As part of a waiting list initiative the MSK Triage and Orthopaedic Department in UHW plan to roll out a Pilot Osteoarthritis (OA) Knee Pathway. The aim of the pathway is to create a more efficient channel into orthopaedics for patients who are more likely to need surgical intervention. The Pilot OA Knee Pathway, once fully operational, can be expanded regionally and with time nationally where sites have access to MSK Triage physiotherapists. It will facilitate a shift from orthopaedics to primary care physiotherapy as the first point in the referral pathway for patients with knee OA. This will reduce the rate of referrals into orthopaedics, ensure a higher conversion-to-surgery rate from OPD consultations and facilitate a reduction in the global orthopaedic OPD waiting list.