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Balance & coordination

Find out how we can help

Balance and coordination go hand-in-hand during a child's development. Difficulties with these essential yet challenging skills are a common reason that children can struggle with day-to-day activities such as dressing, using cutlery, riding a bike, running or playing sport.

We regularly help children struggling with balance and coordination skills, and through collaborative assessment, treatment and/or advice we ensure improvements in all areas of their daily life including school, home and play.

How OT's help

Whether your child's school has identified that they are struggling with balance and coordination, or you have such noticed difficulties yourself, we can help. When a child is experiencing developmental difficulties, proactive and early intervention will minimise the impact on their confidence and self-esteem.

Childhood development is complex and not all children will move at the same pace, but some of the most common reasons why a parent will contact us include:

  • Lack of coordination in gross motor skills during running, jumping and climbing (often demonstrated by not enjoying going to the park or playing outside)
  • Difficulties with handwriting, or in using tools like pencils or scissors
  • Slow development of skills for more complex tasks such as swimming or riding a bicyle
  • Problems at school relating to completing work or participating in sports
  • Confidence and self-esteem around physical activity in the playground

Our assessment process allows for a specialist occupational therapist to identify where your child's difficulties lie as well as the reasons for them. Once identified, we can work with you and your child to put in place a plan to address them.

Packages of care

We are flexible around the needs of your child and family, and have a variety of treatment packages to ensure we provide the right solution for you. All of our interventions are oriented towards ensuring that you and your child see measurable improvements.

This might include one or more of the following:

  • An eight-week block of one-to-one bespoke treatment sessions delivered to your child at home or school, after which we will review and plan the next steps with you
  • An intensive block of treatment delivered over the holidays - this is popular with overseas families, or those with limited weekend or after-school capacity in term time
  • A home and school programme providing practical, everyday techniques, with advice and support to ensure that the approach is consistent throughout your child's day
  • Attendance at a balance and coordination group at weekends or over the holidays

Common areas we work on

Through our assessment we will identify the specific areas of balance and coordination that your child is struggling with, and the source of these difficulties, allowing us to plan a targeted treatment programme.

Some of the most common areas that we would expect to be working on include:

  • Strengthening of the core muscles in the trunk and upper limb
  • Development of stamina during physical activity
  • Exercises to improve visual perception
  • Improving sensory processing, to ensure the body is receiving and interpreting correct information from their muscles about their position, speed and force
  • Working with parents and schools to ensure that the right approaches to balance and coordination continue even when the OT is not present

Schools, LEAs and businesses

Is your organisation looking for professional OT services?

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Why The OT Practice

We recognise the importance of knowing that you and your child 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 paediatric 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 and your child at home or school at a time convenient for you, with no clinics or waiting lists, offering after-school and weekend appointments where necessary
  • We devise home and school-based treatment plans to ensure that our assessment and advice is relevant to each child’s unique environment
  • Our nationwide network of registered children’s occupational therapists allows us to find you the right local therapist
  • Intensive treatment available during the school holidays
  • We believe our role is to equip you and your child to become as autonomous as possible – ultimately independent of, and not dependent upon, the help we provide

Services for businesses, organisations and the public sector

Case managers

Providing OT to families & children with complex or multiple needs to achieve optimum independence.

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Local education authorities

Occupational therapy provision on behalf of LEA's at home or school as recommended in an EHCP.

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Schools

Delivering individual or group therapy for children, or advice and training to up-skill members of staff.

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Solicitors

We provide solicitors with professional reports for educational tribunals or rehabilitation needs.

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Healthcare concierge

Assessment and treatment services for clients in their own homes both in the UK and internationally.

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Charities

Working with charities to provide reports & recommendations for grant funding applications.

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Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our paediatric client management team, who will be able to understand what your child's 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 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 an assessment visit at home or school, a mixture of formal and observational methods - as well as conversation with yourself, your child and their school - after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations, together with practical advice on how to help your child. 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

Liz

West Midlands, South East of England

Liz is a highly regarded Occupational Therapist working with children in Buckinghamshire, Bedfordshire, Hertfordshire, West Midlands and London.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, London, South East of England, Bedfordshire, Berkshire, Buckinghamshire, Hampshire, Hertfordshire, Leicestershire, Northamptonshire, Oxfordshire, Warwickshire, West Midlands

Specialisms

Paediatrics

Specialist skills

DFG Assessments, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Postural management, School Based Therapy/Support, Learning disability

Joy

London - Central, Surrey

Working in London, Surrey and Berkshire Joy is a highly experienced and professional occupational therapist who visits clients at home.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Liz

West Sussex, South of England

Liz is a highly skilled paediatric OT working with children and their families across Kent, London, Surrey and Sussex.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, Surrey, West Sussex

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Sensory integration, Gross motor skills, Behaviour management, Balance, Co-ordination, School Based Therapy/Support, Makaton, Sensory attachment intervention

Ann-Marie

Wiltshire, West and South West of England

Based in Bristol, Ann-Marie provides expert therapy helping children with sensory processing, motor coordination and complex needs.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Gloucestershire, Somerset, Wiltshire, Bristol, Cardiff

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, School Based Therapy/Support

Suzi

Plymouth, Somerset

Based in Plymouth, Suzi provides occupational therapy to adults and children in their home environment. She specialises in rehabilitation.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Daily living skills, Self care, Postural management, Wheelchair accreditation

Catherine

London - West, Buckinghamshire

An expert in Paediatric care and sensory integration, Catherine works with children & their families in Central and West London.

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Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, London - Central, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Balance, Co-ordination, Self care, Postural management

Elizabeth

Cardiff, The Vale of Glamorgan

Liz is an expert neurological rehabilitation specialist working with clients in their own homes across Wales and the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Bristol, Gloucestershire, Herefordshire, Shropshire, West Midlands, Worcestershire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Ceredigion, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Powys, Rhondda Cynon Taff, Swansea, Torfaen, The Vale of Glamorgan, Birmingham, Bristol, Cardiff, Coventry, Swansea

Specialisms

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

Further qualifications

BOBATH

Specialist skills

PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Splinting, Wheelchair accreditation

Lisa

Derby, Derbyshire

Lisa works across the UK with adults and children with complex needs, supporting them to live as independently as possible.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, East Midlands, East Anglia, London, Ireland, Derbyshire

Specialisms

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

Hannah

West Yorkshire, Yorkshire and Lincolnshire

Qualifying in 2010, Hannah specialises in seating & postural management, housing & equipment and rehabilitation for children and adults.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, Lincolnshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Manchester, Wakefield, Hull

Specialisms

Paediatrics, 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, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Social integration

Ganga

West Sussex, South East of England

Qualifying in 2008, Ganga specialises in rehabilitation for adults and children. She visits clients at home.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Social integration

Samantha

Hertfordshire, East Anglia

Samantha is an expert occupational therapist, delivering specialist seating, hand therapy, neurological and functional rehabilitation assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills

Joanne

Manchester, Greater Manchester

Joanne is an expert Occupational Therapist specialising in neurological rehabilitation, working with clients in their owns homes across Manchester.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Manchester

Specialisms

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

Carmen

Hampshire, South East of England

Trained in advanced sensory integration techniques and therapeutic listening, Carmen treats children at home and in school.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, School Based Therapy/Support, Sensory attachment intervention

Jacqueline

London - Central, Middlesex

Based in London, Jacqueline provides expert paediatric therapy helping children with handwriting, sensory processing and specialist seating needs.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Hertfordshire, Middlesex, London - Central

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration, BOBATH

Claire

Hertfordshire, East Anglia

Trained in advanced handwriting and sensory integration techniques, Claire helps families by treating children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

East Anglia, South East of England, Buckinghamshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Counselling, Routine planning, Daily living skills, Sensory integration, Fine motor skills, Behaviour management, Handwriting assessment & treatment

Kirsty

Glasgow, Glasgow (City of)

An expert occupational therapist, Kirsty works with children with a range of conditions in West Scotland in their own environments.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

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

Specialist skills

Counselling

Carien

Dumfries and Galloway, Scotland

Based in Scotland, Carien provides expert paediatric 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

Gaynor

Leicester, Warwickshire

A highly skilled occupational therapist, Gaynor provides 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

Paediatrics, 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

Sharon

Essex, South East of England

Based in Essex, Sharon provides expert speech and language therapy helping children with speech delay and eating or drinking difficulties.

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Profession

Speech and Language Therapy

Regions covered

East Anglia, London, South East of England, Essex, Hertfordshire, Kent, Suffolk, London - East

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support, Dysphagia management

Cath

Wiltshire, West and South West of England

Cath is a highly skilled paediatric occupational therapist, working with children and their families in their own homes and schools.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Postural management

Janet

Kent, South East of England

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

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

Amie

Bristol, Somerset

Amie is a highly experienced Occupational Therapist specialising in Neuro-Rehabilitation covering the Somerset, Bath & Bristol and West Wiltshire areas.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Fine motor skills, Planning & execution, Self care, Postural management

Bianca

Wiltshire, West and South West of England

Working in the South West with clients with a vast range of needs, Bianca is an expert in her field.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments

Hannah

Birmingham, Worcestershire

Hannah is an experienced children's Occupational Therapist based in the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Staffordshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Coventry

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Rachel

Hertfordshire, East Anglia

Based in Hertfordshire, Rachel delivers specialist rehabilitation assessments to children and adults at home or work.

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Profession

Occupational Therapy

Regions covered

London, South of England, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration, AMPS

Specialist skills

Sensory integration, Behaviour management, Handwriting assessment & treatment, School Based Therapy/Support

Joanne

Birmingham, Worcestershire

Joanne assesses and treats children in the West Midlands with a range of conditions, helping them achieve their maximum ability.

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Profession

Occupational Therapy

Regions covered

West Midlands, Derbyshire, Gloucestershire, Herefordshire, Shropshire, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics

Specialist skills

Fatigue management, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Katrina

Hampshire, West and South West of England

Qualifying in 2007, Katrina specialises in housing & equipment, seating & postural management and moving & handling for adults.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments

Michaela

London - North, Suffolk

Based in Essex, Michaela is an expert paediatric Occupational Therapist working with children with sensory needs in their own environments.

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Profession

Occupational Therapy

Regions covered

East Anglia, Essex, Suffolk, London - North

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Self care, School Based Therapy/Support

Karin

Rutland, East Midlands

Working as a paediatric occupational therapist in the East Midlands, Karin assesses and treats children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

East Midlands, Cambridgeshire, Northamptonshire, Rutland

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Fine motor skills, Visual perception, Postural management, DMO (Lycra) Splinting, School Based Therapy/Support

Anthea

Worcestershire, West and South West of England

Anthea is a highly regarded Occupational Therapist working with adults and children covering Gloucestershire, Oxfordshire, Berkshire, Somerset, Worcestershire and Warwickshire.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Berkshire, Herefordshire, Oxfordshire, Somerset, Warwickshire, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration, Therapeutic listening, Certificate in Education

Specialist skills

Fatigue management, Motivational issues, 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, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Client feedback

Further reading

Our news & press

Our YouTube channel is live

We are delighted to announce the launch of our YouTube channel. The first videos are focused on our paediatric developmental services. Told through OT Practice Kids clients and their families, we explain our ethos for working with children is to focus on resolving their difficulties not their diagnosis.

Read more