A guide to implementing physiotherapy services in general practice

Below are the current first contact physiotherapy implementation guides for England, Scotland and Wales. These guides support the implementation of first contact physiotherapist roles that are tailored to the needs of local populations.

Musculoskeletal First Contact Practitioners Services - Implementation Guide (England)


This document, is aimed at a range of audiences from those involved in funding and commissioning MSK services to MSK providers, GPs and Primary Care Networks.

HEE commissioned the CSP to produce the guide, which is based on hundreds of conversations, survey responses and meetings, as well as information gathered from more than 40 FCP services currently taking part in the NHS England evaluation.

It is billed as  a 'how-to' guide for introducing new roles, covering capability frameworks, governance issues and practical advice that draws on case studies in areas already offering the service.

Advanced Practice Physiotherapists in GP practices: a how-to guide for implementation (Scotland)


The number of APPs working in primary care in Scotland, as the first point of contact, has grown significantly. Initiated as part of the 2018 General Medical Services Contract, expanding these roles is supported by the Scottish Government. This document summarizes the key benefits and challenges of implementing these new, broad based, highly skilled physiotherapy roles in primary care.

General Practice Physiotherapy Posts - A guide for implementation and evaluation (Wales)


This guide is designed for those who are thinking about developing physiotherapy as a first point of contact service for patients in primary care, and those who have already set up such a service and want to evaluate its value and impact and identify further service improvements.

Implementing FCP - What First Contact Physiotherapists can offer you


Read our short briefing on the case for FCP, how to design your service and the benefits you can expect to see.