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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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Jessica

Nottingham, Nottinghamshire

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

View profile

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

Kirsty

Renfrewshire, Scotland

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

View profile

Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

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

Specialist skills

Counselling

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

Emma

London - Central, Middlesex

Functional Rehabilitation Occupational Therapist Emma specialises in fatigue and pain management and daily living skills

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

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

Suzanne

Cheshire, North West England

Suzanne provides expert occupational therapy services, specialising in rehabilitation, equipment and adaptations and functional assessments across North West England.

View profile

Profession

Occupational Therapy

Regions covered

North West England

Specialisms

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

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Social integration, Anxiety management & relaxation, Mental Health

Rachel

Hertfordshire, South of England

Rachel is a Paediatric Occupational Therapist supporting children in the South of England with diverse developmental, behavioural, and learning challenges.

View profile

Profession

Occupational Therapy

Regions covered

London, South of England, Cambridgeshire, Essex, Hertfordshire

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Planning & execution, Self care, School Based Therapy/Support, Anxiety management & relaxation, Mental Health

Rosina

Bedfordshire, East Anglia

OT Rosina, from Dunstable, travels Bedfordshire working in Luton and Milton Keynes. She specialises in Functional and Vocational Rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire

Specialisms

Functional rehabilitation

Specialist skills

Daily living skills, Community access, Behaviour management, Anxiety management & relaxation, Mental Health

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

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

Kirsty

Liverpool, Cheshire

Based in Chester, Kirsty is an experienced OT specialising in Housing & Equipment and Moving & Handling interventions.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside, Shropshire, South Yorkshire, Staffordshire, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Powys, Wrexham, Liverpool, Manchester, Hull, Stoke-on-Trent, Salford

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Community access, Self care, Social integration, Postural management, Learning disability

Alison

Birmingham, Warwickshire

Alison is an experienced OT based in Warwickshire. She supports clients of all ages with progressive neurological and life-limiting conditions.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Gloucestershire, Herefordshire, Leicestershire, Oxfordshire, Shropshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Bristol, Coventry, Wolverhampton

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Joy

Leicester, Northamptonshire

Midlands based Joy is an Occupational Therapist specializing in Housing & Equipment, Functional Rehabilitation, and Moving & Handling.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Bedfordshire, Kent, Leicestershire, Northamptonshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Charlotte

Lincolnshire, East Midlands

Based in Lincolnshire, Charlotte is an expert Housing and Rehabilitation OT, working with clients across the East Midlands.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Cambridgeshire, Lincolnshire, Nottinghamshire

Specialisms

Housing and Equipment, Neurological rehabilitation

Specialist skills

DFG Assessments, Fatigue management, Daily living skills

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

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

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

Stacey

Derby, Derbyshire

Stacey, an Occupational Therapist based in the East Midlands, specifically Derby and Derbyshire, specialises in housing and equipment, and rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Nottinghamshire, Nottingham, Derby

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

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

Rosie

Lincolnshire, Yorkshire and Lincolnshire

Rosie is a Specialist Paediatric Occupational Therapist and Sensory Integration Practitioner offering services across the East Midlands.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration, Sensory Attachment Therapy

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Balance, Co-ordination, Planning & execution, School Based Therapy/Support, Sensory attachment intervention, Learning disability, Mental Health

Sarah

Derbyshire, East Midlands

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

View profile

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

Chia-Chien

London - South, Surrey

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

CO-OP Practitioner

Specialist skills

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

Gemma

London - North, Bedfordshire

Gemma is a dedicated Occupational Therapist with a specialization in Housing and Equipment, Functional Rehabilitation, and Moving and Handling.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, London, Bedfordshire, Buckinghamshire, Cambridgeshire, Hertfordshire, Northamptonshire, Oxfordshire, London - Central

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Sensory integration, Behaviour management, Handwriting assessment & treatment, Planning & execution, Self care, Postural management, School Based Therapy/Support, Wheelchair accreditation, Anxiety management & relaxation

Miriam

Middlesex, London

Located in Edgeware, Miriam is an expert OT who supports adults of all ages with rehabilitation and housing needs.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Essex, Hertfordshire, Middlesex, London - Central, London - North, London - East, London - West

Specialisms

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

Specialist skills

Fatigue management, Pain management, Daily living skills, Balance, Co-ordination, Self care, Postural management

Carole

Fife, Scotland

Based in Fife, Carole provides expert occupational therapy helping adults with Housing & Equipment and Rehabilitation needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Aberdeenshire, Argyll and Bute, Clackmannan, Dundee (City of), East Lothian, Edinburgh (City of), Falkirk, Fife, Highland, Moray, Perthshire and Kinross, West Lothian

Specialisms

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

Further qualifications

AMPS

Specialist skills

Counselling, PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Behaviour management, Self care, Social integration

Clare

Newcastle upon Tyne, Tyne and Wear

Qualified in 1999, experienced Occupational Therapist Clare specialises in Moving and Handling, supporting clients across North East England.

View profile

Profession

Occupational Therapy

Regions covered

North East England

Specialisms

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

Joy

Derbyshire, East Midlands

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

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

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

Fran

Newcastle upon Tyne, Northumberland

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

View profile

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

Harriet

Buckinghamshire, South East of England

Harriet is an expert functional rehabilitation Occupational Therapist, delivering specialist assessments to clients in South East England and London.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Bedfordshire, London - North

Specialisms

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

Specialist skills

Daily living skills

Lesley

Manchester, Greater Manchester

Lesley, an Occupational Therapist who qualified in 2008, specialises in housing and equipment, alongside moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, West Midlands

Specialisms

Housing and Equipment, Moving and Handling

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

Julie

London - West, Surrey

Julie, an Occupational Therapist, specialises in functional rehabilitation, neurology, complex paediatrics, and handwriting assessments.

View profile

Profession

Occupational Therapy

Regions covered

London, Berkshire, Surrey, London - West

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Sensory integration, Handwriting assessment & treatment

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

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