The aim of treatment is to educate patients and provide rehabilitation to end stage for patients with musculoskeletal problems. Patients referred have either acute injury, chronic conditions, or are pre and post surgical. Post operative guidelines that have been agreed with the Orthopaedic Department, are followed and all patients are referred by a consultant. A care pathway is in place for patients that have lower limb injuries due to acute trauma or following elective surgery and for chronic overuse injuries. There is a separate pathway for patients following total or partial knee replacements and total hip replacements. This is to ensure a seamless service continuing from joint replacement surgery. Upper limb classes are also undertaken, these are for patients undergoing rehabilitation of the wrist, elbow, and shoulder. During gym rehabilitation, close liaison is maintained with the Multidisciplinary Team to ensure that the appropriate care is being delivered to facilitate a speedy recovery from injury. All referrals to this service are from consultants at Barnsley Hospital and Internal Referrals from Barnsley Hospital Physiotherapy Staff.