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.

Implementation Tools

The CSP has developed a variety of tools and resources, as examples, to support the implementation of FCP services. These tools are designed to be edited and changed depending on the needs of the local service.

  • FCP Business case template

This document has been developed by the CSP in consultation with members. It provides a framework for a business case to support the development of a First Contact Practitioner (Physiotherapy) role in Primary care in England.

  • FCP Stakeholder mapping template

This document provides an outline of a method to support stakeholder mapping. Comprehensive mapping of key stakeholders will ensure that the introduction of FCP roles into the Primary Care Network has engagement from key individuals and organisations. 

  • FCP Service implementation checklist 

This is an example checklist designed for you to think about what steps you need to take to implement an FCP service. From workforce planning to practical considerations to governance for FCP staff.

  • FCP Staff induction Checklist 

This is an example checklist, as practices vary between employers and job roles, to get you to think about the induction process for a new FCP. From  introductions to IT & phone systems and patient referral and review processes.

  • FCP Patient satisfaction questionnaire

 Like all services, its important to review how its working and impacting on patients. We've designed an example of a patient satisfaction questionnaire you could use to monitor the impact of your FCP service.