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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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Elizabeth

London - Central, London

Elizabeth is a passionate and dedicated Occupational Therapist who has specialised in supporting paediatric clients in London.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

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

Specialist skills

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

Leila

West Sussex, South East of England

Leila, an OT focusing on housing and equipment, functional rehabilitation, and moving and handling, brings her expertise to London.

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Profession

Occupational Therapy

Regions covered

London, South East of England, East Sussex, Essex, Hampshire, Kent, Surrey, West Sussex, London - South, Brighton, Southampton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Self care, Wheelchair accreditation

Katrina

Dorset, West and South West of England

Katrina is an experienced OT specialising in Housing & Equipment, Seating & Postural Management, and Moving & Handling for adults.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, South East of England, Dorset, Hampshire, Southampton

Specialisms

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

Specialist skills

DFG Assessments

Karen

Greater Manchester, North West England

Occupational Therapist Karen specialises in Rehabilitation for adults and older adults, focusing on Mental Health, Dementia, and Physical Health Conditions.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Greater Manchester

Specialisms

Functional rehabilitation

Claire

Liverpool, Greater Manchester

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

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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

Lynne

Middlesbrough, Durham

Lynn, an Occupational Therapist, specialises in seating and postural management and works in the North of England.

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Profession

Occupational Therapy

Regions covered

North East England, Durham, North Yorkshire, Tyne and Wear, Sunderland, Newcastle upon Tyne, Middlesbrough

Specialisms

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

Further qualifications

Sensory Integration, AMPS, CBT, Train the trainer

Specialist skills

Daily living skills, Community access, Postural management, Learning disability, Mental Health

Lindsey

Ceredigion, Wales

Working across South Wales, Lindsey is an expert Occupational Therapist providing holistic assessments and treatment plans for her clients.

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Profession

Occupational Therapy

Regions covered

Wales, Carmarthenshire, Ceredigion, Pembrokeshire, Powys

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Daily living skills, Self care, Anxiety management & relaxation

Lucy

Norfolk, East Anglia

Lucy is an experienced Occupational Therapist specialising in mental health and physical rehabilitation, delivering holistic, patient-centred interventions across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Anglia

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Anxiety management & relaxation

Katie

London - South, London

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

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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

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

Natiq

London - East, Essex

Qualifying in 2011, Natiq specialises in housing & equipment, rehabilitation and seating & postural management for adults and children.

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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

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.

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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

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

Fran

Newcastle upon Tyne, Northumberland

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

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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

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

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

Khatira

London - Central, London

Occupational Therapist Khatira, specialises in housing and equipment, functional rehabilitation, and moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills, Community access, Self care

Claire

Moray, Scotland

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

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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

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

Claire

Newport, Wales

OT Claire delivers Seating & Postural Management, Functional Rehabilitation, and Moving & Handling services in Wales (Cardiff, Monmouthshire) and Bristol.

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Profession

Occupational Therapy

Regions covered

Wales, Bristol, Gloucestershire, Herefordshire, Somerset, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Monmouthshire, Newport, Torfaen, Cardiff

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

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

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

Jacqui

Surrey, South of England

Jacqui, an OT with a focus on housing and equipment, moving and handling, and functional rehabilitation, is based in Surrey.

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Profession

Occupational Therapy

Regions covered

South East of England, Surrey, West Sussex

Specialisms

Housing and Equipment, Functional rehabilitation, 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

Joanne

Newcastle upon Tyne, Northumberland

Working with adults, Joanne offers specialised Occupational Therapy services focusing on neurological rehabilitation, housing adaptations, functional rehabilitation, and equipment provision.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Scotland, Cumbria, Durham, North Yorkshire, Northumberland, Tyne and Wear, Borders, East Lothian, Edinburgh (City of), Fife, Midlothian, West Lothian, Edinburgh, Sunderland, Newcastle upon Tyne, Middlesbrough

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Self care, Anxiety management & relaxation, TBI

Emma

North Yorkshire, Yorkshire and Lincolnshire

Rebecca Collins is a highly skilled occupational therapist with a specialisation in Functional and Neuro rehabilitation.

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Profession

Occupational Therapy

Regions covered

North East England, East Riding of Yorkshire, Humberside, North Yorkshire, South Yorkshire, West Yorkshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH, AMPS, Train the trainer, Postgraduate cert. Vocational Rehab

Specialist skills

Motivational interviewing, Blue Badges / Mobility Assessments, Fatigue management, Daily living skills, Planning & execution, Postural management, Anxiety management & relaxation, TBI

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

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

Clare

Berkshire, South East of England

Qualifying in 2009, Occupational Therapist Clare specialises in Functional Rehabilitation, Housing and Equipment, and Seating and Postural Management.

View profile

Profession

Occupational Therapy

Regions covered

London, South of England, South East of England, Berkshire, Hampshire, Oxfordshire, Wiltshire, London - West, Swindon

Specialisms

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

Further qualifications

AMPS

Specialist skills

Motivational issues, Routine planning, Daily living skills, Self care, Social integration, Mental Health

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

Sian

Southampton, Hampshire

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

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

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