After the first occupational therapists ventured into private practice in the early 1970s, it became evident that a fee structure needed to be compiled for billing purposes. This resulted in the formation of a Private Practitioners ad hoc committee of SAAOT which developed into a fully-fledged OTASA Standing Committee in the early 1980’s.
SAAOT developed a fee structure with descriptive definitions, units and codes for services rendered by occupational therapists and this basic fee structure was used for negotiations with medical aids, Workman’s Compensation at the Department of Labour, The Road Accident Fund etc. There were annual negotiations with RAMS (Representative Association of Medical Scheme) now known as BHF (Board of Health Care Funders). This standing committee throughout the years continued negotiations in an effort to improve the value of the codes used by the occupational therapist.
Prior to 1998 a Private Practitioners Standing Committee (PPSC) was established with representatives of all regions who met annually and established the first practice management courses.
In 1998 a group of occupational therapists in private practice came together to form INSTOPP (Institute of Occupational Therapists in Private Practice).
Negotiations between the PPSC and INSTOPP resulted in major contributions to the OTASA Organogram which was accepted at the Council Meeting in Cape Town 2004, when it was also decided that the Private Practitioners Service Sector would be governed by INSTOPP. Following further negotiations Instopp affiliated with OTASA and currently represents all occupational therapists in private practice.
INSTOPP consisting of an executive committee and board continues to go from strength to strength and strives to serve, develop and represent dynamic occupational therapists in private practice and to promote high standards of professional behaviour as stipulated in our constitution. This may include assistance with regards to ethical and legal issues in a practice or general questions regarding a private practice. The practice management courses have continued annually with continued positive feedback.  The publishing of our Newsletter with insightful articles for CPD points have continued annually. Instopp also strives to connect occupational therapists nationally and to create a mentoring community to handle challenges of the private practice. INSTOPP continues to be a proffesional institution and platform to serve, develop and represent occupational therapists in private practice in future years to come.