NHS Luton Clinical Commissioning Group (LCCG) seeks to commission an integrated Community MSK Service focussed on the provision of high-quality, well-coordinated care, designed around the needs of the local population. It should be provided in locations which are convenient and accessible to patients and have timings that are appropriate for patients' needs. The MSK Service should act as a single point of contact, handling all MSK referrals and if referral criteria are not met, support the up-skilling of GP practices accordingly. Clinically appropriate referrals will be triaging as necessary to physiotherapy, other procedures (such as joint injection), extended-scope physiotherapy assessment, orthopaedic surgeon assessment, rheumatology, pain clinic or other relevant services as appropriate, all in the community setting. The MSK Service should also integrate with local primary care clinicians who provide services such as joint injections, in the interest of enhancing the choice, convenience and flexibility available to patients. — Patients deemed to potentially require surgical management should be seen in the community setting by an orthopaedic surgeon, directed as appropriate to relevant services to optimise postoperative outcomes, and then directly listed for surgery (in accordance with local policies and guidelines), with follow-up in the community. The integrated MSK Service should allow movement of patients seamlessly from one element to another, receiving the right care in the right setting at the right time, streamlining the experience for patients and reducing unnecessary waiting and inefficiency. The MSK Service should not be limited to treating patients, but also must be committed to empowering the population to self-care for their MSK issues and share responsibility of the management of their conditions, with a focus on education and lifestyle modification, as well as making effective use of local services such as Live Well Luton. LCCG is looking for an experienced provider who shares our vision for an integrated Community MSK Service. This will need to be designed around the specific needs of the population of Luton and must be high-quality, well-coordinated and patient-centred while making most efficient use of the Luton pound.