Infection Control

Guidance for Total Care Physio for safe guarding against Covid 19

Please note this guidance is current as of the date listed above and reflects the advice and requirements for Total Care Physios, Claire Emerson (CE) and Sarah Considine (SC), in the event of a discrepancy between this information and the information from public health England and the Chartered society of physiotherapy (Csp), our guiding bodies.

This document summarises the advice for physiotherapists to operate in our own private practice clinics but may change in response to changes in the virus levels in our region of Norfolk, East Anglia, England.

Guiding Principles
  • Both Physiotherapists, CE and SC, will follow these guidelines at all times
  • These guidelines apply to private practice clinics
  • Services that can be safely and effectively continued via virtual appointments should be
  • In person appointments will be risk assessed and must only proceed when the anticipated benefits greatly out-weighs the risks to the service user and the physiotherapist
  • The physiotherapist is the best positioned person to ascertain the need for, urgency and appropriateness of the in person service based on their clinical reasoning and risk assessment that will be documented.
  • Appropriate personal protective equipment (ppe) must be used for the delivery of the in person service by the physiotherapist and the service user. The physiotherapist will be wearing a disposable mask during the appointment and cleaning stage. They will have access to eye protection, disposable aprons and disposable gloves (latex free) should it be needed.
  • The service user must wear a face mask during the whole appointment, their own or provided by the physiotherapist. The service user should not touch the mask during the appointment and is only to remove it once they have left the premise unless an emergency situation dictates otherwise.
  • The physiotherapist will screen the service user for any signs and symptoms of the virus Covid 19 at all face-to-face appointments on arrival
  • Ensure that if either the physiotherapist or the service user is considered to be at risk of carrying the virus or is currently sick with the virus then the service will not proceed.
  • After treatment the service user must inform the physiotherapist if they start to develop any signs or symptoms of Covid 19 and then the physiotherapist must inform any and all service users that attended clinic that week after that service user.
  • The service user should be informed that they must wait in their car or outside the premise if they did not arrive by car until called for their appointment by the physiotherapist
  • The service user must arrive alone unless accompanying a minor under 18, all chaperones must be screened as well before attending
  • These guidelines will be emailed to the service user, and if present the chaperone, prior to attendance and receipt of the email needs to be given by a return email. The service user must read the guidelines in full and should there be any questions or concerns to contact and inform the physiotherapist prior to attending the physiotherapy appointment. If the service user does not want to provide or does not have an email address then the guidelines will be read to the service user over the phone at the booking and signed in clinic.
  • Once the service user enters the practice they will be isolated from others and will only be in the presence of the treating physiotherapist
  • The service user will be given the option of increased ventilation within the treatment clinic by either having the door to the clinic and or windows in the clinic left open. The service user will be made aware that this could affect privacy and the temperature in the clinic
  • The service user will be asked to wash their hands before touching any exercise equipment
  • After treatment has finished again the service user will be asked to wash their hands before making payment or booking future appointments if needed
  • Once the service user has left the practice the physiotherapist will do a full cleaning of the practice to disinfect and remove any visible dirt or debris. Cleaning products must be used according to the manufacturer’s directions
  • The physiotherapist will wash their hands before donning and immediately following doffing of ppe
  • The physiotherapist will avoid touching or adjusting the mask while in use and once finished with or if mask becomes soiled or wet will discard appropriately
  • Items that cannot be effectively cleaned for example magazines, porous fabrics like fabric chairs or fabric treatment couch covers should be removed from the clinic and not used at this time
  • Physiotherapists will limit the exchange of paper with the service user and where possible will use electronic methods to share information
  • Service users will be encouraged to pay for treatments via a bank transfer as first choice
  • The physiotherapist will launder their uniform at 60 degrees temperature or higher and be fully dried before next use

Physiotherapists have the right to refuse to provide in person appointments to a service user if they feel the service user appears to be experiencing symptoms of covid 19.

Review date May 2023

Total Care Physio, the Physiotherapists for Norwich & South Norfolk contact details:

Sarah Considine

South Norfolk Clinic
School Lane
NR14 6SL

01508 548535 or
07976 009524

Claire Stroud

Norwich Clinic
14 Jordan Close

07786 515646

More helpful information:




Total Care Physio are accredited to these professional bodies