Physiotherapy

GP Advanced Physiotherapy Practitioners (APP) are highly experienced physiotherapists based in your GP practice who have skills to assess, diagnose and manage musculoskeletal (MSK) conditions e.g. joint, muscle or bone pain. You can book directly without the need to see a GP first. 

A GP APP can:

  • Assess, diagnose and give first line advice on managing your MSK problem.
  • Refer on for further physiotherapy rehabilitation.
  • Order investigations such as x-ray.
  • Make referrals to secondary care services using the same pathways as GPs e.g. orthopaedics.
  • Provide a fit note as part of treatment.
  • Some APPs may also offer corticosteroid injections or independently prescribe medications as part of treatment.    

You can also access information and referral forms at the website link below: 

NHS Lothian Musculoskeletal Physiotherapy Website

Physiotherapy Self Referral Form: MSK Self Ref v5.pdf

Adult Self-Referral Form for Walking Aid Assessment at Physiotherapy: Physio - Adult walking Aid Self referral form MSK and PH SR Nov17.pdf

If your problem is urgent, severe or getting worse then you should call NHS 111 or contact your GP practice

Page last reviewed: 10 June 2025
Page created: 09 January 2025