Day in the life of a primary care Physiotherapist
Written by Desi Gillespie, 09/07/2026 

About me 

Name: 
Desi 
Current role: 
First Contact Physiotherapist / Sports Specialist Physiotherapist 
Work setting: 
GP Practice and with Sports Teams through the University of Nottingham 
I have worked for 14 years across multiple settings including the National Health Service (NHS), Ministry of Defence (MoD) and elite sport. Physiotherapy is really exciting because no two days look the same. I will work within primary care on one day and elite Great British athletes the next. I have found this to give me a diverse skillset which compliments both environments. 
Read more about Desi's story below or watch her 2 minute video: 

My career journey 

2012 
Bachelor of Science (BSc) Physiotherapy 
Graduated from Oxford Brookes University 
Alongside the degree completed a Sports Massage Level 5 
Worked as a Sports Masseuse in London 2012 
2012 
Band 5 Junior Rotations 
Intensive Care Unit (ITU), High Dependency Unit (HDU), Oncology and Palliative, Outpatients 
Alongside London Scottish Rugby 
2012-2017 
Great Britain Disability Shooting 
Started as the team sports masseuse, within the year team Physio 
International Shooting Classifier since 2014 
2014 
MoD Tri-Service Police Primary Care Rehabilitation Facility 
Similar to General Practitioner (GP) practice - camp physio 
Supporting return to service, trainees change management in trigger to go Med Centre 
2017 
Loughborough University Performace Sports 
Leading athletics, triathlon, netball and football 
2018 
England Netball 2018-22 
MSc Sports & Exercise Medicine 
Lead for the England Netball Acadmey 
Support Senior Roses 
Commonwealth Youth Games 
Master of Science (MSc) alongside 
2019-Now 
University of Nottingham (UoN) Sports Injury Clinic 
Clinical role, supporting students, including those on placement, for American Football 
2020 
First Contact Physio Primary Care 
Seeking Musculoskeletal in Primary Care instead of a GP 
Completing bloods, radiology, referral to secondary care 
Steroid joint injections 
Attained Advanced Practice Digital Badge 
2022 
Occupational Therapy Clinical Lead 
Managing First Contact Practitioner Occupational Therapists (OTs) - Mental and Physical 
Setting up and expanding a mental health OT service in primary care 
Resulted in a royal visit 
Created development roles 
2023 
Nottinghamshire Alliance Training Hub (NATH) 
Supporting Allied Health Professionals (AHPs) working in primary care 
Providing education to primary care staff 
Linking with the AHP Integrated Care Board (ICB) Leads from a strategic level 
2026 
UoN Sports Injury Clinic 
Completed Musculoskeletal Ultrasound Course adding Sonographer to my skillset 
Managing multiple athletes across National Governing Body sports 
Elite to amateur 
Working the Commonwealth Games 
Student supervision 

How I got into this role 

I completed my BSc in Physiotherapy and to work in primary care I completed the First Contact Practitioner Roadmap to gain the skills needed to see patients at the start of their journey. 

What my role involves 

I complete assessments for any patient with muscle, bone, joint or nerve concerns. I will explore their concerns, the time frame, their occupation alongside and assessment to formulate a plan together. 
We can order investigations such as Magnetic Resonance Imaging (MRI) or blood tests 
We can administer steroid joint injections 
Alongside providing high quality education, reassurance and rehabilitation. 
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What I enjoy most 

I like the variety of the role, different issues, different patient goals, therefore no two clinic days are the same. 

Challenges 

In primary care the challenges lie in waiting times and provision available therefore we are not always able to support patients in the time frames we would like. 

My advice 

Shadow different types of Physiotherapists, e.g. in the NHS hospital, care homes, charities or within sport to see all the different types of roles we can complete. 
 
Do not feel you are stuck in one direction, Physiotherapy can take you in many directions throughout your career, from clinical, to education, to leadership and strategic roles. 

Read more 'Day in the life' of primary care workers 

We've pulled together all these personal journeys to showcase the diversity of primary care roles and give a hollistic, honest view of the highs and lows that come with the job. We believe primary care is a rewarding career path and our goal is make Nottingham and Nottinghamshire a great place to work, so our workforce can deliver the best possible care. 
 
This case study forms part of our work experience activity. It is perfect for students aged 14 or over (school or college), career changers, or anyone interested in exploring careers in health and social care. If you complete 5 activities you can achieve a gold level certificate. Already downloaded your pack? Read more stories! Want to join this work experience? Click to start! 
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