I read with interest, Annie Phillips' article 'Out of step' (page 25, 25 February). I agree wholeheartedly that social workers do work in an empowering way, but to say this was 'virtually unheard of in medicine' takes no account of healthcare professionals who do work with clients in an empowering manner - occupational therapists.

The purpose of occupational therapy is to enable, enhance and empower. The therapist works with the client to address both social and healthcare issues, providing - as stated in their code of ethics and professional conduct - a client-centred, needs-led service.

OTs can be employed in a variety of environments, including social services and acute hospitals, and so should be involved in the new primary care groups - especially as they are trained to understand both the medical and social models of healthcare.

Annette Ferrier

Coventry