Can I Get a Private OT Assessment for My Child Without a GP Referral?
Yes. Occupational therapy is a direct-access profession in the UK, which means you can book a private OT assessment for your child without a GP referral letter. You don't need to wait for a GP appointment, ask for per…
The Short Answer: Yes, You Can
Yes. Occupational therapy is a direct-access profession in the UK, which means you can book a private OT assessment for your child without a GP referral letter.[1] You don't need to wait for a GP appointment, ask for permission, or obtain a letter of recommendation. You can contact a private paediatric OT directly and arrange an assessment on your timeline.
This is different from NHS occupational therapy, which typically requires a referral route (from a GP, paediatrician, health visitor, or school). But in the private sector, direct access is the standard. You have the right to self-refer, and reputable practitioners expect this.
Does this sound familiar? Many of the families we work with describe exactly this situation. If you'd like to talk it through, book a free 15-minute call, no pressure, just a conversation.
When a GP Letter IS Useful (Even If Not Required)
Although you don't need a GP referral to book a private assessment, a letter from your GP can be genuinely helpful in several situations.
A GP letter provides the OT with your child's medical history, current health concerns, and any relevant diagnoses before your first appointment. This can save time during the assessment and helps the OT contextualise their findings. If your GP is aware of your child's developmental profile, a brief medical summary can be valuable.
If you plan to claim the cost back through private health insurance, many insurers, including Bupa, AXA Health, Vitality, and WPA, do require a GP referral letter as a condition of reimbursement. It's worth checking your policy documents or calling your insurer before booking. If you have a GP appointment coming up anyway, it's worth asking for a letter while you're there, just in case.
A GP letter can also trigger a parallel NHS referral. Some families find it useful to have both pathways running: a private assessment happening quickly, with an NHS referral queued as a backup or to access longer-term support if needed.
Finally, if the OT needs to liaise with your child's paediatrician or contact CAMHS (Child and Adolescent Mental Health Services), a GP letter can facilitate that communication. Some practitioners request written consent from the GP before contacting other services, though this varies.