Freedom of Information Request – Ref: FOI 229-2026
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
1. Is your trust contracted by its ICB to provide musculoskeletal physiotherapy services?
Our response:
Yes.
You asked:
2. Are any of the musculoskeletal physiotherapy services your trust is contracted to provide provided directly by the trust itself (as opposed to being subcontracted to an independent provider)? If so, what are the names of these services? (For example, for Guy’s and St Thomas’ NHS Foundation Trust the names of their relevant services would be ‘Musculoskeletal physiotherapy’ and ‘Musculoskeletal assessment service (MCATTS)’.)
Our response:
Yes to all provisions being provided directly by the trust.
MSKAPS- Musculoskeletal Advanced Practitioner Service.
Adult Musculoskeletal Physiotherapy and Hand Therapy Service.
You asked:
3. If some of your musculoskeletal physiotherapy services are subcontracted to independent providers, please list the names of these independent providers.
Our response:
Not applicable, services are not subcontracted.
You asked:
4. For both trust services and services by independent providers, the total number of referrals received for musculoskeletal physiotherapy in each of the calendar years given.
| Calendar year | Total number of referrals in calendar year | |
| Trust services | Independent providers | |
| 2020 | 14857 | Not Provided by Service |
| 2021 | 20608 | Not Provided by Service |
| 2022 | 25004 | Not Provided by Service |
| 2023 | 28710 | Not Provided by Service |
| 2024 | 29066 | Not Provided by Service |
| 2025 | 31797 | Not Provided by Service |
You asked:
5. For both in-house services and services by independent providers, the total number of patients that received an initial musculoskeletal physiotherapy appointment in each of the calendar years given.
Our response:
| Calendar year | Total number of assessments in calendar year | |
| Trust services | Independent providers | |
| 2020 | 9345 | Not Provided by Service |
| 2021 | 11723 | Not Provided by Service |
| 2022 | 15865 | Not Provided by Service |
| 2023 | 18441 | Not Provided by Service |
| 2024 | 19256 | Not Provided by Service |
| 2025 | 18954 | Not Provided by Service |
You asked:
6. For both in-house services and services by independent providers, the total expenditure on musculoskeletal physiotherapy services in each of the calendar years given.
Our response:
|
Calendar year |
Total spend on MSK physiotherapy services |
|
|
Trust services |
Independent providers |
|
|
2020 |
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2021 |
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2022 |
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2023 |
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2024 |
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2025 |
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You asked:
7. For all musculoskeletal physiotherapy services across your trust, the average number of patients on the waiting list for each of the calendar years given.
Our response:
| Calendar year | Total number of patients on waiting list at end of calendar year | |
| Trust services | Independent providers | |
| 2020 | 3122 | Not Provided by Service |
| 2021 | 4184 | Not Provided by Service |
| 2022 | 4027 | Not Provided by Service |
| 2023 | 3314 | Not Provided by Service |
| 2024 | 3032 | Not Provided by Service |
| 2025 | 6988 | Not Provided by Service |
You asked:
8. As a final question, if you are able, please can you provide a breakdown by individual independent providers of the total number of patients assessed by independent providers you gave above. Please add additional rows to the table if required.
Our response:
Not applicable – no independent providers utilised.
Next steps:
Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:
Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss20@nhs.net
If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.