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.

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












