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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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William

Devon, West and South West of England

Based just outside of Exeter in Devon, William is an OT specialising in Neurological Rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

Train the trainer

Specialist skills

Daily living skills, Fine motor skills, Visual perception, TBI

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

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

Jessica

London - South, London

Jessica is an experienced Neurological Occupational Therapist, offering expert rehabilitation services across London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

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

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

Rachael

Bedfordshire, East Anglia

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

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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.

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Profession

Occupational Therapy

Regions covered

North East England

Specialisms

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

Specialist skills

Motivational interviewing, Pain management

Gemma

Midlothian, Scotland

Gemma specialises in Moving and Handling, and Housing and Equipment, providing expert Occupational Therapy services across Scotland and Northern England.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, Scotland

Specialisms

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

Bethany

Staffordshire, East Midlands

Covering a large client base across the Midlands, Bethany is an expert OT who supports with rehabilitation and equipment provisions.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, West Midlands, East Midlands , Birmingham, Nottingham, Leicester, Derby

Specialisms

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

Anne-Marie

London - South, Kent

Anne-Marie is an experienced Occupational Therapist specialising in Moving and Handling, serving clients across London and surrounding areas.

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Profession

Occupational Therapy

Regions covered

London, Kent, London - South, London - East, Brighton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Daily living skills, Handwriting assessment & treatment, Self care

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

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

Jasmine

Gloucestershire, West and South West of England

Jasmine offers specialised occupational therapy services for paediatrics and adults, focusing on neurological rehabilitation and functional skills.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Wales, Bristol, Gloucestershire, Herefordshire

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Motivational interviewing, PIPs, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Sensory attachment intervention, Learning disability, TBI

Tamara

Gloucestershire, West and South West of England

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation

Specialist skills

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

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

Chandrajeet

London - West, Middlesex

Specialising in Housing & Equipment, Chandrajeet is an experienced OT based in West London.

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Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, Hertfordshire, Middlesex, London - Central, London - West

Specialisms

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

Specialist skills

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

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

Claire

London - North, Hertfordshire

Occupational Therapist Claire, with over 20 years of experience, specializes in housing and equipment as well as moving and handling.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments

Judi

Plymouth, Devon

Judi, an Occupational Therapist with a diverse skill set encompassing housing and equipment, vocational and functional rehabilitation, moving and handling,

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

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

Specialist skills

Counselling, DFG Assessments, PIPs, Routine planning, Daily living skills, Self care, Postural management, Wheelchair accreditation

Kirsty

Renfrewshire, Scotland

Kirsty is an expert Paediatric OT who supports children with a range of conditions across West Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

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

Specialist skills

Counselling

Kate Louise

Newcastle upon Tyne, Tyne and Wear

Katie is located in Newcastle and provides expert assessments and treatment plans to clients across the North of England.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Cleveland, Cumbria, Durham, Northumberland, Tyne and Wear

Specialisms

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

Specialist skills

DFG Assessments, Postural management, TBI

Laura

Lincolnshire, East Midlands

Laura is a BOBATH-trained Occupational Therapist, offering specialised services across the East Midlands and East Anglia for diverse needs.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Cambridgeshire, Leicestershire, Lincolnshire, Northamptonshire, Rutland, Leicester

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Fatigue management, Daily living skills, Community access, Self care, Postural management, Anxiety management & relaxation

Hayley

Norfolk, East Anglia

Hayley is an experienced OT who delivers expert Functional Rehabilitation to clients across East Anglia.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Norfolk, Suffolk

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Planning & execution, Self care, Postural management, Anxiety management & relaxation

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

Roxanne

Bath, Avon

Roxanne is a skilled Occupational Therapist, specialising in rehabilitation, adaptations, and paediatrics, supporting diverse needs across South West England.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Somerset, Wiltshire, Bristol, Bath

Specialisms

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

Further qualifications

AMPS

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Co-ordination, Planning & execution, Self care, Social integration, School Based Therapy/Support, Wheelchair accreditation, Learning disability, Mental Health

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

Gill

Cumbria, North West England

Based in Keswick, Cumbria, Gill is an OT delivering functional rehabilitation and housing assessments across North West England and Scotland.

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Profession

Occupational Therapy

Regions covered

North West England, Scotland, Cumbria, Borders, Dumfries and Galloway

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Blue Badges / Mobility Assessments, PIPs, Fatigue management, Pain management, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation, Anxiety management & relaxation

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

Emma

Hull, East Riding of Yorkshire

Emma an experienced OT based in Hull and provides expert rehabilitation to clients across Yorkshire and Lincolnshire.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer, Certificate in Education

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Balance, Self care

Sharne

Hampshire, South of England

Sharne is an Occupational Therapist specialising in Functional Rehab as well as Housing & Equipment. Sharne visits clients across Hampshire.

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Profession

Occupational Therapy

Regions covered

South of England, South East of England, Hampshire, Isle of Wight, West Sussex, Brighton, Southampton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Self care

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