Occupational therapist at NHS National Services Scotland

The job at NHS National Services Scotland

Occupational therapists help people do the everyday activities that matter to them when illness, injury, disability or ageing gets in the way. They assess what someone needs and wants to do, then grade tasks, teach new techniques, recommend equipment and adaptations and change the environment so the activity becomes possible again. Work ranges from discharge planning and home visits on an acute ward to hand therapy, mental health recovery groups, school-based paediatrics, vocational rehabilitation and social services housing assessments. People of all ages recovering from surgery, stroke or injury, and people living with mental illness, learning disability, dementia, long-term conditions or physical disability who want to live more independently.

At a health board such as NHS National Services Scotland, that work means a caseload that can span the whole pathway — acute wards, outpatient clinics and community teams — without changing employer, because the board is responsible for all NHS care in its area. Boards often run broad rotations across acute and community services, and specialising later rarely means leaving the organisation. Across the profession as a whole, occupational therapists work in settings including NHS acute trust, community rehabilitation team, NHS mental health trust, social services and local authority and schools and children's services — an organisation of this type will run some of those services and not others, which is why two posts with the same job title in the same city can be very different jobs.

Pay is not an employer decision. Agenda for Change is negotiated nationally and set separately in each of the four nations, so NHS National Services Scotland pays band 5 exactly what every other NHS employer in Scotland pays it: £34,544 at the bottom of the band on the 2026/27 scale. For context, median full-time pay across all occupations in Scotland was £39,719 in 2025. What genuinely differs between two employers is the caseload, how rotations are structured, how much protected time you get for supervision and continuing professional development, how much band 6 progression is built into the establishment, and how far you travel between sites. Those are the questions worth asking at interview.

This page states no figure specific to NHS National Services Scotland because none is published in the open data. When the workforce and staff survey feeds include this organisation, the establishment size, the response rate and the theme scores will appear above.