PTOTQualitativeThe British journal of occupational therapy2026

Developing occupational therapy and physiotherapy clinical support workers in their role in supporting student education.

Gemma Bradley, Nina Bedding, Sarah Smith

PMID 41836739

WHAT IT FOUND

Support workers in occupational therapy and physiotherapy already supervise and teach students, sometimes all day, but most had no training for it and would route feedback through the qualified educator.

After a short online course, they described giving feedback to students directly.

Key findings

01Support workers were already regularly involved in teaching students, including shadowing patient contact, induction, help with documentation and demonstrating manual handling or equipment, but only 3 of the 17 who answered the survey had received any training in it, and all three said that training was informal.

02Participants said this part of their role was not always acknowledged, yet they valued it and described it as boosting their own confidence and the standing of the support worker role.

03After the training, participants said they would give feedback to students themselves rather than passing it to the educator, and would ask students whether reasonable adjustments had been put in place.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

This is a small, local study: 17 people answered the survey and the two focus groups had 7 and 4 participants, all from one English region, so what these support workers describe may not transfer to other services. No student outcomes were measured. Nobody checked whether students learned more, felt better supported or were assessed differently, so the study says nothing about whether this changes placements. The focus groups happened soon after the programme finished, so there is no way to know whether any of the described changes in practice lasted. Detailed background information about participants was not collected, so the authors could not tell whether people with different amounts of experience or from different disciplines have different development needs. Participants were asked no questions about risks or adverse experiences, even though unclear delegation and blurred role boundaries were themes in the data. The authors had no resources to keep the learning community going once the project ended.

Declared interests

The authors declared no conflicts of interest and said they received no financial support for the research, authorship or publication of the article.

The easy way to misread this

Do not read this as evidence that support workers can take over student supervision, or that the training programme works. It is 17 people from one English region describing their own role in their own words, with no students followed up and no comparison group. Because participants were asked what they thought shortly after finishing the course, what actually changed on placement is unknown.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →