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Disabling tiredness

We all experience tiredness, but when this becomes debilitating and persistent the effects can be life-changing.

We work with people experiencing fatigue from a variety of causes to improve their motivation, energy and engagement during their day-to-day life and with the world around them.

How OT's help

Fatigue can be the result of illness or accident and can also occur during recovery from surgery. In other cases, fatigue seems to have no obvious cause but can nonetheless lead to problems in day-to-day life and relationships.

Some of the most common areas of difficulty caused by excessive fatigue that we can help you overcome include:

  • Meeting familial responsibilities such as looking after children and maintaining a home
  • Performing job responsibilities
  • Cultivating friendships and social activities
  • Maintaining motivation and concentration
  • Avoiding falls
  • Maintaining mobility, especially if accompanied by acute or chronic pain

Our assessment process allows a specialist 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 practical and cost-effective solutions to managing your fatigue. Our assessment may involve looking at:

  • Your physical, medical and social history to identify the reason for current levels of fatigue
  • Present and future degrees of mobility, strength, pain and general health
  • The home environment and its influence on your energy level
  • Your daily routine, and that of those you care for or who care for you
  • Your own, your family's or your carer's specific goals and wishes

Common recommendations

Some practical solutions that we may recommend to help you manage your fatigue include:

  • A graded approach to activity
  • Relaxation techniques
  • Recognising warning signs that you need to rest
  • Sleeping routines
  • Daily task planning and management

We can help with

If required we can also provide:

  • A fatigue management programme, involving six weekly sessions with an occupational therapist to provide you with the skills you need to manage your activity and fatigue
  • Training for family and carers on the principles of fatigue management and how best to support you
  • A tailored activity programme to ensure that you pace yourself effectively and incorporate sufficient rest into your routine

Public sector, charities 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 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

Case managers

We help your client's achieve optimum independence through assessment, treatment & advice.

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Charities

Working with charities to provide reports and recommendations for grant funding applications.

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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 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

Lucy

London - South, London

Based in London, Lucy is an Occupational Therapist with over 15 years of experience specialising in neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Daily living skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Postural management, Splinting, TBI

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

Kerri

Antrim, Northern Ireland

Kerri, an Occupational Therapist, specializes in housing and equipment, and wheelchair accreditation. Her professional dedication extends to various regions,

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Profession

Occupational Therapy

Regions covered

North West England, West and South West of England, South of England, Scotland, Ireland, Wales , Glasgow, Liverpool, Bristol, Sunderland, Belfast, Newcastle upon Tyne, Brighton, Stoke-on-Trent

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

Wheelchair accreditation

Alexis

Norfolk, East Anglia

Alexis provides Occupational Therapy services in Rehabilitation, Housing and Equipment, Moving and Handling, Paediatrics, and Neurological Rehabilitation across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Cambridgeshire, Lincolnshire, Norfolk, Suffolk

Specialisms

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

Specialist skills

Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Sensory integration, 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, TBI

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

Cheryle

London - South, London

Based in South London, Cheryle is a highly skilled OT who provides expert interventions to adult and elderly clients.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Roseanne

Down, Northern Ireland

Roseanne, an Occupational Therapist, specializes in neurological and vocational rehabilitation, with expertise in sensory integration.

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Profession

Occupational Therapy

Regions covered

South East of England, Northern Ireland, Ireland, Kent, Antrim, Armagh, Down, Belfast

Specialisms

Vocational Rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration, AMPS, Sensory Attachment Therapy

Specialist skills

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

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

London - Central, Buckinghamshire

Lauren, an Occupational Therapist, specialises in housing and equipment, seating and postural management, and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Bedfordshire, Buckinghamshire, Oxfordshire, Bridgend, Carmarthenshire, The Vale of Glamorgan, London - Central

Specialisms

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

Further qualifications

Therapeutic listening

Specialist skills

Fatigue management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, Splinting

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

Sherean

Buckinghamshire, South East of England

Based in Buckinghamshire, Sherean delivers specialist housing & equipment and rehabilitation assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

East Midlands, South East of England, Bedfordshire, Buckinghamshire, Northamptonshire, Oxfordshire

Specialisms

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

Further qualifications

Sensory Integration, AMPS, BIA

Specialist skills

Routine planning, Daily living skills, Community access, Sensory integration, Self care, Social integration, Anxiety management & relaxation, Mental Health

Paula

Warwickshire, West Midlands

Paula is an expert Occupational Therapist, delivering specialist Functional, Neurological, and Vocational Rehabilitation to clients the Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, South East of England, Buckinghamshire, Leicestershire, Northamptonshire, Oxfordshire, Warwickshire, West Midlands

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Planning & execution, Self care, 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

Alex

West Yorkshire, Yorkshire and Lincolnshire

Alex is an expert OT specialising in the field of Neurological Rehabilitation, covering Yorkshire and the North of England.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Lancashire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Wakefield

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, Postural management, Splinting, Anxiety management & relaxation, TBI

Anna

Londonderry, Northern Ireland

Based in Northern Ireland, Anna specialises in Neurological Rehabilitation, Housing & Equipment, and Seating & Postural Management.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

BOBATH

Specialist skills

TBI

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

Joy

Derbyshire, East Midlands

Joy is an expert Occupational Therapist, delivering specialist rehabilitation and seating assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Derbyshire, Nottinghamshire, Staffordshire

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Fine motor skills, Visual perception, Planning & execution, Self care, Social integration, Anxiety management & relaxation

Jennifer

Middlesbrough, North Yorkshire

Jennifer provides expert occupational therapy to clients across the North of England, including Durham, Liverpool, Manchester, and Newcastle.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, Cleveland, Cumbria, Durham, East Riding of Yorkshire, Greater Manchester, Humberside, Lancashire, Lincolnshire, Merseyside, North Yorkshire, South Yorkshire, Tyne and Wear, West Yorkshire, Leeds, Sheffield, Liverpool, Manchester, Sunderland, Newcastle upon Tyne, Hull, Salford, Middlesbrough

Specialisms

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

Further qualifications

BOBATH

Specialist skills

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

Jo

Buckinghamshire, South East of England

Experienced Occupational Therapist Jo specialises in Neurological Rehabilitation, supporting adults with various conditions across the South East of England.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, Buckinghamshire, Hertfordshire, Oxfordshire

Specialisms

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

Further qualifications

Train the trainer, Certificate in Education

Specialist skills

Fatigue management, Pain management, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Balance, Planning & execution, Self care, Postural management, Splinting, Anxiety management & relaxation, TBI

Chia-Chien

London - South, Surrey

Chia is an occupational therapist fluent in Mandarin who specialises in paediatrics and neurology.

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Profession

Occupational Therapy

Regions covered

London , London - North, London - South, London - West

Specialisms

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

Further qualifications

CO-OP Practitioner

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Splinting, Sensory attachment intervention, Learning disability, TBI

Khatira

London - Central, London

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

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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

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

Louise

Dorset, South of England

Specialising in mental health and cognitive impairments, Louise provides expert Occupational Therapy to clients across the South of England.

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Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Wiltshire

Specialisms

Functional rehabilitation

Further qualifications

AMPS

Specialist skills

Motivational issues, Routine planning, Daily living skills, Community access, Social integration, Anxiety management & relaxation, Mental Health

Hazel

Cardiff, Cardiff

Cardiff, Newport and North Somerset based Occupational Therapist Hazel specialises in Seating and Postural, Housing & Equipment, Moving & Handling.

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Profession

Occupational Therapy

Regions covered

Wales, The Vale of Glamorgan

Specialisms

Functional rehabilitation, Moving and Handling

Further qualifications

Certificate in Education

Specialist skills

Daily living skills, Wheelchair accreditation, 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

Suzanne

Bristol, Bristol

Occupational Therapist Suzanne specialises in Moving and Handling, Neurological Rehabilitation, and Housing and Equipment across the South West of England.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Moving and Handling, Neurological rehabilitation

Specialist skills

DFG Assessments, Routine planning, Daily living skills, Self care

Michael

Merseyside, North West England

Housing & equipment, and functional rehabilitation OT Michael operates in the North West of England.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Greater Manchester, Lancashire, Merseyside, West Midlands, Flintshire, Wrexham

Specialisms

Housing and Equipment, Functional rehabilitation

Further qualifications

Ergonomics

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Routine planning, Gross motor skills, Fine motor skills, Balance, Planning & execution

Kate

Brighton, West Sussex

Kate is an experienced Occupational Therapist specialising in rehabilitation, housing adaptations, and equipment provision across Southern England.

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Profession

Occupational Therapy

Regions covered

South of England, East Sussex, West Sussex

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

David

Perthshire and Kinross, Scotland

David uses his decade of experience to provide Housing & Equipment OT services and Functional Rehabilitation to clients in Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Aberdeenshire, Borders, Clackmannan, Dundee (City of), East Dunbartonshire, East Lothian, East Renfrewshire, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Highland, Midlothian, North Lanarkshire, Perthshire and Kinross, Stirling, West Dunbartonshire, West Lothian

Specialisms

Housing and Equipment, Functional rehabilitation

Sian

Southampton, Hampshire

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

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

Client feedback

Further reading

Our 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.

Read more

Our Experts' Blog

Achievable Fatigue Management Techniques

Fatigue is something that is part of most of our client’s rehabilitation journeys. OT's work with clients to break down tasks & build strategic rehabilitation programmes whilst managing the need for rest & recuperation allowing clients to realise their goals & stretch their capabilities.

Read more