Rachel Relf

Rachel Relf

BSc (Hons) OT

Independent Occupational Therapist and Case Manager


An experienced and dynamic occupational therapist with over 25 years’ clinical experience specialising in physical health, with a particular interest in major trauma and hand/upper limb injuries. My experience includes amputations, spinal cord injuries, musculoskeletal injuries, chronic pain, and working with the complex psychological effects of trauma. I haves advanced clinical reasoning and  assessment skills, enabling me to devise bespoke treatment plans that deliver high quality rehabilitation, working across the private and statutory sectors. I am confident coordinating input and liaising with health professions, families, employers. solicitors and insurers alike.

I also lecture, examines and interviews for the local university undergraduate occupational therapy programme.

Clinical skills/experience

  • Extensive clinical experience in both acute and community settings, having worked with a wide range of physical disabilities including major/poly trauma, spinal cord injuries, amputations, chronic pain, musculoskeletal conditions and hand/upper limb injuries
  • Holistic approach to interventions ensuring physical, psychological, cognitive, sensory and environmental issues are addressed
  • Skilled in vocational rehabilitation including work site assessments and return to work planning
  • Skilled in reporting and communication
  • Extensive assessment and treatment experience of treating clients with complex needs, devising individual treatment programmes
  • Specialist assessment and treatment skills including hand therapy interventions
  • Excellent problem solving skills
  • Extensive experience of collaborative working

Managerial skills/experience

  • Extensive management experience, having managed an acute occupational therapy service comprising of in excess of 70 staff across four hospital sites
  • Experience of strategic development
  • Financial management experience
  • Experience of clinical governance, devising risk management register and regularly monitoring the service’s clinical audit programme
  • Experience of interpreting national directives, policies and guidance relating to the profession and applying these at local level
  • Experience of management and development of staff, including recruitment, retention, team-building, clinical supervision, appraisal, in service training, professional development, absence management and return to work programmes
  • Performance management experience from individual staff and also service wide perspective, including disciplinary processes and the analysis and interpretation of data and statistics
  • Excellent verbal and written communication skills

Career summary:

January 2016 – present
Independent Occupational Therapist and Case Manager

Occupational therapist and case manager experienced in working with clients with a wide range of complex conditions.

August 2009 – December 2015
Pennine Acute Hospitals NHS Trust - Occupational Therapy Professional Manager
Responsible for the strategic management of the occupational therapy service across four hospital sites whilst maintaining a highly specialist clinical caseload.

July 2001 – August 2009
Heywood Middleton and Rochdale Primary Care Trust - Head Occupational Therapist
Responsible for the strategic and operational management of the occupational therapy service across two hospital sites and also community setting whilst maintaining a clinical caseload.

February 1998 – June 2001
Hope Hospital - Senior Occupational Therapist – Musculoskeletal and Hand Therapy Service
Responsible for the leadership of the musculoskeletal team, the role enabled the development of highly specialised skills with major trauma and associated rehabilitation, fracture bracing, bespoke splinting and hand therapy.

September 1995 – January 1998
Hope Hospital - Senior Occupational Therapist – rotational post
A rotational post enabling the development of clinical skills in acute medicine, orthopaedics, stroke rehabilitation and neurological rehabilitation.

July 1993 – September 1995
North Manchester Healthcare NHS Trust – Occupational Therapist
Enabled consolidation of and the development of skills acquired at undergraduate level in the following clinical areas – medicine, surgery, mental health- acute, orthopaedics, rheumatology, rehabilitation, elderly medicine.


BSc Hons Occupational Therapy (University of Salford) 1993

Continuing professional development, including:

  • Continuous professional development is maintained through regular engagement in a wide variety of activities to ensure clinical practice us up to date and within best practice guidelines/evidence.

A breakdown of current CPD activity is available on request.

Registrations and memberships:

  • Health and Care Professions Council
  • Royal College of Occupational Therapy
  • Royal College of Occupational Therapy Specialist Section – Independent Practice
  • Accreditation of Practice Placement Educators (APPLE)
  • Enhanced Disclosure Baring Service
  • Information Commissioners Office
  • Independence Works panel member