As you have so rightly said physiotherapists need to think very carefully before agreeing to BUPA's tender agreement.
The idea of a PMI calling the shots on how we treat our patients is a very worrying prospect.
We fought to stop the medics from telling us how to treat patients more than 20 years ago! This is huge backward step if not even more concerning as I doubt if the decisions will made by exeprienced clinicians.
I am baffled as to why the CSP and or Physiofirst aren't more interested in this issue, I understand why they can't discuss costs and pricing but this is about the errosion of our professional autonomy.
I have friend who runs a practice in the USA and if you want to see where this is heading look no further.
She is told by the insurance company, to treat a patient so many times for a particular condition and no more.