Top 10 reasons to say No

How busy are your days?

Do you feel overwhelmed and question the quality of your work?

Having each day over filled is not the best way to work and doesn't give the best quality occupational therapy to your service users/ clients/ patients.

Do you feel or know you have more tasks to do than there are hours in your day?

So why do you need to say no more often?


  1. If every day you end up spinning more and more plates, eventually one will break, you need to make sure you can cope with your workload.
  1. You need to take time for reflection, to ensure you don’t repeat any mistakes you may have made.
  1. You need to take time to plan with your immediate case load and patients. Your service user deserves to have a quality experience.
  1. You need to allocate time to plan not only weekly but on a monthly and yearly basis to deliver an excellent service.
  1. The delivery of a quality service is a requirement of your HCPC registration.
  1. You need to have time for quality supervision. This is essential and enables you to negotiate what is required to deliver a quality service.
  1. Occupational therapy is all about activity analysis, task analysis and goal setting so you should practice this with yourself before recommending a balanced life to others.
  1. It is essential to allow time to measure and record your outcomes or you are not proving the need for your service.
  1. You need to have a sense of achievement rather than a sense of anxiety and stress at the end of each day.
  1. You need to be able to cost your individual work and show what your organisation is paying for.


Occupational Therapy is important to your clients and patient’s so make sure you don’t overload yourself and don’t be afraid to say ‘No’ to enable you to keep on delivering a quality experience and service.



by Margaret Spencer MA Consultant Occupational Therapist & Senior Lecturer LinkedIn Profile  

This post is written by Margaret Spencer. Margarets blogs are a culmination of over thirty years experience  working in Occupational Therapy, including material from her books and conference presentations.They answer the real queries and questions that 100's of undergraduate  and post graduate students, qualified OT's and managers, that she has had the privilege to work with and supervise continue to ask her.

To see how Margaret can offer support to your team visit her website or email


What now?

Check out our latest Locum Occupational Therapy jobs or our latest Permanent OT jobs.

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