A. Yes. Axis Physiotherapy is a home visit service — we treat you in your own home, a care home or a nursing facility instead of asking you to travel to a clinic. Across Harrow we visit HA1, HA2 and HA3.We bring whatever the session needs, including a robotic exoskeleton, shockwave therapy and objective strength testing, so a home session is not a reduced version of a clinic session. We do not bring a treatment couch or towels, so we will work with a bed, a chair or the floor, whichever is safest and most useful for you. Our physiotherapists wear an Axis Physiotherapy uniform, carry photograph identification, and use personal protective equipment where it is appropriate.

A. Yes, but eligibility is narrow and provision varies by borough. In Harrow, adult community health services are provided by Central London Community Healthcare NHS Trust, and its short-term rehabilitation service is for housebound residents registered with a Harrow GP who live in the borough or within a mile of its boundary. NHS community rehabilitation is generally time-limited, and the number and length of sessions are set by each service and by the assessing physiotherapist rather than by a national standard. We will always tell you what NHS provision applies to your address, and many of our patients use both.

A. Most conditions that can be treated in a clinic, and some that are better treated at home because the goal is to move safely in your own space. We work with stroke, Parkinson’s disease, multiple sclerosis and brain injury; recovery after joint replacement, spinal surgery and fractures; frailty and deconditioning after a hospital stay; falls and balance problems; and long-term respiratory and cardiac conditions.

A. Srikanth Kalaga, Director and Clinical Lead Physiotherapist. He holds an MSc Physiotherapy (Neurology) from Queen Margaret University, Edinburgh, is registered with the Health and Care Professions Council, and is a member of the Chartered Society of Physiotherapy and of ACPIN, the Association of Chartered Physiotherapists in Neurology. He worked for over ten years at Northwick Park Hospital across several departments including the emergency department, and was nominated three times for the Trust’s Staff Excellence Award. Visit Our Team Page

A. Every member of our team wears an Axis Physiotherapy uniform and carries an official photograph name badge. All clinicians hold enhanced Disclosure and Barring Service clearance and are registered with the Health and Care Professions Council. Our Clinical Lead is a member of the Chartered Society of Physiotherapy and of ACPIN, the Association of Chartered Physiotherapists in Neurology. We employ our physiotherapists, we plan your care around one named physiotherapist, and if that has to change because of leave or capacity we tell you in advance and hand over properly.

A. Yes, and it is the single most common reason people in Harrow contact us. Send us your discharge summary and any therapy notes or exercise programme you were given, and we will build on those instead of starting again. We also take over after a stay on the Regional Hyper-acute Rehabilitation Unit on Fleming ward, and after intermediate rehabilitation at units such as Clayponds Hospital or Willesden Community Hospital.

A. Yes. The Royal National Orthopaedic Hospital is inside the borough and much of our Harrow post-surgical work follows treatment there — joint replacement, spinal surgery and complex orthopaedic procedures. Bring us your operation note or discharge summary and any restrictions your surgeon has set, and we will work within them. If we notice anything that concerns us after surgery — signs of infection, a possible deep vein thrombosis, pain that is out of proportion, or anything else that needs escalating — we will tell you and point you to the right person. With your agreement, if you are not able to do it yourself, we will speak to your surgeon, your GP or the relevant team directly.

A. Through your app, without waiting for the next visit. Your exercise programme is on an app rather than a paper sheet, and you can mark an exercise as painful, record how painful it is, and indicate the exact point in the movement where it hurts. Your physiotherapist reviews that and either modifies the exercise or explains it. If a change to one exercise is all you need, there is no need for an extra appointment — this is part of your care while you are with us, and there is no extra charge for it.

A. Because we measure it and you can see the numbers. We use VALD dynamometry for objective strength and range-of-movement testing, and you get your own app access to those results and how they change over time. Alongside that we use validated measures by name — the Berg Balance Scale, the Timed Up and Go test, the ten-metre walk test and the Barthel Index — scored at your first assessment and repeated at agreed intervals. We go through the results with you as we go, and you can ask to see them at any point.

A. Yes. We work across residential, nursing and respite facilities in Harrow and the surrounding area, including Karuna Manor, and Kailash Manor in neighbouring Pinner, where a number of Harrow patients go for a residential or respite stay after hospital. We can visit any care, nursing or residential home in the borough. We know that homes run to their own timetable and are usually tightly staffed, so we schedule around care routines, mealtimes and staff rotas rather than expecting a home to work around us. We hand over anything of concern to the nurse or person in charge before we leave, and where we think a different transfer or mobility technique would be safer, or a medication review would help, we will raise it with the team.

A. Yes, and we plan for both. If you have carers, we schedule between their calls or work alongside them, whichever helps more. If you are living with Parkinson’s disease, we schedule your appointments during your “on” periods after medication, so the session takes place when you are moving at your best and the work carries over into the rest of the day.

A. Yes, and many people do. With your parent’s agreement, or where you hold a lasting power of attorney, we can take payment from you instead of from them and send receipts, invoices and statements to your email address, so they do not have to manage the cost. Card details are held by our payment provider — we never see or store them. Subject to your parent’s consent, you can also have your own access to view invoices and statements, see and reschedule or cancel appointments, and view the exercise programme.

A. No, but tell us when you book. Parking is our responsibility, not yours. Knowing your street and postcode in advance means we work out where we can legally park before we set off, so we arrive with the equipment instead of looking for somewhere to stop.

A. Yes. Bupa, AXA and WPA commonly fund home visits with us. You will usually need a pre-authorisation code before your initial assessment, and some policies require authorisation specifically for a home visit rather than a clinic appointment. Call us with your policy number and we will go through your cover with you.

A. Yes to both. We take on case-managed patients and we work with case managers, solicitors, deputies and insurers. We provide goal-based rehabilitation with documented SMART goals, named outcome measures, and progress reports at agreed intervals, and we are used to multi-agency working alongside support workers, care agencies, occupational therapists, speech and language therapists, dietitians, community nursing teams, GPs and consultants.Our clinicians are employed and are not paid commission, so there is no financial incentive to extend a course of treatment, and discharge is evidenced against the measures rather than argued. Written reports are charged separately, and the fee is quoted before any report is started.

A. With the measures, not with an opinion. Depending on your condition we score the Berg Balance Scale, the Timed Up and Go test, the ten-metre walk test or the Barthel Index at your first assessment and repeat them at agreed intervals, alongside objective strength and range-of-movement testing.When you have reached the goals we agreed together, we discharge you and show you how to keep what you have gained. If a measure has stopped moving, we change the plan, or we discuss honestly whether physiotherapy is still the right thing — and if it is not, we say so.

A. No. We call you back once, answer your questions and give you an honest opinion. Where a lot has been discussed we will send one written summary by email afterwards — what we talked about, what we think would help and what it would involve — so you can read it properly and share it with family who were not on the call. That is the only follow-up. We will not ring again unless you ask us to, we do not run a mailing list, we do not send newsletters, we do not make cold calls and we do not send marketing emails. If you go ahead, the only messages you receive are practical ones: appointment confirmations, reminders, your exercise programme, invoices and receipts.

A. Yes, and for complex rehabilitation we would expect to. We work alongside occupational therapists, speech and language therapists, dietitians, community nursing teams, care agencies, support workers, GPs and consultants, and with a case manager where one is appointed. For complex cases the coordination matters as much as the treatment: we make sure everyone involved knows what the others are doing, we share our assessment findings and outcome measures with your team where you are happy for us to, and where something needs a different profession’s input we say so and help you get it. Routine liaison is part of your care. Where something needs a substantial amount of work outside the session — a long report, a case conference, extended correspondence — there is a fee, and we will always agree it with you first.

A. No. You can contact us directly and book without a GP referral. If you have a discharge summary, clinic letter, scan report, exercise programme or a current list of your medicines, have them to hand — it saves time and means we are not guessing at your history. If we think your GP or consultant should be involved, we will say so and explain why.