Physiotherapist at Derbyshire Community Health Services NHS Foundation Trust

The job at Derbyshire Community Health Services NHS Foundation Trust

Physiotherapists assess and treat problems with movement and function caused by injury, illness, disability or ageing. They take a history, examine movement, strength and joint range, then agree goals and deliver treatment through exercise prescription, manual therapy, education, pacing advice and structured rehabilitation. Specialties include musculoskeletal outpatients, respiratory care on wards and in intensive care, neurological rehabilitation after stroke or spinal injury, paediatrics, pelvic health and care of older people. Many also work in sport, occupational health and private practice. People of all ages with musculoskeletal pain and injury, neurological conditions, respiratory and cardiac disease, frailty and falls risk, long-term conditions, and those recovering from surgery or critical illness.

At a community trust such as Derbyshire Community Health Services NHS Foundation Trust, that work means a community caseload — people seen in their own homes, in care homes, in health centres and in community hospitals, organised around a geographical patch rather than a ward. Community posts give you more autonomy earlier — your own diary, your own decisions in someone’s front room — and usually require a driving licence and a car. Across the profession as a whole, physiotherapists work in settings including NHS acute trust, outpatient musculoskeletal clinics, intensive care and respiratory wards, community and home-based rehabilitation and neurological rehabilitation units — an organisation of this type will run some of those services and not others, which is why two posts with the same job title in the same city can be very different jobs.

Pay is not an employer decision. Agenda for Change is negotiated nationally and set separately in each of the four nations, so Derbyshire Community Health Services NHS Foundation Trust pays band 5 exactly what every other NHS employer in England pays it: £32,073 at the bottom of the band on the 2026/27 scale. For context, median full-time pay across all occupations in the East Midlands was £35,600 in 2025. What genuinely differs between two employers is the caseload, how rotations are structured, how much protected time you get for supervision and continuing professional development, how much band 6 progression is built into the establishment, and how far you travel between sites. Those are the questions worth asking at interview.