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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

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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Katie

Dorset, West and South West of England

Visiting clients across the South-West, Katie is an OT with expertise in Housing & Equipment, Seating, and Moving & Handling.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments, PIPs, Fatigue management, Self care, Postural management, Wheelchair accreditation

Stephanie

Nottinghamshire, East Midlands

Stephanie, an accomplished Occupational Therapist residing in Nottinghamshire, serving regions across the north of England and the midlands.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, East Anglia, London, Wales

Specialisms

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

Further qualifications

Sensory Integration

Specialist skills

Pain management, Sensory integration, Gross motor skills, Fine motor skills, Social integration, Learning disability

Lucy

Cambridgeshire, East Anglia

Lucy delivers expert Functional Rehabilitation and Housing & Equipment assessments for clients across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Hertfordshire, Norfolk, Northamptonshire, Suffolk

Specialisms

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

Further qualifications

AMPS, Train the trainer

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Behaviour management, Co-ordination, Self care, Social integration

Anne

Warwickshire, West Midlands

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

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

Angela

Dumfries and Galloway, Scotland

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

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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

Helen

Swindon, Oxfordshire

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Sensory Integration

Specialist skills

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

Michelle

Staffordshire, West Midlands

Qualified in Sensory Integration, Michelle is a Paediatric Occupational Therapist supporting children with autism, ADHD and developmental needs.

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Profession

Occupational Therapy

Regions covered

West Midlands, Staffordshire

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Fatigue management, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Anxiety management & relaxation, Learning disability, Mental Health, TBI

Fran

Newcastle upon Tyne, Northumberland

Working in the North East of England, Fran is a dedicated Occupational Therapist specialising in housing & equipment.

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Profession

Occupational Therapy

Regions covered

North East England, North Yorkshire, Newcastle upon Tyne

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments

Natiq

London - East, Essex

Qualifying in 2011, Natiq specialises in housing & equipment, rehabilitation and seating & postural management for adults and children.

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Profession

Occupational Therapy

Regions covered

London, Essex

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, School Based Therapy/Support, Mental Health

Nicola

Bristol, Avon

Helping children build confidence and independence, Nicola specialises in paediatric occupational therapy, sensory processing and early years development.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Bristol, Bath

Specialisms

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

Helen

Nottingham, Nottinghamshire

Helen is an expert Hand Therapist, delivering specialist rehabilitation assessments and treatment across Nottinghamshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, South Yorkshire, Staffordshire, West Midlands, Nottingham

Specialisms

Hand Therapy, Vocational Rehabilitation, Functional rehabilitation

Specialist skills

Counselling, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Self care, Splinting, Anxiety management & relaxation

Rose

Bedfordshire

Rose conducts assessments with clients, providing intervention to improve their safety and independence within their home environment.

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Profession

Occupational Therapy

Regions covered

East Anglia, Buckinghamshire, Hertfordshire, Northamptonshire

Specialisms

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

Further qualifications

BIA

Specialist skills

DFG Assessments

Gemma

Somerset, West and South West of England

Occupational Therapist Gemma supports people with neurological conditions to develop greater independence, confidence and wellbeing in everyday life across Somerset.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Devon, Somerset

Specialisms

Housing and Equipment, Seating and Postural management, 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

Shona

Dumfries and Galloway, Scotland

Shona is an experienced Occupational Therapist specialising in housing, equipment, moving and handling and functional rehabilitation across South Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Dumfries and Galloway, East Ayrshire, North Ayrshire, South Ayrshire, South Lanarkshire, Glasgow

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Self care

Helena

West Sussex, South East of England

Helena, an experienced Occupational Therapist in the South East, specialises in equipment and home adaptation assessments to support independence.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

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

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

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

Anna-Marie

Lancashire, North West England

Anna-Marie specialises in rehabilitation and vocational rehabilitation, helping people regain independence through person-centred Occupational Therapy across Lancashire.

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Profession

Occupational Therapy

Regions covered

North West England, Lancashire

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Daily living skills, Planning & execution, Mental Health

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.

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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

Gemma

Hampshire, South of England

Gemma is an Occupational Therapist specializing in housing and equipment, seating and postural management, functional and neurological rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care, Social integration, Anxiety management & relaxation

Ruth

Kent, South East of England

Ruth is an OT based in Whitstable, Kent, offering comprehensive assessments and rehabilitation for clients with injury and long-term conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, London - South

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Self care, Social integration

Dearbhla

Cardiff, Cardiff

Dearbhla provides specialised occupational therapy in neurological rehabilitation, functional rehabilitation, housing and equipment, and improving daily living skills.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Bristol, Bridgend, Caerphilly, Cardiff, Monmouthshire, Newport, The Vale of Glamorgan, Bristol, Cardiff, Swansea

Specialisms

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

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Self care, Postural management, Wheelchair accreditation, TBI

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

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

Claire

Newport, Wales

OT Claire delivers Seating & Postural Management, Functional Rehabilitation, and Moving & Handling services in Wales (Cardiff, Monmouthshire) and Bristol.

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Profession

Occupational Therapy

Regions covered

Wales, Bristol, Gloucestershire, Herefordshire, Somerset, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Monmouthshire, Newport, Torfaen, Cardiff

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Self care, Postural management

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

Jessica

Newcastle upon Tyne, Northumberland

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

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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

Carlie

Lancashire, North West England

Carlie is an expert OT in neuro and functional rehabilitation based in Lancashire, providing specialist interventions for adults.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

AMPS

Specialist skills

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

Sam

Northamptonshire, East Midlands

Based in Northamptonshire, Sam is an OT with over 20 years of experience, specialising in rehabilitation and Housing & Equipment.

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Profession

Occupational Therapy

Regions covered

, Bedfordshire, Leicestershire, Northamptonshire, Rutland, Warwickshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation

Specialist skills

Fatigue management, Daily living skills, Balance, Self care, Postural management

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