Rachel McKenzie is an HR Adviser within the HR team at West Lothian Council, supporting organisational wellbeing, workforce policy, and employee relations across a diverse public sector workforce. She works closely with managers and employees to implement practical solutions that improve attendance, support health at work, and promote sustainable workforce wellbeing. Since December 2025, Rachel has been directly involved in West Lothian Council’s partnership with Sword Health, helping introduce a digital first physiotherapy pathway designed to improve access to MSK support, reduce waiting times, and enable early intervention for employees. Speaking from an employer perspective, Rachel will share insights into the Council’s motivations and experience adopting innovative MSK services, the impact on employees, and lessons learned from integrating digital healthcare solutions within a large local authority setting.