Discuss a referral
Specialist employee care

When an employee is receiving care, but still struggling.

Specialist assessment and coordinated treatment for persistent pain, stalled recovery and additional orthopaedic opinions. We agree a care plan, review progress and work with your medical team where appropriate, with the employee’s consent.

Discuss a referral See who we can help

Greater Kailash-1, New Delhi

A consultation at VinayakM: a member of the team listens closely and takes notes while a visitor, seen from behind, talks across the desk.
At the clinic, Greater Kailash-1

Who to refer

For organisations that already have doctors, physiotherapists or a wellness programme, VinayakM adds specialist assessment and treatment in three situations.

  • 01

    Recovery has stalled

    For employees whose symptoms persist or keep returning despite treatment. We review what has been tried, assess what is limiting progress and agree the next step.

  • 02

    An additional orthopaedic opinion

    For employees seeking clarity about a bone, joint or back problem, or advice before a treatment decision. Previous reports and treatment inform the assessment.

  • 03

    Care outside the workplace

    For employees who would feel more comfortable receiving care externally. They can contact us directly, with funding and information-sharing arrangements explained before care begins.

An assessment can lead to advice, a treatment plan or a handover. There is no commitment to ongoing treatment.

Illustrative example

What changes when we look more closely?

An assessment looks past the referral note to the working day. Each finding changes something in the plan.

  • A long daily commute

    Sitting tolerance and the demands of the journey are assessed and built into the plan.

  • Exercises stopped after a flare-up

    The programme, its progression and the employee’s understanding of it are reassessed.

  • Sleep interrupted by pain

    What is disturbing sleep is assessed, including whether additional care is needed.

The result is a plan shaped around the clinical findings and the activities the employee needs to regain.

This example illustrates the approach and does not describe an actual patient outcome. Treatment decisions depend on the clinical findings.

How care works

When progress stalls, we review what needs to change.

VinayakM assesses and treats, as well as coordinating. One plan, one clinical lead, and progress measured by what the employee can do again.

  1. 01

    Assess

    The appropriate clinician reviews previous treatment, examines the employee and agrees functional goals that matter: managing the commute, completing usual duties with appropriate adjustments, returning to a valued activity.

  2. 02

    Treat

    Physiotherapy, orthopaedic care and other relevant professionals work from one plan, with a named clinical lead and a scheduled review.

  3. 03

    Review

    Progress is assessed against the agreed goals and appropriate clinical measures. The decision is to continue, adjust the plan, hand care back or involve another specialist.

If improvement is less than expected, the clinical lead reviews the findings, treatment response and barriers to recovery, then agrees what should happen next.

A review date is a checkpoint for the plan, not a deadline for recovery.

Have an employee in mind?

Discuss a referral
A sample care summary

The page a medical head actually receives.

After the assessment, and again after each review, the referring clinician receives a summary like this one, shared with the employee's consent.

  • The question the referral asked, answered in plain terms.
  • Goals the employee would recognise as their own.
  • A review date and the decision it will make.
  • No outcome promised in advance.
VinayakM

Care summary

After first assessment · Greater Kailash-1
SAMPLENot a patient record
Referral question
Recurring low back pain for seven months despite physiotherapy. Is further assessment or an orthopaedic opinion needed, and what would help R. manage a full working day?What the referring clinician asked
Referred by
The organisation's occupational health physicianName, role, organisation
Already tried
Eight physiotherapy sessions. Painkillers when needed. Home exercises, stopped in week three after a flare-up.Previous treatment and how it went
Agreed goal
“To drive to work and sit through a morning of meetings without having to leave the room.”In R.'s own words, agreed at the assessment.In the employee's own words
Planned care
Orthopaedic assessment. Physiotherapy and a graded movement programme, supervised at the clinic and designed to continue at home. Sleep and workload discussed at each visit.Disciplines involved and how often
Clinical lead
Named on each summaryClinician responsible for the plan
Next review
Week six, on a date agreed at the first appointmentDate
Decision at review
Are sitting and driving moving towards the goal? If so, reduce supervised sessions and hand the programme to the organisation's own physiotherapist. If not, reassess the diagnosis and the plan, and decide whether imaging or another specialist opinion is needed.The question the review will answer
Shared with
Referring physician: goals, plan and review decision. Employer: attendance and any suggested work adjustments. Both with R.'s recorded consent. Clinical notes stay with VinayakM.Who receives what, and the consent recorded

Illustrative example. R. is not a real patient.No outcome, percentage or productivity figure is implied.

Working with your medical team

The referring clinician stays part of the plan.

Your doctors, physiotherapists and wellness team already know the employee. We work alongside them, not around them, and we make it easy for care to return to them.

Refers, with the question to be answered.An employee whose recovery is not progressing, and what you would like to know.

Reads before meeting.Records and previous treatment inform the assessment, shared with the employee's consent.

Assesses, and agrees a plan.Recommendations go back to the referring clinician, with appropriate consent, in the form of the care summary above.

Continues what suits them.Suitable parts of care, such as a home programme or follow-up physiotherapy, can continue through your own professionals.

Sees the same review.The review decision is shared, so both teams know what happens next and why.

A clear route back

When the plan's goals are met, or the remaining care suits your team better, we hand back with a written summary of what was done and what to watch for.

Or onward, when that is right

If another specialist or a hospital service is more appropriate, we say so plainly, and send them the history so the employee does not start again.

For employees

Space to speak openly. Clarity about what is shared.

If your organisation has suggested us, or is paying for your care, you should know exactly what that means before you tell us anything. At your first appointment, we explain three things plainly:

  • How your care is being funded, and by whom.
  • What information may be communicated, and who receives it.
  • What stays between you and your clinicians.

You can come to us yourself.

You do not need a referral. If you contact us directly, your employer is not told. Ask a private question first, or arrange an appointment.

Ask a private question Arrange an appointment
The people involved

Expertise you can put a name to.

A small team in Greater Kailash-1. The same people see the employee from the first assessment to the last review.

Mani Sharma
Continuity of care

Mani Sharma

Clinic director. Holds the thread between appointments: the employee's history, records and agreed plan in one place, reviews kept to their dates, and the referring team kept informed.

Harvard Medical School-trained Psychologist Profile
Dr Udit Vinayak
Visiting surgeon

Dr Udit Vinayak

Orthopaedic and joint replacement surgeon. Sees patients at the clinic by appointment, when a bone or joint problem needs a surgeon's view.

M.S. Orth (Gold Medalist) · Dip. FIFA · AO Fellow · FIJR Profile
Karishma Saxena
Nutrition

Karishma Saxena

Dietitian, Masters in Dietetics. Joins a plan when weight, energy or recovery after illness or surgery depends on food.

Kritika Sogra
Daily movement

Kritika Sogra

Strength and balance work, supervised at the clinic and built to carry on at home in an ordinary day.

Aqsa
Care coordinator

Aqsa

Appointments, reminders, and the reports collected before each review, so nothing waits on paperwork.

Physiotherapy is provided at the clinic as part of the plan. A problem outside orthopaedics is assessed according to the specific complaint, by one of our existing consultants or a visiting consultant as needed, and their findings come back into the same plan.

What informs the approach

Published evidence, kept separate from our own work.

The research below was not carried out at VinayakM, and its results are not ours. It is here because it shaped how we think about stalled recovery.

VinayakM's own outcomes for employee care are not shown on this page. We will publish consented case summaries when they exist, clearly marked as individual results.

Randomised trial · BMJ, 2010 · Netherlands

Integrated care to reduce disability from chronic low back pain in working and private life

What was studied. 134 adults who had been off work for at least twelve weeks with low back pain were randomly assigned to usual care or to integrated care: a workplace intervention involving their supervisor, plus a graded activity programme based on cognitive behavioural principles.

Usual care208 days
Integrated care88 days
Median time until a full, sustained return to work. Published trial, not VinayakM results.

Also worth knowing. Function improved more with integrated care at twelve months, but pain intensity did not differ significantly between the groups. The workplace part of the programme depended on the employer.

Lambeek et al., BMJ 2010;340:c1035
Clinical guideline · NICE NG59 · updated July 2026

Low back pain and sciatica in over 16s: assessment and management

The UK guideline recommends that care for low back pain should actively promote and support a return to work and to normal daily activities (recommendation 1.2.15).

NICE guideline NG59
A proportionate first step

Start with one employee who needs a clearer next step.

Most organisations begin here

A single referral

Tell us, in general terms, about someone whose recovery has stalled. Before any care starts, we agree three things with you:

  1. The assessment, and who will carry it out.
  2. What you will receive afterwards, and who receives it.
  3. The costs, in writing.
Discuss a referral
If you want to evaluate first

A small referral pilot

For organisations that would like to see the service across several employees: an agreed number of referrals over an agreed period, the same care summary for each, and a review of the pilot together at the end.

Ask about a pilot
Enquiry

Discuss a referral or a pilot.

A few details, and we will contact you to arrange a conversation.

Please leave out names, records and medical details. This form is for arranging a conversation. Once we are in touch, we will agree an appropriate clinical channel for sharing an employee's information, with their consent.

Looking for care for yourself? You don't need this form. See the employee route or call +91 92171 75397.

Thank you. Your enquiry has reached VinayakM, and we will contact you on the details you gave to arrange a conversation. Please keep any medical details for that conversation.
Sorry, your enquiry did not send. Please try again, or call us on +91 92171 75397.
Practical questions

Before you refer anyone.

If your question is not here, ask it when we speak. There is no obligation in a first conversation.

Which employees are suitable for referral?

Adults whose symptoms persist despite care: back, neck and joint pain, recovery from injury or surgery that has stalled, or a problem that needs an orthopaedic opinion. Movement, nutrition and emotional strain often travel with these, and can be part of the plan.

We are an outpatient clinic, not an emergency service. If a referral is not suitable, we will say so in the first conversation.

How do you work with our existing doctors and physiotherapists?

The referring clinician's question shapes the assessment, and their records inform it. Recommendations go back to them with the employee's consent, and suitable parts of care can continue through your own professionals. Nobody is asked to hand over an employee's care entirely.

Can an employee come to you privately?

Yes. Anyone can contact us directly, without a referral. If an employee comes to us on their own, their employer is not told and nothing is reported.

How is care funded?

Either by the organisation, on terms agreed in writing before care starts, or by the employee personally. Whichever applies, the employee is told at the start, together with what reporting, if any, comes with it.

What will the organisation receive?

The referring clinician receives the care summary after the assessment and after each review. The employer receives only what the employee has agreed to share, such as attendance and any suggested work adjustments. Clinical notes stay with the clinicians.

What happens when another service is more appropriate?

We say so, and hand over with a written summary: back to the referring team, or onward to the specialist or hospital service the employee needs. An assessment does not commit anyone to an ongoing programme with us.

Visiting the clinic

Easy to reach, easy to find.

Address

VinayakM
3rd Floor, B-23, N Block Market
Greater Kailash-1, New Delhi 110048
Open in Google Maps

Getting in

At the exit of N Block Market, facing the MCD parking lot, directly on the main road. The entrance is at the side of the building, with a lift to the third floor.

Hours

9:00 to 20:00
Seven days a week

I can think of someone who would benefit from this.

Discuss a referral