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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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Claire

Moray, Scotland

Supporting clients across Aberdeenshire and Moray, Claire is an experienced OT with expertise in Mental Health.

View profile

Profession

Occupational Therapy

Regions covered

Scotland, Aberdeen City, Aberdeenshire, Highland, Moray

Specialisms

Functional rehabilitation

Further qualifications

AMPS

Specialist skills

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

Amy

Devon, West and South West of England

Located in Devon, Amy is an expert OT who provides specialist interventions for clients across the South-West of England.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Daily living skills, Gross motor skills, Self care, Postural management, TBI

Rachelle

Hampshire, South East of England

Rachelle is a highly skilled Occupational Therapist specialising in housing, seating, functional and neurological rehabilitation, and moving & handling.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Hampshire

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Routine planning, Daily living skills, Community access, Postural management

Katie

London - South, London

Based in London, Katie provides expert Housing and Equipment, Moving and Handling, Seating and Postural Management, and Functional Rehabilitation assessments.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

AMPS

Specialist skills

Blue Badges / Mobility Assessments, Community access, Behaviour management, Balance, Co-ordination

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

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

Janette

Liverpool, Cheshire

Janette, a specialist Hand Therapist, provides expert assessment, treatment, and rehabilitation for upper limb conditions across North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Wales , Liverpool, Stoke-on-Trent

Specialisms

Hand Therapy, Functional rehabilitation

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Splinting, Anxiety management & relaxation

Sheila

London - West, Middlesex

Sheila, a dedicated Occupational Therapist in London, specialises in rehabilitation, aids, and adaptations, promoting independence and enhancing wellbeing.

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - North, London - West

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills, Community access, Gross motor skills, Balance

Rebecca

Edinburgh, Scotland

Specialising in Neurological and Functional Rehabilitation, expert Occupational Therapist Rebecca offers holistic care for complex conditions across Northumberland and Scotland.

View profile

Profession

Occupational Therapy

Regions covered

Scotland, Northumberland

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Daily living skills

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

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

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

Counselling, Fatigue management, Routine planning, Daily living skills, Community access, Visual perception, Co-ordination, Postural management

Eleanor

London - South, Surrey

Eleanor, an Occupational Therapist, operates in London, Surrey, and Kent, specialising in fatigue management and pain management.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Self care

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

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

Fran

Newcastle upon Tyne, Northumberland

Working in the North East of England, Fran is a dedicated Occupational Therapist specialising in housing & equipment.

View profile

Profession

Occupational Therapy

Regions covered

North East England, North Yorkshire, Newcastle upon Tyne

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments

Charlotte

Southampton, Hampshire

Charlotte is an OT based in Southampton, delivering specialist rehabilitation and housing assessments across the South of England.

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Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Wiltshire, Southampton

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Balance, Planning & execution, Self care, Anxiety management & relaxation, Learning disability

Emma

Shropshire, West Midlands

Specialising in Housing and Equipment and Moving and Handling, Emma provides expert assessments and interventions for both adults and children.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, Wales, Cheshire, Cumbria, Derbyshire, Gloucestershire, Greater Manchester, Herefordshire, Lancashire, Merseyside, Shropshire, Staffordshire, Warwickshire, West Midlands, Worcestershire, Conwy, Denbighshire, Flintshire, Gwynedd, Pembrokeshire, Powys, Wrexham, Birmingham, Sheffield, Liverpool, Manchester, Coventry, Stoke-on-Trent, Wolverhampton, Salford

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Self care, Postural management, Learning disability

Jo

Buckinghamshire, South East of England

Experienced Occupational Therapist Jo specialises in Neurological Rehabilitation, supporting adults with various conditions across the South East of England.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, Buckinghamshire, Hertfordshire, Oxfordshire

Specialisms

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

Further qualifications

Train the trainer, Certificate in Education

Specialist skills

Fatigue management, Pain management, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Balance, Planning & execution, Self care, Postural management, Splinting, Anxiety management & relaxation, TBI

Helen

Sheffield, Derbyshire

Helen is an experienced housing Occupational Therapist based in the North of England.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, East Midlands, Derbyshire, East Riding of Yorkshire, Greater Manchester, Humberside, Lincolnshire, North Yorkshire, Nottinghamshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Manchester, Wakefield, Nottingham, Hull, Stoke-on-Trent, Derby, Salford

Specialisms

Housing and Equipment

Specialist skills

DFG Assessments

Jackie

Conwy, Wales

Jackie is an experienced Occupational Therapist specialising in Housing, Equipment, and Moving and Handling across Wales and North West England.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Greater Manchester, Merseyside, Shropshire, Bridgend, Cardiff, Ceredigion, Conwy, Denbighshire, Flintshire, Isle of Anglesey, Merthyr Tydfil, Pembrokeshire, Powys, Swansea, Wrexham, Liverpool, Manchester, Bristol, Cardiff, Coventry, Swansea, Salford

Specialisms

Housing and Equipment, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Routine planning, Daily living skills, Community access, Self care, Mental Health

Thelma

London - North, Cambridgeshire

Thelma provides expert Occupational Therapy services addressing diverse physical and mental health conditions across North East England.

View profile

Profession

Occupational Therapy

Regions covered

North East England, Bedfordshire, Cambridgeshire, Lincolnshire, Northamptonshire, London - North, London - East, Edinburgh, Leicester

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Mental Health

Pilar

East Sussex, South of England

OT Pilar provides Functional Rehabilitation, Manual Handling, and Pain and Fatigue Management across East Sussex (Brighton) and South London.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, London, East Sussex, West Sussex, London - South, Brighton

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills

Dawn

Cornwall, West and South West of England

Dawn is an OT based in Cornwall, providing expert assessments and therapy for both adult and paediatric clients.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration, The Listening Programme

Specialist skills

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

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

Sarah

Bedfordshire, East Anglia

Sarah is an experienced Occupational Therapist based in Bedfordshire and the surrounding areas.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire, Buckinghamshire, Hertfordshire, Northamptonshire

Specialisms

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

Specialist skills

DFG Assessments

Lorna

Shropshire, West Midlands

Lorna is a Paediatric OT located in Shropshire, supporting with sensory and motor needs for clients across the West Midlands.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Cheshire, Herefordshire, Shropshire, Staffordshire, West Midlands, Powys, Birmingham, Stoke-on-Trent, Wolverhampton

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation

Georgina

Somerset, West and South West of England

Georgina, an Occupational Therapist, specialises in functional rehabilitation, moving and handling, blue badges/mobility assessment, and fatigue management.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Devon, Dorset, Somerset, Wiltshire, Bristol, Bath, Swindon

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

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

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

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

Liz

Liverpool, Merseyside

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

View profile

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

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