Our services

Our team of Chartered Physiotherapists offer assessment and treatment for a wide variety of conditions such as back and neck pain, sports injuries, post-surgical rehabilitation, arthritic conditions and general aches and pains.

Our Services:



General Outpatients.

Following a comprehensive initial assessment of your condition, you may be offered a variety of treatments depending on the clinical decision of the physiotherapist and your needs. These may vary from -

  • Home exercises
  • One to one treatment
  • Advice and education
  • Hydrotherapy
  • Acupuncture
  • Injection therapy
  • Supervised group exercise classes

Your Physiotherapist will monitor your progress and adapt your rehabilitation programme as required to maximise your recovery.


Hand Therapy.

Our hand therapy team provides specialist care to patients with conditions or injuries affecting their hands or wrists. We have close links with General Practitioners and the orthopaedic, plastic and rheumatology departments in order to provide the most appropriate care at the right time.

The hand therapy department is run by 3 senior specialist physiotherapists who are all registered with the British Association of Hand Therapists (BAHT) and have qualifications to inject obtained from a validated post-graduate institution. The hand therapy team provides specialist treatment to all patients and quick, easy access from both the Emergency Department and orthopaedic clinics. Hand therapists and experienced assistants provide advice and education to those with long term conditions and play an important part in the management of early inflammatory arthritis within the rheumatology department. 

Exercise, splinting, wax treatment and task modification are all examples of key tools used within the hand department. All treatment modalities are selected for individuals based on detailed assessments.

Our information leaflets are here for you to download and view.



Physio-Direct is a telephone service to provide early advice and management for people with musculoskeletal problems. After seeing your GP, they can recommend that you contact this service to help with your symptoms.

The physiotherapist will then discuss with you the most appropriate way of managing this problem. This may include one or more of the following:

  • Exercises and appropriate self-management advice
  • For those problems which cannot be managed with advice and exercises alone, physiotherapy will be arranged. All patients are prioritised according to clinical need and appointments given according to waiting times.


Physiotherapy Orthopaedic Outpatients.

A selection of our highly experienced physiotherapists work within the Orthopaedic Outpatients department alongside the Surgical Consultants.  This form of multidisciplinary working enables patients who have suffered with an acute injury and require Orthopaedic management to be assessed and treated without delay.  Following joint immobilization some patient maybe fearful of movement, have restricted mobility pain and swelling. By seeing you earlier within your management our team can advise you appropriately, allay fears and begin your road to recovery.

Once assessed by one of our team and a treatment plan established, you may continue further treatment within one of our many clinical sites.


A&E Physiotherapy Service.

This service runs Monday - Friday and is overseen by experienced physiotherapists with a specialist interest in acute injury assessment and triage. The team works closely with the A+E practitioners and also has access to orthopaedic consultants where needed. This team manages a variety of soft tissue injuries and minor fractures ideally within the first 2-3 weeks of injury. The aim of the team is to get patients started with their rehabilitation process immediately with correct acute injury management, education and advice. By enabling early rehabilitation it is hoped that we can assist patients safely back into their daily routine and hobbies without the injuries becoming persistent.


Spinal Service.

The service offers an innovative pathway of care integrating physiotherapy with orthopaedics, pain management, and in urgent cases accident and emergency.  You can be referred into the spinal service from the GP and other hospital consultants. Routine referrals made by the GP will be triaged by our physiotherapists. You will normally undergo an initial assessment by an experienced physiotherapist to assess where your care may be best managed. Where necessary, your presentation will be discussed with a Spinal Consultant to ensure the appropriate care is provided. The decision is based on the available evidence, best practice guidelines, agreements between the specialities involved and your individual needs.

Many patients do not need to see a doctor. If necessary, the physiotherapist is able to order further tests (e.g. x-rays or scans) and quickly refer on to a specialist. This way you have your test results when you see the specialist.



We are able to offer Hydrotherapy as part of our physiotherapy service. It is run by experienced qualified physiotherapists with an expertise in hydrotherapy care and is tailored for each individual to get the most out of their time in the pool.

Hydrotherapy is the use of water in the treatment of different conditions. You may be referred for hydrotherapy if your assessing physiotherapist feels it is appropriate.

This treatment consists of supervised exercise in a small pool with a therapist and three or four other patients. The water is heated to about 34.5ÂșC. The warmth of the pool aids muscle relaxation and is therefore a comfortable environment in which to move. The buoyancy of the water reduces the load on joints and therefore makes exercising easier than on land. We may use equipment such as floats, flippers and paddles to help you to strengthen your muscles.

You do not have to be able to swim to have hydrotherapy as the pool is quite shallow and you can work at a depth with which you are comfortable.

Following your course of Hydrotherapy, you will be referred back to your original therapist and your physiotherapy will continue.

Our Hydrotherapy service now runs from the Hamelin Trust Hydrotherapy Centre, Sutton Rd, Rochford, SS4 1XS.  


Injection Therapy.

As a modern Physiotherapy service we can now provide injection therapy as part of your holistic management. Injections can be given for a whole range of soft tissue or joint problems in the upper and lower limbs. These are mainly inflammation of tendons, ligaments and fat pads around the body that can cause pain when injured or overused.  When combined with exercise prescription the therapeutic effect can be substantial.

To achieve competency in injection practice, all our injection therapists are required to have post-graduate training in injection therapy. This is obtained from a validated post-graduate institution or the Association of Chartered Physiotherapist in Orthopedics Medicine.  We generally use a combination of steroid and anaesthetic and the referring physiotherapist should ask you a number of questions relating to these drugs to ascertain their application suitability. You should be provided with a patient information leaflet to explain about the injection process, its therapeutic effect and potential side effects.  

The main clinic is run at Southend University Hospital NHS Trust Physiotherapy Department however we also have a clinic at The Tyrells Health Centre, 39 Seamore Avenue, Benfleet, Essex, SS7 4EX.


Trauma Ambulatory Unit (TAU).TAU

TAU clinic is for patients with a traumatic injury which has caused a broken bone, ligament injury, muscle injury or soft-tissue injury.  Patients can be referred to TAU by A&E clinicans following triage assessment. The TAU is an outpatient clinic, located in Dowsett Ward (Pink Zone).

TAU is staffed by a highly-skilled multi-disciplinary team consisting of a Consultant Orthopaedic Surgeon, Senior Physiotherapist and Plaster Technician.  The advantage of this is that all the patient's needs can be fulfilled in one appointment, instead of multiple.

TAU has slots available throughout the day, allowing rapid access for patients that need urgent care.

The benefits of TAU include:

  • Early diagnosis by export clincians.
  • Access to specialist investigations such as MRI scan as appropriate.
  • Specialist advice and treatment which can include:
    • Surgery.
    • Injections or aspirations.
    • Physiotherapy.
    • Walking or moblility aids.
    • Plaster casts and specialist braces and support as appropriate.
    • Specialist advice.
    • Access to comminunity services such as Occupational Therapy or Falls Groups.

TAU has been shown to promote swifter recovery and quicker return to function following traumatic musculo-skeletal injuries.


Community Assessment and Treatment Service (CATS).

CATS stands for Community Assessment and Treatment Service. Essentially the CATS team will assess and then triage your musculo-skeletal referral from the GP. This will make sure you are booked into the right clinic to see the right specialist. 

Common reasons for Musculo-skeletal referral:

  • Pain including joints, back, sciatica etc.
  • Arthritis.
  • Ligament, muscle or tendon injuries.
  • Pain control.
  • Rhemuatological problems.

The benefits for you as a patient include:

  • High quality care.
  • You are seen in the right place first time.
  • You receive an efficient and through assessment from a clinican with expert knowledge of your problem.
  • Any appropriate investigations can be carried out with expert interpretation.
  • You will receive appropriate care planning and treatment as required.
  • Multi-disciplinary links as appropriate between Orthopaedic Surgeons, Rheumatologists, Pain Specialists and Physiotherapist, to give you the best care possible.
  • Less waiting time to receive an appointment as clinic slots are used efficiently.

The overall aim of the CATS service is to achieve a high quality service for all patients with musculo-skeletal problems.  CATS is not a face-to-face contact or treatment service.


Women's Health.                                   

Our specialist Women's Health physiotherapists offer a comprehensive service to women during pregnancy and after delivery.  This includes self-referral to the outpatient service for assessment and treatment of pregnancy related joint and muscle problems.  To self-refer please contact 01702 385244.

Women are routinely seen after delivery whilst on the ward for post-natal advice.  We have close links with the midwifery team and are involved in community ante-natal classes. Before and after major gynaecology and breast surgery, women are assessed and given advice and exercises to aid recovery. They are also encouraged to contact us for further treatment after discharge if necessary.

The team is also experienced in treating continence problems relating to both bladder and bowel, with self-referral being available to this service.


Consultant Physiotherapist.


Dr Billy Fashanu- Consultant Physiotherapist
PhD (Health Sciences), MSc (Physiotherapy), BSc (Hon) Physiotherapy, BSc (Physiology), Diploma (Injection Therapy), MCSP, MHCPC

Billy is a Consultant Physiotherapist with experience in managing general musculoskeletal conditions, exercise therapy, musculoskeletal injections, and rehabilitation of rheumatological conditions.

Billy has worked in the NHS for more than 28 years and came to Southend as a team lead (Superintendent Physiotherapist) 21 years ago. Up till then, he had worked at senior levels in most specialities within physiotherapy.

Billy has ample experience as a clinician and clinical lead as well as in post-graduate teaching, education, and research. He is also an active member of several professional, university and local groups including: Chartered Society of Physiotherapy Medicine Management Committee (CSP); ACPOMIT - injection group; Trust R&D group; CSP R&D committee; CSP consultant group; Essex University post-graduate student committee; East of England AHP forum; adviser PMR & NRAS group; Rehab performance group; and Rehab / MSK Audit lead.


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