Shropshire Orthopaedic Outreach Service (SOOS)


What is the Shropshire Orthopaedic Outreach Service (SOOS)?

The Shropshire Orthopaedic Outreach Service (SOOS), formerly known as APCS Orthopaedics,  offers specialist multidisciplinary team assessment and management to patients with musculoskeletal health problems who do not require hospital treatment.

Patients will be seen by a General Practitioner with Special Interest (GPwSI) in musculoskeletal medicine, an Extended Scope Practitioner physiotherapist or a clinical specialist podiatrist who has additional expertise and skills enabling them to  assess, diagnose and  manage appropriate patients with musculoskeletal  problems , reducing the need for a referral into main hospital/ consultant care.

The additional expertise includes access to the following diagnostics, which may be required in the patient assessment, to help with diagnosis:

  • Diagnostic ultrasound
  • MRI
  • Nerve conduction studies
  • X-ray
  • CT-scans

Following assessment and diagnosis, treatment and management options available to the patient include:

  • Joint or soft tissue injections – where required under ultrasound guidance
  • Physiotherapy-including acupuncture
  • Podiatry
  • Provision of orthotics

Some patients may need to be referred onto hospital consultants.

Patients this service may be appropriate for:

Patients, over 16, who require further management for musculoskeletal conditions that do not require hospital treatment, including :

  • Ankle and foot conditions including: Achilles tendinopathy, Morton's neuroma, osteoarthritis, plantar fasciitis
  • Knee conditions including osteoarthritis, anterior knee pain, tendinopathies, bursitis
  • Hip conditions including: osteoarthritis, bursitis, sprains, impingements
  • Wrist/hand conditions including :osteoarthritis, carpal tunnel syndrome, trigger finger
  • Elbow conditions including: Tennis and Golfer’s elbow, osteoarthritis
  • Shoulder conditions including :acromioclavicular pain, Capsulitis/frozen shoulder, rotator cuff pathology, bursitis
  • Spinal pain including cervical, thoracic and lumbar back pain with and without radiating limb symptoms

Patients this service is inappropriate for:

  • Patients under 16
  • Patients not registered with a Shropshire CCG GP
  • Patients with suspected cancer
  • Patients requiring surgery
  • Patients requiring a rheumatological opinion/management

Referral Pathway

Patients can be referred to the service by their General Practitioner using Choose and Book.

Patients attending podiatric or physiotherapy services in the county may also be referred into SOOS directly.

The Team

The team comprises the following clinicians:

  • Dr Tomlinson, Sports and Exercise Medicine Consultant / Clinical Lead
  • Dr Richard Woollam, General Practitioner with Special Interest
  • Alan Sweeney, Sports and Exercise Medicine Speciality Registrar
  • Yvonne Rimmer,  Extended Scope Practitioner in Musculoskeletal Physiotherapist
  • Martin Latham, Extended Scope Practitioner in Musculoskeletal Physiotherapist
  • Manisha Patel, Extended Scope Practitioner in Musculoskeletal Physiotherapist
  • Mike Watton, Extended Scope Practitioner in Musculoskeletal Physiotherapist
  • Catrin Astbury, Extended Scope Practitioner in Musculoskeletal Physiotherapist
  • Carwyn Davies, Extended Scope Practitioner in Musculoskeletal Physiotherapy
  • Jean Denton, Extended Scope Practitioner in Musculoskeletal Physiotherapy
  • Suzie Golding, Extended Scope Practitioner in Musculoskeletal Physiotherapy
  • Gill Lawrence, Extended Scope Physiotherapy Practitioner 
  • Sam Dawson, Extended Scope Physiotherapy Practitioner 
  • Mark Wedge, Extended Scope Physiotherapy Practitioner 
  • Abe Jones, Clinical Specialist Podiatrist
  • Louise Smith-Williams, Clinical Specialist Podiatrist
  • Janet Raisin, Clinical Specialist Podiatrist
  • Para Wilson, Clinical Specialist Podiatrist

Service Manager: Nina White

Service Co-ordinator: Rachel Evans

Clinic Locations

The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, SY10 7AG
Location 2B (adjacent to Pre-Operative Assessment)
Tel: 01691 404055 / 01691 404162 / 01691 404161

Oswestry Health Centre
Thomas Savin Road, Off Gobowen Road, Oswestry, SY11 1GA
Tel: 01691 663637
Visit the Oswestry Health Centre Website

Mayfair Health and Wellbeing Centre
Easthope Road, Church Stretton, SY6 6BL

Whitchurch Community Hospital
Claypit Street, Whitchurch, SY13 1NT

GP Practices in Shrewsbury

Prior to your appointment with a clinician, please contact the SOOS team at RJAH or Oswestry Health Centre to confirm your appointment. 


Frequently asked questions

 1. What will happen at my first appointment?

The clinician will introduce themselves and show you to an individual clinic room. They will ask you a variety of specific questions and then examine you to find out what is wrong.

Further diagnostic tests may be required and the clinician will refer you for these after discussion with you.

Once the assessment is completed the clinician will explain the problem you have and advise you on the management options.

The options may include advice on self -management and exercises, injections, acupuncture, provision of aids etc. Referral to a hospital consultant may also be indicated.

If another SOOS appointment is required, this will be arranged before you leave. This appointment may be with the clinician you have seen or another from the team depending on the problem you have.

2. What should I wear to my appointment?
It doesn't matter what you wear but you may need to undress down to your underwear if this is necessary to examine and treat your injury or condition. If you are coming for treatment to your leg(s) please bring shorts or a loose-fitting skirt with you.

3. What should you bring with you?
If you are on medication a detailed list of this current medication may be helpful.


Contact Us:

Tel: 01691 404055 (RJAH)


Tel: 01691 663637 (Oswestry Health Centre)

Find Us:

Location 2B adjacent to Pre-operative Assessment at RJAH Hospital.


Oswestry Health Centre