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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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Sharon

London - West, London

Sharon is an experienced Occupational Therapist in London, specialising in Housing and Equipment and Functional Rehabilitation for mental health conditions.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation

Specialist skills

Routine planning, Daily living skills, Community access, Planning & execution, Self care, Social integration, Mental Health

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

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

Tamara

Gloucestershire, West and South West of England

Occupational Therapist Tamara is a specialist in functional rehabilitation, she has worked with a variety of conditions.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Gloucestershire, Bristol, Swindon

Specialisms

Functional rehabilitation

Specialist skills

Motivational issues, Routine planning, Daily living skills, Community access, Planning & execution, Learning disability, Mental Health

Lucy

London - South, London

Based in London, Lucy is an Occupational Therapist with over 15 years of experience specialising in neurological rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Daily living skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Postural management, Splinting, TBI

Karina

London - West, London

Specialising in Seating and Postural Management, Functional Rehabilitation and Moving and Handling, Karina provides occupational therapy services in London.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Motivational interviewing, Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Planning & execution, Postural management

Tanya

Hertfordshire, South East of England

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

View profile

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

Alistair

Pembrokeshire, Wales

Alistair, an accomplished Occupational Therapist residing in Pembrokeshire, Wales who specialises in in Functional and Neurological rehabilitation, and housing adaptions.

View profile

Profession

Occupational Therapy

Regions covered

North West England, West Midlands, South of England, South East of England, Scotland, Ireland, Wales, Avon, Berkshire, Bristol, Buckinghamshire, Cheshire, Cumbria, Derbyshire, Dorset, Gloucestershire, Greater Manchester, Herefordshire, Kent, Aberdeen City, Aberdeenshire, Borders, Orkney, Shetland, South Lanarkshire, Bridgend, Cardiff, Merthyr Tydfil, Neath Port Talbot, Newport, Pembrokeshire, Powys, Rhondda Cynon Taff, Swansea, Wrexham

Specialisms

Functional rehabilitation, Neurological rehabilitation

Jennie

Hampshire, South East of England

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

View profile

Profession

Occupational Therapy

Regions covered

, Hampshire, West Sussex

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills

Kate

Wakefield, West Yorkshire

Working across Yorkshire, Kate is an OT with over a decade’s experience in Seating and Postural Management and Functional Rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment

Specialist skills

Postural management, Learning disability

Simone

Surrey, South East of England

Simone is an expert OT based in Surrey and specialises in brain injury, dementia, and neurological conditions.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Surrey, London - West

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Routine planning, Daily living skills, Planning & execution, Self care, Postural management

Charlotte

Lincolnshire, East Midlands

Based in Lincolnshire, Charlotte is an expert Housing and Rehabilitation OT, working with clients across the East Midlands.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Cambridgeshire, Lincolnshire, Nottinghamshire

Specialisms

Housing and Equipment, Neurological rehabilitation

Specialist skills

DFG Assessments, Fatigue management, Daily living skills

Joanne

London - East, Essex

Based in London, Joanne is a specialist OT offering neurological rehabilitation for clients with acquired brain injury and neurological conditions.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Routine planning, Community access, TBI

Lisa

Birmingham, West Midlands

Lisa is an advanced OT in Functional Rehab, Stroke & Neuro Rehab, Moving & Handling covering the West Midlands.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands

Specialisms

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

Specialist skills

Gross motor skills, Fine motor skills

Jordan

Birmingham, West Midlands

Jordan, a Specialist Occupational Therapist in the West Midlands, provides expert support in housing, equipment, rehabilitation, and moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham, Wolverhampton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills

Carlie

Lancashire, North West England

Carlie is an expert OT in neuro and functional rehabilitation based in Lancashire, providing specialist interventions for adults.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside, Manchester, Salford

Specialisms

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

Further qualifications

AMPS

Specialist skills

Motivational interviewing, Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Planning & execution, Self care, Social integration, Anxiety management & relaxation, TBI

Sherean

Buckinghamshire, South East of England

Based in Buckinghamshire, Sherean delivers specialist housing & equipment and rehabilitation assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

East Midlands, South East of England, Bedfordshire, Buckinghamshire, Northamptonshire, Oxfordshire

Specialisms

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

Further qualifications

Sensory Integration, AMPS, BIA

Specialist skills

Routine planning, Daily living skills, Community access, Sensory integration, Self care, Social integration, Anxiety management & relaxation, Mental Health

Natasha

Kent, South East of England

With over two decades of experience, highly skilled Occupational Therapist Natasha provides specialised therapy services across South East England.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, East Sussex, Essex, Hertfordshire, Kent, Surrey, West Sussex

Specialisms

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

Specialist skills

PIPs, Fatigue management, Pain management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Balance, Co-ordination, Self care, Social integration, Sign Language, Wheelchair accreditation, Anxiety management & relaxation, TBI

Charlotte

Cambridgeshire, East Anglia

Charlotte is an experienced Occupational Therapist specialising in Housing and Equipment, Moving and Handling and Rehabilitation across East Anglia.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Cambridgeshire, Hertfordshire, Norfolk, Suffolk

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills

Nikki

Middlesex, South East of England

Nikki is a highly skilled OT, specialising in Housing & Equipment. She is based in Middlesex, visiting clients across London.

View profile

Profession

Occupational Therapy

Regions covered

London, South East of England, Bedfordshire, Berkshire, Buckinghamshire, Hertfordshire, Middlesex, London - Central, London - North, London - South, London - East, London - West

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Visual perception, Self care

Catherine

Sheffield, South Yorkshire

Working across Yorkshire and the East Midlands, Catherine is an expert OT working with clients with Vocational Rehabilitation needs.

View profile

Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, East Midlands, Derbyshire, East Riding of Yorkshire, Greater Manchester, Lancashire, Leicestershire, Lincolnshire, Nottinghamshire, South Yorkshire, West Yorkshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation

Further qualifications

AMPS

Specialist skills

Motivational interviewing, Fatigue management, Daily living skills

Rachael

Bedfordshire, East Anglia

Based in Bedfordshire, Rachael is a specialist OT providing housing and rehabilitation assessments to clients across East Anglia.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Hertfordshire, Norfolk, Suffolk, London - North

Specialisms

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

Further qualifications

BOBATH, BIA

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care

Marie

Worcestershire, West Midlands

Based in Evesham, Worcestershire, Marie is a Paediatric OT specialising in neurological conditions and brain injury.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Gloucestershire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics, Housing and Equipment

Further qualifications

BOBATH

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, School Based Therapy/Support, Learning disability

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

Emma

Warwickshire, West Midlands

Emma is an experienced Paediatric Occupational Therapist providing specialised care to children across the Midlands in various settings.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Gloucestershire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Coventry, Nottingham, Leicester, Wolverhampton, Derby

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management

Specialist skills

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

Rosie

Lincolnshire, Yorkshire and Lincolnshire

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

View profile

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

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

Fiona

Edinburgh, Borders

Experienced in providing specialist Neurological Rehabilitation, Functional Rehabilitation and Moving and Handling assessments, Fiona covers Scottish Borders, Edinburgh and Glasgow.

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Profession

Occupational Therapy

Regions covered

North East England, Scotland, Tyne and Wear, Borders, East Lothian, Edinburgh (City of), Falkirk, Glasgow (City of), Midlothian, Stirling, Glasgow, Edinburgh, Newcastle upon Tyne

Specialisms

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

Further qualifications

Therapeutic listening

Specialist skills

Counselling, Fatigue management, Routine planning, Daily living skills, Visual perception, Planning & execution, Self care, Splinting, Anxiety management & relaxation, Mental Health, TBI

Julie

London - West, Berkshire

Julie, an Occupational Therapist, specialises in functional rehabilitation, neurology, complex paediatrics, and handwriting assessments.

View profile

Profession

Occupational Therapy

Regions covered

London, Berkshire, London - West

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Handwriting assessment & treatment

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

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