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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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Sara

Flintshire, Wales

Sara is a highly experienced Occupational Therapist with over three decades of expertise in rehabilitation, adaptations, and independent living solutions.

View profile

Profession

Occupational Therapy

Regions covered

Wales, Cheshire, Liverpool

Specialisms

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

Further qualifications

BIA

Specialist skills

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

Rosie

Lincolnshire, Yorkshire and Lincolnshire

Rosie is a Specialist Paediatric Occupational Therapist and Sensory Integration Practitioner offering services across the East Midlands.

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Profession

Occupational Therapy

Regions covered

East Midlands

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration, Sensory Attachment Therapy

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Balance, Co-ordination, Planning & execution, School Based Therapy/Support, Sensory attachment intervention, Learning disability, Mental Health

Sara

Cardiff, The Vale of Glamorgan

Experienced Occupational Therapist, Sara specialises in rehabilitation, delivering compassionate, person-centred care across Wales and South West England.

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Profession

Occupational Therapy

Regions covered

South East of England, Wales, Avon, Gloucestershire, Herefordshire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Flintshire, Monmouthshire, Newport, Rhondda Cynon Taff, Swansea, Torfaen, The Vale of Glamorgan, Bristol, Cardiff, Swansea

Specialisms

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

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Balance, Planning & execution, Self care, Social integration, Postural management, Splinting, Wheelchair accreditation, Anxiety management & relaxation, TBI

Liz

Cornwall, South of England

Based in Cornwall, Occupational Therapist Liz provides comprehensive, client-centred assessments in Neuro, Seating and rehabilitation.

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Profession

Occupational Therapy

Regions covered

South of England, Cornwall

Specialisms

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

Further qualifications

BOBATH, Therapeutic listening

Specialist skills

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

Jasmine

Gloucestershire, West and South West of England

Jasmine offers specialised occupational therapy services for paediatrics and adults, focusing on neurological rehabilitation and functional skills.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Wales, Bristol, Gloucestershire, Herefordshire

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Motivational interviewing, PIPs, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Sensory attachment intervention, Learning disability, TBI

Leah

Northamptonshire, East Midlands

Leah has a wealth of experience across different areas of speciality including elderly care, rehabilitation, equipment provision and neurology.

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Profession

Occupational Therapy

Regions covered

East Midlands, Bedfordshire, Buckinghamshire, Northamptonshire

Specialisms

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

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Planning & execution, Self care, TBI

Hayley

Norfolk, East Anglia

Hayley is an experienced OT who delivers expert Functional Rehabilitation to clients across East Anglia.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Norfolk, Suffolk

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Planning & execution, Self care, Postural management, Anxiety management & relaxation

Jane

Edinburgh, West Lothian

Jane is an experienced occupational therapist specialising in equipment and adaptations, moving and handling, specialist seating, rehabilitation, goal setting.

View profile

Profession

Occupational Therapy

Regions covered

North West England, North East England, Scotland

Specialisms

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

Specialist skills

Motivational interviewing, DFG Assessments

Lesley

Manchester, Greater Manchester

Lesley, an Occupational Therapist who qualified in 2008, specialises in housing and equipment, alongside moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, West Midlands

Specialisms

Housing and Equipment, Moving and Handling

Aaron

Wakefield, Yorkshire and Lincolnshire

Aaron, an Occupational Therapist, specialises in housing and equipment, functional rehab, and moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Yorkshire, Leeds, Manchester, Wakefield, Hull

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Blue Badges / Mobility Assessments, Routine planning, Community access

Anna

Stoke-on-Trent, Staffordshire

Anna, a dedicated Occupational Therapist based in the Midlands, serves Cheshire, Derbyshire, Staffordshire, and Stoke-on-Trent and has multiple specialisms.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Cheshire, Derbyshire, Staffordshire, West Midlands, Stoke-on-Trent

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Splinting, TBI

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

Dawn

Plymouth, Devon

Devon based OT Dawn has over 20 years of experience specialising in Functional Rehabilitation and Mental Health.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Devon

Specialisms

Functional rehabilitation

Specialist skills

Mental Health

Ebby

Dumfries and Galloway, Scotland

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

View profile

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

Christine

East Riding of Yorkshire, Yorkshire and Lincolnshire

Qualifying in 1992, Christine specialises in moving & handling, housing & equipment and neurological & functional rehabilitation for adult clients.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Humberside, North Yorkshire, Hull

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

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

Clare

Wiltshire, South East of England

Specialising in Housing & Equipment, Clare is an OT based in Buckinghamshire delivering assessments for clients across the South East.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

BIA, Train the trainer

Michaela

Liverpool, Merseyside

Michaela specializes in seating and postural management, and functional and neurological rehabilitation across inpatient and community settings.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Merseyside, Flintshire, Isle of Anglesey, Wrexham

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Planning & execution, Self care, Postural management, Wheelchair accreditation, Anxiety management & relaxation, TBI

Tanya

Hertfordshire, South East of England

Tanya is an OT in Housing & Equipment and Moving & Handling, visiting clients across Hertfordshire, London, and East Anglia.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South of England, South East of England, Bedfordshire, Berkshire, Buckinghamshire, Cambridgeshire, East Sussex, Essex, Hertfordshire, Kent, Northamptonshire, Suffolk

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

Motivational interviewing, DFG Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Self care, Social integration, Postural management, Anxiety management & relaxation, Learning disability

Sam

Northamptonshire, East Midlands

Based in Northamptonshire, Sam is an OT with over 20 years of experience, specialising in rehabilitation and Housing & Equipment.

View profile

Profession

Occupational Therapy

Regions covered

, Bedfordshire, Leicestershire, Northamptonshire, Rutland, Warwickshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation

Specialist skills

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

Sandeep

London - East, Essex

Based in London, Occupational Therapist Sandeep specialising in Housing and Equipment, and Moving and Handling for both adults and children.

View profile

Profession

Occupational Therapy

Regions covered

London, East Sussex, London - East

Specialisms

Housing and Equipment, Moving and Handling

Jan

London

Jan is an expert OT delivering specialist Neurological, Vocational, and Functional Rehabilitation to clients across London.

View profile

Profession

Occupational Therapy

Regions covered

London, Essex, London - Central, London - East

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Planning & execution, Self care, Anxiety management & relaxation, TBI

Sian

Southampton, Hampshire

With over two decades of experience, Occupational Therapist Sian provides expert rehabilitation services across the South of England.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Dorset, Hampshire, Isle of Wight, Surrey, West Sussex, Wiltshire, Southampton, Swindon

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Planning & execution, Self care, Anxiety management & relaxation, Mental Health

Mary

Staffordshire, East Midlands

Mary is an experienced Occupational Therapist specialising in rehabilitation for long-term conditions, providing tailored therapy across the Midlands.

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Profession

Occupational Therapy

Regions covered

East Midlands, West Midlands

Specialisms

Hand Therapy, Functional rehabilitation, Neurological rehabilitation

Specialist skills

TBI

Ellen

Lincolnshire, East Midlands

Ellen is expert in falls prevention, neurological and cognitive assessments, rehabilitation planning, and mental health interventions.

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Profession

Occupational Therapy

Regions covered

North East England, East Midlands, Lincolnshire, North Yorkshire, South Yorkshire

Specialisms

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

Further qualifications

CBT

Specialist skills

Fatigue management, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Self care, Social integration, Mental Health, TBI

Jikku

Birmingham, West Midlands

Jikku is a skilled Occupational Therapist specialising in Moving and Handling, Neurological Rehabilitation, and tailored interventions across the West Midlands.

View profile

Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, West and South West of England, East Anglia, Gloucestershire, Herefordshire, Leicestershire, Northamptonshire, Warwickshire, West Midlands, Birmingham, Manchester, Coventry, Nottingham, Leicester, Stoke-on-Trent, Wolverhampton, Derby

Specialisms

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

Specialist skills

Fatigue management, Pain management, Daily living skills, Gross motor skills, Fine motor skills, Balance, Co-ordination, Postural management, Wheelchair accreditation

Gemma

Hampshire, South of England

Gemma is an Occupational Therapist specializing in housing and equipment, seating and postural management, functional and neurological rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Isle of Wight, Surrey, West Sussex, Wiltshire, Southampton

Specialisms

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

Specialist skills

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

Lisa

London

In London and Surrey, Lisa, an Occupational Therapist, specialises in housing and equipment, moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

London, Surrey

Specialisms

Housing and Equipment

Specialist skills

DFG Assessments

Fiona

Belfast, Antrim

Fiona specialises in functional rehabilitation, fatigue management, daily living skills, balance, and self-care. She works across the South of England.

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Profession

Occupational Therapy

Regions covered

East Midlands, South of England, Northern Ireland, Ireland, Berkshire, Hampshire, Oxfordshire, Surrey, Wiltshire, Antrim, Armagh, Down, Fermanagh, Londonderry, Tyrone

Specialisms

Functional rehabilitation

Specialist skills

Fatigue management, Daily living skills, Balance, Self care

Jodie

Kent, South East of England

OT Jodie provides Neurological rehabilitation in the South East of England.

View profile

Profession

Occupational Therapy

Regions covered

London, East Sussex, Kent, Surrey, West Sussex

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Planning & execution, Self care, TBI

Jessica

Nottingham, Nottinghamshire

Jessica is a highly skilled Occupational Therapist who works with adults across the East Midlands area.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Nottinghamshire, West Midlands, Birmingham, Coventry, Nottingham, Leicester, Stoke-on-Trent, Derby

Specialisms

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

Specialist skills

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