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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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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

Aaron

Wakefield, Yorkshire and Lincolnshire

Aaron, an Occupational Therapist, specialises in housing and equipment, functional rehab, and moving and handling.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Yorkshire, Leeds, Manchester, Wakefield, Hull

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Blue Badges / Mobility Assessments, Routine planning, Community access

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

Tina

Plymouth, Devon

Operating in west and south west England (Cornwall, Dorset, Somerset, Devon, Plymouth) Tina specialises in Functional, Neurological and Vocational Rehabilitation.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BIA

Specialist skills

Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Splinting, Anxiety management & relaxation, TBI

Suzanna

Denbighshire, Wales

Suzanna is an expert Occupational Therapist based in Wales, specialising in Housing & Equipment, and Moving & Handling.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Merseyside, Conwy, Denbighshire, Flintshire

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Self care, Postural management, Wheelchair accreditation, Learning disability

Kate

Wakefield, West Yorkshire

Working across Yorkshire, Kate is an OT with over a decade’s experience in Seating and Postural Management and Functional Rehabilitation.

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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, Manchester, Wakefield

Specialisms

Housing and Equipment

Specialist skills

Postural management, Learning disability

Julia

London

Visiting clients across London, Julia is an experienced OT with expertise in orthopaedic conditions and brain injuries.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Self care, Anxiety management & relaxation, TBI

Louise

Wiltshire, West and South West of England

Based in Wiltshire, Louise is an expert occupational therapist working with clients in their own homes to maximise independence.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Seating and Postural management

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Postural management

Angela

Dumfries and Galloway, Scotland

Angela is an experienced Occupational Therapist specialising in Neurological Rehabilitation. She visits clients across North-West England and Scotland.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Scotland, Cumbria, Dumfries and Galloway

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Planning & execution, Self care, Anxiety management & relaxation

Alyssa

Plymouth, Devon

Alyssa is an experienced Occupational Therapist specialising in neurological rehabilitation, functional rehabilitation, and moving and handling across the South West.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Bristol, Cornwall, Devon, Somerset, Bristol, Plymouth

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Planning & execution, Self care, Postural management, Anxiety management & relaxation, TBI

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

Rosey

Hampshire, South of England

Rosey is an experienced Occupational Therapist specialising in Housing and Equipment, supporting clients with various conditions across Southern England.

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Profession

Occupational Therapy

Regions covered

South of England, Hampshire, West Sussex, Southampton

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

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

Jo

Gloucestershire, West and South West of England

Jo has almost two decades of experience in major and minor housing adaptations, moving and handling & rehab in Gloucestershire.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Gloucestershire

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Sarah

Bedfordshire, East Anglia

Sarah is an experienced Occupational Therapist based in Bedfordshire and the surrounding areas.

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Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire, Buckinghamshire, Hertfordshire, Northamptonshire

Specialisms

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

Specialist skills

DFG Assessments

Jackie

Conwy, Wales

Jackie is an experienced Occupational Therapist specialising in Housing, Equipment, and Moving and Handling across Wales and North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Greater Manchester, Merseyside, Shropshire, Bridgend, Cardiff, Ceredigion, Conwy, Denbighshire, Flintshire, Isle of Anglesey, Merthyr Tydfil, Pembrokeshire, Powys, Swansea, Wrexham, Liverpool, Manchester, Bristol, Cardiff, Coventry, Swansea, Salford

Specialisms

Housing and Equipment, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Routine planning, Daily living skills, Community access, Self care, Mental Health

Lindsey

Ceredigion, Wales

Working across South Wales, Lindsey is an expert Occupational Therapist providing holistic assessments and treatment plans for her clients.

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Profession

Occupational Therapy

Regions covered

Wales, Carmarthenshire, Ceredigion, Pembrokeshire, Powys

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Daily living skills, Self care, Anxiety management & relaxation

Chandrajeet

London - West, Middlesex

Specialising in Housing & Equipment, Chandrajeet is an experienced OT based in West London.

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Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, Hertfordshire, Middlesex, London - Central, London - West

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care

Stella

Kent, London

Stella offers tailored Occupational Therapy services, specialising 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, Neurological rehabilitation

Further qualifications

BIA

Specialist skills

Financial management

Val

Cornwall, West and South West of England

Val is an accredited Best Interests Assessor, delivering specialist assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, Bristol, Cornwall, Devon, Isles of Scilly, Bristol, Plymouth, Salford

Specialisms

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

Further qualifications

AMPS, BIA, Therapeutic listening

Specialist skills

Counselling, DFG Assessments, Fatigue management, Motivational issues, Daily living skills, Community access

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

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

Kathleen

Liverpool, Flintshire

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

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

Ana

Oxfordshire, South of England

South of England based OT Ana specialises in housing & equipment, seating & postural management and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

South of England, Gloucestershire, Oxfordshire, Warwickshire, Wiltshire

Specialisms

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

Specialist skills

DFG Assessments, Fatigue management, Daily living skills, Postural management, Wheelchair accreditation

Sarah

Derbyshire, East Midlands

Based in Derbyshire, Sarah is a highly experienced Occupational Therapist who visits clients across the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Leicestershire, Nottinghamshire, South Yorkshire, Staffordshire, West Midlands, Birmingham, Sheffield, Coventry, Nottingham, Leicester, Stoke-on-Trent, Wolverhampton, Derby

Specialisms

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

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Planning & execution, Self care, Postural management

Rachael

Bedfordshire, East Anglia

Based in Bedfordshire, Rachael is a specialist OT providing housing and rehabilitation assessments to clients across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Hertfordshire, Norfolk, Suffolk, London - North

Specialisms

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

Further qualifications

BOBATH, BIA

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care

Heidi

Bristol, West and South West of England

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation

Specialist skills

Routine planning, Daily living skills, Self care

Alistair

Pembrokeshire, Wales

Alistair, an accomplished Occupational Therapist residing in Pembrokeshire, Wales who specialises in in Functional and Neurological rehabilitation, and housing adaptions.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, South of England, South East of England, Scotland, Ireland, Wales, Avon, Berkshire, Bristol, Buckinghamshire, Cheshire, Cumbria, Derbyshire, Dorset, Gloucestershire, Greater Manchester, Herefordshire, Kent, Aberdeen City, Aberdeenshire, Borders, Orkney, Shetland, South Lanarkshire, Bridgend, Cardiff, Merthyr Tydfil, Neath Port Talbot, Newport, Pembrokeshire, Powys, Rhondda Cynon Taff, Swansea, Wrexham

Specialisms

Functional rehabilitation, Neurological rehabilitation

Jennie

South Yorkshire, Yorkshire and Lincolnshire

Jennie is a highly experienced OT based in Doncaster. She provides Functional and Neuro rehabilitation for adults across Yorkshire.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, South Yorkshire, Sheffield

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care

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