Mr Nick Beresford-Cleary, Consultant Spine Surgeon at Grosvenor Orthopaedic Partners, was pleased to take part in a recent joint session with colleagues from Six Physio. The aim was simple: strengthen the pathway between surgical decision-making and specialist physiotherapy to deliver better outcomes for patients with spinal conditions.
The discussion focused on how early, shared decision-making can streamline care—from initial assessment and imaging through to rehabilitation and return to activity. By aligning surgical and physiotherapy expertise, we can set clearer expectations, reduce delays, and tailor recovery plans that are practical for each patient’s goals and lifestyle.
Key themes included:
- agreeing clear thresholds for when conservative care should transition to surgical opinion
- standardising pre-habilitation to optimise surgical readiness and recovery
- refining post-operative protocols so patients know exactly what to expect at each step
- creating rapid feedback loops between clinic and physio to troubleshoot any setbacks early
For patients, this joined-up approach means faster access to the right treatment, consistent guidance throughout the pathway, and rehabilitation that’s personalised and measurable.
If you’d like to learn more about Nick’s work or our approach to spinal care, you may find these pages helpful:
- Mr Nick Beresford-Cleary – Consultant Spine Surgeon
- Spine & Back Care at Grosvenor Orthopaedic Partners
For referrals or appointments, please contact our team, and we’ll be happy to help.


