A climber fell 65 feet from Wild Cats Crag, near Matlock Bath, when a large rock had come loose on Thursday evening at about 8pm.
The 48 year old man from Youlgrave, still attached to his rope, fell on to a ledge, sustaining head and arm injuries.
A party which had been climbing on rocks next to him, which included a physiotherapist, went to his aide and called the emergency services.
They managed to lower him to the ground before emergency crews arrived on scene.
The Derbyshire Fire & Rescue Service Rope Rescue unit from Matlock, as well as EMAS paramedics were first on scene, followed by 20 members of Derby Mountain Rescue Team, police, ambulance crews and other fire service tenders.
The climber, who has not been named, was evacuated by stretcher from the rock face down to the riverside path, to a waiting paramedic’s vehicle and then to a road ambulance. He was then taken to Queen’s Medical Centre, in Nottingham, for further treatment.
This is the second climbing accident in a month at the rocks adjacent to the river in Matlock Bath. In the other incident at the beginning of May, a climber fell from Pic Tor and fractured his pelvis and wrist and was airlifted to Chesterfield hospital.