Agenda for Change · Physiotherapy · 2026/27
NHS physiotherapist salary
Physiotherapy is one of the few NHS job families whose published profiles carry the job titles people actually use. So you can look your own title up rather than work backwards from a band. A post matched to the Physiotherapist profile is band 5, which pays £32,073 to £39,043 in England.
- Qualified physiotherapist, first step £32,073 Band 5, England 2026/27 — the profile published simply as Physiotherapist, with no qualifier
- Published job titles 11 Across bands 2 to 8b, each with its own profile
- Top of the ladder £77,368 Physiotherapy Consultant, top step of band 8b
Find your job title, read off the band
What fixes the band is the profile a post is matched to, never the wording of the advert. A job evaluation panel does the matching, and the score in the last column is what drops the profile into one band rather than the next. If your title is not here, the post was evaluated locally against the same factors — the profile list is the common cases, not the whole world.
| Published job title | Band | Salary in England | Job evaluation score |
|---|---|---|---|
| Clinical Support Worker (Physiotherapy) | 2 | £25,272 | 187–209 |
| Clinical Support Worker Higher Level (Physiotherapy) | 3 | £25,760 – £27,476 | 245–259 |
| Physiotherapist | 5 | £32,073 – £39,043 | 343–387 |
| Physiotherapy Specialist | 6 | £39,959 – £48,117 | 417–465 |
| Physiotherapy Specialist (Experienced Rotational) | 6 | £39,959 – £48,117 | 399–445 |
| Physiotherapist Advanced | 7 | £49,387 – £56,515 | 478–532 |
| Physiotherapy Specialist (Respiratory Problems) | 7 | £49,387 – £56,515 | 474 |
| Specialist Physiotherapist (Community) | 7 | £49,387 – £56,515 | 469–492 |
| Physiotherapy Team Manager | 7 | £49,387 – £56,515 | 466–515 |
| Physiotherapist Principal | 8a | £57,528 – £64,750 | 542–578 |
| Physiotherapy Consultant | 8a and 8b | £57,528 – £77,368 | 563–629 |
Basic salary only. Nothing here includes unsocial hours, the London supplement or overtime, and none of it is take-home — those are further down.
There is no band 4 in physiotherapy
The ladder runs band 3, then jumps straight to band 5. Band 4 exists on the pay scale — it pays £28,392 to £31,157 — but no published physiotherapy profile reaches it. You are a support worker at band 3 or a physiotherapist at band 5, and the national profiles describe nothing in between.
That is unusual rather than normal. Of the three job families whose profiles this site holds, physiotherapy is the only one with a hole inside its own range — ambulance service and nursing run from bottom to top without skipping a band.
The practical effect is the step. The top of band 3 is £27,476 and the first step of band 5 is £32,073 — a jump of £4,597, crossed in one move rather than climbed. What crosses it is qualifying, not progressing.
Band 7 is four different jobs at one salary
More physiotherapy profiles sit at band 7 than at any other band, and they are not variations on one role:
- Physiotherapist Advanced — Assesses & treats own specialist caseload of patients/clients
- Physiotherapy Specialist (Respiratory Problems) — Takes lead role in physiotherapy assessment and treatment of acutely ill patients, mainly those with respiratory problems
- Specialist Physiotherapist (Community) — Assesses, plans and develops specialist physiotherapist treatment programmes for patients/ clients with a wide variety of complex physical needs in a community setting.
- Physiotherapy Team Manager — Provides physiotherapy assessment and treatment for specific group(s)
All four are band 7, so all four pay £49,387 to £56,515. Running a team and holding a specialist respiratory caseload are the same money here. That is job evaluation working as designed — it scores the demands of the post, not its prestige — but it surprises people who expect management to pay more. What band 7 pays step by step.
The top of the ladder has no page of its own
Band 8b is reached only by Physiotherapy Consultant, which is published against bands 8a and 8b together. A band earns a page here when a profile is specific to it alone, and this one is not — so this is where it is described. It pays £57,528 to £77,368 across the two bands, and it sits on the full pay scale.
The other nations pay physiotherapists differently
Job evaluation is UK-wide — the profiles above are used by every nation — but the money is not. Each nation sets its own Agenda for Change rates. Scotland has also shortened its full-time week to 36 hours against 37.5 here, which moves the hourly rate without moving the salary, so the two columns cannot be read side by side. Northern Ireland has issued no 2026/27 award, so a physiotherapist there is still on last year’s figures. The band-by-band rates are on each nation’s own page: Scotland, Wales and Northern Ireland.
What the table leaves out
The rota. Respiratory physiotherapy is an emergency service in most acute trusts, so two posts on the same band can be paid differently once the rota is counted: one enhancement for worked nights and weekends, and a separate arrangement for being available but not called in. The second of those has no national rate in England at all — the handbook has left on-call to local agreement since 2011, so the trust sets it and we hold no figure to show you. What each nation pays for unsocial hours, and when extra hours count as overtime instead.
London, and the deductions. Work in one of the London zones and a supplement goes on top of the salary. It is a percentage with a floor and a ceiling, so it is not a fixed share of the band — what it comes to at each one. Every figure on this page is gross — the take-home calculator handles income tax, National Insurance and the pension tier for all four nations.
Where the titles come from. Every job title on this page is quoted from National profiles for physiotherapy — NHS Staff Council Job Evaluation Group national job profiles, NHS Staff Council Job Evaluation Group (published by NHS Employers). Occupational therapists, speech and language therapists, dietitians and the other allied health professions have their own profile documents, which this site does not hold — naming a band for them would be a guess. See the methodology and the source register.
Sources for the physiotherapy figures 2 documents · last checked Verified
- National profiles for physiotherapy — NHS Staff Council Job Evaluation Group national job profiles NHS Staff Council Job Evaluation Group (published by NHS Employers) · Effective · checked · independently checked Verified
- NHS Terms and Conditions 2026 (Agenda for Change) — pay bands and pay points from 1 April 2026, England NHS Employers ·2026-27 · Effective · checked · independently checked Also relied on: NHS Terms and Conditions of Service Handbook, version 21 — Section 2 (England), Table 2: unsocial hours payments Pay scales for 2026/27 — High Cost Area Supplement rates, NHS Employers Pay scales for 2026/27 — NHS Employers' HTML publication of the same pay table, used as the corroborating second document Verified