For International Occupational Therapists · Last updated: 11 May 2026

OET for Occupational Therapists — HCPC & AHPRA Pathway

Internationally trained occupational therapists need Grade B across all four OET sub-tests for HCPC (UK) or AHPRA (Australia) registration. The Writing sub-test asks for structured functional handover, not narrative session recap.

International occupational therapist preparing for OET Writing exam

Quick answer

Internationally trained occupational therapists need Grade B (350) in each of the four OET sub-tests for HCPC (UK) and AHPRA (Australia) registration. The Writing sub-test tests your ability to summarise functional outcomes in structured prose. Most marks are lost on Organisation & Layout — narrative session-by-session recaps rather than outcome-first handovers.

Key takeaways for OTs

  • Required grade: HCPC and AHPRA require Grade B (350) in Writing.
  • Most common letter type: Discharge / transfer to community OT, or equipment / home modification recommendation.
  • Top criterion lost: Organisation & Layout — narrative session recap rather than outcome-led structure.
  • Validity: 2 years from test date.

Required OET Scores by Regulator

Regulator
Country
Required (Writing)
Combine?
HCPC
United Kingdom
B (350)
Yes
AHPRA / OTBA
Australia
B (350)
Yes
OTBNZ
New Zealand
B (350)
Yes
CORU
Ireland
B (350)
Yes

The Two Letter Types OTs Write Most

1. Discharge / transfer letter

Sent to a community OT, GP, or another rehabilitation service summarising the inpatient OT intervention, functional outcomes, and recommended ongoing support.

Marking watch-out: Organisation — open with current functional status and outcome, not the chronology of sessions.

2. Equipment / modification recommendation

Sent to a community team, social services, or funding body justifying equipment provision or home modification based on functional findings.

Marking watch-out: Purpose — the recommendation must lead, with findings supporting it directly afterwards.

The Three Mistakes That Cost OTs Their Grade

1

Summarise outcomes, not sessions

Stop recounting every therapy session chronologically. Open with current functional status and outcome of intervention. Mapped criterion: Organisation & Layout.

2

Expand OT-specific shorthand

Stop using ADLs, IADLs, transfers, or FIM scores without context for non-OT addressees. Expand on first use. Mapped criterion: Genre & Style.

3

Select findings linked to the discharge or recommendation question

Stop listing every functional finding. Include only findings that justify the discharge plan, equipment request, or onward referral. Mapped criterion: Conciseness & Clarity.

Frequently Asked Questions

Which regulators accept OET for occupational therapists? +

The UK HCPC and Australian AHPRA both accept OET for OT registration. Grade B (350) is required across all four sub-tests. Combined sittings within the validity window are accepted.

What letter type do occupational therapists write in OET? +

OTs typically write a discharge or transfer letter following inpatient rehabilitation — addressed to a community team or another OT service — or a recommendation letter for equipment, home modification, or ongoing support. Case notes commonly include functional assessment outcomes, ADL/IADL findings, and goal-oriented intervention.

Why do occupational therapists lose marks in OET Writing? +

Two patterns dominate. First, narrative-style assessments that recount every session rather than summarising functional outcomes (Organisation & Layout). Second, OT-specific shorthand — ADLs, IADLs, transfers, FIM scores — used without context (Genre & Style).

Is OT-specific case-note practice essential? +

Yes. Functional assessment, goal-setting frameworks, and discharge planning differ from medical handover. Profession-aware correction ensures feedback covers the structured narrative OTs need — not generic clinical letter style.

Send an OT letter for correction

Marked against the six OET criteria by a corrector aware of functional assessment frameworks and discharge planning conventions. 24-hour turnaround.

Get My Letter Corrected