FCP career scenario: I'm an advanced MSK physiotherapist

An advanced MSK physiotherapist who is interested in FCP

I work in secondary care in an orthopaedic triage service. I’d like to consider doing some clinics as an FCP in primary care as well. What can I do to get ready for these opportunities?

If you are already working in an MSK advanced practice role or service, you should be able to map your experiences and learning to the four pillars of advanced practice [NEEDS LINK/EXPLANATION]. There are country-specific documents available here: SEE OUR COUNTRY-SPECIFIC GUIDANCE.

Your experience for the clinical pillar will be focused on your current area of work in secondary care. You may therefore have further work to do to ensure you are able to work at an FCP or advanced practice level in primary care.

To prepare yourself for working in primary care as an FCP.

Steps you can take to prepare for an FCP role

Speak to your line manager about your aspirations. They may have a route into FCP established or options to cover clinics across settings.

More ways to develop into an FCP role

See our essential information page for tips on increasing your understanding, evidencing your experience and enhancing your education.

For example, find out about postgraduate qualifications and how to use evidence from a previous MSc in your portfolio.


Talk to your line manager, supervisor or mentor about opportunities to spend time in primary care. Perhaps you could shadow an FCP or a GP, or offer an educational session to GPs about your physiotherapy service.

Find ways within your role to focus on population health or preventative health. Consider wider system pathologies and public health principles.

Look for opportunities to further develop your skills in the non-clinical pillars (education, leadership, research). As an advanced practitioner, you should be leading and taking part in audit, research or quality improvement and transformation projects. Also consider supporting the teaching and assessment of pre- or post-registration students within practice or at your local university.

Use the CSP mentoring platform to find a mentor who can support your FCP development.

Find a supervisor or find out if you could be a supervisor – this is especially relevant within England.

Work with your supervisor(s) to review your current portfolio of knowledge, assess your learning needs against the Knowledge, Skills and Attributes (KSA) of an FCP [NEEDS LINK], and create a plan based on the above.

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