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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

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.

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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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Felice

Buckinghamshire, South East of England

Based in Milton Keynes, Felice supports clients with rehabilitation and home adaptations following an injury or diagnosis.

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Profession

Occupational Therapy

Regions covered

South East of England, Bedfordshire, Buckinghamshire, Hertfordshire, Middlesex, Northamptonshire, Oxfordshire, London - Central, London - North, London - East, London - West, Birmingham, Coventry, Leicester

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Self care

Tracey

Derby, Derbyshire

Helping people maintain independence and mobility, Tracey specialises in driving adaptations, wheelchair provision, specialist seating and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Nottinghamshire, South Yorkshire, Staffordshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation

Specialist skills

Daily living skills, Community access, Self care, Social integration, Postural management, Wheelchair accreditation

Susanna

Norfolk, East Anglia

Qualified since 2002, Susanna specialises in neurological rehabilitation, helping adults achieve meaningful goals through expert Occupational Therapy interventions.

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Profession

Occupational Therapy

Regions covered

East Anglia

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Daily living skills, Self care, Postural management, Splinting, Wheelchair accreditation, TBI

Pilar

East Sussex, West and South West of England

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills

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.

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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

Marta

Surrey, South East of England

Based in Surrey, Marta is a highly skilled OT who specialises in Neurological Rehabilitation and supports clients across the South-East.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, Hampshire, Surrey

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Daily living skills, Community access, Fine motor skills, Co-ordination, Self care, Postural management

Bianca

London - North, Hertfordshire

Based in Hertfordshire, Bianca is a skilled Neurological Rehabilitation Occupational Therapist supporting recovery, independence and meaningful participation following neurological conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, Hertfordshire, London - North

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Self care, Splinting, TBI

Pippa

Gloucestershire, West and South West of England

Supporting adults and children across South West England, Pippa specialises in functional rehabilitation, equipment provision and housing adaptations.

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Profession

Occupational Therapy

Regions covered

West and South West of England

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Ian

Derby, Derbyshire

Ian is an Extended Scope Practitioner specialising in complex hand and upper limb rehabilitation, splinting and evidence-based therapy programmes.

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Profession

Occupational Therapy

Regions covered

Specialisms

Hand Therapy, Functional rehabilitation

Further qualifications

Certificate in Education

Specialist skills

Splinting

Aminah

Buckinghamshire, South East of England

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

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Profession

Occupational Therapy

Regions covered

South East of England, Buckinghamshire

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills, Community access, Balance

Louella

Buckinghamshire, South East of England

Specialising in Housing & Equipment for adult and paediatric clients, Louella is a highly skilled OT based in Buckinghamshire.

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Profession

Occupational Therapy

Regions covered

South East of England, Bedfordshire, Berkshire, Buckinghamshire, Cambridgeshire, Hertfordshire, Northamptonshire, Oxfordshire, Staffordshire, West Midlands

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Postural management, Sign Language

Dearbhla

Cardiff, Cardiff

Dearbhla provides specialised occupational therapy in neurological rehabilitation, functional rehabilitation, housing and equipment, and improving daily living skills.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Bristol, Bridgend, Caerphilly, Cardiff, Monmouthshire, Newport, The Vale of Glamorgan, Bristol, Cardiff, Swansea

Specialisms

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

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Self care, Postural management, Wheelchair accreditation, TBI

Kathleen

Liverpool, Flintshire

Qualifying in 1988, Kathleen is an experienced Occupational Therapist working with adults and children across Wales and North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Merseyside, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Wrexham

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Gross motor skills, Self care

Melissa

Cumbria, North West England

Melissa is a Paediatric Occupational Therapist and Sensory Integration Practitioner supporting children and young people across the North of England.

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Profession

Occupational Therapy

Regions covered

North West England, North East England

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Balance, Co-ordination, Self care, Social integration, School Based Therapy/Support, Makaton, Anxiety management & relaxation, Learning disability, Mental Health

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.

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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

Natalie

Cheshire, North West England

Natalie has over 30 years’ Occupational Therapy experience, specialising in housing adaptations, equipment, functional rehabilitation and moving and handling.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Derbyshire, Greater Manchester, Merseyside, Shropshire, Liverpool, Manchester

Specialisms

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

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Self care, Anxiety management & relaxation

Rachel

Hertfordshire, South of England

Rachel is a Paediatric Occupational Therapist supporting children in the South of England with diverse developmental, behavioural, and learning challenges.

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Profession

Occupational Therapy

Regions covered

London, South of England, Cambridgeshire, Essex, Hertfordshire

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Planning & execution, Self care, School Based Therapy/Support, Anxiety management & relaxation, Mental Health

Rosie

Greater Manchester, North West England

Rosie specialises in neurological and functional rehabilitation, helping adults overcome challenges and achieve greater independence in everyday life.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire

Specialisms

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

Further qualifications

BOBATH

Specialist skills

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

Stephanie

Nottinghamshire, East Midlands

Stephanie, an accomplished Occupational Therapist residing in Nottinghamshire, serving regions across the north of England and the midlands.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, East Anglia, London, Wales

Specialisms

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

Further qualifications

Sensory Integration

Specialist skills

Pain management, Sensory integration, Gross motor skills, Fine motor skills, Social integration, Learning disability

Helena

Manchester, Greater Manchester

Helena, a highly skilled occupational therapist based in the Northwest of England, specifically Manchester, Salford, and Greater Manchester

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Manchester, Salford

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Fatigue management, Motivational issues, Daily living skills, Community access, Planning & execution, Self care, Anxiety management & relaxation

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

Catherine

Sheffield, South Yorkshire

Working across Yorkshire and the East Midlands, Catherine is an expert OT working with clients with Vocational Rehabilitation needs.

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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, Lancashire, Leicestershire, Lincolnshire, Nottinghamshire, South Yorkshire, West Yorkshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation

Further qualifications

AMPS

Specialist skills

Motivational interviewing, Fatigue management, Daily living skills

Rebecca

Cambridgeshire, East Anglia

Located in Cambridge, Rebecca is an experienced OT supporting clients with home adaptations, specialist equipment provisions, and rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Buckinghamshire, Cambridgeshire, Essex, Hertfordshire, Lincolnshire, Norfolk, Suffolk

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Self care

Heidi

Bristol, West and South West of England

Serving clients across the West and South of England, Heidi is an experienced Occupational Therapist specialising in Functional Rehabilitation.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Bristol, Gloucestershire, Somerset, Wiltshire

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care

Amber

Birmingham, West Midlands

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Profession

Occupational Therapy

Regions covered

West Midlands, Warwickshire, West Midlands, Birmingham, Coventry

Specialisms

Functional rehabilitation

Specialist skills

Mental Health

Claire

Buckinghamshire, South East of England

Claire, an experienced Occupational Therapist based in Buckinghamshire in the South East of England, specializes in housing and equipment.

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Profession

Occupational Therapy

Regions covered

South East of England, Buckinghamshire, London - Central

Specialisms

Housing and Equipment

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Community access

Yvonne

Wiltshire, West and South West of England

Qualifying in 1991, Occupational Therapist Yvonne provides expert Functional Rehabilitation, Moving and and Handling, and Housing and Equipment assessments.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Therapeutic listening, Train the trainer

Specialist skills

Daily living skills, Learning disability

Nicola

Bristol, Avon

Helping children build confidence and independence, Nicola specialises in paediatric occupational therapy, sensory processing and early years development.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Benedicta

Buckinghamshire, West Midlands

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

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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

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

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