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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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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

Liz

Gloucestershire, West and South West of England

Liz is an expert Occupational Therapist specialising in rehabilitation, equipment, and mobility, serving Gloucestershire, Herefordshire, and Monmouthshire.

View profile

Profession

Occupational Therapy

Regions covered

Specialisms

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

Alex

West Yorkshire, Yorkshire and Lincolnshire

Alex is an expert OT specialising in the field of Neurological Rehabilitation, covering Yorkshire and the North of England.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Lancashire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Wakefield

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, Postural management, Splinting, Anxiety management & relaxation, TBI

Anna

Londonderry, Northern Ireland

Based in Northern Ireland, Anna specialises in Neurological Rehabilitation, Housing & Equipment, and Seating & Postural Management.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

BOBATH

Specialist skills

TBI

Hazel

Cardiff, Cardiff

Cardiff, Newport and North Somerset based Occupational Therapist Hazel specialises in Seating and Postural, Housing & Equipment, Moving & Handling.

View profile

Profession

Occupational Therapy

Regions covered

Wales, The Vale of Glamorgan

Specialisms

Functional rehabilitation, Moving and Handling

Further qualifications

Certificate in Education

Specialist skills

Daily living skills, Wheelchair accreditation, Anxiety management & relaxation

Rebecca

Surrey, South of England

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

View profile

Profession

Occupational Therapy

Regions covered

South of England, Surrey, West Sussex, London - South

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Self care

Rebecca

Edinburgh, Scotland

Specialising in Neurological and Functional Rehabilitation, expert Occupational Therapist Rebecca offers holistic care for complex conditions across Northumberland and Scotland.

View profile

Profession

Occupational Therapy

Regions covered

Scotland, Northumberland

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Daily living skills

Catherine

Oxfordshire, South of England

Based in Oxford, Catherine is an OT with over 15 years’ experience and particular expertise in Trauma and Orthopaedics.

View profile

Profession

Occupational Therapy

Regions covered

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

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

Sarah

Devon, West and South West of England

Specialising in neuro-rehabilitation, Sarah is an OT based in Devon, working with clients following neurological trauma or diagnosis.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Daily living skills, Behaviour management, Postural management

Sherean

Buckinghamshire, South East of England

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

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Profession

Occupational Therapy

Regions covered

East Midlands, South East of England, Bedfordshire, Buckinghamshire, Northamptonshire, Oxfordshire

Specialisms

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

Further qualifications

Sensory Integration, AMPS, BIA

Specialist skills

Routine planning, Daily living skills, Community access, Sensory integration, Self care, Social integration, Anxiety management & relaxation, Mental Health

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

Karina

London - West, London

Specialising in Seating and Postural Management, Functional Rehabilitation and Moving and Handling, Karina provides occupational therapy services in London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Motivational interviewing, Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Planning & execution, Postural management

Rosemary

Birmingham, West Midlands

Rosemary is an experienced Housing and Equipment Occupational Therapist providing care across the Midlands, North West and South West England.

View profile

Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, East Anglia, South East of England, Wales, Cheshire, Lancashire, Leicestershire, Lincolnshire, Norfolk, Nottinghamshire, Somerset, South Yorkshire, Staffordshire, Suffolk, Warwickshire, West Midlands, Worcestershire

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments

Janet

Birmingham, West Midlands

Working in the West Midlands, OT Janet specialises in Vocational Rehabilitation, Housing, Postural Management; Fatigue, Anxiety and Pain.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Gloucestershire, Northamptonshire, Oxfordshire, Shropshire, Staffordshire, Warwickshire, Wiltshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Ergonomics

Specialist skills

DFG Assessments, Fatigue management, Pain management, Daily living skills, Postural management, Splinting, Anxiety management & relaxation

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

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

Georgia

London

OT Georgia has experience in vocational and functional rehabilitation, as well as expertise in seating and postural management.

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Profession

Occupational Therapy

Regions covered

London, Kent

Specialisms

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

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Fine motor skills, Planning & execution, Self care, Postural management, Wheelchair accreditation, Anxiety management & relaxation

Claire

London - North, Hertfordshire

Occupational Therapist Claire, with over 20 years of experience, specializes in housing and equipment as well as moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

London, South of England, South East of England, Buckinghamshire, Hertfordshire, Middlesex, London - North, London - West

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments

Tina

Plymouth, Devon

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

View profile

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

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

Corin

Bristol, Somerset

Corin is an experienced occupational therapist with community healthcare experience, specialising in rehabilitation and covering the South West.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Wheelchair accreditation

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

Stephanie

Nottinghamshire, East Midlands

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

View profile

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

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

Angela

Glasgow, Glasgow (City of)

Working throughout London, Occupational Therapist Angela provides Neurological Rehabilitation and enjoys helping those who have experienced a Stroke.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

Counselling, Fatigue management, Routine planning, Daily living skills, Community access, Visual perception, Co-ordination, Postural management

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

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

Natiq

London - East, Essex

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

View profile

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

Sarah

Bedfordshire, East Anglia

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

View profile

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

Hayley

Norfolk, East Anglia

Hayley is an experienced OT who delivers expert Functional Rehabilitation to clients across East Anglia.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Norfolk, Suffolk

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Planning & execution, Self care, Postural management, Anxiety management & relaxation

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