As Physiotherapists who specialise in managing work related injuries and illnesses, providing care and services that meet a ‘gold standard’ is essential to us.

As an employer, do you know what this standard is?

The Clinical Framework for the Delivery of Health Services was published in 2012 and  provides guiding principles for the management of injured works based on contemporary evidence.

This publication was endorsed by the Motor Accident Insurance Commission (MAIC) and widely supported by compensable bodies and Australian allied health professional associations. It outlines five principles that are shown to deliver optimal recovery and return to work outcomes for injured workers. The principles are:

1. Measure and demonstrate the effectiveness of treatment – are improvements happening as expected?  If not, why not?

2. Adopt a bio-psycho-social approach – look out for other factors affecting injury recovery. Things to consider include social elements such as low support from co-workers or psychological concerns such as feelings of depression. Does your worker appear to be coping?


3. Empower the injured person to manage their injury – is the worker helping themselves by doing their exercises and having appropriate breaks?

4. Implement goals focused on optimising function, participation and return to work – all management strategies should focus on a workers capacity to perform tasks that are required for work or home. How are they improving with their sitting tolerance, their lifting capacity or their hours worked?

5. Base treatment on best available research evidence. This is a complex area, but all health professionals offering clinical services should be familiar with what has been shown to be effective and those that have not.

For further reading on the clinical framework, please see the following link –

If you would like to discuss any of these elements further, please contact AXIS.