OT Unplugged: Community of Practice Insights

Sarah Collison, Nikki Cousins and Alyce Svensk
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OT Unplugged is a space for you to connect, reflect and stay up to date on OT practice and the evolving world of the NDIS.

  1. 4 DAYS AGO

    S9E03 - NDIS Registration Confusion, Worker Screening and What Happens Next

    The Occupational Therapy sector is moving through another period of uncertainty, with ongoing discussions around NDIS pricing, registration and funding changes continuing to dominate conversations across the profession. At the same time, conference and expo season is underway, giving OTs a valuable opportunity to reconnect, learn from one another and strengthen professional networks.In recent conversations across the OT community, one thing has become increasingly clear – while there is still a lot we don’t know about upcoming NDIS changes, there is enormous value in staying informed, avoiding misinformation and leaning into community support.Understanding the current NDIS funding discussionOne of the biggest concerns circulating at the moment is the discussion around NDIS plan reductions. There has been widespread confusion, with some providers and coordinators hearing claims that all plans will be reduced to a fixed amount.What has actually been communicated so far is that the government intends to gradually reduce overall plan spending back toward average funding levels seen around 2023. Reports suggest this may involve reductions somewhere in the range of approximately 22% to 30% overall, but the exact implementation process remains unclear.Importantly, this does not mean every participant will suddenly receive the same funding amount. The details of how any reductions may occur have not yet been released, and there is still uncertainty around whether changes will happen during scheduled plan reviews or through broader administrative adjustments.For OTs supporting participants through this period, caution around misinformation is critical. Many conversations currently happening online and within services are based on speculation rather than confirmed policy.Why the annual pricing review mattersA key document many providers are waiting for is the annual pricing review report. This report is expected to provide further clarity around pricing recommendations, registration pathways and possible future pricing structures.The annual pricing review is separate from the final NDIS price guide. The review outlines recommendations and findings gathered through consultation, while the price guide confirms the actual operational changes providers will need to follow.This distinction matters because many OTs are currently feeling pressure to begin registration processes immediately, despite not yet knowing what future registration requirements or pricing models may look like.For many providers, particularly sole traders and small practices, the most practical approach right now may simply be to stay informed, monitor updates closely and avoid making rushed decisions before the full details are released.NDIS worker screening checks for unregistered providersAnother area creating confusion for many therapists is the NDIS worker screening check process for sole traders and unregistered providers.While requirements vary slightly between states, the process generally involves applying through the relevant state authority before linking the screening clearance through the NDIS Commission’s unregistered provider portal.For sole traders, this can feel unnecessarily complicated because providers are often required to effectively link themselves to their own unregistered provider account.The worker screening process itself is relatively straightforward once the systems are set up correctly. Most therapists will need to provide identification documents such as a Medicare card, passport and driver’s licence, complete an online application and attend an in-person identity check.One positive development is that NDIS worker screening checks are now increasingly being recognised within aged care settings, reducing the need for duplicate police checks in some circumstances.For OTs considering future registration, obtaining a worker screening check may be one practical step worth completing early while waiting for further policy announcements.Conference season brings connection and perspectiveAlongside all the uncertainty, conference and expo season has arrived, bringing much-needed opportunities for connection within the OT profession.Large events such as ATSA and OTX require significant preparation from exhibitors, educators and providers. Behind every stand is a huge amount of planning, logistics, freight coordination and setup work that many attendees never see.For therapists attending these events, expos can provide far more than just product displays or CPD opportunities. They create space for relationship building, idea sharing and genuine community connection at a time when many clinicians are feeling professionally isolated or overwhelmed.Why networking matters for OTsProfessional networking is often misunderstood as formal or transactional, but for many OTs, it becomes one of the most valuable long-term career investments.Strong professional networks help therapists build referral pathways, identify trusted service providers and create collaborative support systems that ultimately benefit clients.For clinicians running private practices, these relationships can become particularly important during periods of transition or uncertainty. Having established connections with other providers makes it easier to coordinate care, refer appropriately and support participants when service needs change.Networking also creates emotional support within a profession that can sometimes feel isolating. Simply being around other OTs who understand the pressures of clinical work, business ownership and the evolving NDIS landscape can make a significant difference.Importantly, networking does not need to feel forced or performative. Often, the most meaningful professional relationships begin through simple conversations over coffee, shared experiences at conferences or casual introductions at industry events.Making the most of conferences and exposMany OTs feel intimidated by networking events or unsure how to approach large exhibitions. The reality is that there is no single right way to participate.Some clinicians enjoy speaking to every exhibitor they encounter, while others prefer to quietly explore before choosing who they want to engage with more deeply. Both approaches are completely valid.The most valuable conference experiences often come from approaching events with intention. Rather than collecting endless flyers or free merchandise, it can help to think ahead about what you actually want to gain from the experience.For some therapists, this may mean exploring referral pathways or learning more about local services. For others, it may involve discovering new equipment, asking questions about complex clinical areas or connecting with peers facing similar challenges.Students can particularly benefit from attending expos when they approach them with curiosity. Asking thoughtful questions about workplace culture, career pathways, client groups and clinical roles often leads to far more meaningful conversations than simply collecting brochures or promotional material.Approaching conferences with a clear sense of purpose can help therapists feel less overwhelmed and more confident engaging with exhibitors, educators and peers.Balancing innovation with practicality at exposExhibitors are increasingly looking for creative ways to stand out at conferences, but there is growing awareness that practical value matters more than novelty.Many attendees no longer want to carry large amounts of printed material home from events, leading providers to experiment with QR codes, digital resources and more streamlined information sharing.At the same time, there is still value in creating memorable experiences that reflect a brand’s personality and values. The challenge for exhibitors is finding the balance between engaging attendees and ensuring resources remain genuinely useful.For OTs considering future exhibiting opportunities, clear planning around goals, budget and intended outcomes can make a significant difference. Understanding whether the focus is on education, visibility, networking or referral growth helps shape a far more effective conference strategy.Building community during uncertain timesThe OT profession is currently navigating significant change, and uncertainty within the NDIS space continues to create understandable stress for providers and participants alike.But amid the complexity, one thing remains incredibly valuable – connection.Whether through conferences, networking events, online communities or informal peer support, staying connected with other therapists creates opportunities for shared learning, collaboration and reassurance.At a time when many OTs are searching for clarity, community may be one of the most important professional resources we have.Key takeaways for OTs• Current NDIS funding discussions do not mean every participant’s plan will be reduced to the same amount.• The annual pricing review and upcoming price guide are expected to provide further clarity on registration and pricing changes.• Sole traders and unregistered providers may still complete NDIS worker screening checks through the unregistered provider portal.• Conference season offers valuable opportunities for networking, learning and professional connection.• Attending expos with clear goals can make the experience far more meaningful and manageable.• Strong professional networks support referral pathways, collaboration and long-term career resilience.• Community connection remains essential during periods of industry uncertainty. Sydney Friends of the Podcast: Wednesday 13 May 2026 @ 5:30pmhttps://www.trybooking.com/events/landing/1560836 Brisbane Friends of the Podcast: Wednesday 20 May 2026 @ 5:30pmhttps://www.trybooking.com/events/landing/1576072

    49 min

  2. 30 APR

    S9E02 - Living Through NDIS Change: The OT Perspective

    The current NDIS landscape is shifting quickly, and many Occupational Therapists are being asked to make decisions without having all the information. Between proposed funding changes, evolving reporting expectations and ongoing uncertainty around registration, it’s easy to feel overwhelmed. Rather than trying to predict every outcome, the focus right now is on understanding what’s changing, what it means in practice and how to respond in a way that is both clinically sound and sustainable for your business.   Preparing for changes to social and community participation funding One of the biggest concerns is the proposed reduction in social and community participation funding. While details are still emerging, early indications suggest a significant cut for many participants. What’s important to recognise is that this funding is often not just used for social outings. It supports essential daily activities such as attending medical appointments, grocery shopping and accessing community services. If funding is reduced, the need for support does not disappear. In many cases, it simply shifts. Participants may still require assistance at home, which can increase pressure on families and create new risks if appropriate supports are not in place.   Adapting your reporting approach These changes highlight the need to be far more explicit in reporting. Rather than broadly referencing social participation, reports should clearly outline how funding is currently being used, why those supports are essential for daily functioning and what risks may arise if they are reduced. It is also important to articulate what alternative supports would be required if funding is changed. This ensures that reports reflect the real-world impact on the participant, rather than abstract recommendations. Clarity, specificity and clinical reasoning are more important than ever.   Functional assessments on file: necessary or not? There has also been an increase in requests for updated functional assessments “just in case”. While this may feel like a protective strategy, it is not always the best use of funding. If a participant has had a recent assessment and there have been no meaningful changes, completing another report may not provide additional value. In contrast, if circumstances have changed, eligibility is unclear or documentation is outdated, an updated assessment may be justified. The key is shared decision-making. Presenting the pros and cons allows participants and their families to make informed choices, rather than defaulting to unnecessary reporting.   Should you register as an NDIS provider? With all of these changes, it is no surprise that the question of registration is coming up again. There is ongoing discussion around mandatory registration and potential pricing differences between registered and non-registered providers. However, there is still no clear timeline or confirmed model for what this will look like. Registration is not a simple decision. It depends on your service type, business structure and financial position. Therapists providing therapeutic supports may access the verification pathway, while those in early childhood or behaviour support may face significantly higher costs through certification. Adding to the complexity is the likelihood that the system will change again. Investing in registration now may not mean avoiding future requirements.   Understanding the true cost of registration Registration involves far more than the initial fee. Beyond upfront costs, there is a significant time investment in preparing documentation, undergoing audits and maintaining compliance. This includes systems for staff checks, professional development, incident management and infection control. Importantly, it is not enough to have policies in place. You must demonstrate how they are implemented in practice. Audits often include staff interviews and evidence of real-world application. While these systems become easier to maintain over time, the initial setup can be substantial, particularly for smaller practices.   Making a business decision, not an emotional one Given the uncertainty, registration decisions need to be grounded in business strategy rather than fear. This includes considering how long you plan to remain in the NDIS space, whether you have the financial capacity to absorb costs and whether your client base will require registration in the future. For some areas of practice, particularly paediatrics, the future demand within the NDIS is still unclear. This makes it even more important to carefully weigh the return on investment. There is no universally correct answer, only what makes sense for your individual context.   Staying grounded in uncertainty The lack of clear direction is one of the biggest challenges right now. With multiple changes pending, it is easy to feel like every decision carries significant risk. This is where intentional decision-making becomes critical. Focusing on what you know, what you can control and what aligns with your values will lead to more sustainable outcomes. Small, considered actions will always be more effective than reactive decisions driven by uncertainty.   Key takeaways for OTs • Start with what is changing in funding and how it impacts your clients• Be explicit in reports about how supports are used and why they are essential• Only complete functional assessments when there is clear clinical value• Use shared decision-making with participants when considering reports• Registration is a business decision, not a reactive one• Consider both upfront and ongoing costs of becoming registered• Wait for further NDIS updates where possible before committing• Stay intentional and focus on what is within your control   Links Life Skills Training for NDIS OTs with Nikki Cousins: https://www.verveotlearning.com.au/Life-Skills-Training-for-NDIS-OT-Providers A Coregulation Approach to Emotional Regulation in Paediatric OT with Alyce Svensk: https://www.verveotlearning.com.au/Supporting-Children-with-Emotional-Regulation-Challenges

    49 min

  3. 22 APR

    S9E01 - NDIS Reset Explained: Breaking Down The Biggest Changes To The Scheme

    The National Disability Insurance Scheme is entering a major reform phase, with sweeping changes designed to improve long-term sustainability. These updates will reshape how people access the scheme, how funding is allocated and how services are delivered. While some reforms aim to strengthen consistency and reduce misuse, others introduce significant shifts that will directly impact participants and the clinicians who support them. For Occupational Therapists, understanding the direction of these changes is essential for navigating what comes next.   A system under pressure The driving force behind this reset is cost growth. The scheme has expanded rapidly, both in participant numbers and overall expenditure, prompting concerns about its long-term viability. In response, the government has outlined a four-year reform plan focused on reducing fraud, slowing spending, clarifying eligibility and improving service quality. A new legislative package is expected to be introduced and passed quickly to enable these changes.   A fundamental shift to functional capacity At the centre of the reform is a move away from diagnosis-based access towards functional capacity. Eligibility will increasingly depend on whether a person has substantially reduced functional ability, rather than the presence of a specific condition. This change will be supported by a new standardised assessment tool, although key details remain unclear, including who will complete these assessments and how they will be implemented in practice. Over time, this approach is expected to apply not only to new applicants but also to existing participants as their plans are reviewed.   Fewer participants, tighter entry Alongside changes to eligibility, the government is aiming to significantly reduce the number of people on the scheme compared to current projections. This will likely occur through stricter access criteria, reassessment of existing participants and a greater reliance on supports outside the NDIS. While funding has been allocated to strengthen these alternative systems, there is limited clarity about how they will function or whether they will meet demand.   Funding changes that will impact daily life One of the most immediate and tangible changes is the reduction in social and community participation funding. Budgets will be reset to align with earlier averages, resulting in an estimated 30 per cent decrease for many participants. These reductions are expected to begin from October 2026 and may occur regardless of where a participant is in their plan cycle. This represents a significant departure from previous approaches and may create uncertainty for participants who rely on this funding for everyday activities. Although a national fund has been proposed to support community-based alternatives, questions remain about whether this will adequately replace individualised supports.   Reduced flexibility in plan management Changes to plan reassessment processes will also affect how participants respond to changing needs. Stricter criteria for unscheduled reviews are expected to limit access to additional funding within a plan period. While intended to reduce overspending, this may also reduce responsiveness when circumstances change, placing greater pressure on initial planning accuracy.   Provider reforms and market shifts The reform package includes several changes that will reshape the provider landscape. Mandatory registration will apply to providers delivering higher-risk supports, particularly those involving personal care or restrictive practices. In addition, a new system will require basic identification or enrolment for most providers, improving visibility across the sector. Plan management will also undergo significant restructuring, with a move towards an approved panel system. This is likely to reduce the number of providers and may disproportionately impact smaller businesses. There are also early indications of differentiated pricing, potentially favouring registered providers, although details are still emerging.   A move towards commissioned supports A notable structural change is the potential introduction of commissioning for home and living supports. This would involve funding a select group of providers directly, rather than allowing participants to choose freely from the market. While this approach may improve consistency and cost control, it represents a shift away from participant choice and could reduce the diversity of available options.   Strengthening compliance and oversight Fraud prevention and compliance remain key priorities within the reform. Planned changes include improved payment systems, increased evidence requirements and expanded regulatory powers. These measures are designed to protect participants and ensure funds are used appropriately, addressing ongoing concerns about misuse within the scheme.   What this means for Occupational Therapists Although many of the changes do not directly target allied health, the flow-on effects will be significant. Occupational Therapists will need to support participants through funding reductions, changing eligibility criteria and increased uncertainty. Clear, functional evidence will become even more important in demonstrating need and justifying supports. There will also be a growing role in helping participants adapt to reduced flexibility and navigate alternative support systems outside the NDIS.   What to watch next Many elements of the reform are still evolving, with further detail expected as legislation is introduced and implementation plans are released. Key areas to monitor include the development of the functional assessment tool, the rollout of support needs assessments from 2027 and updates to pricing and provider regulation. Staying informed and adaptable will be critical as the scheme continues to shift.   Key takeaways for OTs• Expect a stronger focus on functional capacity in both access and funding decisions• Prepare for future changes to assessment processes, including support needs assessments• Be aware of reductions in social and community participation funding and how this affects clients• Anticipate tighter rules around plan reassessments and reduced flexibility• Monitor provider reforms, including registration and pricing changes• Strengthen reporting to clearly demonstrate functional impact and support needs• Support participants to navigate both NDIS changes and alternative support pathways LinksSpeech Transcript made by Mark Butler at National Press Club on 22/04/2026: https://www.health.gov.au/ministers/the-hon-mark-butler-mp/media/minister-butler-speech-at-the-national-press-club-22-april-2026?language=en&fbclid=IwY2xjawRVYFdleHRuA2FlbQIxMABicmlkETFzVm1kUkFuUVJGMDBvbEN4c3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHsmjiG7yqVQOEl0d_2wkkwEh2weHvl2Xra9wg4zmbTRx95bkZNBb_MJFWhbq_aem_YgrkLacZXUDHpufvM0KOZA Securing the NDIS for future generations fact sheet: https://www.health.gov.au/sites/default/files/2026-04/securing-the-ndis-for-future-generations_0.pdf

    56 min

  4. 1 APR

    S8E10 - Leave, Leadership and Letting Go

    Taking time away from work sounds simple in theory. In practice, many OT business owners know it can feel anything but simple. Whether it’s a short holiday, a family trip or parental leave, stepping away often raises the same questions. Who makes decisions while you’re gone? What happens to client care? How much should you stay across emails? And how do you protect your team, your clients and your own wellbeing at the same time? For OTs in private practice, these questions sit within a broader reality. Many businesses are already operating under pressure, with tight margins and ongoing uncertainty. That means leave planning is not just personal — it is a business systems decision.   Start with a clear leave plan Most people do not accidentally take proper leave. It takes planning, boundaries and a willingness to let go of control. One of the biggest traps is leaving everything until the last minute and hoping it will work itself out. In reality, leave works best when it is treated like a business process. That means planning ahead for supervision, approvals, emails, scheduling and client communication — as well as deciding who will hold responsibility in your absence. There may never be a perfect time to step away. But if you do not create the conditions to do so, the business can become so dependent on you that leave feels impossible.   Build a structure your team can rely on Once the plan is in place, the next step is making sure your team can actually carry it. Taking leave is not only about rest. It is also an opportunity to build a more sustainable business. When owners stay across every detail, teams miss the chance to develop confidence and decision-making skills. With the right structures in place, most teams are far more capable than expected. Many practices benefit from having a temporary caretaker or second-in-charge who can triage emails, support the team and escalate only what truly needs attention. A clear structure reduces pressure for everyone. The team knows where to go, small issues do not escalate, and the owner is not constantly pulled back into the business.   Match your plan to the type of leave Not all leave requires the same approach. A short break may only need light daily check-ins. A longer holiday requires clearer delegation and escalation pathways. Parental leave adds another layer — particularly for sole traders and small practices where one person may be managing clinical work, admin and business operations. This is where many therapists underestimate what is involved. Hiring another clinician does not replace the full scope of what a business owner does. Much of that work sits behind the scenes and still needs to be covered.   Use leave planning as a systems check Once you start preparing to step away, gaps in your business become much more visible. Leave planning often highlights inefficiencies that go unnoticed during busy periods — whether that’s unclear processes, over-reliance on the owner, or systems that don’t quite work. It is also a chance to look at how your business is operating day to day. Are your workflows clear? Are your systems supporting your team? Or are things more manual and reactive than they need to be?   Review costs with intention — not reaction This naturally leads into reviewing where your money is going. Many OT businesses are paying for overlapping platforms, underusing features or sticking with workflows that no longer make sense. This might include double-handling invoices, paying for duplicate software or not fully utilising existing tools. But not every cost should be cut. Some systems significantly reduce admin time and improve workflow. Removing them may save money in the short term but create more work and inefficiency. The goal is not to reduce spending blindly. It is to understand what each expense enables. A system that saves hours each week may be worth far more than its monthly cost.   Keep therapist experience front of mind Efficiency on paper does not always translate to efficiency in practice. A cheaper system is not necessarily better if it adds extra steps, reduces usability or increases daily frustration for therapists. Over time, this affects productivity, morale and service quality. Therapist-led businesses often navigate this well because they understand the realities of clinical work. Cost matters — but so does how systems function in real life. Understand the added complexity of parental leaveFor small OT businesses, parental leave brings an added layer of complexity. Unlike larger organisations, there is often limited capacity to backfill roles or absorb the financial impact. Even when owners want to offer paid leave, tight margins can make this difficult. This creates a tension many business owners face — wanting to support their team, while working within the constraints of a small business model.   Understand where the money actually goes Part of navigating this is having a clear understanding of business finances. Service rates do not just reflect therapist wages. They also fund supervision, admin, CPD, parental leave, software, compliance and all the behind-the-scenes work required to deliver quality care. When margins tighten, these supports are often the first at risk. Profit is not separate from care — it is what allows businesses to operate sustainably and continue supporting clients well.   Create space for strategic thinking One of the biggest challenges for OT business owners is time. Many spend most of their time delivering services and supporting their team, leaving little space to step back and assess the business objectively. That makes it harder to review systems, analyse spending or plan for change. In some cases, external support can help bring clarity when decisions feel complex or emotionally loaded. This is not about being less caring. It is about making decisions that allow the business to continue.   Sustainable businesses support better outcomes At the centre of all of this is a simple truth. Sustainable businesses are what enable consistent, high-quality care. Better leave planning, stronger systems and clearer decision-making are not just business strategies — they are what allow OT services to remain stable, accessible and effective over time. When practices are well run and supported, everyone benefits — especially the people receiving care.   Key takeaways for OTs• Treat leave as a business process, not an afterthought• Build clear structures so your team can operate without you• Match your leave plan to the type and length of time away• Use leave planning as an opportunity to review systems and efficiency• Review costs strategically, not reactively• Prioritise systems that support therapist workflow and efficiency• Recognise the added complexity of parental leave in small practice• Understand that profit enables sustainability and quality care

    53 min

  5. 26 MAR

    S8E09 - Supporting New Grad OTs in Today’s NDIS Landscape

    Starting out as an Occupational Therapist is both exciting and overwhelming. The transition from university into practice brings a steep learning curve, shifting expectations and uncertainty about what good support should actually look like. Across the profession, there is a growing concern that new graduates are being expected to perform beyond their level of experience without the foundations required to do so safely and confidently.   Why new grads are not workforce ready There is a persistent misconception that graduating means being ready to manage a full caseload independently. In reality, new Occupational Therapists are still developing clinical reasoning, professional communication and decision making skills. What is often labelled as imposter syndrome is, in many cases, simply the normal experience of being new. Not knowing what to do yet is expected. The problem arises when workplaces interpret this as a deficit rather than a developmental stage. Without structured support, new grads are left to navigate complex clinical situations alone, which can impact both their confidence and the quality of care they provide.   The importance of strong foundations before independence Before independence can be expected, new Occupational Therapists need clear guidance, modelling and repetition. Complex tasks such as functional assessments or report writing require more than templates. They require understanding, context and reasoning. Breaking these tasks into smaller steps allows new grads to build skills progressively. For example, a therapist might first learn how to conduct an interview, then how to interpret information, and later how to form recommendations. This staged approach ensures that competence develops safely rather than being rushed.   Training and supervision are not the same A common issue in many workplaces is the assumption that supervision alone is sufficient. In reality, training and supervision serve different purposes and both are essential. Training provides the foundational knowledge and skills. This includes learning how to complete assessments, structure reports and apply clinical frameworks. Supervision focuses on reflection, problem solving and refining practice. It supports the integration of knowledge into real clinical situations. When training is missing, supervision becomes limited in its effectiveness. New grads need both to develop into competent clinicians.   What effective support looks like in practice High quality support extends far beyond a weekly supervision session. It requires a structured and intentional approach to development. Competency frameworks are a key component. They provide clarity around expectations and outline what skills should be achieved at each stage of development. Shadowing and joint sessions are equally important. Observing experienced Occupational Therapists, participating in sessions together and gradually increasing responsibility helps build confidence and capability. Access to informal support throughout the day is also critical. The ability to ask questions in real time allows learning to occur in context and prevents uncertainty from escalating.   The cost of doing it properly Supporting new grads well requires time and financial investment. Reduced billable hours, joint sessions and report reviews all impact short term productivity. However, this investment is essential for long term outcomes. Well supported Occupational Therapists are more competent, more confident and more likely to remain in the profession. Prioritising immediate productivity over development can lead to poor client outcomes, increased turnover and reputational risk for practices.   When a role is not the right fit Not all workplaces provide the level of support required for early career development. Many new grads find themselves in roles where expectations are unclear or support is limited. In these situations, it is important to recognise that the issue may not be the individual. Often, it reflects broader systemic challenges within the workplace. While some environments may improve with open communication, others may not. In these cases, seeking a more supportive role can be an important step in protecting both professional growth and wellbeing.   Building confidence over time Confidence as an Occupational Therapist develops through experience, reflection and support. It cannot be rushed. Even highly capable new grads require time to consolidate their skills and develop clinical judgement. A gradual progression from observation to independence allows for safe and sustainable growth. The goal is not immediate productivity but long term competence and quality care.   Navigating a changing workforce landscape The current NDIS environment adds further complexity to early career development. Changes in funding, service delivery and workforce demands are shaping how Occupational Therapists are trained and supported. Limited placement opportunities and a high concentration of roles in certain areas can also restrict exposure to diverse practice settings. This makes it even more important for workplaces to provide comprehensive training and mentorship to ensure new grads develop into adaptable and capable clinicians. Key takeaways for OTs• New graduate Occupational Therapists require structured support and are not immediately workforce ready• Training and supervision serve different purposes and both are essential• Competency frameworks and joint sessions support safe skill development• Informal, day to day guidance is critical for learning in context• Supporting new grads requires investment and reduced short term productivity• Poor support is often a systemic issue rather than an individual failure• Confidence and clinical reasoning develop over time with experience• Strong mentorship is essential in a changing NDIS landscape

    46 min

  6. 18 MAR

    S8E08 - Fuel, Funding and Future Risk: Navigating Cost Pressure in OT Practice

    Why rising fuel costs are changing service delivery... Fuel costs directly impact how Occupational Therapy is delivered. Home, school and community visits all rely on travel, and when those costs increase quickly, the effect is immediate. This is particularly significant in regional areas where long distances are unavoidable, but metropolitan services are also feeling the strain. What was once a manageable expense is now influencing margins, service reach and day-to-day decision making. For many businesses, this is the point where travel stops being financially neutral and starts requiring active management. Travel, staff costs and service agreements... As travel costs rise, three areas need to be reviewed together rather than in isolation: staff reimbursement, participant travel charges and service agreements. Reimbursement arrangements that once felt fair may no longer reflect the real cost of travel, particularly for therapists covering large areas. At the same time, businesses may need to consider adjusting their per-kilometre charges or limiting travel zones to remain viable. These changes rely on clear, well-structured service agreements. Clauses around fee adjustments and notice periods allow providers to respond to changing costs while maintaining transparency with participants. While concerns about pushback are common, many families understand that travel has a real cost when it is explained clearly. Not all will agree, but clear communication makes these conversations more manageable. Rethinking service models and workforce realities... Rising fuel costs are also exposing whether existing service models are still sustainable. Wide catchment areas and heavily mobile services may no longer be viable in their current form. Some practices are beginning to shift towards tighter service areas, increased use of telehealth or more clinic-based delivery where appropriate. At the same time, fuel costs are influencing recruitment. Therapists are increasingly considering commute distances and travel expectations when choosing roles. This means businesses may need to rethink not just how services are delivered, but how roles are structured to remain attractive. NDIS pricing uncertainty and sector risk... These challenges are compounded by uncertainty around upcoming NDIS pricing decisions. Potential changes, including differentiated pricing between registered and unregistered providers, raise important questions about how the market will respond. If higher costs are passed on to participants, many may still choose lower-cost options to maximise their plan funding, regardless of registration status. In Occupational Therapy, where trust and continuity play a significant role, pricing differences alone may not drive participant behaviour in the way policymakers expect. Even small changes to pricing, travel recovery or funding structures could have a significant impact. For businesses already operating with tight margins, these shifts may be enough to challenge long-term viability. Reviewing costs and leading proactively... In this environment, reviewing costs is not optional. It is one of the most practical steps business owners can take. Expenses such as software, mobile plans, insurance, bookkeeping and duplicated systems often go unchecked. Identifying and reducing these can create immediate breathing room. At the same time, efficiency should be approached thoughtfully. The goal is not to strip back services, but to ensure resources are being used intentionally. Reviewing workflows, admin processes and time allocation can improve sustainability without compromising care. Ultimately, this is a period that calls for proactive leadership. Waiting for certainty is unlikely to be effective. Businesses that review early, communicate clearly and plan for multiple scenarios will be better positioned to navigate what comes next. Key takeaways for OTs...• Review travel reimbursement, charging and service agreements together• Reassess the sustainability of your current service model and travel zones• Consider how fuel costs are affecting recruitment and staff retention• Prepare for potential NDIS pricing changes and different scenarios• Audit recurring costs across your business to identify savings• Focus on proactive, informed decision-making rather than waiting for clarity

    43 min

  7. 11 MAR

    S8E07 - The Hidden Load Many OTs Carry

    The Occupational Therapy sector is navigating a period of significant change. Reforms to the NDIS planning system, growing uncertainty around early childhood supports and the proposed Thriving Kids framework are creating questions for therapists, service providers and families alike. At the same time, many clinicians are managing the everyday realities of leadership, clinical work and family life. For a profession that is predominantly female, these pressures often sit alongside the invisible organisational work that happens outside the clinic. Together, these personal and professional pressures shape how OTs experience the current moment in the sector. Understanding both the human and policy context helps explain why so many therapists are watching the next phase of reform closely.   The hidden load many women in OT carry Conversations about International Women’s Day often highlight how much invisible work women continue to carry. For many OTs, that reality is familiar. The challenge is not only the visible tasks of daily life but the cognitive load behind them. Planning meals, coordinating school logistics, organising appointments, managing household systems and anticipating what needs to happen next all require ongoing mental effort. Much of this work sits quietly in the background but plays a significant role in keeping family life running smoothly. For therapists who also run clinics, lead teams or manage complex caseloads, this load can become even more pronounced. Professional decisions, staff management and business responsibilities often happen alongside parenting and household responsibilities. Support structures can make a meaningful difference. Practical help such as cleaners, shared household responsibilities, childcare or administrative support can reduce pressure and allow clinicians to focus their energy where it matters most. It is also worth recognising that many of the opportunities women have today were shaped by previous generations who had far fewer choices. Reflecting on those shifts highlights both the progress that has been made and the ongoing reality that much of women’s labour remains unseen.   Leading in a sector that keeps changing These personal realities intersect with a profession that is currently navigating substantial policy change. Across the NDIS, reforms to planning, assessment processes and funding structures continue to evolve, often without clear operational detail. For clinicians and business owners, this creates a difficult environment for decision-making. Running a practice or managing a service requires forward planning, yet many of the systems that shape service delivery are still in development. The challenge is not simply that change is occurring. It is that the information available about how these changes will work in practice remains incomplete. As a result, many therapists are left trying to interpret policy announcements while continuing to deliver care in an already stretched system.   What the latest NDIS planning concerns reveal Recent discussion within the sector has raised concerns about the rollout of new NDIS planning processes, including the development of support needs assessments and updated budgeting models. While the direction of reform has been communicated, many operational questions remain unanswered. Details about how assessments will be conducted, what rules will guide planning decisions and how review processes will operate are still emerging. This uncertainty matters because the implications extend beyond administration. Planning decisions influence access to therapy, assistive technology and supports that participants rely on to participate in everyday life. Many clinicians across the sector have indicated that while reform may be necessary, careful implementation is essential. Ensuring that new systems are well designed and tested before large-scale rollout will be critical to maintaining participant outcomes.   How the Thriving Kids framework could reshape early supports Alongside broader NDIS reform, the proposed Thriving Kids framework has sparked significant discussion across paediatric therapy services. At a conceptual level, the framework aims to strengthen supports for children with developmental delay through earlier identification and broader community-based responses. The intention is to create clearer pathways for families and reduce reliance on the NDIS for children with lower support needs. However, questions remain about where allied health services will sit within this model. Much of the framework discussion focuses on screening, parenting supports and connections to community services, with fewer details about how therapy services such as OT, speech pathology and physiotherapy will be funded. For many therapists, the key concern is whether families who require structured therapy will have clear pathways to access it. Public health services in many regions already face long waitlists, and without clear funding models the role of private providers remains uncertain.   What this could mean for private paediatric practice For private practitioners, the Thriving Kids conversation quickly becomes practical. Clinics are beginning to consider how potential changes could influence referral pathways, demand for services and the way therapy is delivered. Some services are exploring how to support families accessing therapy outside the NDIS, while others are reviewing their understanding of local public and community-based services that may become part of future referral pathways. Preparing for change does not necessarily mean assuming the worst outcomes. Instead, it involves staying informed, considering different scenarios and ensuring services remain adaptable as new information emerges.   Why smaller funding changes do not solve the bigger issue There have also been smaller developments in related funding pathways. For example, updates to Medicare referral options for some speech conditions have expanded access under existing items. While these changes may assist some families, they are limited in scope and do not replace the broader therapy funding many children require. In practice, these initiatives provide short-term support rather than comprehensive solutions for ongoing therapy needs. For clinicians and families alike, it is important to recognise these developments as helpful additions rather than structural changes to the system.   What OTs can focus on right now In times of uncertainty, it can be helpful to focus on what remains within control. For many therapists, this includes maintaining high-quality clinical work, supporting families to understand available pathways and staying informed about policy developments as they unfold. It also means recognising the importance of sustainability. Building support systems at home and within workplaces can help clinicians manage the competing demands of professional and personal life. The coming months will likely bring further clarity about how NDIS reforms and early childhood frameworks will be implemented. In the meantime, the profession’s strengths remain clear: thoughtful clinicians, strong advocacy and a commitment to improving outcomes for the people who rely on Occupational Therapy services.   Key takeaways for OTs • Many women in Occupational Therapy carry significant cognitive load across both professional and personal responsibilities.• Ongoing NDIS reforms are creating uncertainty for clinicians, service providers and participants.• Questions remain about how new NDIS planning processes and support needs assessments will operate in practice.• The Thriving Kids framework proposes changes to early childhood supports but currently lacks clarity around allied health funding.• Private paediatric practices may need to consider how referral pathways and funding models could evolve.• Smaller funding changes in related programs may help some families but do not address broader access issues.• Staying informed, adaptable and focused on sustainable work practices will be essential as reforms continue to unfold.   LinksARATA AT and Disability Strategy Sector Update: https://www.arata.org.au/eventdetails/37521/assistive-technology-and-disability-strategy-sector-update Paediatric OT Conference: https://potca.com.au OTA Member Forum Thriving Kids Initiative Part 2: https://otaus.com.au/event/ota_member_forum_thriving_kids_initiative_update-part_two Adelaide Friends of the Podcast Drinks: https://www.trybooking.com/events/landing/1543542

    43 min

  8. 5 MAR

    S8E06 - When Illness Disrupts the Diary: How OTs Manage Sick Leave in Practice

    When sickness hits, how OTs and business owners keep care moving Nasty bugs, surprise migraines, sick kids, even the occasional adult case of chickenpox – illness has a way of arriving exactly when the diary is full. For Occupational Therapists, being unwell rarely affects just one person. It impacts appointments, client safety, rescheduling, team capacity and the financial stability of a service. In allied health, illness is never just personal. It sits at the intersection of duty of care, workforce sustainability and if you’re a business owner, the realities of running a practice. When a clinician can’t work, the ripple effect is immediate and often far larger than a single cancelled appointment.   When illness disrupts more than your day Many OTs recognise the instinct to keep going when they’re sick. A sore throat, a lingering cold or exhaustion after a busy conference might normally be something you push through because the week is full and people are relying on you. That mindset often develops early in a career. When you’re building a caseload or working as a sole trader, the pressure to maintain appointments can feel intense. Cancelling sessions means lost income, disappointed families and a backlog of work waiting when you return.   Duty of care when you’re unwell Over the past few years, the profession has shifted its thinking about illness. Previously, many clinicians worked through symptoms as long as they could physically manage the session. Now the focus is much more firmly on client safety and infection control. One unwell therapist can quickly affect an entire caseload, especially when working with children, older adults or people with complex health needs. Illness doesn’t just affect the therapist, it can expose multiple households and potentially disrupt care for a large number of clients. Because of this, many clinics have become much clearer about expectations. If a therapist is unwell, they stay home. If symptoms suggest something infectious, testing or isolation may be required. These decisions aren’t just about protecting the clinician, they protect the entire community around the service.   Rescheduling isn’t just moving an appointment At first glance, cancelling a session might seem like a simple administrative task. In reality, rescheduling can be one of the most difficult parts of managing illness in our line of work. Many clinicians operate with diaries booked weeks in advance. When a day disappears unexpectedly, there is rarely a spare slot waiting to absorb those clients. The missed appointments can create a backlog that extends well beyond the original sick day. This challenge becomes even more complicated when sessions involve multiple professionals. Joint visits with builders, equipment suppliers or support coordinators can take weeks to organise. If the therapist becomes unwell on the day, it may take significant time to bring everyone back together again. Telehealth can sometimes provide a temporary solution, particularly for consultation or follow-up conversations. However, most clients do not expect or request telehealth simply because a therapist is sick. In many cases the appointment simply needs to move.   The hidden cost of sick leave and cancellations For practice owners, illness has an additional layer of complexity. When clinicians are unable to see clients, revenue disappears immediately while operating costs remain unchanged. A single day of cancelled appointments may represent several hours of billable work. When illness affects multiple clinicians, or when winter brings repeated cancellations due to sick families, the financial impact can grow quickly. This is one reason the true cost of professional development, conferences or training days is often underestimated. It is rarely just the cost of attending. It also includes the income that would normally be generated during that time, along with the administrative effort required to reorganise the diary. Many practices eventually learn to plan around a realistic working year rather than assuming full capacity every week. Even then, unexpected illness can still disrupt carefully balanced schedules.   Why sole traders feel it most For sole traders, illness can create a particularly difficult situation. Without a team to share the workload, the decision to cancel appointments often has direct financial consequences. In the early stages of private practice there may also be little financial buffer to absorb lost income. As a result, many clinicians shift their workload rather than stopping entirely. Face-to-face sessions might be cancelled, but report writing, administration or funding applications continue from home. When work cannot be completed during the day, it often moves into evenings or weekends. Over time, this pattern can contribute to fatigue and burnout, particularly when illness occurs repeatedly during busy periods of the year.   Planning ahead with policies and immunisations One of the quieter lessons from recent years is the importance of planning for illness before it occurs. Clear policies about sick leave, infection control and client communication can help clinics respond quickly and consistently when someone becomes unwell. Vaccination is another area where expectations and reality sometimes differ. In hospital settings, immunisation status is routinely recorded and monitored. In private practice, the process is often far less structured. Families may assume health professionals are up to date with recommended vaccinations, particularly when working with infants, older adults or medically complex clients. For some clinics, this has prompted conversations about whether immunisation records should be documented more clearly as part of workplace systems. The goal is not to create unnecessary bureaucracy but to ensure practices are prepared for situations that inevitably arise during the year.   Making Occupational Therapy work sustainable Illness is a normal part of life, but the profession has historically struggled to make space for it. When diaries are full and demand for services is high, taking time off can feel uncomfortable or even irresponsible. In reality, sustainable Occupational Therapy practice depends on recognising that sickness will occur and building systems that can absorb it. That might mean flexible scheduling, shared caseloads, telehealth options or realistic workload planning across the year. It also requires a cultural shift within the profession. Taking time to recover when you are unwell is not a sign of weakness or lack of commitment. It is a necessary part of protecting both clinicians and the people they support.   Key takeaways for OTs• Illness affects far more than a single appointment – it can disrupt entire caseloads and teams• Infection control and client safety should guide decisions about working while sick• Rescheduling sessions can be complex, particularly when multiple professionals are involved• Sick leave and cancellations create significant hidden costs for private practices• Sole traders often feel the greatest pressure to continue working while unwell• Clear policies, communication and vaccination planning can help clinics manage illness more effectively• Sustainable OT practice requires systems that allow clinicians to rest and recover when needed

    41 min
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OT Unplugged is a space for you to connect, reflect and stay up to date on OT practice and the evolving world of the NDIS.

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