
RCOT No: BT023748
HCPC: OT48212
Education
Currently studying an MSc in Inequities in Society, Sunderland University 2025 – BSc Hons Occupational Therapist, Teesside University 2:1 2006. GNVQ Health and Social Care 2002; A-level in Art g 2000; AS in Textiles 1999; 9 GCSE grade A-C. (Including Maths and English) 1998. Within work, I have undertaken two management and leadership courses.
Volunteer Roles
BAOT/RCOT Northern and Yorkshire Region Network Lead 2025 – Northern and Yorkshire Regional Committee: Chair – 2023 – 2025; Treasurer 2022; Acting Chair 2021- 2022; Chair: 2013 – 2016; Membership Lead 2008-2011
RCOT Supervision Guidance External reference group February 2022 – present
RCOT Steering group for the development of their equity, diversity and belonging strategy July 2022 – present
South Tees NHS Trust – Public Governor Dec 2022-Dec 2025
TEVW NHS Trust Staff Governor between July 2017 – Dec 2019. Tees, Esk & Wear Valley NHS Foundation Trust: This involved sitting on the board of Governors and, with other elected governors, holding the non-executive and executive board to account.
OTalk I joined the OTalk team in January 2006. We are a group of OT volunteers who organise and facilitate a weekly CPD session on Twitter. https://otalk.co.uk
AbleOTUK: I’m a founding member of AbleOTUK. It launched on 27th July 2021. It aims to provide a voice and safe space for Occupational Therapy Practitioners who have lived experience of disability or long-term health conditions.
Presentations Examples
Some of these presentations can be accessed on SlideShare. https://www.slideshare.net/RachelBooth
24th September 2024 Royal College of Occupational Therapists workforce summit – Reimagining the Role of Occupational Therapy across inpatient and community settings. – Reimagining the role of occupational therapy through the lived experiences lens
May 4th, 2024, “Occupational Therapy Disability Activism and Me,” book launch event: Exploring my experiences as a Lead Occupational Therapist with intersectional characteristics.
24th November 2022 The OT show– AbleOTUK- Allyship It’s Time to Make It a Meaningful Occupation 24 Nov 2022 13:15 – 14:00 Keynote Theatre
7th October 2022 – Ableism: what is it and are occupational therapists guilty of practising it? Presentation for Avon and Wiltshire Mental Health Partnership NHS as part of their #OTweek CPD event.
15th June 2022 AbleOTUK round table RCOT conference 2022 session 29
25th November 2021 The OT Show What Recovering from COVID-19 Taught Me. – The challenge I now have for the profession.
1st March 2021 London South Bank University -OT Society Conference. Resilience, Adaptation, and the New Normal – Experiencing Post Covid Rehab from practitioner to patient.
2019 OT Show Lets OTalk about it – A practical guide to using social media for professional development and online communities of practice.
2018 Royal College of Occupational Therapists annual conference Occupation Station 21st Century Meaningful Activity – Using Social Media to Engage.
2015 Leeds Beckett student conference MSc OT and MSc PT conference, and at Northumbria University student conference. Lead the way – using social media to enhance your CPD
2014 OT show Acute Psychiatry – Bread and Butter OT.
2013 T Mental Health Specialist Section Conference. Poster Presentation “Implementing computer and internet access for service users whilst in hospital: The journey.
2012 COT Conference (Mental Health Specialist section) Developing an Occupational Therapy Service in a PICU – A reflection
Training & Experience in using.
Assessment tools and outcome measures to aid my practice.
Model of Human Occupation (MOHO) The Model of Human Occupation Screening Tool (MOHOST)
Occupational Self Assessment (OSA)
The Vona du Toit Model of Creative Ability (VdTMoCA)
Cognitive Disabilities Model and Assessments: The (Large) Allen Cognitive Level Screen tool (ACLS) (LACLS)
The Canadian Occupational Performance Measure (COPM)
Goal Attainment Scale (Gas Lite)
Leadership & Management with a purpose (LAMP) Leadership and Coaching training with TEWV.
Awards
The Royal College of Occupational Therapy Merit Award 2023 – for services to the profession.
TEWV Making a Difference award – Tackling stigma and promoting social inclusion for TEWV Arts Project 2013 – Winner
Publications
(August 2025) Beyond Superpowers: Naming and Dismantling Ableism in Occupational Therapy Through the Lens of Lived Experience. Human Occupation and Well-Being Journal
April 2025 Rest do days and occupation-centred approach to fatigue OTNews Article pages 18-21
November 2022– Disability History Month: Where does occupational therapy fit in? OTNews Article Page 12-15
A place to talk about all things occupational therapy. OTNews Volume 27 October 2019 pages 50-51
The Art of Purposefulness OTnews Volume 19 October 2011 page 30
In the family – A generation of difference in occupational therapy learning and practice – Mental Health Occupational Therapy volume 15 issue 2 July 2010
Profile
Lead Occupational Therapist with over 20 years of experience working within a Mental Health and Learning Disabilities Foundation NHS trust in the North-East of England. Experience sitting on Royal College of Occupational Therapy (RCOT) regional committees. Volunteer roles within the wider Occupational Therapy online community as a member of the OTalk and AbleOTUK teams.
Professional interests include
- Leadership & supervision that meet the needs of individuals.
- Supporting students & staff to think creatively and engage in CPD in innovative ways, including the use of social media.
- Activism as an occupation, campaigning for services to be needs-led.
- Understanding the impact of occupational deprivation, alienation, & isolation on motivation, mood and the recovery process.
- Exploring creative and 21st-century occupations. The challenge of delivering occupational therapy in restricted environments.
- The impact of a person’s menstrual cycle on functioning.
- The lived experience of occupational therapists with disabilities.
I was born with Cerebral Palsy (right hemiplegia) so have personal understanding & experience of disability. I have experienced much therapy over my lifetime, mainly occupational therapy and physiotherapy. I am dyslexic & have had periods of depression as an adult. In 2020 I contracted COVID-19, spending over a year in hospital recovering.
Experience
Current Role: Lead Occupational Therapist for Specialist Services, Durham and Tees Valley (April 2026- )
I currently work as Lead Occupational Therapist for Specialist Services across Durham and the Tees Valley within TEWV. I provide professional and clinical leadership to occupational therapy staff working across a diverse portfolio of specialist services.
My portfolio includes rehabilitation services, eating disorders, perinatal mental health and persistent physical symptoms services, alongside a number of other specialist teams. This requires me to work across different clinical pathways, geographical areas and models of service delivery, supporting occupational therapy staff working within inpatient, community and specialist multidisciplinary settings.
A key part of my role is providing professional leadership, clinical oversight and governance, while supporting the development of a skilled and confident occupational therapy workforce. I work closely with Clinical Specialist Occupational Therapists, service managers and multidisciplinary colleagues to support high-quality, occupation-focused practice and ensure that the distinct contribution of occupational therapy is understood and embedded within service delivery.
I lead and contribute to occupational therapy learning and governance arrangements across Specialist Services, supporting staff with professional development, clinical reasoning, supervision and the implementation of evidence-informed practice. I also contribute to service development, workforce planning and quality improvement, identifying opportunities to strengthen occupational therapy pathways and ensure services respond to changing population, workforce and organisational needs.
Alongside my Specialist Services portfolio, I work collaboratively with Lead Occupational Therapists and professional colleagues across TEWV to support consistency, quality and professional governance. I contribute to Trust-wide occupational therapy leadership and governance, including work relating to strategic developments and their implications for occupational therapy practice.
I represent occupational therapy within service level governance and strategic forums and contribute to wider Trust work around co-creation, workforce wellbeing, inclusion and staff experience. I am a member of the Trust Co-creation Board, which brings together people accessing services, carers and staff to strengthen co-creation and ensure lived experience informs the development of services.
I am also Co-chair of the Trust-wide Long-term Health Conditions and Disabilities Staff Network, which supports colleagues with disabilities and/or long-term health conditions. Through this role, I work with colleagues across the Trust to identify and challenge barriers, improve staff experience, promote inclusive practice and contribute to wider organisational change.
Lead Occupational Therapist for Adult Mental Health Acute and Rehabilitation Services, Teesside (Oct 2022-March 2026)
In my previous role as Lead Occupational Therapist for Adult Mental Health Acute and Rehabilitation Services in Teesside, within Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV), I provided clinical leadership and line management for occupational therapy staff across acute inpatient and rehabilitation services.
This included oversight of occupational therapy provision at Roseberry Park Hospital in Middlesbrough, covering four adult acute inpatient wards and a Psychiatric Intensive Care Unit (PICU), alongside a 20-bed rehabilitation ward in Stockton and the Community Rehabilitation Team working across Teesside.
My responsibilities included clinical supervision, mentoring, staff development and governance oversight. I planned and facilitated monthly occupational therapy learning and governance networks, supporting continuing professional development and ensuring occupational therapy practice remained informed by best practice, current evidence and emerging developments within the profession.
Lead Occupational Therapist for Forensic Mental Health Services. Band 7 TEWV NHS Trust (Secondment 2019 – 2020)
Leadership and line management of Occupational Therapy Staff in TEWV NHS Foundation Trust secure (forensic) services. The main task was to lead on embedding a new model of OT, amalgamating two services. This included working alongside HR and service leads to manage strategic organisational change. For six months before this, I was acting clinical lead of the learning disabilities forensic occupational therapy services, with an active approach to leading strategic change alongside my substantial post (see below). Being proactive throughout this process to ensure quality during development was mainly achieved through coaching and mentoring staff.
Clinical Lead Occupational Therapist Adult Mental Health in-patient, Community and inpatient rehabilitation services across Teesside. TEWV NHS Trust (2016 – 2019)
Leadership and line management of OT staff working in mental health in-patients and rehabilitation services, across Teesside. Quality assurance in this setting was achieved by providing supervision, planning and running monthly learning and governance networks, promoting staff CPD, and representing OT and collaboration within service-level and strategic meetings. I carried a small caseload delivering OT assessments and treatment to service users in the psychiatric intensive care unit (PICU).
Clinical Lead Occupational Therapist Adult Mental Health in-patients TEWV NHS Trust (2011 – 2016)
As above but only within Adult Mental Health in-patients in one hospital.
Band 6 and Band 5 Occupational Therapist (2006- 2011)
In a range of mental health settings, TNEY NHS Trust delivers occupational therapy interventions to clients with mental health problems. Group work, assessment, goal setting and treatment. Supervision of assistants and band 5 staff.
Student Occupational Therapist 2003 -2006 Secondment by my employer to study occupational therapy at Teesside University.
Assistant Occupational Therapist 2000-2003 Working under the supervision of occupational therapists delivering interventions within an acute mental health hospital.
Skills
Working with people managing and delivering Occupational therapy services.
Years of experience in carrying out assessments and delivering occupational interventions in both open and closed group work situations, along with individual 1:1 sessions based on engagement in activities/tasks, goal-oriented, both therapist-led and co-produced. See training & experiences (right) for models, assessment tools and outcomes that measure knowledge. Most of my clinical work has been working with service users in restrictive mental health services. I have a calm active listening approach when working with those in distress or highly volatile situations, and can read people and de-escalate situations well. Within my leadership roles, this skill has turned to managing concerns within staff groups and is utilised in wider management, coaching, development and strategic situations. This approach and skill should give me a good grounding in working with RCOT members to meet their development needs and what they may want as membership benefits.
Supervision, Quality Assurance and Governance.
Throughout my career, I have supervised students, assistants, graduates and experienced occupational therapists. Supervision is a required and important part of developing occupational therapy staff that is part of quality assurance and good governance.
RCOT has a role to play in ensuring members have both a good understanding and access to resources to promote assurance and governance of the profession. I have experience running a monthly occupational therapy learning and governance network within my current role, which both uses and develops resources to audit and improve professional quality and governance. As mentioned, I have experience of governance at a higher level, serving as a staff governor on the trust council of governors.
Leadership and Coaching
Undertaken several leadership, development and coaching training courses/opportunities provided by my employer. This has helped me develop confidence by understanding my styles and how they may have impacted those I am leading. Within leadership, it is important to understand what motivates individuals, what strengths and limitations team members have, to get the best out of a team, skills of diplomacy, negotiation, and openness ensure any issues within team dynamics are addressed when it comes to implementing change its important that team members feel included in the process, but also that there are clear expectations and goals so that tasks are achieved and input is valued.
Continuing Professional Development (CPD)
Throughout my career, engaging in and creating CPD opportunities for others has been an important and enjoyable part of my role. I love learning and asking questions to understand what motivates people. CPD is a standard we must meet as a requirement of the HCPC. My voluntary roles are focused on providing CPD opportunities, including running OTalk and a weekly Twitter chat about Occupational therapy. On RCOT regional committees, I have helped plan, develop and facilitate CPD events. Within my workplace, I actively encourage others to think about and record their CPD; this includes presenting on HCPC standards and ways to document continuing professional development easily, within the standards of HCPC and RCOT.
Development of Services Achieving Positive Change
Change is inevitable; working within the NHS, there is always change. I am used to working proactively to embrace better ways of working, appropriately challenging resistance to progress and making positive improvements. I have experience in developing, negotiating, and achieving positive change within my paid roles and in the wider occupational therapy community and local communities with voluntary roles.
It can be difficult to achieve change. As an example, blanket restrictions have been and still are commonplace in mental health inpatient services. They can be a barrier to occupational therapy interventions. The Care Quality Commission, which regulates services, requires the removal of blanket restrictions. Good practice understands that each environment, intervention and person engaging will present different levels of unique strengths and risks. I have extensive experience carrying out risk assessments on environments, interventions, and individuals to support evidence-based practice, understand the reasons behind restricted practice, and challenge blanket restrictions that impact positive engagement in occupation and human rights to ensure a quality service.
Recruitment and ensuring Equality, Diversity and Belonging
I have extensive experience in shortlisting, interviewing and recruiting occupational therapy staff, have sat on panels to recruit consultant psychiatrists and helped interview students for occupational therapy courses.
I have worked with HR to ensure interview panels included those with lived experience. I have experience working with staff who need reasonable adjustments in the workplace to ensure they can fulfil their job role well. This is a particular area of interest for me, and I would like to work towards RCOT developing better guidance and wellbeing resources.
IT and Social media skills
I’m skilled in using both Mac and PC, able to interchange between both without issue. Able to confidently use most software and programs. Including Word, PowerPoint, Excel, Pages, Keynote, and Numbers. Microsoft Office: I am confident in quickly learning new software, electronic staff management software and patient record systems.
In my voluntary roles with OTalk and AbleOTUK, which are based online, mainly on social media platforms. I have gained skills in building websites and making creative videos and posts to promote & market events and topics; this includes scheduling posts to reach target audiences at key times. Use Google and Outlook sharing document systems. I have presented about and have good knowledge of how to remain professional whilst online. I’m confident in all aspects of using Skype, Zoom and MS Teams and finding resources and apps to help with thoughts and ideas.
Project management, event planning and organisation
Having a disability means I’m well organised and have to plan every aspect of my day before leaving the house. Project management and event planning are really enjoyable for me.
I have experience in strategic oversight of service needs and have played a key role in the development and delivery of occupational therapy services; I have skills in auditing, project management, designing resources and running learning opportunities for staff, service users and RCOT members.
In the NHS trust I work for, I have led planning ‘in-house’ conferences for OT & the wider AHP staff groups. I have planned and facilitated three co-produced Trust-wide art exhibitions of service users’ and staff’s artwork. One was held at Ripon Cathedral. In 2018, along with my manager, I planned a national conference focused on Personality Disorder & Occupational Therapy, which generated income for my trust.
Within voluntary roles for the RCOT regional committee, I have been involved in planning, running and presenting at several learning events and conferences.
