First Contact Physiotherapy Services (FCPS) provides initial assessment and management, and onward referral for patients with musculoskeletal conditions. FCPS like other healthcare services adapted during the COVID-19 pandemic. We currently do not understand how these services changed, what have changed and the impact of the change on those that deliver care and patients. This data provides an insight into the ways FCPS for musculoskeletal conditions was provided during COVID-19 pandemic, understand how decisions were made quickly, and identify the impact of the sudden change on practice and patients.