NHS vs private occupational therapy: what is the difference?

Occupational therapy is available through the NHS, local authorities, schools and charities, as well as privately. Many families in the North East use a combination of both. Understanding the differences can help you decide what is right for your situation.

NHS and local authority occupational therapy

NHS and social care OT services provide valuable support free at the point of use. Because demand is high, services usually have eligibility criteria and may focus on the most urgent or complex needs. Waiting times vary by area and service, and the number of sessions offered may be limited.

Private occupational therapy

Private OTs are registered with the same regulator, the HCPC, and meet the same professional standards. The main differences are usually:

• Access: you can refer yourself directly, often without a long wait.
• Flexibility: appointments can be arranged at home, school, work or online, at times that suit you.
• Focus: therapy is built around your goals, with the intensity you choose.
• Reports: detailed reports for EHCPs, legal cases, employers or grant applications.
• Cost: private therapy is paid for by you, an insurer, a solicitor, an employer or another funder.

Can I use both?

Yes, and this often works well. Private therapy can add intensity alongside NHS input, cover areas not currently addressed, or provide support while you are on a waiting list. With your consent, a private OT can share information with NHS colleagues so care is joined up.

How is private OT funded?

Private occupational therapy is commonly funded by:

• Individuals and families (self-funding)
• Some private health insurance policies
• Personal injury and clinical negligence claims, via solicitors or case managers
• Personal health budgets and direct payments, where agreed
• Employers, schools and local authorities

See our fees and funding page for more detail, or get in touch for a clear, no-obligation quote.