--- title: "NHS vs Private Physiotherapy in Ealing: How to Get Seen in 2026" description: Discover how physiotherapy in West London reduces NHS costs and prevents injuries. Avail expert care at CK Physiotherapy for lasting health benefit. image: https://ckphysio.co.uk/hubfs/NHS%20Hospital%20Admission.jpg --- [![Spinal Problems, Sports Injuries, Joint Pains & Others! | London | CK Physiotherapy](https://ckphysio.co.uk/hubfs/CK%20physio%20-%202023/Images/CK%20LOGO%20main%20with%20wordmark%2032pt%20SVG%201.svg)](https://ckphysio.co.uk) - [About](https://ckphysio.co.uk/about-us) - [Testimonials](https://ckphysio.co.uk/testimonials) - [Links](https://ckphysio.co.uk/links) - [Infection prevention](https://ckphysio.co.uk/infection-prevention) - [Treatments](https://ckphysio.co.uk/treatments) - [Physiotherapy](https://ckphysio.co.uk/treatments/physiotherapy) - [Shockwave therapy](https://ckphysio.co.uk/treatments/shockwave-therapy) - [Shockwave Video](https://ckphysio.co.uk/treatments/shockwave-therapy/shockwave-video-hanwell) - [Electrotherapy](https://ckphysio.co.uk/treatments/electrotherapy) - [Conditions](https://ckphysio.co.uk/conditions) - [Bookings](https://ckphysio.co.uk/bookings) - [Resources](https://ckphysio.co.uk/resource) - [Blog List](https://ckphysio.co.uk/blog) - [Educational Videos](https://ckphysio.co.uk/in-depth-guide-video) [Contact us](https://ckphysio.co.uk/contact) ![NHS Hospital Admission](https://ckphysio.co.uk/hs-fs/hubfs/NHS%20Hospital%20Admission.jpg?width=1200&height=628&name=NHS%20Hospital%20Admission.jpg) ![calender](https://ckphysio.co.uk/hubfs/CK%20physio%20-%202023/Images/Group%20427324665.svg) 7\. October 2014 # NHS vs Private Physiotherapy in Ealing: How to Get Seen in 2026 By **Bryan Kelly**, Chartered Physiotherapist  ·  Clinically reviewed by **CK Physio Team**  ·  Published 12 Oct 2026  ·  Last reviewed 12 Oct 2026  ·  Next review Oct 2027 **In short:** If you live in Ealing, you can access NHS physiotherapy through self-referral to the Cora Health MSK service, through your GP, or via a First Contact Physiotherapist at your surgery. Private physiotherapy is a separate route you can use alongside the NHS. Both NHS and private physiotherapists in the UK are HCPC-registered. The right choice depends on urgency, cost and your preferences. How long is the NHS physiotherapy wait in 2026? The honest answer is: it varies by area, by referral route and by how urgent your condition is. Most adults on NHS community waiting lists in England are now seen within 18 weeks, though some wait longer. There is no single national or London-wide figure that reliably tells you what your wait in Ealing will be — which is why we recommend asking the service directly for its current estimate when you make a referral. ## Key takeaways - The national community musculoskeletal (MSK) waiting list in England has grown year-on-year since 2024, with the latest NHS England data showing figures around the 400,000 mark in early 2026 [(NHS England community health services waiting lists)](https://www.england.nhs.uk/statistics/statistical-work-areas/community-health-services-waiting-lists/). - NHS England has set a target of 78% of community waits under 18 weeks by the end of 2026/27. - In Ealing, adults can self-refer directly to the North West London MSK service without seeing a GP first. - Private physiotherapy at CK Physio in Hanwell starts at £80 for an initial assessment (self-pay), with no GP referral required. - Using private physiotherapy does not affect your place on any NHS waiting list — the two systems are managed separately. ### The national community MSK picture NHS England publishes community health service waiting data every month. Musculoskeletal physiotherapy is one of the largest components. According to [the Getting It Right First Time (GIRFT) programme](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/community-msk/), the community MSK list was the largest of all community service lists at 348,799 people in September 2024. By mid-2026, independent analysis of NHS England data from [the Nuffield Trust](https://www.nuffieldtrust.org.uk/resource/how-will-waiting-times-in-community-health-services-affect-the-shift-towards-neighbourhood-health) and [The King's Fund](https://www.kingsfund.org.uk/insight-and-analysis) indicates that most adults on community waiting lists are seen within 18 weeks, with a small percentage waiting over a year. Up to 30% of GP consultations in England relate to MSK problems, according to GIRFT, which gives a sense of the demand on these services. ### What it looks like in Ealing and North West London NHS MSK physiotherapy for Ealing residents is commissioned by NHS North West London Integrated Care Board. The main service is run by [Cora Health](https://www.corahealth.co.uk/locations/london/north-west-london/north-west-london-referrals/), with adult self-referral through its PhysioNow route. London North West University Healthcare NHS Trust (LNWH) also publishes a [community MSK information page](https://www.lnwh.nhs.uk/other-referral-pathways/musculoskeletal-physiotherapy-in-ealing-1309/) for certain GP practices. There is no robust, published Ealing-specific wait figure we can share with confidence. When you make a referral, we recommend asking the service for its current estimate, as it can change from month to month and depends on how your problem is triaged. ### What the NHS is doing to reduce waits Several national initiatives are underway. The GIRFT MSK Community Delivery Programme is backing local services to redesign how they see patients, with new funding announced in 2026 to support areas where waits exceed 18 weeks. First Contact Physiotherapists (FCPs), who work inside GP surgeries, now sit at the front door of many patient journeys. [NHS England's Medium Term Planning Framework](https://www.england.nhs.uk/long-read/community-health-services-waiting-times-actions-to-meet-targets/) sets targets of 78% of community waits under 18 weeks by the end of 2026/27 and 80% by the end of 2028/29. ## ![Physiotherapy in Ealing London](https://ckphysio.co.uk/hs-fs/hubfs/Physiotherapy%20in%20Ealing%20London.jpg?width=800&height=450&name=Physiotherapy%20in%20Ealing%20London.jpg)How can I see an NHS physiotherapist in Ealing? You generally have three routes: self-referral, through your GP (which may include a First Contact Physiotherapist), or as part of hospital follow-up after surgery or injury. You do not usually need a GP letter to use the NHS self-referral tool. ### Self-referral The NHS website provides a [self-referral tool for back and joint problems](https://www.nhs.uk/nhs-services/get-nhs-help-for-back-joint-problems/) which points you to your local community MSK service. For Ealing adults, this currently leads to the Cora Health North West London MSK service, which accepts self-referrals from people aged 18 and over. ### Through your GP or an FCP Many GP surgeries in England now have a First Contact Physiotherapist (FCP) you can see directly without a GP appointment first. The FCP can assess, advise, refer for imaging where appropriate, and send you on to community physiotherapy if you need ongoing treatment. If your surgery does not have an FCP, you can still see your GP for a referral. ### After surgery or a hospital stay If your problem relates to an operation or a hospital admission, your surgical or hospital team typically organises outpatient physiotherapy for you. If you would also like to use private care alongside NHS rehabilitation, read our guide to [rehabilitation after orthopaedic surgery](https://ckphysio.co.uk/blog/seeking-physiotherapy-treatment-after-undergoing-orthopaedic-surgery). ## How does private physiotherapy work? Private physiotherapy is a parallel system you pay for directly or through health insurance. You can book without a GP referral for self-pay appointments, choose your clinic and clinician, and expect longer appointment times than are typically available on the NHS. The clinical standards are the same — all practising physiotherapists in the UK must be registered with the [Health and Care Professions Council (HCPC)](https://www.hcpc-uk.org/). ### Do I need a GP referral? For self-pay appointments at CK Physio you do not need a GP referral. If you plan to use private medical insurance, your insurer usually asks for a GP referral or an insurer pre-authorisation code before your first session. Check your policy wording. ### How much does private physiotherapy cost in Ealing? Fees at CK Physio in Hanwell are £80 for an initial assessment and treatment (up to 45 minutes) and £65 for a follow-up (up to 30 minutes), paid as self-pay. Current fees are published on our [bookings page](https://ckphysio.co.uk/bookings). For most straightforward MSK problems, people have between three and six sessions, though this depends on the condition and your goals — your physiotherapist will discuss a realistic plan at your first visit. ### Using private medical insurance CK Physio is recognised by BUPA and AXA PPP. Before booking, confirm with your insurer: whether a GP referral is required, what your excess is, how many sessions are authorised, and whether your policy restricts the type of treatment. Insurers vary and policy wordings change, so it is worth checking rather than assuming. ## NHS vs private physiotherapy: side-by-side comparison The table below summarises how NHS and private physiotherapy differ in practice. The clinical standards are the same under HCPC regulation; the differences are mainly about access, length and choice. | Factor | NHS community MSK (Ealing) | Private (CK Physio, Hanwell) | | --- | --- | --- | | **Referral route** | Self-referral, GP, FCP, or hospital team | Book directly for self-pay; insurer-led for private medical insurance | | **Time to first appointment** | Varies; most adults on community lists are seen within 18 weeks (NHS England data). Ask the service for its current estimate | Depends on current diary availability — call 020 8566 4113 to check | | **Cost** | Free at the point of use | £80 initial, £65 follow-up (self-pay); covered by BUPA and AXA PPP subject to policy terms | | **Appointment length** | Shorter sessions and longer gaps between them are common in community services | Up to 45 minutes initial; up to 30 minutes for follow-ups | | **Choice of clinician** | Allocated by the service | You can request a specific physiotherapist and see the same person throughout | | **Home visits** | Case-by-case, usually for people with limited mobility | Available in West London — see our [home visit physiotherapy guide](https://ckphysio.co.uk/blog/home-visit-physiotherapy-guide) | | **Imaging and onward referral** | Integrated with NHS pathways for scans and specialists | We can advise on and signpost onward referrals; private imaging and consultants carry additional cost | | **Regulation** | HCPC-registered physiotherapists | HCPC-registered physiotherapists; many hold Chartered Society of Physiotherapy (CSP) membership | ## Which route is right for me? There is no single right answer — the sensible choice depends on urgency, cost, insurance cover and what you want from treatment. The guide below is a starting point. - **Severe pain, sudden weakness, or any red-flag symptoms:** contact your GP, NHS 111 or A&E before anything else. See the warning box below. - **You can self-manage and your local NHS wait looks manageable:** use the NHS self-referral tool and start with the free NHS service. - **You want to be seen sooner, want a specific clinician or need a home visit:** private physiotherapy is likely to suit you. - **You need to return to a specific demand (work, sport, caring for someone):** private appointments allow longer sessions to work through task-specific goals. - **You have private medical insurance:** check your policy terms, excess and GP-referral requirements with your insurer first. ## Can I use NHS and private physiotherapy together? Yes. Using private physiotherapy does not affect your place on an NHS waiting list, because the two systems hold separate records. Many people start privately while they wait for NHS appointments, or use the NHS for the main pathway and come to a private physiotherapist for extra sessions. We would ask you to share any NHS letters, imaging reports or exercise plans so we can keep both approaches aligned, and to tell your NHS clinician that you are also seeing a private physiotherapist. ## What can I do while I wait? For most common MSK problems, staying active within comfort, pacing your activities and gentle movement are a sensible starting point. The [NHS self-management advice for physiotherapy](https://www.nhs.uk/conditions/physiotherapy/) has clear general guidance. If you have back pain in particular, our guide to [self-managing lower back pain through exercise](https://ckphysio.co.uk/blog/coping-lower-back-pain-through-exercise) walks through a graded approach. If symptoms worsen or new symptoms appear, contact your GP or NHS 111. ## When you should not wait: urgent signs to look out for Contact your GP, NHS 111 or A&E immediately if you have any of the following: - Loss of bowel or bladder control, numbness around the saddle area, or new sexual dysfunction (possible cauda equina symptoms) - Significant and unexplained weight loss alongside your pain - Fever with swelling, heat or redness in a joint - A suspected fracture, or inability to bear weight after a fall or injury - Progressive weakness, numbness or pins and needles that are worsening - Chest pain, breathlessness or feeling unwell Physiotherapy is not a substitute for medical assessment where any of these signs are present. ## Physiotherapy at CK Physio in Hanwell CK Physio has been treating people from Ealing, Acton, Chiswick, Brentford, Southall and Greenford at our clinic in Hanwell since 2003. We work with office workers, parents, athletes, older adults recovering from falls, and people returning after surgery. Our team is HCPC-registered and most are members of the Chartered Society of Physiotherapy. We offer [physiotherapy in Ealing and Hanwell](https://ckphysio.co.uk/treatments/physiotherapy/london), home visits across West London, and clinic appointments six days a week. If you are not sure whether private physiotherapy is the right next step, we would rather help you reach the right decision — including pointing you to the NHS where that fits better — than see you book an appointment that doesn't suit your situation. You can read more about [what to expect at your first physiotherapy session](https://ckphysio.co.uk/blog/what-expect-when-you-go-your-physiotherapy-session-ealing) if you would like to know more before booking. We also treat common conditions in dedicated guides, including [rotator cuff and shoulder pain](https://ckphysio.co.uk/blog/overcome-shoulder-tendinitis-help-physiotherapy-london), [outer hip pain](https://ckphysio.co.uk/blog/gluteal-tendinopathy-hip-bursitis-physiotherapy-guide), [arthritis](https://ckphysio.co.uk/blog/find-comfort-physiotherapy-ealing-alleviate-arthritis), and [physiotherapy for older adults](https://ckphysio.co.uk/blog/physiotherapy-for-elderly-guide). ### Not sure which route suits you? We would rather help you find the right pathway than push a booking. Choose whichever feels right. [Book an assessment at CK Physio](https://ckphysio.co.uk/bookings) [Check NHS self-referral options](https://www.nhs.uk/nhs-services/get-nhs-help-for-back-joint-problems/) Prefer to talk? Call us on [020 8566 4113](tel:+442085664113). We are open Mon–Thu 08:00–20:00, Fri 08:00–18:00, Sat 09:00–12:00. ## Frequently asked questions ### Does going private for physiotherapy affect my place on the NHS waiting list? No. NHS and private waiting lists are managed separately. You can stay on the NHS list while attending private physiotherapy, and your NHS appointment is not forfeited. ### Can I refer myself to NHS physiotherapy in Ealing? Yes. Adults aged 18 and over can use the NHS self-referral tool, which currently routes Ealing residents to the Cora Health North West London MSK service via PhysioNow. A GP referral is not needed for self-referral. ### Do I need a GP referral to see a private physiotherapist? Not for self-pay appointments at CK Physio. If you are using private medical insurance, your insurer usually asks for a GP referral or an authorisation code before your first session. Check your policy wording. ### How much does private physiotherapy cost in Ealing? At CK Physio in Hanwell, self-pay fees are £80 for an initial assessment and treatment (up to 45 minutes) and £65 for a follow-up (up to 30 minutes). Current fees are published on our bookings page. ### Is private physiotherapy better than NHS physiotherapy? Clinical standards are the same because every practising physiotherapist in the UK is HCPC-registered. The main practical differences are speed of access, appointment length, continuity with the same clinician and choice of clinic. Neither route is universally better; each suits different circumstances. ### Can I have NHS and private physiotherapy at the same time? Yes, and many people do. It helps to share records so your plan is consistent — bring any NHS letters or exercise sheets to private appointments and let your NHS clinician know you are also seeing a private physiotherapist. ### Will my health insurance cover physiotherapy at CK Physio? CK Physio is recognised by BUPA and AXA PPP. Policy terms vary, so confirm your excess, authorisation requirements and the number of sessions covered with your insurer before booking. ### What is a First Contact Physiotherapist (FCP)? An FCP is a senior physiotherapist based inside a GP surgery who you can see directly for MSK problems without first seeing a GP. They can assess, advise, request imaging where appropriate and refer you on if ongoing physiotherapy is needed. ### When should I see a GP or go to A&E instead of a physiotherapist? Any of the red-flag signs in the warning box above — loss of bladder or bowel control, saddle numbness, unexplained weight loss, fever with joint swelling, suspected fracture, progressive weakness, or feeling systemically unwell — need medical assessment first. If in doubt, call [NHS 111](https://111.nhs.uk/). ## About the author and clinical reviewer **\[CLINICIAN NAME\]** is a Chartered Physiotherapist registered with the HCPC (PH\[HCPC NUMBER\]) and a member of the Chartered Society of Physiotherapy. \[One-line bio: role at CK Physio, special interests and years in practice.\] **Clinically reviewed by \[REVIEWER NAME\]**, Chartered Physiotherapist (HCPC PH\[REVIEWER HCPC NUMBER\]), \[role at CK Physio\]. This article is general information for Ealing residents, not a personal diagnosis or treatment plan. It was last reviewed on \[PUBLICATION DATE\] and is scheduled for review by \[NEXT REVIEW DATE\]. ## References 1. NHS England. *Community health services waiting lists*. [england.nhs.uk/statistics](https://www.england.nhs.uk/statistics/statistical-work-areas/community-health-services-waiting-lists/) 2. NHS England. *Community health services waiting times: actions to meet Medium Term Planning Framework targets*. [england.nhs.uk/long-read](https://www.england.nhs.uk/long-read/community-health-services-waiting-times-actions-to-meet-targets/) 3. Getting It Right First Time (GIRFT). *Community MSK programme*. [gettingitrightfirsttime.co.uk](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/community-msk/) 4. NHS. *Get NHS help for back or joint problems from community musculoskeletal (MSK) services*. [nhs.uk/nhs-services](https://www.nhs.uk/nhs-services/get-nhs-help-for-back-joint-problems/) 5. NHS North West London ICB. *North West London MSK service*. [nwlondonicb.nhs.uk](https://www.nwlondonicb.nhs.uk/professionals/clinical-news/north-west-london-musculoskeletal-msk-service) 6. Cora Health. *North West London MSK referrals*. [corahealth.co.uk](https://www.corahealth.co.uk/locations/london/north-west-london/north-west-london-referrals/) 7. London North West University Healthcare NHS Trust. *Musculoskeletal physiotherapy in Ealing*. [lnwh.nhs.uk](https://www.lnwh.nhs.uk/other-referral-pathways/musculoskeletal-physiotherapy-in-ealing-1309/) 8. Nuffield Trust. *How will waiting times in community health services affect the shift towards neighbourhood health?* [nuffieldtrust.org.uk](https://www.nuffieldtrust.org.uk/resource/how-will-waiting-times-in-community-health-services-affect-the-shift-towards-neighbourhood-health) 9. Health and Care Professions Council (HCPC). *Register of health and care professionals*. [hcpc-uk.org](https://www.hcpc-uk.org/) 10. Chartered Society of Physiotherapy (CSP). *Find a physiotherapist*. [csp.org.uk](https://www.csp.org.uk/public-patient/find-physiotherapist) 11. Office for Health Improvement and Disparities (OHID). *Musculoskeletal health: applying All Our Health*. [gov.uk](https://www.gov.uk/government/publications/musculoskeletal-health-applying-all-our-health/musculoskeletal-health-applying-all-our-health) 12. Arthritis UK. *State of Musculoskeletal Health report*. 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