The Chartered Society of Physiotherapy The Chartered Society of Physiotherapy


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Advice line - Challenging times

Do you work in the independent sector? Dorothy Toyn wants you to keep in touch about the issues you face

Like so many of you, I trained in the health service, and gained most of my professional experience in the NHS. But now, like so many of you, I am working for a non-NHS employer.

You may be working outside the NHS through choice, or through necessity. While times may be tough in the NHS, they are potentially even more challenging for staff in the independent sector.

Terms and conditions in the independent sector don’t enjoy protection under a national agreement, many members are concerned about job security and workload pressures seem to be increasing.

On top of this, the new commissioning framework in England is throwing up fresh challenges for physiotherapy staff. Local managers need to have a greater understanding of both the cost and the value of the service they provide.

Finances are going to be extremely tight for the foreseeable future, so members working in the independent sector will have to demonstrate the value of physiotherapy to ensure their employers’ services (and, with it, their jobs) stay on the lists of must-have services for commissioners.

If you’re working for an independent sector employer, why not get involved in the CSP’s Association of Chartered Physiotherapists in Independent Healthcare professional network.

We’ve been around for more than 20 years, representing anyone who is an employee but not directly employed by the NHS or self- employed in private practice.

One of the benefits of membership is that lone workers have someone available locally with whom they can share information or support. And it costs nothing to be a member of the network if you are already a member of the CSP.

Also, look out for a new survey of the employment conditions of CSP members in the independent sector, due to be launched by the CSP next month.

Dorothy Toyn is a member of CSP council and president of the Association of Chartered Physiotherapists in Independent Healthcare.

Visit: You can sign up for its independent healthcare icsp network at:;; For resources and help on employment matters in the independent sector, see:


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