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First Contact Occupational Therapist

A First Contact Occupational Therapist (FCP OT) is an experienced Allied Health Professional integrated within general practice, who provides early, proactive intervention to support patients with functional, physical, cognitive, and psychosocial challenges—without requiring GP referral

Occupational Therapists (OTs) bring a holistic biopsychosocial approach to primary care. They help individuals regain independence, manage long-term conditions, reduce reattendance, and improve quality of life—while also reducing strain on GP time and secondary care referrals.

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Our FCP Occupational Therapists work autonomously to assess, manage, and triage patients presenting with:

Clinical Scope of a First Contact OT

  • check-iconFrailty, falls risk, and reduced mobility
  • check-iconMultimorbidity or complex LTCs impacting daily life
  • check-iconFunctional difficulties with personal care, work or home activities
  • check-iconMild cognitive impairment, memory concerns, and early dementia signs
  • check-iconAnxiety, depression, or adjustment difficulties linked to health conditions
  • check-iconPost-hospital discharge or reablement follow-up
  • check-iconSupport for carers and social prescribing needs

They provide structured, evidence-based interventions with risk-reduction, rehabilitation, and lifestyle adaptation at the core.

Value for Primary Care Networks

Find data sheet online of what difference it makes having an FCP OT

Outcome Impact
Reduces GP consultations OT manages complexity and psychosocial issues directly
Prevents hospital admissions Falls risk assessments and early frailty interventions
Supports ageing well and anticipatory care Embedded in Enhanced Health in Care Homes & Frailty DES
Improves patient safety and independence Addresses unsafe home environments or ADL decline
Enhances MDT working and care planning Clear documentation, referrals, and input to MDT meetings

Governance & Clinical Quality

At Xcel Health, all our OTs are:

  • check-iconHCPC-registered and aligned with the latest FCP Occupational Therapy roadmap
  • check-iconSkilled in functional assessments and clinical reasoning
  • check-iconTrained in risk stratification, red flag recognition, and safeguarding
  • check-iconSupported with regular clinical supervision and CPD
  • check-iconEmbedded into practice MDTs for shared care and continuity

They also contribute to anticipatory care plans, EHCH, and personalised care initiatives within your PCN.

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How We Work with PCNs

Our approach is designed to be flexible, collaborative, and accountable:

What Patients Can Expect

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Direct access via GP reception or triage team

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15–30-minute functional assessment, goal setting, and education

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Support to improve self-management, mobility, and confidence

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Advice on equipment, adaptation, or community referrals

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Common Use Cases in Primary Care

  • check-iconFrailty assessments and falls prevention
  • check-iconCognitive screening and early dementia support
  • check-iconReturn to work support for musculoskeletal and mental health needs
  • check-iconHome environment assessments and adaptations
  • check-iconFunctional rehab post-hospitalisation
  • check-iconSelf-management of chronic fatigue or pain