Promni Health
First Contact Physio (FCP)

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Introducing Promni Health
Founded in August 2020 as Primary Care Physio, we grew rapidly to one of the fastest-growing fully managed First Contact MSK Physiotherapy clinical service providers in the UK. Underpinned by our reputation for delivering quality and sustainable care, we established ourselves as England’s largest national specialist ARRS clinical service provider, focused on supporting Primary Care Networks (PCNs) and their GP practices to deliver high-quality, tech-enabled NHS primary care clinical services.
Promni Health marks a new chapter. Built on the foundations of Primary Care Physio, it reflects who we are today; a fully managed clinical service provider working exclusively with the NHS to deliver high-quality diverse clinical service solutions aligned to local needs, delivering across primary care, community, and neighbourhood health systems.
Our services are recognized as best-in-class for our industry, recently winning the ‘Best in Primary Care & Diagnostics’ LaingBuisson Awards in 2023 and 2025 awards. HSJ Independent Healthcare Provider Finalists in 2025 and 2026, including our ‘Outstanding Contribution to Preventative Care’. HealthInvestor award finalists in 2026.
We directly employ nearly 400 talented clinicians (First Contact Practitioners, Enhanced Practice Nurses, Podiatrists, Occupational Therapists & Advanced Practitioners) serving 1000+ GP practices and a patient population of over 9 million. We conduct over 1 million patient consultation appointments per year.
Role Profile
First Contact Physiotherapists (FCP) are qualified autonomous clinical practitioners working in GP practices who can assess, diagnose, treat, and manage musculoskeletal (MSK) problems and undifferentiated conditions, and where appropriate, to discharge a person without a medical referral. FCPs working in this role can be accessed directly by self-referral or staff in GP practices can direct patients to them to establish a rapid and accurate diagnosis and management plan to streamline pathways of care.
Key Responsibilities
Clinical Practice
- Assess, diagnose, triage and manage patients taking responsibility for the management of a complex caseload.
- Progress and request investigations (such as x-rays and blood tests) and referrals to facilitate diagnosis and choice of treatment.
- Develop and make use of your full scope of clinical practice, including skills relating to independent prescribing, injection therapy, and investigation.
- Manage complex interactions, including working with patients with psychosocial and mental health needs, referring to social prescribing when appropriate.
- Deliver programmes of supported patient self-management, in ways that facilitate behavioral change, optimize individuals’ physical activity, mobility, fulfillment of personal goals, and independence, and that minimize the need for pharmacological interventions.
- Provide care which is tailored to the individual needs. This would include appraising the impact of individuals’ clinical status on their general health, well-being, employment status (including in relation to function, physical activity, mobility, and independence).
- Support patients to set their own goals and be confident in their approach to self-management.
- Communicate effectively and appropriately, with patients and carers, complex sensitive information regarding diagnosis, pathology, prognosis, and treatment choices supporting personalized care.
- Involve patients in decision-making and supporting adherence as per NICE guidance.
- Ensure accurate data is entered daily onto the data app to report utilization of the FCP service.
- Request Patient feedback (PSQs) so that patient satisfaction can be monitored and shared with the PCN.
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Evidence, Research, and Development
- Develop relationships and a collaborative working approach across the PCN supporting the integration of pathways in primary care.
- Work as part of an MDT in a patient-facing role, using your expert knowledge of MSK issues, to create stronger links for wider MSK services through clinical leadership, teaching, and evaluation skills.
- Support research and audit programmes to evaluate and improve the effectiveness of our FCP service.
- Streamline the pathway of care by providing a responsive service so that patients receive timely access to care.
Leadership
- Lead, manage, and contribute to service delivery.
- Implement all aspects of clinical governance for own practice, including undertaking audit and evaluation, supervision, and training.
- Communicate effectively and appropriately, with patients and carers, complex and sensitive information regarding diagnosis, pathology, prognosis, and treatment choices supporting personalized care.


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Facilitating Learning
- Provide feedback and support to other PCN clinical team members on appropriate referral criteria.
- Critically reflect on own practice, and continue to develop your skills.
Key Skills and Attributes
- Ability to work under pressure, and stay calm, in a fast-paced and changing environment.
- Strong clinical problem-solving and analytical skills, including the ability to identify when to refer a patient to another service or for diagnostics.
- Ability to critically reflect on your own professional developmental needs, and is motivated to progress your clinical development (with support).
- Strong communication and interpersonal skills, with an ability to work cohesively with a wider team.
- Able to follow legal, ethical, professional, and organizational policies/procedures and codes of conduct.
- Office skills including the use of IT programs, databases, and other modern/tech-based ways of working and collaborating.
Experience, Knowledge, and Qualifications
- Fully HCPC and CSP registered practicing Physiotherapist (essential).
- Minimum 5 years post-graduate clinical experience (essential).
- Minimum 3 years of clinical experience delivering musculoskeletal assessment and treatment (essential).
- An up-to-date CPD portfolio demonstrating that you have knowledge of the musculoskeletal core capabilities framework for first point of contact practitioners and the four pillars of advanced practice, in addition to identifying your developmental needs against these (essential).
- An up-to-date understanding of Health Education England’s Roadmap to Practice (essential).
- Completion of some level 7 MSc learning (desirable).
- Previous clinical experience of first contact triage clinical work, even if in the private sector (desirable).
- Previous experience of working in a GP practice (desirable).
- Previous experience of using EMIS / SystmOne (desirable).
- Qualified injection therapist and/or independent prescriber (desirable).
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