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Musculoskeletal Physiotherapy NHS Lothian | Our Services

West Lothian GP Advanced Practice Physiotherapy Services (GP APP)

Specialist Care for Muscle and Joint Problems in your GP practice

At your GP practice you may see an Advanced Practice Physiotherapist (APP) which might be instead of seeing a GP. 

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

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.  

GP APPs can:

Offer expert advice and treatment 

Order x-rays or tests if needed 

Refer you to other services 

Spot serious problems and take action quickly 

Arrange medication or Fit Notes if required 

Why am I not seeing a GP?

If you have a problem with your muscles, joints, or bones, you might see an Advanced Practice Physiotherapist (APP) instead of a GP.

APPs are specially trained to help with these kinds of issues. They are part of the practice team and can:

  • Check and diagnose your problem
  • Give advice and exercises to help you feel better– Send you for tests like X-rays if needed
  • Refer you to other services if necessary

This means you get help from the right person, at the right time, and it also helps GPs focus on other health problems. 

What if I need to see a GP?

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

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– Ask for tests or scans
  • Tell you what to do next and how to follow up

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.

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

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

Your appointment will typically last 15-20 minutes 

The APP will want to assess you.  Please bring suitable clothing, for example: 

  • shoulder pain – wear a vest 
  • knee pain – wear shorts 

GP APP Version 3