What is the best way to organise a physio-led triage service for paediatric musculoskeletal conditions? Where is the best place to see the patients? Is an online consultation ok? And what should you do if you think an x ray is needed? We discuss all these and more in the company of Johann Delport, organising community-based MSK services in Shropshire, UK and Hazel Bartley, advanced physiotherapy practitioner at the Evelina Children's Hospital London.