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Occupational Therapy & Frailty Services

We help PCNs deliver proactive frailty and complex care pathways that meet DES requirements, improve QOF outcomes, and reduce hospital demand.

Promni Health provides Occupational Therapists, Physiotherapists, and Enhanced Practice Nurses who integrate directly into Primary Care Networks and neighbourhood team – supporting proactive frailty care through a joined-up, multidisciplinary approach.

We don’t replace or run your frailty service – we enhance and extend it.

The Challenge

Primary care continues to manage increasing frailty demand – but often without the capacity or specialist workforce needed to deliver proactive care

At the same time, PCNs are expected to:

  • Growing ageing and complex populations
  • Rising admissions, falls, and delayed discharges
  • Limited capacity for home-based and functional assessments
  • Need for neighbourhood-based models
  • Workforce gaps across therapy and frailty roles

This leads to a system that is often reactive rather than preventative.

Our Solution

Promni Health provides a flexible, fully supported clinical workforce that embeds within your existing MDT – strengthening frailty care across care homes and patients’ own homes

We provide:

  • Occupational Therapists, Physiotherapists, and Enhanced Practice Nurses integrated into PCNs and neighbourhood teams
  • Delivery across care homes and home visiting, based on patient need
  • Frailty identification, assessment, and personalised care planning
  • Functional, mobility, and home environment assessments
  • MDT working and case management for complex and high-risk patients
  • Support for admission avoidance and safe discharge pathways
  • Clinical governance, supervision, and outcomes reporting
  • System-Level Support

We work alongside PCNs and system partners to:

  • Strengthen neighbourhood MDTs through embedded clinicians
  • Increase proactive frailty care across care homes and patients’ homes
  • Reduce avoidable admissions and support smoother discharge
  • Improve integration across primary, community, and acute services

How it works

1

Mobilisation

We work with your PCN to identify frailty cohorts, define MDT workforce requirements, and align delivery to DES priorities, care home needs, and neighbourhood care models.

2

Deployment Roadmap

Occupational Therapists, Physiotherapists, and Enhanced Practice Nurses are embedded into MDTs to deliver proactive frailty identification, home-based assessments, care planning, and complex case management across care homes and patient homes.

3

Ongoing Management

We provide continuous clinical governance, supervision, and outcomes tracking – supporting admission avoidance, safe discharge, and a shift from reactive to proactive frailty care.

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Why Promni Health

Promni Health is a trusted NHS clinical service partner, delivering fully managed services designed to improve access, strengthen services and support sustainable healthcare delivery.

We work exclusively with the NHS, supporting Primary Care Networks, Integrated Care Boards and provider organisations with scalable, clinically governed service models.

We operate a mature, structured clinical governance model that includes:

Our Approach Combines:

Fully managed delivery

End-to-end service design, mobilisation, governance and ongoing management

Clinical quality and safety

Robust governance frameworks, supervision and continuous quality improvement 

Workforce stability

Employed, supported clinical teams with a focus on retention and development 

System integration

Seamless alignment with GP practices, MDTs, community services and NHS partners 

Data and outcomes focus

Transparent reporting and measurable impact across access, activity and outcomes 

Scalable delivery

From individual PCNs to system-wide services across Integrated Care Systems

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