# Private pelvic health physiotherapy costs: assessment, reviews and NHS access https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/ Publisher: Med Easy Source material checked: 2026-10-20 Editorial information; no registered-clinician review is claimed. General UK healthcare information. Country-specific rules and provider examples retain the limits stated in the text. Fees are dated examples, not live quotes. ## Short answer Ask for a pelvic health assessment that matches your concern, with the initial and review fees shown separately. Ten Health & Fitness listed £140 for 60 minutes initially and £90 for a 30-minute review on 20 October 2026. Confirm examination choices, follow-up scope and local NHS referral options before agreeing to a package. Pelvic health physiotherapy is a specialist appointment, not simply a general exercise session. A useful quote explains the assessment, your choices about examination and how any recommended follow-up will be organised. ## Key points - Pelvic health assessment and general exercise or class fees should remain separate. - Any proposed intimate examination needs an explanation and your consent. - NHS self-referral exists in some areas, while other services require professional referral. ## Book the specialist service that matches the concern When contacting a clinic, describe the concern and ask whether its pelvic health service covers that issue and your circumstances. Services may describe different areas of practice, such as bladder or bowel symptoms, pelvic pain, pregnancy-related care or recovery after surgery. Ask whether the named physiotherapist works with your age group and whether a referral or recent medical information is needed. A package name alone cannot establish suitability. A postnatal assessment, a continuing rehabilitation review and a general musculoskeletal consultation may involve different appointments. If symptoms are new, severe or changing, use the NHS guidance on pelvic pain and seeking help rather than assuming a routine physiotherapy booking is the right first step. Section link: https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#book-the-specialist-service-that-matches-the-concern - [NHS guidance on pelvic pain and seeking help](https://www.nhs.uk/symptoms/pelvic-pain/) ## Separate initial assessment and review prices On 20 October 2026, Ten Health & Fitness published £140 for a 60-minute initial pelvic health assessment , £90 for a 30-minute follow-up and £140 for a 60-minute follow-up . These are named self-pay appointments at that provider, not a UK minimum or an estimate of how many sessions someone needs. Ask which appointment is proposed and why its duration is appropriate. Put any equipment, additional classes or other professional consultations on separate budget lines. Do not assume that services advertised by the same organisation are included in the physiotherapy fee. Confirm the location, practitioner and cancellation deadline when the booking is made. Section link: https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#separate-initial-assessment-and-review-prices - [Ten Health & Fitness](https://www.ten.co.uk/services/physiotherapy/pelvic-health-physiotherapy) ## Understand consent and choices about examination Ten’s appointment information explains that an internal examination may be proposed when appropriate and requires consent. The booking conversation should leave room to ask what an assessment can involve, how it will be explained and whether a chaperone or supporter can be arranged. You can ask about alternatives and discuss what you are comfortable with before deciding about any examination. Tell the service about access or communication requirements early. Ask whether the first visit can begin with discussion and whether more time is available if needed. Consent is a continuing conversation, not a promise made by paying a fee. Request a clear explanation of any recommended examination, its purpose and what happens if you decline it. Section link: https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#understand-consent-and-choices-about-examination ## Prepare a useful account without self-diagnosing Write down when the concern began, which everyday activities are affected and what you most want to be able to do more comfortably. Bring relevant letters or previous advice if you have them, using the clinic’s requested secure channel. Include current medicines and significant treatment or surgical history when the clinician asks, rather than deciding yourself which information is irrelevant. Ask whether the service wants a diary or questionnaire and how to complete it. Do not start a restrictive routine or undertake an intimate examination yourself to prepare. A short list of practical priorities can be more useful than trying to reproduce clinical terminology from an online article. Section link: https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#prepare-a-useful-account-without-self-diagnosing ## Check the local NHS referral route NHS access depends on the local service. Guy’s and St Thomas’ accepts referrals from GPs and other health professionals, including consultants and midwives. North Bristol publishes a self-referral route with its own criteria and safety questions. These are local examples, not a universal entitlement to self-refer anywhere. Ask the GP surgery, maternity team or relevant specialist which service covers your address and concern. Check nation-specific arrangements in Scotland, Wales or Northern Ireland. If you attend privately while an NHS referral is pending, ask both services how useful information can be shared and whether overlapping plans need coordination. Section link: https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#check-the-local-nhs-referral-route - [Guy’s and St Thomas’ accepts referrals](https://www.guysandstthomas.nhs.uk/referral-guide/pelvic-health-physiotherapy) - [North Bristol publishes a self-referral route](https://www.nbt.nhs.uk/form/self-referral-for-pelvic-health-) ## Price a treatment plan after assessment After assessment, ask what the proposed follow-up is intended to review and how progress will be discussed. Request the price and length of each suggested appointment, plus any anticipated additional cost. Keep a recommended plan distinct from a prepaid commitment: you should be able to understand the proposed work and the payment terms before agreeing to a package. For example, a quote with one initial visit and two reviews should identify those three appointments separately, then state whether extra sessions are only possibilities. Do not turn that example into a standard course length. Ask how the plan changes if the clinician recommends medical review or if the current approach is not helping. Section link: https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#price-a-treatment-plan-after-assessment ## Check registration, insurance and practical arrangements Search for the physiotherapist on the HCPC register and ask about their pelvic health experience. If using insurance, obtain authorisation for the clinician, appointment type and location before booking. Ask whether an excess, session limit or fee shortfall remains payable, even when the clinic says it works with your insurer. Check the room’s accessibility, privacy and facilities, and whether a supporter can attend. If an online review is offered, ask what can reasonably be assessed remotely and when an in-person visit may be necessary. Clarify how delays, missed appointments and requests to change appointment format affect the bill. Section link: https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#check-registration-insurance-and-practical-arrangements - [HCPC register](https://www.hcpc-uk.org/check-the-register/) ## Leave with a plan you can use Before leaving, ask for the agreed next steps in a format you can refer to later. Find out who answers questions about the plan, whether that contact is included and when a new appointment would be required. If advice is unclear, request an explanation rather than guessing the intended exercise, intensity or timetable. Keep the written plan and any correspondence together so another clinician can understand what has been assessed. Agree when the plan will be reviewed and what changes should prompt contact with the treating team. Our appointment preparation guide can help you organise questions without asking you to submit intimate health details to Med Easy. Section link: https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#leave-with-a-plan-you-can-use - [appointment preparation guide](https://www.med-easy.co.uk/guides/prepare-for-healthcare-appointment/) ## Before, during and after your appointment ### before - Check that the named physiotherapist’s pelvic health practice matches the concern. - Ask about local NHS referral and the private assessment’s precise scope. - Request any chaperone, supporter or accessibility arrangements before attending. ### during - Discuss examination options and consent before any examination proceeds. - Explain the daily activities affected and the practical goals that matter. - Ask for separate prices and reasons for proposed reviews or additional services. ### after - Obtain the agreed plan in an accessible written format. - Confirm who answers clarification questions and when another appointment is needed. - Share relevant findings with the existing care team through an agreed channel. ## Questions to ask - Does this physiotherapist’s specialist practice cover my concern and circumstances? - What does the first assessment include, and what examination choices can we discuss? - Can a chaperone, supporter or communication adjustment be arranged? - Which reviews, equipment or additional services would carry separate charges? - Who explains the written plan, reviews progress and answers later questions? ## Frequently asked questions ### Does pelvic health physiotherapy always involve an internal examination? No. The clinician should explain any proposed examination, why it may be useful and the available choices. An internal examination requires consent. You can ask questions, decline or ask to stop. Discuss what can be assessed and any alternatives with the treating physiotherapist. https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#faq-1 ### Are advertised classes included in my physiotherapy fee? Do not assume that they are. A provider can offer classes, exercise sessions and physiotherapy as separate services. Ask for the precise assessment or review fee, then obtain separate prices for anything else recommended. Clinical suitability and package inclusions need their own confirmation. https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#faq-2 ### Can I refer myself for NHS pelvic health physiotherapy? Some local services accept self-referral subject to their criteria; others accept referrals from a GP, midwife or specialist. Check the service covering your address, concern and UK nation. A self-referral form does not guarantee acceptance or make that route available in every area. https://www.med-easy.co.uk/guides/private-pelvic-health-physiotherapy-costs/#faq-3 ## Sources - [Ten Health & Fitness: pelvic health physiotherapy fees](https://www.ten.co.uk/services/physiotherapy/pelvic-health-physiotherapy) — Provider or specialist organisation - [Guy’s and St Thomas’: pelvic health physiotherapy referrals](https://www.guysandstthomas.nhs.uk/referral-guide/pelvic-health-physiotherapy) — NHS or public authority - [North Bristol NHS Trust: pelvic health self-referral](https://www.nbt.nhs.uk/form/self-referral-for-pelvic-health-) — NHS or public authority - [NHS: pelvic pain and when to seek help](https://www.nhs.uk/symptoms/pelvic-pain/) — NHS or public authority - [HCPC: check the register](https://www.hcpc-uk.org/check-the-register/) — Regulator ## Related guides - https://www.med-easy.co.uk/guides/private-physiotherapy-costs/ - https://www.med-easy.co.uk/guides/accessible-appointments-and-interpreters/ - https://www.med-easy.co.uk/guides/prepare-for-healthcare-appointment/