Rate benchmark

Locum occupational therapist rates in the UK, 2026

£38.00typical per hour

Indicative pay ranges for UK locum occupational therapists in the 2026/27 tax year. What’s typical, what drives variance, and how to benchmark your own rate against the market.

Ledger | Indicative 2026 range

Low, typical, and high.

NHS agency Band 6 sits £28 to £38/hr, Band 7 £34 to £45/hr. Private case management for catastrophic injury (Bush & Co, HCML, N-Able) pays £55 to £95/hr plus mileage and separate report fees. Paediatric SEN and EHCP assessment work is priced per report (£600 to £1,200) rather than hourly. School commissioning blocks pay £40 to £55/hr. Neuro rehab and hand therapy attract the biggest premium.

Rangeper hourLowIndicativeTypicalIndicativeHighIndicative
Indicative 2026 range (per hour)£25.00£38.00£60.00

Indicative 2026 range (per hour)

Locum occupational therapist

Low £25.00Typical £38.00High £60.00

Figures are educated estimates. Sources include: RCOT member guidance; Case Management Society UK (CMSUK) pricing benchmarks; Published AHP agency rate cards. Real rates vary by individual contract and market conditions. Sessional doesn't guarantee any specific rate and your individual outcome depends on your negotiation and the organisations you work with.

What drives the variance

For occupational therapists, private case management for catastrophic injury pays substantially more than NHS agency banding, at the cost of report-writing overhead.

01

Geography: London and the South East run 10% to 20% above the national average. Scotland and Wales typically mirror the national mean; Northern Ireland is often lower.

02

Urgency: last-minute cover pays more. Organisations covering a sudden gap often pay 20% to 30% above their standard rate.

03

Specialty: out-of-hours, unplanned care, specialist wards, and complex caseload all uplift the base rate.

04

Volume: regular weekly bookings are usually offered at a lower rate than ad-hoc shifts in exchange for certainty.

05

Route to market: direct bookings pay more than agency routes because no one takes a cut.

How to benchmark your own rate

01

Write down the last ten bookings you accepted and the rate you charged or received.

02

Break them down by region, urgency, and duration.

03

Compare each against the typical range above. If you are consistently at or below the low end on standard bookings, you are probably underpriced.

04

Next time you are asked for your rate on a standard booking in a London or South East organisation, quote the typical figure from the headline above and see what happens. A refusal tells you about the booking, not your rate.

03 | 34 cities

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34cities

Last revised 24 April 2026

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