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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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Pilar

East Sussex, South of England

OT Pilar provides Functional Rehabilitation, Manual Handling, and Pain and Fatigue Management across East Sussex (Brighton) and South London.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, London, East Sussex, West Sussex, London - South, Brighton

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills

Sue

Somerset, West and South West of England

Sue specialises in Housing & Equipment, having developed her expertise in environments across Somerset for the past 20 years.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care

Rachelle

Hampshire, South East of England

Rachelle is a highly skilled Occupational Therapist specialising in housing, seating, functional and neurological rehabilitation, and moving & handling.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Hampshire

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Routine planning, Daily living skills, Community access, Postural management

Sam

Northamptonshire, East Midlands

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

View profile

Profession

Occupational Therapy

Regions covered

, Bedfordshire, Leicestershire, Northamptonshire, Rutland, Warwickshire

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation

Specialist skills

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

Anne-Marie

London - South, Kent

Anne-Marie is an experienced Occupational Therapist specialising in Moving and Handling, serving clients across London and surrounding areas.

View profile

Profession

Occupational Therapy

Regions covered

London, Kent, London - South, London - East, Brighton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Daily living skills, Handwriting assessment & treatment, Self care

Amelia

Kent, South East of England

Functional Rehabilitation OT Amelia works across the South East of England where she specialises in Housing and Seating.

View profile

Profession

Occupational Therapy

Regions covered

South East of England

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Janet

London - South, Kent

Janet is an expert Occupational Therapist specialising in paediatrics and neurological rehabilitation, she works with children at home and school.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, Social integration, School Based Therapy/Support, Learning disability

Benedicta

Buckinghamshire, West Midlands

Benedicta is a dedicated occupational therapist specialising in Functional Rehab and Housing & Equipment solutions.

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Profession

Occupational Therapy

Regions covered

West Midlands, Bedfordshire, Buckinghamshire, Essex, Herefordshire, Nottinghamshire, Oxfordshire, West Midlands

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

DFG Assessments, Daily living skills

Sue

Bristol, Bristol

Sue specialises in Housing and Equipment, Seating and Postural Management, and Moving and Handling assessments for both children and adults.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Devon, Dorset, Gloucestershire, Hampshire, Wiltshire

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills

Georgina

Somerset, West and South West of England

Georgina, an Occupational Therapist, specialises in functional rehabilitation, moving and handling, blue badges/mobility assessment, and fatigue management.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Devon, Dorset, Somerset, Wiltshire, Bristol, Bath, Swindon

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

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

Jane

Wiltshire, South of England

With over three decades of experience, Occupational Therapist Jane provides expert therapy services across the South of England.

View profile

Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Wiltshire

Specialisms

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

Joanne

London - East, Essex

Based in London, Joanne is a specialist OT offering neurological rehabilitation for clients with acquired brain injury and neurological conditions.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Routine planning, Community access, TBI

Rosie

Lincolnshire, Yorkshire and Lincolnshire

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

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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

Mary

Staffordshire, East Midlands

Mary is an experienced Occupational Therapist specialising in rehabilitation for long-term conditions, providing tailored therapy across the Midlands.

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Profession

Occupational Therapy

Regions covered

East Midlands, West Midlands

Specialisms

Hand Therapy, Functional rehabilitation, Neurological rehabilitation

Specialist skills

TBI

Stacey

Kent, South East of England

Based in Canterbury, Stacey is an expert OT providing assessments and interventions for adults with physical and neurological conditions.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

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

Lydia

Leeds, West Yorkshire

Lydia, an Occupational Therapist based in Yorkshire, specialises in a comprehensive array of areas.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire , Leeds, Manchester, Wakefield

Specialisms

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

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Self care, Social integration, Postural management, Dysphagia management, Splinting, Anxiety management & relaxation, Mental Health, TBI

Carlie

Lancashire, North West England

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

AMPS

Specialist skills

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

David

Perthshire and Kinross, Scotland

David uses his decade of experience to provide Housing & Equipment OT services and Functional Rehabilitation to clients in Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Aberdeenshire, Borders, Clackmannan, Dundee (City of), East Dunbartonshire, East Lothian, East Renfrewshire, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Highland, Midlothian, North Lanarkshire, Perthshire and Kinross, Stirling, West Dunbartonshire, West Lothian

Specialisms

Housing and Equipment, Functional rehabilitation

Louise

Essex, East Anglia

Louise offers expert assessments and interventions in paediatrics, moving and handling, and housing and equipment across Essex and East Anglia.

View profile

Profession

Occupational Therapy

Regions covered

, Essex, Suffolk, London - East

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Daily living skills, Community access, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Balance, Co-ordination, Self care, School Based Therapy/Support

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

Clare

Berkshire, South East of England

Qualifying in 2009, Occupational Therapist Clare specialises in Functional Rehabilitation, Housing and Equipment, and Seating and Postural Management.

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Profession

Occupational Therapy

Regions covered

London, South of England, South East of England, Berkshire, Hampshire, Oxfordshire, Wiltshire, London - West, Swindon

Specialisms

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

Further qualifications

AMPS

Specialist skills

Motivational issues, Routine planning, Daily living skills, Self care, Social integration, Mental Health

Temi

London - South, Kent

In her role as an Occupational Therapist, Temi specializes in housing and equipment, as well as moving and handling.

View profile

Profession

Occupational Therapy

Regions covered

London, Kent, London - South

Specialisms

Housing and Equipment, Moving and Handling

Specialist skills

Daily living skills, Community access, Mental Health

Charlotte

Southampton, Hampshire

Charlotte is an OT based in Southampton, delivering specialist rehabilitation and housing assessments across the South of England.

View profile

Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Wiltshire, Southampton

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Balance, Planning & execution, Self care, Anxiety management & relaxation, Learning disability

Rachael

Coventry, Warwickshire

Rachael is an experienced Occupational Therapist specialising in home assessments, providing tailored solutions for adaptations and equipment needs for adults.

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, London, Wales

Specialisms

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

Specialist skills

DFG Assessments, Fatigue management, Pain management, Daily living skills, Community access, Balance, Self care

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

Emma

Hull, East Riding of Yorkshire

Emma an experienced OT based in Hull and provides expert rehabilitation to clients across Yorkshire and Lincolnshire.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer, Certificate in Education

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Balance, Self care

Ekaete

Essex, London

Ekaeke is a Neurological Rehabilitation Occupational Therapist specialising in Brain Injury based around Chelmsford and working in Essex.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, Essex

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, TBI

Jenna

Oxfordshire, South East of England

Operating in the South of England, OT Jenna specialises in hand therapy, functional rehabilitation, moving and handling, and splinting

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Oxfordshire

Specialisms

Hand Therapy, Functional rehabilitation, Moving and Handling

Specialist skills

Splinting

Natalie

Cambridgeshire, East Anglia

Occupational Therapist Natalie specialises in rehabilitation, equipment provision, housing modifications, and paediatrics, supporting client independence through tailored assessments and interventions.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Nottinghamshire, Suffolk

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

Routine planning, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Anxiety management & relaxation

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

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