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Musculoskeletal Physiotherapy NHS Lothian | Our Services

West Lothian GP Advanced Practice Physiotherapy (GP APP) Services

Specialist Care for Muscle and Joint Problems in you GP Practice.

At your GP practice you may see an Advanced Practice Physiotherapist (APP) rather than a GP. 

GP APPs are experienced physiotherapists who have had additional training. We will listen to your concerns, carry out an assessment and help you manage a wide range of muscle, joint and bone (musculoskeletal or MSK) problems without needing to see a GP first.  

Your health and safety are always the most important thing. The APP service helps you get the care you need, while also supporting the whole practice team.

GP APPs can:

  • Offer expert advice and treatment
  • Order X-Rays or tests if needed
  • Refer you to other services
  • Spot serious problems and act quickly
  • Arrange medication or Fit Notes if required

Click the headings below to find out more about our service.

GP APP Version 3

How can I book an appointment to see the GP APP?

Speak to your GP practice reception team and they will arrange an appointment for you.  You do not need a referral. 

How long will I wait for an appointment with the GP APP?

There is no waiting list for our service. Discuss with your practice reception team.

What will happen at the appointment?

  • Your appointment can last up to 20 minutes.
  • We’ll start by discussing you concern – what symptoms you’ve been having and any pain medication you’ve tried.  We’ll also ask a few questions to get to know a bit more about your health background.
  • We will usually do a physical examination of the area that’s causing concern. This helps us understand what may be going on and decide on the next best steps. – It is helpful if we can see this area so, please wear suitable clothing, for example a vest or shorts.

What will happen next?

  • For muscle or joint problems, we’ll give advice on exercises, pain management and other ways to help you recover.
  • We can refer you to local services such as Xcite.
  • If you need further investigation, for example Orthopaedics or an x-ray, we can also arrange this for you.
  • If we feel you need to see a nurse or GP, we can help to arrange this—either through the duty GP or by explaining how to book a routine appointment at the practice.

What if I need to see a GP?

If the GP APP thinks you need to see a GP, they will make sure that happens.

GP APPs work closely with GPs and know when a doctor’s help is needed.

They can:

  • Refer you to a GP or another health professional
  • Order tests, X-Rays or scans
  • Advise what to do next and how to follow up