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.
Frailty, falls risk, and reduced mobility
Multimorbidity or complex LTCs impacting daily life
Functional difficulties with personal care, work or home activities
Mild cognitive impairment, memory concerns, and early dementia signs
Anxiety, depression, or adjustment difficulties linked to health conditions
Post-hospital discharge or reablement follow-up
Support for carers and social prescribing needsThey provide structured, evidence-based interventions with risk-reduction, rehabilitation, and lifestyle adaptation at the core.
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 |
At Xcel Health, all our OTs are:
HCPC-registered and aligned with the latest FCP Occupational Therapy roadmap
Skilled in functional assessments and clinical reasoning
Trained in risk stratification, red flag recognition, and safeguarding
Supported with regular clinical supervision and CPD
Embedded into practice MDTs for shared care and continuityThey also contribute to anticipatory care plans, EHCH, and personalised care initiatives within your PCN.
Our approach is designed to be flexible, collaborative, and accountable:
Remote or in-person models tailored to your PCN population
Full recruitment, onboarding, and governance managed by Xcel
Participation in clinical meetings, MDTs, and care planning
Audit-ready documentation and reporting against DES/ARRS metrics
No VAT or additional management feesDirect access via GP reception or triage team
15–30-minute functional assessment, goal setting, and education
Support to improve self-management, mobility, and confidence
Advice on equipment, adaptation, or community referrals
Frailty assessments and falls prevention
Cognitive screening and early dementia support
Return to work support for musculoskeletal and mental health needs
Home environment assessments and adaptations
Functional rehab post-hospitalisation
Self-management of chronic fatigue or pain