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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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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

Jessica

Newcastle upon Tyne, Northumberland

Jess supports children and adults with functional rehabilitation, equipment adaptations, moving and handling, and complex paediatrics clients.

View profile

Profession

Occupational Therapy

Regions covered

North East England

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Co-ordination, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Dysphagia management

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

Further qualifications

BIA

Specialist skills

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

Jackie

Conwy, Wales

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

View profile

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, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

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

Liz

Liverpool, Merseyside

Liz is a therapist specialising in Functional Rehabilitation & Housing and Equipment for pain conditions and more.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Merseyside

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Motivational issues, Daily living skills, Anxiety management & relaxation, Mental Health

Marie

Worcestershire, West Midlands

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

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Housing and Equipment

Further qualifications

BOBATH

Specialist skills

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

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, London - Central

Specialisms

Housing and Equipment

Specialist skills

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

Richard

Southampton, Hampshire

Richard, an Occupational Therapist, specialises in seating and postural management, functional rehabilitation, and neurological rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Dorset, Hampshire, Southampton

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Daily living skills, Wheelchair accreditation

Lucy

London - South, London

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

View profile

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

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

Katie

London - South, London

Based in London, Katie provides expert Housing and Equipment, Moving and Handling, Seating and Postural Management, and Functional Rehabilitation assessments.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

AMPS

Specialist skills

Blue Badges / Mobility Assessments, Community access, Behaviour management, Balance, Co-ordination

Emma

Wakefield, West Yorkshire

Specialising in rehabilitation, Occupational Therapist Emma provides services across Yorkshire, the Midlands, the North East and North West of England.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, Leeds, Sheffield, Bradford, Wakefield, Hull, Derby

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Mental Health

Jessica

Nottingham, Nottinghamshire

Jessica is a highly skilled Occupational Therapist who works with adults across the East Midlands area.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Nottinghamshire, West Midlands, Birmingham, Coventry, Nottingham, Leicester, Stoke-on-Trent, Derby

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation, TBI

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

Kirsty

Renfrewshire, Scotland

Kirsty is an expert Paediatric OT who supports children with a range of conditions across West Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

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

Specialist skills

Counselling

Ebby

Dumfries and Galloway, Scotland

Ebby provides expert Occupational Therapy, helping adults across Scotland with Functional Rehabilitation and Hand Therapy.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Northumberland, Tyne and Wear, Argyll and Bute, Borders, Clackmannan, East Ayrshire, East Dunbartonshire, East Renfrewshire, Edinburgh (City of), Falkirk, Glasgow (City of), Inverclyde, Midlothian, North Ayrshire, North Lanarkshire, Renfrewshire, South Ayrshire, South Lanarkshire, West Dunbartonshire, West Lothian, Glasgow, Edinburgh

Specialisms

Hand Therapy, Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Daily living skills, Community access, Planning & execution, Self care, Social integration

Joanne

London - East, Essex

Based in London, Joanne is a specialist OT offering neurological rehabilitation for clients with acquired brain injury and neurological conditions.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Routine planning, Community access, TBI

Jessica

Oxfordshire, South East of England

Jessica provides expert Occupational Therapy services, specialising in adaptations, equipment, rehabilitation, mental health, and enhancing independence across diverse needs.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Motivational interviewing, DFG Assessments, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Self care, Social integration, Mental Health

Georgina

Somerset, West and South West of England

Georgina, an Occupational Therapist, specialises in functional rehabilitation, moving and handling, blue badges/mobility assessment, and fatigue management.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Devon, Dorset, Somerset, Wiltshire, Bristol, Bath, Swindon

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

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

Stephanie

Belfast, Antrim

OT Stephanie specialises in Functional and Neurological Rehabilitation, and Moving & Handling.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Planning & execution, Postural management, Splinting, TBI

Jane

Wiltshire, South of England

With over three decades of experience, Occupational Therapist Jane provides expert therapy services across the South of England.

View profile

Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Wiltshire

Specialisms

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

Sharne

Hampshire, South of England

Sharne is an Occupational Therapist specialising in Functional Rehab as well as Housing & Equipment. Sharne visits clients across Hampshire.

View profile

Profession

Occupational Therapy

Regions covered

South of England, South East of England, Hampshire, Isle of Wight, West Sussex, Brighton, Southampton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Self care

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.

View profile

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

Elizabeth

London - Central, London

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

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

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

Specialist skills

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

Julia

London

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

View profile

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.

View profile

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

Tracy

Leeds, West Yorkshire

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

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Wakefield, Hull

Specialisms

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

Further qualifications

AMPS

Specialist skills

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

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

Lucy

Norfolk, East Anglia

Lucy is an experienced Occupational Therapist specialising in mental health and physical rehabilitation, delivering holistic, patient-centred interventions across East Anglia.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Anxiety management & relaxation

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.

View profile

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

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