering coordinated work and health pathways
The Bordesley East PCN pathway demonstrates how physiotherapy-led and multidisciplinary models can support these priorities while delivering practical operational benefits across primary care.
By combining fit note support with rehabilitation, wellbeing interventions and vocational pathways, the service helped patients access the right support at the right time while releasing valuable GP capacity and promoting a more joined-up approach to work and health.
Commissioner Testimonial
‘Massive thanks to the team at Promni health for their work on our fit note project, could not have done it without you! The FCPs we used were brilliant, built an amazing relationship with both our patients and staff members throughout the project.’
Tom, Operations Manager, Iridium Medical Practice (Bordesley East PCN)
