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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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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

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

Joy

Leicester, Northamptonshire

Midlands based Joy is an Occupational Therapist specializing in Housing & Equipment, Functional Rehabilitation, and Moving & Handling.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Bedfordshire, Kent, Leicestershire, Northamptonshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

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

Sally

Devon, West and South West of England

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

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

Housing and Equipment

Further qualifications

Train the trainer

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

Charlotte

Southampton, Hampshire

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

View profile

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

Carly

Essex, South East of England

Specialist Occupational Therapist Carly provides neurological rehabilitation and housing adaptations across South East England, offering tailored, evidence-based interventions.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Essex

Specialisms

Housing and Equipment, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Routine planning, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Self care, Postural management, Mental Health, TBI

Sophy

Northamptonshire, East Midlands

Based in Northampton, Sophy is an OT with expertise in the field of Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, London, Bedfordshire, Buckinghamshire, Cambridgeshire, Leicestershire, Northamptonshire, Rutland, Warwickshire, London - North, Coventry, Leicester

Specialisms

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

Specialist skills

Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Planning & execution, Self care, Social integration, Anxiety management & relaxation, TBI

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

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

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

Julie

Cheshire, North West England

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

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation

Specialist skills

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

Roberta

Northamptonshire, East Midlands

Roberta is an experienced OT based in Northampton, offering specialist Housing & Equipment, Seating, and Moving & Handling recommendations.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Bedfordshire, Buckinghamshire, Cambridgeshire, Leicestershire, Northamptonshire, Oxfordshire, Rutland, Warwickshire, Birmingham, Coventry, Leicester

Specialisms

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

Specialist skills

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

Donna

Kent, South East of England

Working in Kent, Donna is a highly skilled OT specialising in Housing and Equipment interventions.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care

Whitney

Cambridgeshire, East Anglia

Whitney is a skilled Functional Rehabilitation Occupational Therapist helping adults and older adults across East Anglia achieve their full potential.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Cambridgeshire, Lincolnshire, Norfolk, Northamptonshire, Nottinghamshire, Suffolk

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments

Benedicta

Buckinghamshire, West Midlands

Benedicta is a dedicated occupational therapist specialising in Functional Rehab and Housing & Equipment solutions.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, Bedfordshire, Buckinghamshire, Essex, Herefordshire, Nottinghamshire, Oxfordshire, West Midlands

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

DFG Assessments, Daily living skills

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

Wendy

Sheffield, Derbyshire

Wendy provides specialist Occupational Therapy services, focusing on rehabilitation, housing adaptations, seating, postural management, and complex condition management.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Derbyshire, Sheffield, Manchester, Nottingham, Derby

Specialisms

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

Specialist skills

Daily living skills, Community access, Gross motor skills, Postural management, Anxiety management & relaxation

Emma

Wakefield, West Yorkshire

Specialising in rehabilitation, Occupational Therapist Emma provides services across Yorkshire, the Midlands, the North East and North West of England.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, Leeds, Sheffield, Bradford, Wakefield, Hull, Derby

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Mental Health

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, Leicestershire, Shropshire, Warwickshire, West Midlands, Worcestershire

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

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

Lisa

London - South, Kent

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

View profile

Profession

Occupational Therapy

Regions covered

London, Kent, London - Central, London - South

Specialisms

Housing and Equipment, Functional rehabilitation

Further qualifications

BIA

Specialist skills

DFG Assessments, Daily living skills

Aminah

Buckinghamshire, South East of England

Specialising in functional rehabilitation and moving and handling, Aminah is an Occupational Therapist covering South East England.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Buckinghamshire

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Balance

Jennie

South Yorkshire, Yorkshire and Lincolnshire

Jennie is a highly experienced OT based in Doncaster. She provides Functional and Neuro rehabilitation for adults across Yorkshire.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, South Yorkshire, Sheffield

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care

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

Jodie

Kent, South East of England

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

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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

Joanne

London - East, Essex

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

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Routine planning, Community access, TBI

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

Liz

Gloucestershire, West and South West of England

Liz is an expert Occupational Therapist specialising in rehabilitation, equipment, and mobility, serving Gloucestershire, Herefordshire, and Monmouthshire.

View profile

Profession

Occupational Therapy

Regions covered

Specialisms

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

Jennie

London - West, Middlesex

Jennie, an accomplished Occupational Therapist, specialises in vocational and functional rehabilitation, she works in Middlesex, London and Hertfordshire.

View profile

Profession

Occupational Therapy

Regions covered

London, Hertfordshire, Middlesex, London - Central, London - North, London - West

Specialisms

Vocational Rehabilitation, Functional rehabilitation

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Anxiety management & relaxation

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