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Call for more information and costs or if you are enquiring for yourself or a family member you can use our online cost guide for individuals.

Access in & out of the home

Find out how we can help

Peace of mind to move in and out of your home safely & independently

Whether it be getting to the car, the garden, the shops or social activities, being able to access the world outside our home is important for both mental and physical wellbeing. When mobility is reduced, even otherwise simple journeys can become a challenge.

We assist many people facing all variety of difficulties to maintain their independence and access to their community. Our experience also helps ensure that the solutions we provide, as well as being practical and cost-effective, are the best possible aesthetic fit for a client's own home.

How OT's help

Help with access into and out of the home is one of the most common reasons our clients contact us. Whether for a temporary or more long-term solution, the following are examples of challenges we can address:

  • Steps and stairs leading to a property, whether via a communal or private entrance
  • Access to a town-based property from street level
  • External ramps which may be too steep or in a state of disrepair
  • Access to a garden or driveway
  • Risk of falling
  • Reduced confidence moving into and out of the home after illness, injury or a period in hospital

Our assessment process allows a specialised occupational therapist to identify all such problems, make recommendations to reduce them, and (if desired) arrange for any recommended changes to be made.

Our approach

Our aim is to provide flexible, practical and cost-effective solutions for accessing your home and community. Our assessment may involve looking at:

  • Your current and likely future levels of mobility, hand and shoulder function
  • The home environment, including your garden, driveway or street access
  • The layout and style of your property, including shared access areas
  • Any equipment that you currently or are likely to need in the future, such as frames, scooters or wheelchairs
  • Your own, your family's or carer's specific wishes and goals

Common recommendations

Some practical solutions that we may recommend to help you access your home include:

  • Grab rails at the front door
  • Hand rails on existing steps or stairs
  • Installation of smaller half-steps
  • Installation of ramps with gentle gradients that allow for walking, scooters or wheelchairs
  • Installation of stair or platform lifts

We can help with

If required we can also provide assistance with:

  • Sourcing suppliers - we work with companies nationally to ensure we always offer competitively-priced solutions
  • Arranging and managing lift representatives or builders who may need to visit your home
  • Reviewing plans with architects and builders to ensure that any changes to your home are right for you, both now and in the future

Public sector, charities and businesses

Is your organisation looking for professional OT services?

Find out more

Common conditions we help with

Find out more about how our OT’s can help by visiting our pages dedicated to specific conditions associated with home access difficulties.

Why The OT Practice

We recognise the importance of knowing that you are in safe hands. That is why, when you first make contact with us, you will straightaway be able to explain your concerns to a member of our client management team who will be able to provide relevant information about our services, answer any questions you may have and provide guidance on next steps. This dedicated team will then remain in charge of your case through any subsequent assessment and treatment we provide.

Other reasons to rely on The OT Practice include:

  • We visit you in your own home and at a time convenient to you and your family, and are happy to offer evening and weekend appointments
  • We do not have waiting lists and so can offer appointments within 7 working days of referral or sooner
  • Our extensive nationwide network of registered occupational therapists allows us to find you the right local therapist
  • We can provide ongoing support for as long as you need it
  • Our clear, fixed pricing system will be provided to you in writing for you to consider in your own time
  • Your occupational therapist will be a specialist in their field, with over 5 years' clinical experience including time in social services or NHS practice
  • Our team are well connected to networks of local and national equipment providers, stair lift and building companies

Your Clinical Services Manager

Victoria

Victoria

Snr Clinical Services Manager

Victoria, an experienced OT, is the Clinical Services Manager supervising the team looking after referrals from our case managers, solicitors and other professional clients.

Email the team

Services for businesses, organisations and the public sector

Local authorities

Our team provide individual or bulk assessments for local authorities looking to reduce waiting lists or ease pressure.

Find out more

Case managers

Comprehensive, goal orientated OT services for your clients in their own homes and community.

Find out more

Housing associations

Providing reports and recommendations for individual residents or working on large regeneration projects.

Find out more

Charities

Working with charities to provide reports and recommendations for grant funding applications.

Find out more

Construction companies

Individual or bulk housing assessments and recommendations for kitchen, bathroom or access projects.

Find out more

Care homes

We provide individual equipment recommendations or advice on environmental accessibility

Find out more

Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our client management team, who will be able to understand what your difficulties are, provide information and advice on our services and identify the right OT from our team.

Quote

If therapist input is recommended, we will send you a detailed quote via email or in writing explaining what, after a full assessment, we would propose and how much it would cost, as well as rates for further work that might be recommended in the future.

Referral

Once you have had time to consider the options and costs, and if you would like to go ahead, the next step would be to fill in our online referral form. In the meantime, if you have further concerns or questions then our client manager will be happy to discuss them with you.

Assessment

Our therapist will then contact you within 24 hours to arrange a visit at your home. Normally this first visit will comprise a full assessment, after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations. These may include useful items you can buy or activities you can do independently, but they may also include more complex recommendations such as home adaptations or additional treatment by the occupational therapist. Where additional involvement is required, we will follow up the report with a detailed quotation so that you have all the information needed to make an informed decision.

As Private Occupational Therapists our aim is to provide choices and guidance to help you decide what the best options are for you

A few of our housing specialists

Meet a selection of our occupational therapists who are specialists in assessing access needs and planning adaptations.

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Karen

Greater Manchester, North West England

Occupational Therapist Karen specialises in Rehabilitation for adults and older adults, focusing on Mental Health, Dementia, and Physical Health Conditions.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Greater Manchester

Specialisms

Functional rehabilitation

Lucy

Cambridgeshire, East Anglia

Lucy delivers expert Functional Rehabilitation and Housing & Equipment assessments for clients across East Anglia.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Hertfordshire, Norfolk, Northamptonshire, Suffolk

Specialisms

Paediatrics, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation

Further qualifications

AMPS, Train the trainer

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Behaviour management, Co-ordination, Self care, Social integration

Katie

Leeds, West Yorkshire

Katie is an expert OT specialising in Functional Rehabilitation. She provides holistic interventions for clients across Yorkshire & Lincolnshire.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Yorkshire and Lincolnshire, Greater Manchester, West Yorkshire

Specialisms

Functional rehabilitation, Neurological rehabilitation

Livonia

Northamptonshire, South of England

Livonia, an Occupational Therapist, specialises in housing and equipment, seating and postural management, and moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

South of England

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Emma

Hull, East Riding of Yorkshire

Emma an experienced OT based in Hull and provides expert rehabilitation to clients across Yorkshire and Lincolnshire.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer, Certificate in Education

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Balance, Self care

Sharon

London - South, South East of England

With over 30 years’ experience, Sharon is an expert OT specialising in Housing & Equipment and Seating & Postural Management.

View profile

Profession

Occupational Therapy

Regions covered

London, South East of England, Kent, London - Central, London - South

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Postural management

Angela

Glasgow, Glasgow (City of)

Working throughout London, Occupational Therapist Angela provides Neurological Rehabilitation and enjoys helping those who have experienced a Stroke.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

Functional rehabilitation, Neurological rehabilitation

Angela

Kent, South East of England

Based in Kent, Angela is a specialist OT in Housing and Equipment assessments and interventions.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

BIA

Specialist skills

DFG Assessments

Deanne

Middlesbrough, North Yorkshire

Based just outside of Middlesbrough, Deanne is an Occupational Therapist specialising in Functional Rehabilitation and Housing & Equipment.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, Cleveland, Durham, North Yorkshire, Tyne and Wear, Middlesbrough

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Emma

West Sussex, South East of England

Emma is an OT located in West Sussex, working with clients with housing needs in the South of England.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, West Sussex, Brighton

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Postural management

Hannah

Norfolk, East Anglia

Occupational Therapist Hannah specializes in housing and equipment, seating and postural management, functional rehabilitation, moving and handling, and neurological rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire, Buckinghamshire, Cambridgeshire, Norfolk, Suffolk

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Self care, Postural management

Jennie

Hampshire, South East of England

Hampshire and West Sussex based occupational therapist Jennie specialises in mental health, Moving & Handling and Housing.

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Profession

Occupational Therapy

Regions covered

, Hampshire, West Sussex

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills

Jennifer

Surrey, South East of England

Working in Surrey and South London, Jennifer is an experienced OT specialising in Rehabilitation, Hand Therapy, Seating and Posture management.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Surrey, London - South

Specialisms

Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Splinting, Wheelchair accreditation, TBI

Claire

Newport, Wales

OT Claire delivers Seating & Postural Management, Functional Rehabilitation, and Moving & Handling services in Wales (Cardiff, Monmouthshire) and Bristol.

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Profession

Occupational Therapy

Regions covered

Wales, Bristol, Gloucestershire, Herefordshire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Monmouthshire, Newport, Torfaen, Cardiff

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Self care, Postural management

Liz

Liverpool, Merseyside

Liz is a therapist specialising in Functional Rehabilitation & Housing and Equipment for pain conditions and more.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Merseyside

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Motivational issues, Daily living skills, Anxiety management & relaxation, Mental Health

Sarah

Derbyshire, East Midlands

Based in Derbyshire, Sarah is a highly experienced Occupational Therapist who visits clients across the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Leicestershire, Nottinghamshire, South Yorkshire, Staffordshire, West Midlands, Birmingham, Sheffield, Coventry, Nottingham, Leicester, Stoke-on-Trent, Wolverhampton, Derby

Specialisms

Housing and Equipment, Seating and Postural management, Moving and Handling

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Planning & execution, Self care, Postural management

Ana

Oxfordshire, South of England

South of England based OT Ana specialises in housing & equipment, seating & postural management and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

South of England, Gloucestershire, Oxfordshire, Warwickshire, Wiltshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

DFG Assessments, Fatigue management, Daily living skills, Postural management, Wheelchair accreditation

Sue

Somerset, West and South West of England

Sue specialises in Housing & Equipment, having developed her expertise in environments across Somerset for the past 20 years.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Devon, Dorset, Somerset, Wiltshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care

Natiq

London - East, Essex

Qualifying in 2011, Natiq specialises in housing & equipment, rehabilitation and seating & postural management for adults and children.

View profile

Profession

Occupational Therapy

Regions covered

London, Essex

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, School Based Therapy/Support, Mental Health

Rosina

Bedfordshire, East Anglia

OT Rosina, from Dunstable, travels Bedfordshire working in Luton and Milton Keynes. She specialises in Functional and Vocational Rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire

Specialisms

Functional rehabilitation

Specialist skills

Daily living skills, Community access, Behaviour management, Anxiety management & relaxation, Mental Health

Stacey

Derby, Derbyshire

Stacey, an Occupational Therapist based in the East Midlands, specifically Derby and Derbyshire, specialises in housing and equipment, and rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Nottinghamshire, Nottingham, Derby

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Balance, Co-ordination, Planning & execution, Self care, Social integration, Anxiety management & relaxation

Emma

London - Central, Middlesex

Functional Rehabilitation Occupational Therapist Emma specialises in fatigue and pain management and daily living skills

View profile

Profession

Occupational Therapy

Regions covered

London, Middlesex, London - Central, London - North, London - South, London - East, London - West

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills, Community access, Self care

Jenna

Oxfordshire, South East of England

Operating in the South of England, OT Jenna specialises in hand therapy, functional rehabilitation, moving and handling, and splinting

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Oxfordshire

Specialisms

Hand Therapy, Functional rehabilitation, Moving and Handling

Specialist skills

Splinting

Julie

Cheshire, North West England

Specialising in Functional and Neurological Rehabilitation, Julie is an Occupational Therapist based in Crewe, just south of Liverpool and Manchester.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, Wales, Cheshire, Derbyshire, Greater Manchester, Lancashire, Merseyside, Shropshire, Staffordshire, West Midlands, Conwy, Isle of Anglesey, Wrexham, Liverpool, Manchester, Stoke-on-Trent, Wolverhampton

Specialisms

Functional rehabilitation

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Behaviour management, Planning & execution, Self care, Social integration, Anxiety management & relaxation, Mental Health

Angela

Dumfries and Galloway, Scotland

Angela is an experienced Occupational Therapist specialising in Neurological Rehabilitation. She visits clients across North-West England and Scotland.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Scotland, Cumbria, Dumfries and Galloway

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Planning & execution, Self care, Anxiety management & relaxation

Andrea

Surrey, South East of England

Andrea is an experienced OT based in Surrey and provides expert rehabilitation to clients with complex needs.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Hampshire, Surrey

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Routine planning, Daily living skills, Self care

Sally

Devon, West and South West of England

Housing and Equipment specialist OT works in West and South West England, specifically Cornwall and Devon.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

Housing and Equipment

Further qualifications

Train the trainer

Lisa

London - South, Kent

Lisa is an expert Housing and Equipment Occupational Therapist, delivering specialist assessments to clients in London and Kent.

View profile

Profession

Occupational Therapy

Regions covered

London, Kent, London - Central, London - South

Specialisms

Housing and Equipment, Functional rehabilitation

Further qualifications

BIA

Specialist skills

DFG Assessments, Daily living skills

Jessica

London - South, London

Jessica Smith is an accomplished Occupational Therapist from London.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Community access, Behaviour management, Visual perception, Self care, Splinting

Emma

North Yorkshire, Yorkshire and Lincolnshire

Rebecca Collins is a highly skilled occupational therapist with a specialisation in Functional and Neuro rehabilitation.

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Profession

Occupational Therapy

Regions covered

North East England, East Riding of Yorkshire, Humberside, North Yorkshire, South Yorkshire, West Yorkshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH, AMPS, Postgraduate cert. Vocational Rehab

Specialist skills

Motivational interviewing, Blue Badges / Mobility Assessments, Fatigue management, Daily living skills, Planning & execution, Postural management, Anxiety management & relaxation, TBI

Client feedback

Further reading

Our news & press

How Can Occupational Therapy Help Reduce the NHS’s Bed Capacity Problem?

With the public sector currently in crisis, considering a deeper relationship between the private sector and the NHS is essential. Utilising the independent sector fully will significantly reduce the bed capacity challenges facing the NHS today.

Read more

Interested in Private Practice

Supporting Housing and Equipment OTs in Clinical Practice

Alongside The OT Practice is a network of 300 OT associates working in the community, and this number is continuing to grow. Find out how Di, our expert Housing and Equipment Clinical Lead, offers support to our therapists and the advice she has to offer to those considering private practice.

Read more