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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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Jan

London

Jan is an expert OT delivering specialist Neurological, Vocational, and Functional Rehabilitation to clients across London.

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Profession

Occupational Therapy

Regions covered

London, Essex, London - Central, London - East

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Planning & execution, Self care, Anxiety management & relaxation, TBI

Lesley

Manchester, Greater Manchester

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

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Profession

Occupational Therapy

Regions covered

North West England

Specialisms

Housing and Equipment, Moving and Handling

Suzanna

Denbighshire, Wales

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

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

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

Barbara

Hull, East Riding of Yorkshire

Based in Hull, Occupational Therapist Barbara is a dedicated professional specializing in functional rehabilitation, moving and handling, and neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Midlands, East Riding of Yorkshire, Humberside, Lincolnshire, North Yorkshire, Nottinghamshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Hull

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Routine planning, Daily living skills, Community access, Planning & execution, Self care, TBI

Paritosh

Stoke-on-Trent, Staffordshire

Paritosh is a highly skilled Occupational Therapist specialising in housing & equipment, functional rehabilitation, and moving & handling.

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Profession

Occupational Therapy

Regions covered

West Midlands, Staffordshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills, Self care

William

Devon, West and South West of England

Based just outside of Exeter in Devon, William is an OT specialising in Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

Train the trainer

Specialist skills

Daily living skills, Fine motor skills, Visual perception, TBI

Lindsey

Ceredigion, Wales

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

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Profession

Occupational Therapy

Regions covered

Wales, Carmarthenshire, Ceredigion, Pembrokeshire, Powys

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

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

Miriam

Middlesex, London

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

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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

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

Farah

London - North, Middlesex

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

View profile

Profession

Occupational Therapy

Regions covered

London, Hertfordshire, Middlesex, London - North, London - West

Specialisms

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

Specialist skills

Fatigue management, Daily living skills, Fine motor skills, Visual perception, Co-ordination, Postural management, Wheelchair accreditation, Anxiety management & relaxation, TBI

Lisa

London

In London and Surrey, Lisa, an Occupational Therapist, specialises in housing and equipment, moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

London, Surrey

Specialisms

Housing and Equipment

Specialist skills

DFG Assessments

Sarah

Nottinghamshire, East Midlands

Sarah is an experienced OT specialising in housing & equipment and vocational rehabilitation, serving Yorkshire, Lincolnshire and Nottinghamshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Midlands, Lincolnshire, Nottinghamshire, South Yorkshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Moving and Handling

Further qualifications

AMPS, CBT

Specialist skills

Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Self care, Anxiety management & relaxation, Mental Health

Leane

Birmingham, West Midlands

Leane, an Occupational Therapist in Birmingham, specialises in Housing & Equipment, Paediatrics, and Moving & Handling.

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Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham

Specialisms

Housing and Equipment

Specialist skills

Community access

Siobhain

London - South, Surrey

Siobhain is a dedicated Occupational Therapist specialising in housing & equipment, functional rehabilitation, seating, and activities of daily living.

View profile

Profession

Occupational Therapy

Regions covered

London, South of England, Surrey

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Self care, Postural management

Marie

Worcestershire, West Midlands

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

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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

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

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

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

Laura

Birmingham, West Midlands

Laura is an expert Occupational Therapist specialising in Neurological Rehabilitation, with particular focus on acquired brain injury and stroke.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Gloucestershire, Leicestershire, Staffordshire, Warwickshire, West Midlands

Specialisms

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

Specialist skills

Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Planning & execution, Splinting

Rhumana

Leicester, Leicestershire

Located in Leicester, Rhumana is an experienced OT delivering expert interventions for clients across the Midlands.

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Profession

Occupational Therapy

Regions covered

East Midlands, Warwickshire, Coventry, Leicester

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Blue Badges / Mobility Assessments, PIPs, Fatigue management, Routine planning, Daily living skills, Self care

Sharon

London - South, South East of England

With over 30 years’ experience, Sharon is an expert OT specialising in Housing & Equipment and Seating & Postural Management.

View profile

Profession

Occupational Therapy

Regions covered

London, South East of England, Kent, London - Central, London - South

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Postural management

Charlotte

Lincolnshire, East Midlands

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

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Profession

Occupational Therapy

Regions covered

East Midlands, Cambridgeshire, Lincolnshire, Nottinghamshire

Specialisms

Housing and Equipment, Neurological rehabilitation

Specialist skills

DFG Assessments, Daily living skills

Clare

Wiltshire, South East of England

Specialising in Housing & Equipment, Clare is an OT based in Buckinghamshire delivering assessments for clients across the South East.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South East of England , Swindon

Specialisms

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

Further qualifications

BIA, Train the trainer

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Community access, Self care, Postural management

Stacey

Derby, Derbyshire

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

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Profession

Occupational Therapy

Regions covered

North West England, North East England, East Midlands, East Anglia, Derbyshire, Leicestershire, Nottinghamshire, Staffordshire, Warwickshire, West Midlands, Birmingham, Sheffield, Manchester, Nottingham, Leicester, Stoke-on-Trent, 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

Mary Kate

Londonderry, Northern Ireland

Mary Kate is an OT in Northern Ireland, specialising in Seating & Postural Management and delivering expert wheelchair assessments.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation

Marie

Manchester, Lancashire

Marie, an Occupational Therapist, specialises in housing and equipment, as well as moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

North East England, Cheshire, Lancashire

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

Daily living skills

Otibho

London - North, London

Otibho is an OT experienced in Seating, Moving & Handling and Functional Rehabilitation working in West Berkshire, Surrey and Hampshire.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care, Social integration, Wheelchair accreditation

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

Melanie

Cambridgeshire, East Anglia

Melanie is a highly skilled Occupational Therapist specialising in Housing & Equipment, Seating and Functional and Neurological rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire, Cambridgeshire

Specialisms

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

Specialist skills

DFG Assessments

Julie

Cheshire, North West England

Specialising in Functional and Neurological Rehabilitation, Julie is an Occupational Therapist based in Crewe, just south of Liverpool and Manchester.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, Wales, Cheshire, Derbyshire, Greater Manchester, Lancashire, Merseyside, Shropshire, Staffordshire, West Midlands, Conwy, Isle of Anglesey, Wrexham, Liverpool, Manchester, Stoke-on-Trent, Wolverhampton

Specialisms

Functional rehabilitation

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Behaviour management, Planning & execution, Self care, Social integration, Anxiety management & relaxation, Mental Health

Naomi

Dorset, West and South West of England

OT Naomi specialises in Housing & Equipment and works in the South West of England.

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Profession

Occupational Therapy

Regions covered

London, Dorset, London - North, London - East, London - West, Southampton

Specialisms

Housing and Equipment

Specialist skills

DFG Assessments

Lucy

London - South, London

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

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Daily living skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Postural management, Splinting, TBI

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