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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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Sherean

Buckinghamshire, South East of England

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

View profile

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

Hannah

Norfolk, East Anglia

Occupational Therapist Hannah specializes in housing and equipment, seating and postural management, functional rehabilitation, moving and handling, and neurological rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Self care, Postural management

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

Louise

Dorset, South of England

Specialising in mental health and cognitive impairments, Louise provides expert Occupational Therapy to clients across the South of England.

View profile

Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Wiltshire

Specialisms

Functional rehabilitation

Further qualifications

AMPS

Specialist skills

Motivational issues, Routine planning, Daily living skills, Community access, Social integration, Anxiety management & relaxation, Mental Health

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

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

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

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

Stacey

Kent, South East of England

Based in Canterbury, Stacey is an expert OT providing assessments and interventions for adults with physical and neurological conditions.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Self care, Postural management, TBI

Lucy

Cambridgeshire, East Anglia

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

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Hertfordshire, Norfolk, Northamptonshire, Suffolk

Specialisms

Paediatrics, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation

Further qualifications

AMPS, Train the trainer

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Behaviour management, Co-ordination, Self care, Social integration

Jennifer

Middlesbrough, North Yorkshire

Jennifer provides expert occupational therapy to clients across the North of England, including Durham, Liverpool, Manchester, and Newcastle.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, Cleveland, Cumbria, Durham, East Riding of Yorkshire, Greater Manchester, Humberside, Lancashire, Lincolnshire, Merseyside, North Yorkshire, South Yorkshire, Tyne and Wear, West Yorkshire, Leeds, Sheffield, Liverpool, Manchester, Sunderland, Newcastle upon Tyne, Hull, Salford, Middlesbrough

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Daily living skills, Community access, Self care, Social integration, 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

Harriet

Buckinghamshire, South East of England

Harriet is an expert functional rehabilitation Occupational Therapist, delivering specialist assessments to clients in South East England and London.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Bedfordshire, London - North

Specialisms

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

Specialist skills

Daily living skills

Sue

Bristol, Bristol

Sue specialises in Housing and Equipment, Seating and Postural Management, and Moving and Handling assessments for both children and adults.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Devon, Dorset, Gloucestershire, Hampshire, Wiltshire

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills

Laura

Oxfordshire, South East of England

Trained in advanced postural management and rehabilitation techniques, Laura provides expert Occupational Therapy to clients at home.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, London, South of England, South East of England, Berkshire, Buckinghamshire, Gloucestershire, Hampshire, Hertfordshire, Middlesex, Northamptonshire, Oxfordshire, Surrey, Warwickshire

Specialisms

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

Further qualifications

AMPS

Specialist skills

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

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

Carole

Fife, Scotland

Based in Fife, Carole provides expert occupational therapy helping adults with Housing & Equipment and Rehabilitation needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Aberdeenshire, Argyll and Bute, Clackmannan, Dundee (City of), East Lothian, Edinburgh (City of), Falkirk, Fife, Highland, Moray, Perthshire and Kinross, West Lothian

Specialisms

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

Further qualifications

AMPS

Specialist skills

Counselling, PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Behaviour management, Self care, Social integration

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

Jessica

Newcastle upon Tyne, Northumberland

Jess supports children and adults with functional rehabilitation, equipment adaptations, moving and handling, and complex paediatrics clients.

View profile

Profession

Occupational Therapy

Regions covered

North East England

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Co-ordination, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Dysphagia management

Niharika

London - West, Middlesex

Niharika offers expert Neurological Rehabilitation services, focusing on tailored assessments and treatment strategies for adults with neurological conditions.

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Profession

Occupational Therapy

Regions covered

London, Berkshire, Buckinghamshire, Middlesex

Specialisms

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

Georgia

London

OT Georgia has experience in vocational and functional rehabilitation, as well as expertise in seating and postural management.

View profile

Profession

Occupational Therapy

Regions covered

London, Kent

Specialisms

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

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Fine motor skills, Planning & execution, Self care, Postural management, Wheelchair accreditation, Anxiety management & relaxation

Kerri

Antrim, Northern Ireland

Kerri, an Occupational Therapist, specializes in housing and equipment, and wheelchair accreditation. Her professional dedication extends to various regions,

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Profession

Occupational Therapy

Regions covered

North West England, West and South West of England, South of England, Scotland, Ireland, Wales , Glasgow, Liverpool, Bristol, Sunderland, Belfast, Newcastle upon Tyne, Brighton, Stoke-on-Trent

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

Wheelchair accreditation

Leroy

Kent, South East of England

Specializing in housing and equipment, seating and postural management, and moving and handling, Leroy is a dedicated Occupational Therapist.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Kent, London - Central, London - North, London - South, London - East, London - West

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Daily living skills, Gross motor skills, Self care

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

Jenna

Oxfordshire, South East of England

Operating in the South of England, OT Jenna specialises in hand therapy, functional rehabilitation, moving and handling, and splinting

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Profession

Occupational Therapy

Regions covered

South East of England, Oxfordshire

Specialisms

Hand Therapy, Functional rehabilitation, Moving and Handling

Specialist skills

Splinting

Val

Cornwall, West and South West of England

Val is an accredited Best Interests Assessor, delivering specialist assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, Bristol, Cornwall, Devon, Isles of Scilly, Bristol, Plymouth, Salford

Specialisms

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

Further qualifications

AMPS, BIA, Therapeutic listening

Specialist skills

Counselling, DFG Assessments, Fatigue management, Motivational issues, Daily living skills, Community access

Kathryn

Newcastle upon Tyne, Tyne and Wear

Based in Newcastle, Kathryn is an expert OT working with clients with rehabilitation needs across the North East of England.

View profile

Profession

Occupational Therapy

Regions covered

North West England, North East England

Specialisms

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

Specialist skills

TBI

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

Claire

Liverpool, Greater Manchester

Specialising in Housing and Equipment, Moving and Handling, and Functional Rehabilitation Occupational Therapist Claire works across North West England.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

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

Sue

Gloucestershire, West and South West of England

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

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

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

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