Accessing physiotherapy

If you need physiotherapy, a number of different options are available to you.

You can see a physiotherapist: 

• by getting a referral from a doctor
• by contacting a physiotherapist directly
• at some GP surgeries
• privately

Physiotherapy can also sometimes be accessed through occupational health services, charities, patient groups and the voluntary sector.

Physiotherapy on the NHS

Physiotherapy is available free of charge on the NHS throughout the UK.

Depending on where you live, you may be able to self-refer or you may need to visit your GP or consultant first. After discussing your symptoms with your doctor, they may then refer you to a physiotherapist.

You can search for physiotherapy services near you to find out where you may be referred to.

Self-referral for NHS physiotherapy

Some areas in the UK offer a self-referral service, which means you can make an appointment to see an NHS physiotherapist without having to see a doctor first.

However, this is not available everywhere. Staff at your GP surgery or hospital trust should be able to tell you whether it's available in your area.

Self-referral is particularly suitable for people with relatively simple conditions such as joint pain, strains or other injuries.

If you have more complex needs – for example, you have movement problems caused by a stroke or multiple sclerosis (MS) – you may still need a referral from a doctor.

Direct access to physiotherapy

Some physiotherapists also work in GP practices as the first point of contact for patients with musculoskeletal problems, such as neck or back pain, and those with long-term conditions, such as MS or stroke.

When contacting your GP surgery, you may be offered to see the physiotherapist directly, instead of having to see the GP first.

Physiotherapists working in these roles may have advanced skills, such as prescribing and ordering scans.

Private physiotherapy

Waiting lists for NHS physiotherapy can be long and some people choose to have private treatment instead. If you see a physiotherapist privately, you'll have to pay for treatment.

You can usually approach a private physiotherapist directly without a referral from a doctor.

When choosing a private physiotherapist, make sure they're:

• a fully qualified member of a recognised professional body, such as the Chartered Society of Physiotherapy (CSP)
• registered with the Health & Care Professions Council (HCPC)

You can find a private chartered physiotherapist near you using CSP's Physio2u directory. You can also use the Find a physio search facility on the Physio First website.

Occupational health services

Physiotherapy may be available through your workplace.

Some companies provide occupational health services, which include physiotherapy treatment. Check with your manager or Human Resources department to see if it's available where you work.