First Contact Physio

The E4 Primary Care Network has employed 2 First Contract Physiotherapists (FCP’s) working directly in our 5 GP Practices to see & treat Musculoskeletal (MSK) health issues as we have recognised that these are the most common cause of appointments and account for around 1 in 5 of all GP appointments. Most of them can be dealt with effectively by a FCP without any need to see the GP thus reducing the wait time from appointment to diagnosis.

image of a physio


Research shows physiotherapists are the most expert professional group regarding musculoskeletal issues with the exception of Orthopaedic Consultants.

A typical FCP appointment involves:

  • Assessment,
  • Diagnosis
  • First-line treatment.

FCPs can also:

  • Refer patients for a course of physiotherapy treatment
  • Order investigations
  • Make referrals into secondary care services using the same pathways as GPs.   

As a person-centred service, most appointments include self-management advice, social prescribing, and discussions about physical activity and fitness for work.