Setting up a first contact physiotherapy service: lessons learned

Larry Koyama, former head of FCP implementation, sits down with CSP members involved in establishing FCP services across England to talk about how to support successful implementation.

Watch the videos below for a broader understanding of three key themes for establishing FCP services:

  • Governance.
  • Systems thinking and leadership.
  • MSK service integration.

We also recommend that you take a look at the FCP phase 3 evaluation data and podcast in which Larry Koyama talks about key findings from the evaluation with guests Katherine Armitage, Simon Ingram, Rob Goodwin and Siobhan Stynes. 

In conversation with Rashida Pickford and Sarah Friel

Larry Koyama discusses systems thinking and service integration with Rashida Pickford, consultant physiotherapist, and Sarah Friel, advanced practice physiotherapist and FCP, at Guys and St Thomas’ NHS Foundation Trust.

In conversation with Andrew Reilly

Larry Koyama discusses governance and service integration with Andrew Reilly, MSK transformation lead at North Cumbria Integrated Care NHS Foundation Trust.

In conversation with Laura Cardwell

Larry Koyama discusses service integration for two FCP models with Laura Cardwell, FCP and spinal clinical lead at Harrogate and District NHS Foundation Trust.


To access captions, click CC in the bottom right-hand corner of each video. Where captions are unavailable, if you need a transcript, please email

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