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Call for more information and costs or if you are enquiring for yourself or a family member you can use our online cost guide for individuals.

Access in & out of the home

Find out how we can help

Peace of mind to move in and out of your home safely & independently

Whether it be getting to the car, the garden, the shops or social activities, being able to access the world outside our home is important for both mental and physical wellbeing. When mobility is reduced, even otherwise simple journeys can become a challenge.

We assist many people facing all variety of difficulties to maintain their independence and access to their community. Our experience also helps ensure that the solutions we provide, as well as being practical and cost-effective, are the best possible aesthetic fit for a client's own home.

How OT's help

Help with access into and out of the home is one of the most common reasons our clients contact us. Whether for a temporary or more long-term solution, the following are examples of challenges we can address:

  • Steps and stairs leading to a property, whether via a communal or private entrance
  • Access to a town-based property from street level
  • External ramps which may be too steep or in a state of disrepair
  • Access to a garden or driveway
  • Risk of falling
  • Reduced confidence moving into and out of the home after illness, injury or a period in hospital

Our assessment process allows a specialised occupational therapist to identify all such problems, make recommendations to reduce them, and (if desired) arrange for any recommended changes to be made.

Our approach

Our aim is to provide flexible, practical and cost-effective solutions for accessing your home and community. Our assessment may involve looking at:

  • Your current and likely future levels of mobility, hand and shoulder function
  • The home environment, including your garden, driveway or street access
  • The layout and style of your property, including shared access areas
  • Any equipment that you currently or are likely to need in the future, such as frames, scooters or wheelchairs
  • Your own, your family's or carer's specific wishes and goals

Common recommendations

Some practical solutions that we may recommend to help you access your home include:

  • Grab rails at the front door
  • Hand rails on existing steps or stairs
  • Installation of smaller half-steps
  • Installation of ramps with gentle gradients that allow for walking, scooters or wheelchairs
  • Installation of stair or platform lifts

We can help with

If required we can also provide assistance with:

  • Sourcing suppliers - we work with companies nationally to ensure we always offer competitively-priced solutions
  • Arranging and managing lift representatives or builders who may need to visit your home
  • Reviewing plans with architects and builders to ensure that any changes to your home are right for you, both now and in the future

Public sector, charities and businesses

Is your organisation looking for professional OT services?

Find out more

Common conditions we help with

Find out more about how our OT’s can help by visiting our pages dedicated to specific conditions associated with home access difficulties.

Why The OT Practice

We recognise the importance of knowing that you are in safe hands. That is why, when you first make contact with us, you will straightaway be able to explain your concerns to a member of our client management team who will be able to provide relevant information about our services, answer any questions you may have and provide guidance on next steps. This dedicated team will then remain in charge of your case through any subsequent assessment and treatment we provide.

Other reasons to rely on The OT Practice include:

  • We visit you in your own home and at a time convenient to you and your family, and are happy to offer evening and weekend appointments
  • We do not have waiting lists and so can offer appointments within 7 working days of referral or sooner
  • Our extensive nationwide network of registered occupational therapists allows us to find you the right local therapist
  • We can provide ongoing support for as long as you need it
  • Our clear, fixed pricing system will be provided to you in writing for you to consider in your own time
  • Your occupational therapist will be a specialist in their field, with over 5 years' clinical experience including time in social services or NHS practice
  • Our team are well connected to networks of local and national equipment providers, stair lift and building companies

Your Clinical Services Manager

Victoria

Victoria

Snr Clinical Services Manager

Victoria, an experienced OT, is the Clinical Services Manager supervising the team looking after referrals from our case managers, solicitors and other professional clients.

Email the team

Services for businesses, organisations and the public sector

Local authorities

Our team provide individual or bulk assessments for local authorities looking to reduce waiting lists or ease pressure.

Find out more

Case managers

Comprehensive, goal orientated OT services for your clients in their own homes and community.

Find out more

Housing associations

Providing reports and recommendations for individual residents or working on large regeneration projects.

Find out more

Charities

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

Find out more

Construction companies

Individual or bulk housing assessments and recommendations for kitchen, bathroom or access projects.

Find out more

Care homes

We provide individual equipment recommendations or advice on environmental accessibility

Find out more

Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our client management team, who will be able to understand what your difficulties are, provide information and advice on our services and identify the right OT from our team.

Quote

If therapist input is recommended, we will send you a detailed quote via email or in writing explaining what, after a full assessment, we would propose and how much it would cost, as well as rates for further work that might be recommended in the future.

Referral

Once you have had time to consider the options and costs, and if you would like to go ahead, the next step would be to fill in our online referral form. In the meantime, if you have further concerns or questions then our client manager will be happy to discuss them with you.

Assessment

Our therapist will then contact you within 24 hours to arrange a visit at your home. Normally this first visit will comprise a full assessment, after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations. These may include useful items you can buy or activities you can do independently, but they may also include more complex recommendations such as home adaptations or additional treatment by the occupational therapist. Where additional involvement is required, we will follow up the report with a detailed quotation so that you have all the information needed to make an informed decision.

As Private Occupational Therapists our aim is to provide choices and guidance to help you decide what the best options are for you

A few of our housing specialists

Meet a selection of our occupational therapists who are specialists in assessing access needs and planning adaptations.

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Jacqui

Flintshire, Wales

Based in Flintshire, Jacqui is an experienced OT specialising in Functional & Neurological Rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Wales, Greater Manchester, Merseyside, Shropshire, Conwy, Denbighshire, Flintshire

Specialisms

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

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Planning & execution, Self care, Postural management, Wheelchair accreditation, Learning disability

Sharon

London - South, South East of England

With over 30 years’ experience, Sharon is an expert OT specialising in Housing & Equipment and Seating & Postural Management.

View profile

Profession

Occupational Therapy

Regions covered

London, South East of England, Kent, London - Central, London - South

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Postural management

Anne

Warwickshire, West Midlands

Located in Solihull, Anne is a highly experienced OT providing comprehensive assessments and rehabilitation for clients across the Midlands.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Herefordshire, Leicestershire, Shropshire, Warwickshire, West Midlands, Worcestershire, Birmingham

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Daily living skills, Community access, Planning & execution, Self care

Livonia

Middlesex, London

Livonia, an Occupational Therapist, specialises in housing and equipment, seating and postural management, and moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

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

Ekaete

Essex, London

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

View profile

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

Darragh

Dorset, South of England

Darragh is a highly specialist Occupational Therapist who practices in Major Trauma & Orthopaedics & Neurotherapy.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, South East of England, Dorset, Hampshire, Southampton

Specialisms

Functional rehabilitation, Neurological rehabilitation

Further qualifications

Certificate in Education

Specialist skills

Fatigue management, Pain management, Daily living skills, Behaviour management, Planning & execution, Self care

Sarah

Somerset, West and South West of England

Based in Somerset, Sarah is an OT with expertise in Housing & Equipment assessments and interventions.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Devon, Somerset

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills, Community access, Gross motor skills, Self care, Postural management

Madelaine

Edinburgh (City of), Scotland

Madelaine is an experienced occupational therapist based in Edinburgh, Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, East Lothian, Edinburgh (City of)

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Self care, Mental Health

Lynn

Fife, Scotland

Utilising over 15 years’ experience, Lynn is a highly skilled OT providing expert care to clients across Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Aberdeen City, Aberdeenshire, Angus, Argyll and Bute, Borders, Clackmannan, Dumfries and Galloway, Dundee (City of), East Ayrshire, East Dunbartonshire, East Lothian, East Renfrewshire, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Highland, Inverclyde, Midlothian, Moray, North Ayrshire, North Lanarkshire, Orkney, Perthshire and Kinross, Renfrewshire, Shetland, South Ayrshire, South Lanarkshire, Stirling, West Dunbartonshire, West Lothian, Western Isles

Specialisms

Functional rehabilitation

Further qualifications

AMPS, Postgraduate cert. Vocational Rehab

Specialist skills

Motivational interviewing, Fatigue management, Motivational issues, Routine planning, Daily living skills, Self care, Anxiety management & relaxation, Mental Health

Kim

Surrey, South East of England

OT Kim works in the South and South East of England covering areas of Hampshire and Surrey.

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Profession

Occupational Therapy

Regions covered

South of England, South East of England, Hampshire, Surrey

Specialisms

Housing and Equipment

Specialist skills

DFG Assessments

Stacey

Kent, South East of England

Based in Canterbury, Stacey is an expert OT providing assessments and interventions for adults with physical and neurological conditions.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

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

Simone

Surrey, South East of England

Simone is an expert OT based in Surrey and specialises in brain injury, dementia, and neurological conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, Surrey, London - West

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

BOBATH

Specialist skills

Routine planning, Daily living skills, Planning & execution, Self care, Postural management

Julie

London - West, Berkshire

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, London - West

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Handwriting assessment & treatment

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.

View profile

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

Fran

Liverpool, Merseyside

Working in North West England (Greater Manchester, Lancashire & Merseyside) OT Fran specialises in Paediatrics, Seating and Moving & Handling.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Postural management

Barbara

Hull, East Riding of Yorkshire

Based in Hull, Occupational Therapist Barbara is a dedicated professional specializing in functional rehabilitation, moving and handling, and neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Midlands, East Riding of Yorkshire, Humberside, Lincolnshire, North Yorkshire, Nottinghamshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Hull

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Routine planning, Daily living skills, Community access, Planning & execution, Self care, TBI

Ellie

Gloucestershire, West and South West of England

Ellie is an expert OT based in Gloucestershire, delivering specialist Housing & Equipment assessments to clients at home.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Avon, Bristol, Gloucestershire, Herefordshire, Oxfordshire, Somerset, Wiltshire, Worcestershire, Cardiff, Monmouthshire, Newport, The Vale of Glamorgan

Specialisms

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

Specialist skills

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

Roberta

Northamptonshire, East Midlands

Roberta is an experienced OT based in Northampton, offering specialist Housing & Equipment, Seating, and Moving & Handling recommendations.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Bedfordshire, Buckinghamshire, Cambridgeshire, Leicestershire, Northamptonshire, Oxfordshire, Rutland, Warwickshire, Birmingham, Coventry, Leicester

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Self care, Postural management

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.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Buckinghamshire

Specialisms

Housing and Equipment

Specialist skills

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

Lucy

Birmingham, West Midlands

Covering a client base across the West Midlands, Lucy is an expert OT specialising in Functional Rehabilitation and elderly care.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, Staffordshire, West Midlands, Birmingham

Specialisms

Functional rehabilitation

Specialist skills

Fatigue management, Daily living skills, Community access, Self care

Cathy

Suffolk, East Anglia

Cathy is an experienced OT working in Suffolk, Norfolk, and Cambridgeshire with adult clients with physical needs.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, London, Bedfordshire, Cambridgeshire, Essex, Middlesex, Norfolk, Northamptonshire, Rutland, Suffolk, London - North

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Community access, Self care, Postural management, Wheelchair accreditation

Lisa

London

In London and Surrey, Lisa, an Occupational Therapist, specialises in housing and equipment, moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

London, Surrey

Specialisms

Housing and Equipment

Specialist skills

DFG Assessments

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

Sherean

Buckinghamshire, South East of England

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

View profile

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

Leane

Birmingham, West Midlands

Leane, an Occupational Therapist in Birmingham, specialises in Housing & Equipment, Paediatrics, and Moving & Handling.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham

Specialisms

Housing and Equipment

Specialist skills

Community access

Rebecca

Surrey, South of England

Based in Dorking, Surrey, Rebecca is a specialist OT who supports clients with a range of orthopaedic injuries and conditions.

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Profession

Occupational Therapy

Regions covered

South of England, Surrey, West Sussex

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills, Self care

Claire

Moray, Scotland

Supporting clients across Aberdeenshire and Moray, Claire is an experienced OT with expertise in Mental Health.

View profile

Profession

Occupational Therapy

Regions covered

Scotland, Aberdeen City, Aberdeenshire, Highland, Moray

Specialisms

Functional rehabilitation

Further qualifications

AMPS

Specialist skills

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

Khatira

London - Central, London

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

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills, Community access, Self care

Tanya

Hertfordshire, South East of England

Tanya is an OT in Housing & Equipment and Moving & Handling, visiting clients across Hertfordshire, London, and East Anglia.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South of England, South East of England, Bedfordshire, Berkshire, Buckinghamshire, Cambridgeshire, East Sussex, Essex, Hertfordshire, Kent, Northamptonshire, Suffolk

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

Motivational interviewing, DFG Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Self care, Social integration, Postural management, Anxiety management & relaxation, Learning disability

Sophy

Northamptonshire, East Midlands

Based in Northampton, Sophy is an OT with expertise in the field of Neurological Rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, London, Bedfordshire, Buckinghamshire, Cambridgeshire, Leicestershire, Northamptonshire, Rutland, Warwickshire, London - North, Coventry, Leicester

Specialisms

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

Specialist skills

Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Planning & execution, Self care, Social integration, Anxiety management & relaxation, TBI

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