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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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Stefanie

Southampton, Hampshire

Trained in Sensory Integration techniques, Paediatric Occupational Therapist Stefanie helps families by treating children across Hampshire.

View profile

Profession

Occupational Therapy

Regions covered

South of England, Hampshire

Specialisms

Paediatrics, Functional rehabilitation

Anne

Warwickshire, West Midlands

Located in Solihull, Anne is a highly experienced OT providing comprehensive assessments and rehabilitation for clients across the Midlands.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Herefordshire, Leicestershire, Shropshire, Warwickshire, West Midlands, Worcestershire, Birmingham

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Train the trainer

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Daily living skills, Community access, Planning & execution, Self care

Katie

Dorset, West and South West of England

Visiting clients across the South-West, Katie is an OT with expertise in Housing & Equipment, Seating, and Moving & Handling.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments, PIPs, Fatigue management, Self care, Postural management, Wheelchair accreditation

Lucy

Cambridgeshire, East Anglia

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

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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

Sue

Gloucestershire, West and South West of England

As an OT with nearly 40 years of experience, Sue is an expert in paediatrics; vocational and functional rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Wales, Avon, Bristol, Gloucestershire, Somerset, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Pain management, Motivational issues, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Learning disability

Sue

Cardiff, Wales

Based in Cardiff, Sue specialises in Housing & Equipment and Moving & Handling assessments and interventions.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Bristol, Somerset, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Rhondda Cynon Taff, Swansea, Torfaen, Cardiff, Swansea

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Self care

Stephanie

Belfast, Antrim

OT Stephanie specialises in Functional and Neurological Rehabilitation, and Moving & Handling.

View profile

Profession

Occupational Therapy

Regions covered

Northern Ireland, Antrim, Armagh, Down, Fermanagh, Londonderry, Tyrone, Belfast

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Planning & execution, Postural management, Splinting, TBI

Mokter

London - East, Essex

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

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

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

Jennifer

West Sussex, South East of England

Trained in Sensory Integration, Specialist Paediatric Occupational Therapist Jennie, offers services to paediatric clients in Surrey, Sussex, Southampton and Portsmouth.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, East Sussex, Surrey, West Sussex

Specialisms

Paediatrics, Housing and Equipment

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, Postural management, School Based Therapy/Support

Ebby

Dumfries and Galloway, Scotland

Ebby provides expert Occupational Therapy, helping adults across Scotland with Functional Rehabilitation and Hand Therapy.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Northumberland, Tyne and Wear, Argyll and Bute, Borders, Clackmannan, East Ayrshire, East Dunbartonshire, East Renfrewshire, Edinburgh (City of), Falkirk, Glasgow (City of), Inverclyde, Midlothian, North Ayrshire, North Lanarkshire, Renfrewshire, South Ayrshire, South Lanarkshire, West Dunbartonshire, West Lothian, Glasgow, Edinburgh

Specialisms

Hand Therapy, Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Daily living skills, Community access, Planning & execution, Self care, Social integration

Louise

Derby, Derbyshire

Based in Derby, Louise provides expert Occupational Therapy helping clients with Housing & Equipment and Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

North West England, Yorkshire and Lincolnshire, West Midlands, East Midlands, London, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Shropshire, Staffordshire, West Midlands, Channel Islands, Birmingham, Nottingham, Leicester, Stoke-on-Trent, Derby

Specialisms

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

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care, Social integration, Postural management, Anxiety management & relaxation

Zoe

Cornwall, West and South West of England

With over three decades of experience, Zoe is a highly experienced Occupational Therapist working across the West of England.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Bristol, Cornwall, Devon, Dorset

Specialisms

Housing and Equipment, Functional rehabilitation

Gemma

London - North, Bedfordshire

Gemma is a dedicated Occupational Therapist with a specialization in Housing and Equipment, Functional Rehabilitation, and Moving and Handling.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire, Buckinghamshire, Cambridgeshire, Northamptonshire, Oxfordshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Planning & execution, Self care, Postural management, Wheelchair accreditation

Ekaete

Essex, London

Ekaeke is a Neurological Rehabilitation Occupational Therapist specialising in Brain Injury based around Chelmsford and working in Essex.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Essex

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, TBI

Sharne

Hampshire, South of England

Sharne is an Occupational Therapist specialising in Functional Rehab as well as Housing & Equipment. Sharne visits clients across Hampshire.

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Profession

Occupational Therapy

Regions covered

South of England, South East of England, Hampshire, Isle of Wight, West Sussex, Brighton, Southampton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Self care

Gaynor

Northamptonshire, East Midlands

Gaynor is a highly skilled OT providing expert neurological, vocational, and functional rehabilitation to clients in the East Midlands

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Midlands, East Anglia, Cambridgeshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, South Yorkshire, Warwickshire, London - North, Nottingham, Leicester

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

PIPs, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Social integration, Anxiety management & relaxation, TBI

Jacqui

Flintshire, Wales

Based in Flintshire, Jacqui is an experienced OT specialising in Functional & Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Greater Manchester, Merseyside, Shropshire, Conwy, Denbighshire, Flintshire

Specialisms

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

Further qualifications

BIA

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Planning & execution, Self care, Postural management, Wheelchair accreditation, Learning disability

Kieran

Wakefield, West Yorkshire

Specialising in hand therapy, Kieran, an Occupational Therapist, possesses advanced skills in pain management, fine motor skills, and splinting.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Lancashire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Manchester, Wakefield

Specialisms

Hand Therapy, Housing and Equipment

Specialist skills

Pain management, Daily living skills, Fine motor skills, Self care, Splinting

Catherine

London - South, Kent

Located in London, Catherine is an expert Occupational Therapist who supports adults of all ages with rehabilitation needs.

View profile

Profession

Occupational Therapy

Regions covered

London, Kent, London - South

Specialisms

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

Further qualifications

BIA

Specialist skills

Blue Badges / Mobility Assessments, Community access, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Anxiety management & relaxation

Josie

Essex, South East of England

Josie is an OT providing expert Housing & Equipment assessments and recommendations across Essex and the South East.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Essex

Specialisms

Housing and Equipment, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Learning disability

Carole

Greater Manchester, North West England

Carole is an experienced Occupational Therapist, supporting clients across North West England with complex needs, home adaptations, and equipment provision.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Manchester

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Balance, Planning & execution, Self care, Postural management, Anxiety management & relaxation

Anna

Kent, South East of England

An expert OT in Neurological Rehabilitation, Anna works with adult clients in Kent and London.

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Profession

Occupational Therapy

Regions covered

, Kent

Specialisms

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

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Behaviour management, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Splinting

Maria

Swindon, Gloucestershire

With over 15 years experience occupational therapist Maria, specializes in hand therapy, functional rehabilitation, and moving and handling,

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Gloucestershire, Oxfordshire, Wiltshire, Swindon

Specialisms

Hand Therapy, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills, Fine motor skills, Balance, Self care, Splinting

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

Darragh

Dorset, South of England

Darragh is a highly specialist Occupational Therapist who practices in Major Trauma & Orthopaedics & Neurotherapy.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, South East of England, Dorset, Hampshire, Southampton

Specialisms

Functional rehabilitation, Neurological rehabilitation

Further qualifications

Certificate in Education

Specialist skills

Fatigue management, Pain management, Daily living skills, Behaviour management, Planning & execution, Self care

Alex

West Yorkshire, Yorkshire and Lincolnshire

Alex is an expert OT specialising in the field of Neurological Rehabilitation, covering Yorkshire and the North of England.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Lancashire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Wakefield

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, Postural management, Splinting, Anxiety management & relaxation, TBI

Tracy

Leeds, West Yorkshire

Specialising in Neurological Rehabilitation, Tracy is an expert OT working across Yorkshire and Lincolnshire.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Wakefield, Hull

Specialisms

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

Further qualifications

AMPS

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Behaviour management, Planning & execution, Self care, Social integration, Anxiety management & relaxation, Learning disability, Mental Health, TBI

Abigail

Bristol, Bristol

Abi helps with moving and handling, functional rehabilitation, housing and equipment, specialising in stroke and cancer care and paediatrics.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Avon, Bristol, Gloucestershire, Somerset, Bridgend, Cardiff, Newport, The Vale of Glamorgan, Bristol, Cardiff, Bath, Swindon

Specialisms

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

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Self care, Postural management, Anxiety management & relaxation, TBI

Katherine

Dorset, South of England

Qualifying in 2004, Katherine is an experienced OT specialising in Paediatrics and Housing, providing tailored support across Dorset and Hampshire.

View profile

Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire

Specialisms

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

Rebecca

Cambridgeshire, East Anglia

Located in Cambridge, Rebecca is an experienced OT supporting clients with home adaptations, specialist equipment provisions, and rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Buckinghamshire, Cambridgeshire, Essex, Hertfordshire, Lincolnshire, Norfolk, Suffolk

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Self care

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