If you are struggling with back, neck, or joint pain, you may be able to access specialist NHS support without needing to wait for a GP appointment.
The NHS provides a dedicated pathway for musculoskeletal (MSK) problems—covering everything from recurring back ache to sports injuries and joint stiffness. Here is the essential information on how to access these services.
Skip the GP with Self-Referral
For many muscle and joint issues, you do not need a referral from your doctor. You can often self-refer directly to local NHS musculoskeletal services. This is designed to get you the right expert advice faster.
How to find your local service: You can find out which services are available in your area by visiting the official NHS guide: Get NHS help for back or joint problems
Simply use the search tool on that page to find services near you. You can also check your GP surgery’s website or ask the reception team if they host a First Contact Practitioner (FCP)—a specialist physiotherapist who can assess you directly.
What conditions can they help with?
NHS MSK services are equipped to help with:
- Back and neck pain (including sciatica)
- Joint pain (knees, hips, shoulders, and hands)
- Strains and sprains
- Arthritis management
What to expect
Depending on your area, these services offer:
- Specialist Assessment: A thorough check by a senior physiotherapist.
- Self-Management Tools: Many regions now offer access to digital tools and apps providing personalized recovery plans and exercises you can do at home.
- Treatment Pathways: This may include physiotherapy sessions, group exercise classes, or advice on pain management.
When should you still see a GP?
While self-referral is excellent for routine pain, you should still book an appointment with your GP if:
- The pain is severe or getting significantly worse.
- It is stopping you from doing daily activities or affecting your sleep.
- Your symptoms have not improved after a few weeks of home treatment.
Urgent Warning: If you have back pain combined with numbness in your “saddle area” (genitals or bottom), difficulty peeing, or sudden weakness in both legs, call 999 or go to A&E immediately.
For more information and to start your self-referral, visit: nhs.uk/nhs-services/get-nhs-help-for-back-joint-problems/