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GP – First Point of Contact

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First Point of Contact

First Contact Practitioner


A First Contact Practitioner is an exciting new role coming into Primary Care (GP surgeries) with funding available to GP’s to support this from April 2020.

This will allow patients contacting their GP surgeries with musculo skeletal pain to be seen quickly by a musculoskeletal expert who will be able to assess, advise and establish on the appropriate individualised rehabilitation programme. They will work very closely with GP’s and Nurse Practitioners to ensure the patient gets the best level of care and assist with any medication, investigations and referrals where deemed required.


Pure Physiotherapy has been working in this role for nearly four years now and is helping to develop this role on a local, regional and national level. A large number of our team at Pure Physiotherapists are working in a First Contact Practitioner role providing a high level of care.


We have been shown to free up GP appointment slots, reduce orthopaedic referrals, reduced unrequired investigations and prescribing and shown a high patient satisfaction rate in the surgeries we are working with.

  • FCP services are also reported to deliver a return on investment of £0.81-£2.37 for every £1 spent on implementing FCP services (Davies C, 2017); with some studies suggesting a higher return (Public Health England, 2017).
  • Early access to physiotherapy and advice and – where necessary – treatment, reduces sickness absence, accelerates recovery and improves the long-term health and wellbeing prospects of patients with MSK problems (Addley et al., 2010; Boorman, 2009; NHS Employers, 2012).
  • 91% of people with arthritis say they are not given information about exercise/self-care and only 43% say they can manage their arthritis well (Arthritis Care, 2017).
  • In a recent analysis at one of the surgeries we are working with, out of over 850 patients seen, only 13 required to come back to see another member of the team for the same problem and only 13 were referred to secondary care.

We are continuing to increase the number of GP surgeries and Primary Care networks that we are working alongside.

Please follow this link for some literature on the First Contact Practitioner Role for Primary Care networks. If you would like to discuss Pure Physiotherapy working as part of your network, please email Richard Morford, Clinical Lead on




GP – First Point of Contact

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