Thinking about starting physiotherapy? Whether you’re looking into NHS options or considering going private, you’re not alone in having questions. Here’s a simple, jargon-free guide that covers what most people want to know before starting physio in the UK.

Can Physio Be Done at Home?

Yes, physio can definitely be done at home. Some clinics offer in-person home visits, while others support virtual sessions via video call. It’s ideal for people recovering from surgery, managing long-term conditions, or simply looking for convenience.

What If I’m in Pain—Should I Still Do Physio?

Generally, yes. Physiotherapists are trained to help you work with pain, not push through it. If something hurts too much or feels wrong, they’ll modify the treatment. Some soreness is normal, especially in the early days, but you should always speak up if pain lingers or worsens.

How Often Should I Do Physio?

It depends on your condition and goals. Most people see their physio 1–3 times a week, with exercises to do on their own in between. You don’t need daily appointments unless you’re doing intensive rehab.

How long are sessions? Most last between 30–60 minutes.

How soon will I feel better? Some people notice improvement after a few sessions. For others, it might take several weeks—but consistency really does pay off.

How Much Does Private Physio Cost in the UK?

Private physiotherapy isn’t one-price-fits-all. Here’s a general guide:

• Outside London: £45–£90 per session, depending on location and experience

• In London: £100 or more is typical, especially at high-end clinics

Is it worth it? If you want fast access, personalised care, and flexible appointment times, private physio is often a good investment.

Can You Get Free Physio on the NHS?

Yes, NHS physiotherapy is free, but you might face long waiting times depending on where you live.

How many sessions do you get on the NHS?
It varies by trust, but most people are offered 4 to 6 sessions. Complex or long-term conditions may get more.

Is NHS physio worth it?
Yes—NHS physios are highly skilled. The main downside is the wait. If your problem isn’t urgent, you could be waiting weeks or even months.

NHS Physiotherapy: What to Expect

How long is the NHS waiting list for physiotherapy?
In many areas, the wait is in weeks, but some people report longer delays, especially post-pandemic.

Can you self-refer to NHS physio?
Yes, in many areas you can. Check your local NHS trust’s website—you may be able to fill out a referral form online.

How long is an NHS physio appointment?
Appointments usually last 20–40 minutes, and may be shorter than what you’d get privately.

What to wear to physio NHS?
Wear loose, comfortable clothes you can move in. Shorts or leggings and a t-shirt are ideal.

Do NHS physios do massage?
Sometimes—but only when it’s clinically appropriate. NHS physio focuses more on exercises and function than hands-on treatments like massage.

Can NHS physios prescribe medication?
No, most NHS physios cannot prescribe medication, but they can work closely with your GP if pain relief is needed. However, if the physiotherapist has complete further post-graduate training, such as non-medical prescribing course, they may be able to prescribe if it within their scope of practice. 

NHS Home Visits and Community Care

Do NHS physios do home visits?
Yes, particularly for patients who are housebound or recently discharged from hospital. These are often provided by community rehab teams.

Does NHS provide care at home?
Yes. Services like community nursing, physio, and palliative care can be arranged for patients who meet the criteria. Your GP or hospital team can refer you.

How to get NHS care at home?
Speak to your GP or hospital discharge team. They’ll assess your needs and refer you to the appropriate services.

Do doctors do home visits on NHS?
Yes, but they’re reserved for patients who are too ill or frail to attend the surgery. It’s up to the GP to decide if a home visit is appropriate. If you or your loved one requires physiotherapy, the GP can refer them for physiotherapy.

How much will NHS pay for a care home?
This depends on your financial situation and needs. Some patients may qualify for NHS Continuing Healthcare or funded nursing care, which can cover part or all of the cost.

Private vs NHS Physio: What’s Better?

Is NHS or private physio better?
Both have qualified, experienced professionals. The main differences come down to speed, flexibility, and time per session. If you need help fast and want more personalised attention, private is a great choice. If you’re happy to wait and meet the NHS criteria, it’s a solid free option.

Can you get private physio on the NHS?
Not exactly—but in rare cases (like long waiting lists), the NHS might outsource treatment to a private provider. This isn’t something you can choose directly.

Can I see a consultant privately, then have treatment on the NHS?
Yes. You can pay to see a consultant privately and still receive NHS treatment if the specialist refers you back into the NHS system. Just let your GP know so everything is properly coordinated.

How do I go private instead of NHS?
You can book directly with a private physiotherapist—no referral needed. Search online, ask your GP for recommendations, or check your private health insurance if you have one.

Understanding NHS Pathways and Waiting Times

What is the 2-week pathway for the NHS?
It’s an urgent referral system (often used for suspected cancer) to ensure patients are seen by a specialist within 2 weeks. This has nothing to do with physiotherapy waiting list.

What does P4 mean on the NHS waiting list?
P4 refers to a priority category—P4 patients are considered non-urgent and may have the longest wait for surgery or treatment. Priority levels range from P1 (urgent) to P4 (routine).

How can I speed up my NHS waiting list?

• Ask if self-referral is available

• Speak to your GP about priority level

• Consider going private for initial assessment, then return to NHS for treatment

• Call periodically to check for cancellations