When your symptoms still don’t make sense
You’ve been heard.
But have you been listened to?
An independent specialist physiotherapy opinion when muscle or joint symptoms persist, treatments have not helped, or the explanations still do not fit.
A clearer introduction
Meet Theo, your guide to Project Sherlock.
A short introduction from Theo will explain how The Sherlock Review works, who it may help and what to expect.
Introduction video coming soonSound familiar?
You’re not looking for another appointment.
You’re looking for an explanation.
When the usual answers haven’t been enough, stepping back and looking at the whole picture can change the conversation.
Sherlock Guides
Clear answers to difficult MSK questions.
Explore twelve detailed patient guides about conflicting diagnoses, treatment that has not worked, confusing MRI findings and when another clinical opinion may help.
One clear service. One clear price.
The Sherlock Review
A considered second opinion for persistent, complex or uncertain musculoskeletal problems—built around your whole story.
No booking or payment until we have agreed the service is right for you.
Check your suitabilitySee an example of your written Opinion
Does not include scans, prescriptions, injections, emergency treatment or ongoing physiotherapy.
Relevant evidence, reviewed
Your history, previous assessments, investigation reports and treatment information—where available and relevant.
A full 60-minute consultation
A one-to-one video appointment with time to listen carefully, ask purposeful questions and explore the whole clinical picture.
Your written Sherlock Opinion
A personalised, clinician-reviewed opinion explaining the reasoning, uncertainty and next steps—within two working days.
One written clarification
One follow-up question about your written opinion, available within seven days of receiving it.
What you take away
An explanation you can come back to.
Your Sherlock Opinion brings the reasoning and next steps together in writing, so you do not have to remember everything from the consultation.
THE SHERLOCK OPINION · FICTIONAL EXTRACT
Bringing the pieces together
What I heard
You want to walk further and sleep more comfortably, but you are unsure whether your hip, your back or the scan findings explain the problem.
My working explanation
In this fictional case, the pain around the side of your hip and the deeper ache after sitting appear to behave differently. One explanation may not account for both.
Read the reasoning and next steps
Why I think this
The pain at the side of your hip is brought on by stairs and lying on that side. The deeper buttock ache appears after sitting and eases when you get up and move. These different patterns suggest that more than one area may be contributing. The previous scan reports and temporary response to treatment are useful pieces of evidence, but neither settles the explanation on its own.
What remains uncertain
A remote consultation cannot provide every part of a hands-on examination. The contribution of each area remains uncertain, and this is a working opinion rather than a guaranteed diagnosis.
What happens next
The plan would address the two patterns separately and link progress to what matters to you: walking and sleep. If progress remains poor, an in-person reassessment may be more useful than repeating the same approach.
What would change the opinion
A different symptom pattern, new findings or a lack of progress would be reasons to reconsider the explanation. Your own report would include individual advice about when and how to seek further help.
The Sherlock Review · £199
Relevant evidence review, a 60-minute video consultation, your written Opinion within two working days, and one written clarification requested within seven days of receiving it.
A clearer way forward
How your Sherlock Review works
No complicated pathway. Just a carefully structured process that gives your concerns the attention they deserve.
Confirm suitability, agree your appointment and share relevant information securely.
Meet Andrew for a focused 60-minute video consultation about the whole picture.
Your written opinion arrives within two working days, with one clarification available afterwards.
Check suitability
Use the private self-check, then contact Andrew to confirm whether a remote Sherlock Review is appropriate.
Book and confirm
Once suitability is agreed, review the appointment information and arrange your £199 Sherlock Review.
Share your story
Complete a focused clinical questionnaire and securely share any existing reports that are relevant.
Talk it through
Meet Andrew by video for a detailed 60-minute conversation and an appropriate remote assessment.
Receive your opinion
Your personalised, clinician-reviewed Sherlock Opinion arrives within two working days of the consultation.
Ask one follow-up
If something needs explaining further, you can ask one written clarification within seven days.
Secure patient portal · coming soon
A simpler way to share the full picture.
After booking, your future secure patient space will bring together your questionnaire, consent information and relevant documents through the approved secure process.
The portal is not yet accepting patient information or documents.
The right support, for the right situation
Is Sherlock right for you?
A thoughtful second opinion can help when the picture feels complicated. It is equally important to recognise when a different kind of care is needed.
Private suitability self-check
Could Project Sherlock be right for you?
Answer a few short questions to see whether this type of review may be appropriate. Your answers stay on your device and are not saved or sent to Project Sherlock.
This is not a clinical assessment or emergency screening tool.
A Sherlock Review may help if…
- Your muscle, joint or movement symptoms have persisted, returned or remained difficult to understand.
- You have received different explanations and want someone to bring the whole picture together.
- A scan, previous treatment or diagnosis does not seem to explain how you actually feel.
- You would value time to talk things through and understand the most sensible next step.
Another service may be safer if…
- Your symptoms are urgent, rapidly worsening or need immediate medical attention.
- You need a hands-on examination, a new scan, emergency treatment or ongoing physiotherapy.
- Your situation cannot be assessed meaningfully or safely through a remote consultation.
- The help you need falls outside Andrew’s professional scope.
An initial suitability conversation helps decide whether the service is appropriate. It is not an emergency assessment and does not replace advice from your GP, NHS 111, urgent care or emergency services.
Ask whether Sherlock could helpPlease do not include detailed medical information, scan reports or other sensitive documents in your first email.
The Sherlock approach
“The right answer doesn’t always begin with another test.
Sometimes, it begins with a better question.”
Andrew Lockhart
Founder · Project SherlockHCPC registered · PH102781The person behind Sherlock
Hi, I’m Andrew.
I’m an HCPC-registered physiotherapist with more than a decade of clinical experience. Since qualifying from the University of Salford in 2013, I’ve worked in advanced musculoskeletal practice and First Contact Practitioner roles, supporting people whose symptoms do not always fit a simple or obvious explanation.
- HCPC-registered physiotherapist · PH102781
- Qualified in 2013 · University of Salford
- Advanced musculoskeletal and First Contact Practitioner experience
- Postgraduate training in injection therapy and non-medical prescribing
But qualifications are only part of the picture. What matters just as much is knowing when to slow down, listen properly, question an earlier assumption and look again at the evidence.
I created Project Sherlock because too many people leave appointments with a scan result, a diagnostic label or a list of treatments—but still no clear understanding of what it all means for them.
My role is to bring the pieces together, explain the reasoning in plain English and be honest about what we know, what remains uncertain and what the next sensible step could be.
You do not need someone who promises all the answers. You need someone prepared to ask better questions.
Get in touch with AndrewBefore you get started
Questions you might have
Who is The Sherlock Review for?
Adults with persistent, complex or uncertain musculoskeletal symptoms who would value a considered specialist physiotherapy opinion. A short suitability conversation helps establish whether a remote review is appropriate for your situation.
How much does it cost, and what is included?
The Sherlock Review costs £199. This includes consideration of relevant information, one 60-minute remote consultation, a clinician-reviewed written opinion within two working days and one written clarification within seven days of receiving that opinion.
How do I ask whether the service is right for me?
Email hello@projectsherlock.co.uk to start a suitability enquiry. Please keep the first message brief and do not include detailed medical histories, scan reports, photographs or other sensitive documents by ordinary email.
What happens if a Sherlock Review is not suitable?
If the service is found to be unsuitable before booking or payment, there is no charge. If an appointment has already been booked and paid for and is subsequently found to be unsuitable, a 50% refund will be provided. Andrew may recommend a different type of assessment or appropriate healthcare professional.
Will I definitely receive a diagnosis?
No responsible clinician can guarantee a definitive diagnosis remotely. The Sherlock Review aims to help you understand what your symptoms and available evidence may suggest, where uncertainty remains and what next steps may be appropriate.
Do I need scans or previous reports?
No. Existing letters, scans and investigation reports can be helpful when relevant, but they are not required in every case. If documents are needed, you will be told how to share them appropriately after suitability has been established.
Is the consultation face to face?
The Sherlock Review is a remote video consultation. It is not a substitute for a hands-on examination where one is needed, and Andrew may recommend an in-person assessment if that would be safer or more useful.
When will I receive my written opinion?
Your personalised Sherlock Opinion will be reviewed and signed off by Andrew within two working days after your consultation, excluding weekends and bank holidays. Anything requiring immediate or urgent action will be communicated during the consultation.
What does the seven-day clarification include?
You may submit one written question to clarify something already covered in your Sherlock Opinion within seven days of receiving it. This does not include reassessment, a new consultation, substantial new evidence or ongoing messaging.
What if I need to cancel or rearrange?
Please provide at least 24 hours’ notice. A first cancellation with less than 24 hours’ notice can be rebooked once without penalty. Any further late cancellation or missed appointment is fully chargeable and non-refundable.
How will my information be handled?
This website is for public information and initial enquiries. Please do not send detailed health information through ordinary email. The full clinical privacy information and secure information-sharing arrangements will be explained before any clinical information is requested. A secure patient pathway is planned but is not yet available.
Can Project Sherlock help in an emergency?
No. Project Sherlock does not provide emergency assessment and does not replace urgent medical care, diagnostic testing or face-to-face examination where these are needed. If you have urgent, rapidly worsening or potentially serious symptoms, seek appropriate medical attention.
Questions, feedback or concerns
A real person, ready to listen.
If you are unsure whether Project Sherlock is right for you, have a question about the service, or want to raise a concern, you can contact Andrew directly.
hello@projectsherlock.co.ukPlease avoid including detailed health information, confidential documents or urgent clinical concerns in your initial email.
Feedback and complaints
If something has not gone as expected, you can raise your concern directly by email. Your concern will be taken seriously and considered fairly.
Contact Andrew about a concernFor concerns about professional conduct, you can also contact the Health and Care Professions Council.
Find out about raising an HCPC concernWhen you’re ready
Let’s make things clearer.
One careful review. A fuller clinical picture. A clearer understanding of what comes next.
Check whether Sherlock is right for you The Sherlock Review · £199 · Initial enquiries by email