Woodey. IMHO severe pain which doesn't improve over 6-8 weeks or is affecting your sleep; major or worsening weakness &/or numbness are indications for considering surgery. If you get any numbness in the saddle area or bladder or bowel control is affected go to A&E – it may well be a surgical emergency. Otherwise working on reducing the pressure you put on your low back (posture, flexibility, ensuring that the rest of you is functioning as well as possible), improving it's support and managing the pain as well as possible is the way forward.
KoB: Recommendation is best, failing that the General Osteopathic Council's website has a locator by postcode.
MrMichaelWright: You have demonstrated better than me that imaging is not the be-all & end-all (and can be a waste of limited resources). What is needed is is a diagnosis and a treatment plan, both of which should be reassessed regularly. Without that you are being fiddled with, not treated.