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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

Clinical Services Manager (Adults)

Victoria, an experienced OT, is the Clinical Services Manager supervising the team looking after adults cases, mainly working on referrals from case managers and solicitors.

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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Jennie

South Yorkshire, Yorkshire and Lincolnshire

Jennie is a highly experienced OT based in Doncaster. She provides Functional and Neuro rehabilitation for adults across Yorkshire.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, South Yorkshire, Sheffield

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care

Ellie

Gloucestershire, West and South West of England

Ellie is an expert OT based in Gloucestershire, delivering specialist Housing & Equipment assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Avon, Bristol, Gloucestershire, Herefordshire, Oxfordshire, Somerset, Wiltshire, Worcestershire, Cardiff, Monmouthshire, Newport, The Vale of Glamorgan

Specialisms

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

Specialist skills

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

Paul

Leicester, Leicestershire

Based in Leicester, Paul is a specialist OT delivering expert assessments and interventions across South Yorkshire and The Midlands.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Staffordshire, Warwickshire, West Midlands, Worcestershire, Leicester

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Self care

Melanie

London - North, South East of England

Melanie is an OT based in London, utilising her 20 years of experience to deliver expert assessments and Functional Rehabilitation.

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Profession

Occupational Therapy

Regions covered

London, Hertfordshire, London - Central, London - North, London - West

Specialisms

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

Further qualifications

AMPS, Therapeutic listening, CBT

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Daily living skills, Community access, Gross motor skills, Social integration, Postural management, Anxiety management & relaxation

Jenna

Liverpool, Merseyside

Located in Liverpool, Jenna is a highly skilled Neuro OT helping clients with brain and spinal cord injuries.

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Profession

Occupational Therapy

Regions covered

North West England, Merseyside, Liverpool

Specialisms

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

Further qualifications

BOBATH

Specialist skills

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

Gaynor

Northamptonshire, East Midlands

Gaynor is a highly skilled OT providing expert neurological, vocational, and functional rehabilitation to clients in the East Midlands

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Warwickshire, London - North, Nottingham, Leicester

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Motivational issues, Routine planning, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Self care, Wheelchair accreditation, Anxiety management & relaxation

Sue

Cardiff, Wales

Based in Cardiff, Sue specialises in Housing & Equipment and Moving & Handling assessments and interventions.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Somerset, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Rhondda Cynon Taff, Swansea, Torfaen, Cardiff, Swansea

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

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

Katrina

Dorset, West and South West of England

Katrina is an experienced OT specialising in Housing & Equipment, Seating & Postural Management, and Moving & Handling for adults.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, South East of England, Dorset, Hampshire, Southampton

Specialisms

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

Specialist skills

DFG Assessments

Debra

Middlesex, London

Based in London, Debra is an experienced OT specialising in Housing & Equipment and Moving & Handling.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, Bedfordshire, Buckinghamshire, Hertfordshire, Middlesex

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Self care

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

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

Becky

Berkshire, South East of England

Based in Berkshire, Becky is an expert Paediatric Occupational Therapist working with children and their families.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Buckinghamshire, Dorset, Hampshire, Isle of Wight, Oxfordshire, Surrey, Southampton

Specialisms

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

Further qualifications

Train the trainer, Chailey Postural Management

Specialist skills

DFG Assessments, Postural management, Makaton

Caroline

The Vale of Glamorgan, Wales

Caroline is an Occupational Therapist from Wales, providing Housing & Equipment support to adults with a variety of functional needs.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Bristol, Herefordshire, Wiltshire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Merthyr Tydfil, Neath Port Talbot, Newport, Powys, Rhondda Cynon Taff, Swansea

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments

Zoe

London - North, Hertfordshire

Zoe is an OT specialising in Functional Rehabilitation. She visits clients with physical and neurological conditions across London and Hertfordshire.

View profile

Profession

Occupational Therapy

Regions covered

London, Hertfordshire, London - North

Specialisms

Functional rehabilitation

Specialist skills

PIPs, Routine planning, Daily living skills, Planning & execution, Self care

Eve

Sheffield, South Yorkshire

Eve is a highly experienced Paediatric Occupational Therapist working with children across Yorkshire, Lincolnshire, and Derbyshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Derbyshire, South Yorkshire, Sheffield

Specialisms

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

Elisabeth

Cheshire, North West England

Specialising in Housing & Equipment, Elisabeth delivers expert assessments for clients across the North West of England.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Greater Manchester, Lancashire, Merseyside, Liverpool, Manchester, Stoke-on-Trent, Salford

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Self care

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

Sarah

Derbyshire, East Midlands

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

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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

Anna

Kent, South East of England

An expert OT in Neurological Rehabilitation, Anna works with adult clients in Kent and London.

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Profession

Occupational Therapy

Regions covered

London, South East of England, East Sussex, Kent, Surrey, West Sussex, London - East, Brighton

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Behaviour management, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Splinting

Donna

Kent, South East of England

Working in Kent, Donna is a highly skilled OT specialising in Housing and Equipment interventions.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care

Amy

Devon, West and South West of England

Located in Devon, Amy is an expert OT who provides specialist interventions for clients across the South-West of England.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

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

Carien

Dumfries and Galloway, Scotland

Based in Scotland, Carien provides expert Paediatric Occupational Therapy helping children with handwriting, sensory, and complex physical needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Borders, Dumfries and Galloway, East Ayrshire, East Lothian, East Renfrewshire, Edinburgh (City of), Fife, Glasgow (City of), Midlothian, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, West Lothian, Glasgow, Edinburgh

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration

Tracy

Worcestershire, West Midlands

Based in Worcestershire, Tracy provides expert Neurological Occupational Therapy helping clients with brain injury, stroke, and mental health needs.

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Profession

Occupational Therapy

Regions covered

West Midlands, Herefordshire, Oxfordshire, Shropshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Coventry

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Planning & execution, Self care

Sarah

Swindon, Wiltshire

Based in Swindon, Sarah is a Paediatric OT visiting children in a home or school setting across the South-West.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Berkshire, Bristol, Oxfordshire, Wiltshire, Swindon

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Specialist skills

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

Heather

Northamptonshire, East Midlands

Located in Northampton, Heather provides specialist neurological assessments to clients in their home environment across The Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, East Anglia, Bedfordshire, Buckinghamshire, Cambridgeshire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Rutland, Warwickshire

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Fine motor skills, Visual perception, Planning & execution, Self care, Postural management, Splinting

Hazel

Cumbria, North West England

Working in the North East, Hazel provides expert care to clients with a wide rage of needs and conditions.

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Profession

Occupational Therapy

Regions covered

North West England, West Yorkshire, Manchester

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

Motivational interviewing, Counselling, PIPs, Fatigue management, Pain management, Motivational issues, Daily living skills, Community access, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Self care, Anxiety management & relaxation

Stephanie

London - West, London

Based in London, Stephanie is an experienced OT offering Functional Rehabilitation and Housing & Equipment assessments and recommendations.

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Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, Middlesex, London - Central, London - West

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

Motivational interviewing, DFG Assessments, Daily living skills, Community access, Self care

Amy

Staffordshire, West Midlands

Amy is an OT based in Staffordshire, delivering expert Housing & Equipment assessments for adults with physical disabilities and conditions.

View profile

Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, West and South West of England, South East of England, Berkshire, Buckinghamshire, Cambridgeshire, Cheshire, Derbyshire, Devon, Gloucestershire, Greater Manchester, Kent, Leicestershire, Merseyside, Northamptonshire, Nottinghamshire, Oxfordshire, Shropshire, Staffordshire, Warwickshire, West Midlands, Worcestershire, Denbighshire, Flintshire, Wrexham, Birmingham, Liverpool, Manchester, Coventry, Nottingham, Leicester, Plymouth, Stoke-on-Trent, Wolverhampton, Derby

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, PIPs, Daily living skills

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

Nina

Berkshire, South East of England

With over 15 years' experience, Nina specialises in Housing & Equipment, Seating & Postural Management and Rehabilitation for adults.

View profile

Profession

Occupational Therapy

Regions covered

South of England, South East of England, Berkshire, Buckinghamshire, Hampshire, Oxfordshire

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Pain management, Daily living skills, Community access, Visual perception, Balance, Self care, Postural management

Client feedback

Further reading

Our news & press

Introducing Emma, Clinical Team Lead – Housing & Equipment

At the beginning of the year we announced our launch of ‘Specialist Clinical Teams for 2019’. For the first appointment of our clinical leaderships we introduce you to Emma, our Housing and Equipment team lead.

Read more

Our Experts' Blog

Case Study: Training

In this article Louise describes how she used training as part of her treatment programme with Rob during his rehabilitation following significant orthopaedic trauma. The case study brings to life how training can be an invaluable tool in a the rehabilitation journey.

Read more