The WFOT Minimum Standards, first introduced in 1958, are periodically reviewed to reflect developments in practice, education and global health priorities. The 2026 update continues to position the standards as a benchmark for programme approval, while placing greater emphasis on how education responds to contemporary challenges.

The 2026 WFOT Minimum Standards include several substantive updates reflecting changes in education delivery, workforce expectations and global health priorities.

One of the most significantly revised areas is the section on international health, social and education perspectives. This has been updated to better reflect current global issues and trends, ensuring that occupational therapy education is aligned with evolving population needs, health systems and educational approaches worldwide.

A major structural change is the introduction of a new exit credential requirement. The standards now state that, from 2031, all WFOT-approved programmes must lead to a bachelor’s degree or equivalent. This is intended to reflect the breadth and depth of competencies required for contemporary practice, as well as to support progression to postgraduate study. A transition period of up to 10 years has been built in, meaning some currently approved diploma-level programmes may retain WFOT approval until 2036.

The 2026 update also clarifies expectations around online learning. While digital methods can be used, fully online entry-level programmes will not meet WFOT standards. In-person learning is required for key elements such as practical skills, therapeutic communication, teamwork and complex clinical reasoning.

Changes have also been made to fieldwork requirements, with clearer expectations about the breadth of placement experiences. Programmes must include exposure to different age groups, a range of health needs, and both mental and physical health settings. The requirement for a minimum of 1,000 hours of fieldwork is retained, while the use of simulation or online practice is now explicitly limited to around 20–30% of total fieldwork hours.

Finally, the competencies expected of occupational therapists have been separated into a standalone WFOT document. This updated competencies framework is now intended to be used alongside the Minimum Standards to guide curriculum design, programme development and approval processes.

WFOT approval remains based on meeting these Minimum Standards, with periodic re-approval required. The 2026 update reinforces the role of this process in maintaining consistency across programmes internationally.

While UK programmes are regulated nationally via the Royal College of Occupational Therapists, the WFOT framework offers an additional international reference point for UK based occupational therapists, perhaps particularly relevant for education providers, practice educators and those involved in curriculum design.

Overall, the 2026 update reflects a continued shift towards education that is responsive to changing health needs, grounded in evidence and aligned with global expectations and needs for occupational therapy practice.