Progression and escalation

Warning

Progressing as expected (up to 3 Rxs) before discharge or onward referral.  

Escalation within Physiotherapy

Throughout the physiotherapy management if a patient is not responding to treatment as expected then consideration should be given to:

  • Presence of serious pathology (red flags)
  • Psychosocial factors (yellow, orange, blue, black flags)
  • Potential for other pathology/structures/atypical presentations
  • Assessment findings (subjective and objective)
  • Diagnosis
  • Pain control
  • Supported self-management (communication and education)
  • Appropriateness of treatment approach

Escalation within physiotherapy may include:

  • Self reflection
  • Peer review
  • Discussion/reassessment with senior colleague and/or relevant Extended Scope Physiotherapy Practitioner (ESP Physio).

Editorial Information

Last reviewed: 30/04/2024

Next review date: 30/04/2025

Reviewer name(s): Louise Ross, Alison Baird, Karen Glass.