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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.

Confidence

A child's self-confidence informs their relationships and development both in and out of school. We speak to parents and school staff regularly about children struggling with class participation and friendships, due to shyness or faltering self-confidence.

Supporting these children involves equipping them with the skills and confidence they need to join in with their peers. We often observe that progress in this area then leads to improvements in a variety of others, including academic performance and behaviour at school and at home.

How OT's help

All of us suffer difficulties from time to time which challenge our self-confidence but which ultimately build character, and these experiences are a particularly important part of a child's growth process. However, for some children excessive shyness or lack of self-confidence may hold back their development towards maturity.

Whether your child's school has identified that they struggle with self-confidence, or you have noticed such difficulties yourself, we can help. Some of the most common signs which prompt approaches to the OT Practice include:

  • Struggling to form and sustain friendships in and/or out of school
  • Reluctance to go to school or to friends' houses in favour of solitary play
  • Difficulty interacting with adults outside the immediate family circle such as teachers or family friends
  • Behavioural problems resulting from a child's frustration at their perceived exclusion

Our assessment process allows a specialist occupational therapist to identify the nature of your child's difficulties with self-confidence, and the reasons for them. Once identified, we can work with you and your child to put in place a plan to address them.

Packages of care

We are flexible around the needs of your child and family and have a variety of treatment packages to develop a child's confidence.

We start with an assessment; after which we then shape our intervention, oriented towards ensuring that you and your child see measurable improvements, and might include one or more of the following:

  • An eight-week block of one-to-one bespoke sessions delivered to your child at home or school, after which we will review and plan the next steps with you
  • An intensive block of sessions delivered over the holidays - this is popular with overseas families, or those with limited weekend or after-school capacity in term time
  • A home and school programme providing practical, everyday techniques, with advice and support to ensure that the approach is consistent throughout your child's day

Common areas we work on

Through our assessment we will identify the specific areas of self-confidence that your child is struggling with, and the source of these difficulties, allowing us to plan a targeted programme.

Some of the most common areas that we would expect to be working on include:

  • Positive thinking and choices
  • Relationships and friendships
  • Taking turns and sharing
  • Making appropriate eye-contact
  • Managing failures and challenges
  • Working with parents and schools to ensure that the right approaches to developing self-confidence continue even when the OT is not present

Schools, LEAs and businesses

Is your organisation looking for professional OT services?

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Why The OT Practice

We recognise the importance of knowing that you and your child 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 paediatric 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 and your child at home or school at a time convenient for you, with no clinics or waiting lists, offering after-school and weekend appointments where necessary
  • We devise home and school-based treatment plans to ensure that our assessment and advice is relevant to each child’s unique environment
  • Our nationwide network of registered children’s occupational therapists allows us to find you the right local therapist
  • Intensive treatment available during the school holidays
  • We believe our role is to equip you and your child to become as autonomous as possible – ultimately independent of, and not dependent upon, the help we provide

Services for businesses, organisations and the public sector

Schools

Delivering individual or group therapy for children, or advice and training to up-skill members of staff.

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Local education authorities

Occupational therapy provision at home or school as recommended in an EHCP or Statement on behalf of LEA's.

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Healthcare concierge

Assessment and treatment services for clients in their own homes both in the UK and internationally.

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Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our paediatric client management team, who will be able to understand what your child's 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 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 an assessment visit at home or school, a mixture of formal and observational methods - as well as conversation with yourself, your child and their school - after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations, together with practical advice on how to help your child. 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

Marie

Worcestershire, West Midlands

Based in Evesham, Worcestershire, Marie is a Paediatric OT specialising in neurological conditions and brain injury.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Gloucestershire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics

Further qualifications

BOBATH

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, School Based Therapy/Support, Learning disability

Amy

Lancashire, North West England

Amy is a Paediatric Occupational Therapist and Sensory Integration Practitioner supporting neurodiverse children across North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Cumbria, Greater Manchester, Lancashire

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Routine planning, 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, Social integration, School Based Therapy/Support, Learning disability

Emma

Warwickshire, West Midlands

Emma is an experienced Paediatric Occupational Therapist providing specialised care to children across the Midlands in various settings.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Gloucestershire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Coventry, Nottingham, Leicester, Wolverhampton, Derby

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support

Zoe

London - South, Surrey

Experienced Occupational Therapist and EMDR Therapist, Zoe supports children and young people with complex mental health, trauma and neurodiversity needs.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Surrey, London - South, London - West

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Train the trainer

Specialist skills

Counselling, Motivational issues, Behaviour management, School Based Therapy/Support, Anxiety management & relaxation, Learning disability, Mental Health

Natalie

Cambridgeshire, East Anglia

Occupational Therapist Natalie specialises in rehabilitation, equipment provision, housing modifications, and paediatrics, supporting client independence through tailored assessments and interventions.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Nottinghamshire, Suffolk

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

Routine planning, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Anxiety management & relaxation

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

Anthea

Suffolk, East Anglia

Helping children shine through compassionate, family-centred occupational therapy, Occupational Therapist Anthea specialises in autism, sensory integration and complex paediatric needs.

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Profession

Occupational Therapy

Regions covered

East Anglia, Norfolk

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, Therapeutic listening, Certificate in Education

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Balance, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation

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

Samantha

Merseyside, North West England

Helping children succeed at home and school, Samantha provides specialist paediatric Occupational Therapy across the North West.

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Profession

Occupational Therapy

Regions covered

North West England, Merseyside

Specialisms

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

Specialist skills

Community access, Sensory integration, Gross motor skills, Fine motor skills, Postural management, School Based Therapy/Support, Learning disability

Amy

Sheffield, South Yorkshire

Specialising in paediatrics and sensory integration, OT Amy possesses expertise in fine and gross motor skills.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, South Yorkshire, West Yorkshire, Sheffield

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution

Eva

Bristol, West and South West of England

Trained in Sensory Integration, specialist Paediatric Occupational Therapist Eva supports children with neurodiverse needs across the South West of England.

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Profession

Occupational Therapy

Regions covered

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Helen

Swindon, Oxfordshire

Helen is passionate about helping children succeed through expert paediatric Occupational Therapy across Oxfordshire and the South East.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Gloucestershire, Oxfordshire, Wiltshire, Swindon

Specialisms

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

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Community access, Sensory integration, Gross motor skills, Behaviour management, Handwriting assessment & treatment, Anxiety management & relaxation, Sensory attachment intervention, Learning disability, Mental Health

Sue

Gloucestershire, West and South West of England

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

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

Nikki

Renfrewshire, Scotland

Based in Renfrewshire, Nikki is a highly skilled Paediatric OT with over 25 years’ experience.

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Profession

Occupational Therapy

Regions covered

Scotland, Argyll and Bute, East Ayrshire, East Dunbartonshire, East Renfrewshire, Falkirk, Glasgow (City of), North Ayrshire, North Lanarkshire, Renfrewshire, South Ayrshire, South Lanarkshire, Stirling, West Lothian, Glasgow, Edinburgh

Specialisms

Paediatrics

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, Postural management, School Based Therapy/Support, Learning disability

Elena

Cardiff, Cardiff

Based in Cardiff, Elena helps children develop confidence, independence and everyday skills through Occupational Therapy.

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Profession

Occupational Therapy

Regions covered

Wales, Bridgend, Cardiff

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Further qualifications

CO-OP Practitioner

Specialist skills

Daily living skills, Fine motor skills, Self care, Postural management, School Based Therapy/Support, Learning disability

Michelle

Surrey, South East of England

Helping children thrive through Certified Sensory Integration therapy, Michelle specialises in sensory processing, autism, ADHD and everyday independence.

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Profession

Occupational Therapy

Regions covered

South East of England, Surrey, London - South, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration, The Listening Programme

Specialist skills

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

Terri

Coventry, West Midlands

Working in the Midlands Terri is a highly skilled OT specialising in paediatrics, sensory integration, behavior management, and mental health.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Leicestershire, Lincolnshire, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Behaviour management, Anxiety management & relaxation, Mental Health

Helen

Hertfordshire, East Anglia

Based in St Albans, Helen is a Paediatric OT working with children across North London, Bedfordshire, Buckinghamshire, and Essex.

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Profession

Occupational Therapy

Regions covered

London, South of England, Hertfordshire, London - North

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care

Diana

Birmingham, West Midlands

Trained in Sensory Integration techniques, Diana provides specialist Paediatric Occupational Therapy in schools and patient’s homes.

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Profession

Occupational Therapy

Regions covered

West Midlands

Specialisms

Paediatrics

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care

Julie

London - West, Surrey

Julie, an Occupational Therapist, specialises in functional rehabilitation, neurology, complex paediatrics, and handwriting assessments.

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Profession

Occupational Therapy

Regions covered

London, Berkshire, Surrey, London - West

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Sensory integration, Handwriting assessment & treatment

Rebecca

Edinburgh, Edinburgh (City of)

Based in Edinburgh, Rebecca is a specialist Paediatric OT providing expert care for children across Lothian and Fife.

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Profession

Occupational Therapy

Regions covered

Scotland, East Lothian, Edinburgh (City of), Fife, Midlothian, West Lothian, Edinburgh

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support

Amanda

Hampshire, South of England

Based in Hampshire, Amanda is an experienced Paediatric OT helping children and their families with a wide range of needs.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Hampshire, Surrey

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

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

Marie

Liverpool, Merseyside

Based in Merseyside, Marie provides expert neurological occupational therapy and rehabilitation to adults and children at home.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, West Midlands, Wales, Cheshire, Lancashire, Merseyside, Shropshire, Conwy, Flintshire, Isle of Anglesey, Wrexham, Liverpool

Specialisms

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

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Roisin

Southampton, Hampshire

Roisin is an OT that specialises in Paediatrics, Seating, Functional Rehabilitation and Moving & Handling throughout Hampshire, specifically Southampton.

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Profession

Occupational Therapy

Regions covered

South of England, Hampshire, Southampton

Specialisms

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

Further qualifications

Sensory Integration, AMPS

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, Learning disability

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

Kathy

Londonderry, Northern Ireland

Based in Northern Ireland, highly skilled occupational therapist Kathy specialises in paediatrics where she helps children with various conditions.

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Profession

Occupational Therapy

Regions covered

Northern Ireland

Specialisms

Paediatrics

Carolina

London - South, London

Based in London, Carolina specialises in Paediatric Occupational Therapy, helping children thrive through neurodiversity-affirming practice.

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Profession

Occupational Therapy

Regions covered

London , London - Central, London - North, London - South, London - East, London - West

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

CO-OP Practitioner

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Learning disability

Jade

Plymouth, Devon

Based in the South West, Jade empowers children and families through compassionate paediatric Occupational Therapy, supporting neurodiversity and everyday independence.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

AMPS

Specialist skills

Behaviour management, Social integration, School Based Therapy/Support, Anxiety management & relaxation, Learning disability, Mental Health

Esther

London

Paediatric Occupational Therapist Esther works in London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Paediatrics

Jennifer

West Sussex, South East of England

Trained in Sensory Integration, Specialist Paediatric Occupational Therapist Jennie, offers services to paediatric clients in Surrey, Sussex, Southampton and Portsmouth.

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Profession

Occupational Therapy

Regions covered

South East of England, East Sussex, Surrey, West Sussex

Specialisms

Paediatrics

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, Postural management, School Based Therapy/Support

Client feedback

Further reading

Our Experts' Blog

CHARITIES: Mental health and getting back on your feet

In this edition of our Educational Series for charities, we explore how occupational therapy supports people whose mental health challenges affect everyday life and participation. We highlight how OTs work alongside individuals to understand practical barriers and identify realistic ways to promote recovery, independence and engagement in meaningful roles at home and in the community.

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Our Experts' Blog

Assistive technology brought to life

This case study tells the story of Hannah, one of our clients at The OT Practice. Referred by her case manager, Hannah and her OT worked together to ensure that assistive technology was used practically and appropriately to achieve her goals of independence. Hannah has kindly agreed to allow us to share her story

Read more