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Integrated Musculoskeletal Services

What is the County Durham Integrated MSK Service (CD-IMS) and what do we offer?

CD-IMS is a community based service for Musculoskeletal (MSK) conditions, including injuries and conditions involving the bones, joints, muscles and nerves.  The service is comprised of Extended Scope Practitioners (ESP's), Advanced & Specialist MSK Physiotherapists and Physiotherapy Assistants.

Our ESP's are able to request diagnostic investigations including x-rays, ultrasound, MRI, EMG & bloods tests. The ESP & Advanced Physiotherapists assess for and deliver corticosteroid injections. The ESP can refer direct to secondary care as required.

We support patients to self-manage and empower them to maximise any advice or treatment prescribed for the best possible outcomes. Please see our Patient Information page for further advice on you symptoms and their management.

We implement Shared Decision Making at all stages of the pathway to ensure patients are fully engaged in their treatment plan, and take ownership of their condition, as early as possible.

Who is this for?

CD-IMS  provides a single point of access for all Musculoskeletal referrals for all patients aged 16 and over with a Co Durham or Durham Dales, Easington or Sedgefield (DDES) GP.

How can you access this service?

You can access our service by:

  • Heading to our Self-referral page
  • Or being referred by your GP, Consultant or Advance Nurse Practitioner.

When and where do we offer this service?

We provide a comprehensive MSK assessment, treatment and management service in a range of community settings that are accessible to patients.  Currentll we offer clinics at:

Main Hospital Sites:

  • Darlington Memorial Hospital
  • Bishop Auckland General Hospital
  • University Hospital North Durham

The service is offered Monday to Friday, normal office hours.

Community Hospital Sites:

  • Peterlee Community Hospital
  • Richardson Community Hospital
  • Sedgefield Community Hospital
  • Chester le Street Hospital
  • Shotley Bridge Hospital

The service is offered Monday to Friday, normal office hours.

GP Practices and Community Health Centres:

  • Blackhall Community Centre
  • Seaham Primary Care Centre
  • Peaseway Medical Centre
  • Ferryhill & Chilton Medical Centre
  • Jubilee Medical Group
  • Spennymoor Health Centre
  • St Andrews Medical Group
  • Weardale Stanhope Practice
  • Gainford GP Practice
  • Bishopgate GP Practice
  • Willington GP Practice
  • North House GP Practice
  • Auckland Medical Practice
  • Stanley Primary Care Centre
  • Belmont & Sherburn Medical Group

Please contact your GP Practice, health centre or our central booking service for further information on when the clinics are available at the above sites.

First Contact Practioner Service:

We are also in the process of rolling out our First Contact Practitioner Services, allowing quick and easy access to our service in GP practices in the area.

How to contact us

You can contact our service by:

Phone:   01388 455 200


  • AHP Central Appointments
  • 1st Floor Education Building
  • Bishop Auckland Hospital
  • Cockton hill
  • DL14 6AD


'I would like to thank all the staff for my treatment and their professionalism.'

Patient, Cardiology Department, Bishop Auckland Hospital