Ruth ten Hove is head of Research and Development at the Chartered Society of Physiotherapy. Ruth has worked for many years for improvements in the access to and quality of rehabilitation for the population who have multiple conditions. She has most recently led, on behalf of the CSP with the RCP, a national audit of physiotherapy and hip fracture (Hipsprint). This highlighted variation across the whole rehabilitation pathway - from acute care, to transition and rehabilitation outside of hospital. A better understanding of the reasons for this variation as well as implementing a programme of improvement are the next steps to providing more consistent high quality care. Ruth has also led work with NHSE which will result in a significant proportion of physiotherapists who currently manage people with Musculoskeletal conditions in hospital outpatient services move into General Practice.