Musculoskeletal service - information for professionals

The Musculoskeletal service is open to all referrals. Please follow the guidance in the musculoskeletal referral framework [docx] 74KB.

Our guidance for referral is as follows:

  • Should patients with MSK symptoms present to primary care please assess for conditions which require emergency or urgent onward referral to secondary care informed by the following specialist guidance: http://arma.uk.net/wp-content/uploads/2020/12/Urgent-emergency-MSK-conditions-requiring-onward-referral-1.pdf
  • For all other conditions sign-post to the following resource hub for guidance with regard to self-management: www.csp.org.uk/mskadvice. This also provides safety netting should symptoms worsen.  
  • If  conditions are failing to improve despite guidance, if the patient is unable to work or undertake caring duties due to their symptoms  please signpost to the MSK service via the usual method 0208 296 4100.


If you have any queries please email esth.mskphysiotherapy@nhs.net. We will get back to you within 24 working hours