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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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Emma

North Yorkshire, Yorkshire and Lincolnshire

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

View profile

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

Davinia

Birmingham, West Midlands

Functional and Vocational Occupational Therapist Davina works in the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham, Coventry, Nottingham, Leicester, Wolverhampton, Derby

Specialisms

Housing and Equipment, Vocational Rehabilitation, Moving and Handling

Specialist skills

Routine planning, Financial management, Daily living skills, Gross motor skills, Fine motor skills, Anxiety management & relaxation, Mental Health

Clare

Wiltshire, South East of England

Specialising in Housing & Equipment, Clare is an OT based in Buckinghamshire delivering assessments for clients across the South East.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South East of England, Gloucestershire, Wiltshire, Swindon

Specialisms

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

Further qualifications

BIA, Train the trainer

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

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Self care

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.

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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

Helen

Nottingham, Nottinghamshire

Helen is an expert Hand Therapist, delivering specialist rehabilitation assessments and treatment across Nottinghamshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, South Yorkshire, Staffordshire, West Midlands, Nottingham

Specialisms

Hand Therapy, Functional rehabilitation

Specialist skills

Fatigue management, Pain management, Daily living skills, Gross motor skills, Fine motor skills, Self care, Splinting

Rose

Bedfordshire

Rose conducts assessments with clients, providing intervention to improve their safety and independence within their home environment.

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Profession

Occupational Therapy

Regions covered

East Anglia, Buckinghamshire, Hertfordshire, Northamptonshire

Specialisms

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

Further qualifications

BIA

Specialist skills

DFG Assessments

Georgia

London

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

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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

Sarah

Greater Manchester, North West England

Specialising in complex physical and mental health conditions, Sarah provides expert Occupational Therapy assessments to clients across North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Lancashire, Merseyside

Specialisms

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

Further qualifications

Certificate in Education

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Anxiety management & relaxation, Mental Health

Ekaete

Essex, London

Ekaeke is a Neurological Rehabilitation Occupational Therapist specialising in Brain Injury based around Chelmsford and working in Essex.

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Profession

Occupational Therapy

Regions covered

East Anglia, Essex

Specialisms

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

Specialist skills

Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, TBI

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

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

Sam

Northamptonshire, East Midlands

Based in Northamptonshire, Sam is an OT with over 20 years of experience, specialising in rehabilitation and Housing & Equipment.

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Profession

Occupational Therapy

Regions covered

, Bedfordshire, Leicestershire, Northamptonshire, Rutland, Warwickshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation

Specialist skills

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

Anna

Kent, South East of England

An expert OT in Neurological Rehabilitation, Anna works with adult clients in Kent and London.

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Profession

Occupational Therapy

Regions covered

, Kent

Specialisms

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

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Behaviour management, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Splinting

Tracy

Leeds, West Yorkshire

Specialising in Neurological Rehabilitation, Tracy is an expert OT working across Yorkshire and Lincolnshire.

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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, Wakefield, Hull

Specialisms

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

Further qualifications

AMPS

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Behaviour management, Planning & execution, Self care, Social integration, Anxiety management & relaxation, Learning disability, Mental Health, TBI

Mary Kate

Londonderry, Northern Ireland

Mary Kate is an OT in Northern Ireland, specialising in Seating & Postural Management and delivering expert wheelchair assessments.

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Profession

Occupational Therapy

Regions covered

Northern Ireland, Antrim, Armagh, Down, Londonderry, Tyrone, Belfast

Specialisms

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

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation

Miriam

Middlesex, London

Located in Edgeware, Miriam is an expert OT who supports adults of all ages with rehabilitation and housing needs.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Essex, Hertfordshire, Middlesex, London - Central, London - North, London - East, London - West

Specialisms

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

Specialist skills

Fatigue management, Pain management, Daily living skills, Balance, Co-ordination, Self care, Postural management

Lydia

Leeds, West Yorkshire

Lydia, an Occupational Therapist based in Yorkshire, specialises in a comprehensive array of areas.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire , Leeds, Manchester, Wakefield

Specialisms

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

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Self care, Social integration, Postural management, Dysphagia management, Splinting, Anxiety management & relaxation, Mental Health, TBI

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

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.

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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

Alison

Shropshire, West Midlands

Alison, an Occupational Therapist covering the West Midlands and Wales, provides client-centred care, supporting individuals to maximise independence and wellbeing.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Cheshire, Gloucestershire, Herefordshire, Shropshire, West Midlands, Worcestershire, Gwynedd, Powys, Wrexham

Specialisms

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

Further qualifications

Sensory Integration, Train the trainer, Certificate in Education

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Self care, Postural management, School Based Therapy/Support, Wheelchair accreditation

Elizabeth

London - Central, London

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

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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

Ruth

London - West, Middlesex

Ruth is a dedicated Occupational Therapist specialising in housing & equipment, serving clients in London and the South of England.

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Profession

Occupational Therapy

Regions covered

London, South of England, Berkshire, Hampshire, Middlesex, Surrey, London - Central, London - South, London - West

Specialisms

Housing and Equipment

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Community access

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

Adele

East Sussex, South East of England

Adele, an experienced Occupational Therapist in South East England, specialises in Moving and Handling and Functional Rehabilitation, supporting diverse conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, East Sussex

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills, Balance, Self care

Charlotte

Cambridgeshire, East Anglia

Charlotte is an experienced Occupational Therapist specialising in Housing and Equipment, Moving and Handling and Rehabilitation across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Anglia, Cambridgeshire, Hertfordshire, Norfolk, Suffolk

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills

Lisa

London - South, Kent

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

View profile

Profession

Occupational Therapy

Regions covered

London, Kent, London - Central, London - South

Specialisms

Housing and Equipment, Functional rehabilitation

Further qualifications

BIA

Specialist skills

DFG Assessments, Daily living skills

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

Julie

Cheshire, North West England

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation

Specialist skills

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

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

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

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