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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 our client manager who is also an experienced paediatric occupational therapist. They will then remain your primary point-of-contact at The OT Practice 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

Free consultation

During your initial call to us you can discuss your concerns with one of our client managers, whose clinical knowledge will allow them to understand exactly what your child's difficulties are 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

Robin

Aberdeen, Perthshire and Kinross

Robin is an expert paediatric Occupational Therapist based in Aberdeen, he works with children in their own homes and schools.

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Profession

Occupational Therapy

Regions covered

Scotland, Aberdeen City, Aberdeenshire, Angus, Dundee (City of), Moray, Perthshire and Kinross

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, Postural managemen, School Based Therapy/Support, Learning disability

Elizabeth

London - Central, London

Elizabeth is a passionate and dedicated occupational therapist who has specialised in supporting paediatric clients in London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Postural managemen

Emer

London

Trained in advanced sensory integration and therapeutic listening techniques, Emer helps families by treating children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Middlesex, Surrey, London - South, London - West

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, Postural managemen, School Based Therapy/Support

Catriona

London - South, London

Based in London Catriona is an expert Occupational Therapist, working with children with a range of conditions.

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Profession

Occupational Therapy

Regions covered

London, South East of England , London - South

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Chailey Postural Management

Specialist skills

Fatigue management, Pain management, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural managemen, School Based Therapy/Support, Anxiety management & relaxation

Rachael

London - Central, London

Rachel is an expert paediatric occupational therapist working in London, with children and their families in their homes and schools.

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Profession

Occupational Therapy

Regions covered

London , London - Central

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Self care

Samantha

Leeds, West Yorkshire

Trained in advanced sensory integration and therapeutic listening techniques, Sam helps families by treating children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Greater Manchester, Humberside, Lancashire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Manchester, Wakefield, Salford

Specialisms

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

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Social integration

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

Debbie

Middlesex, London

Debbie is an expert speech and language therapist, delivering specialist assessments and treatment to children at home, school and nursery.

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Profession

Speech and Language Therapy

Regions covered

East Anglia, London, Hertfordshire, Middlesex, London - Central, London - North

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support

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

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

Annabel

Rutland, East Midlands

Qualifying in 1998, Annabel specialises in housing & equipment and moving & handling for children and adults.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Coventry, Nottingham, Leicester

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments, PIPs, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Co-ordination, Self care

Tess

West Sussex, South East of England

Qualifying in 2006, Tess specialises in housing & equipment, seating and moving & handling for adults and children.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Berkshire, Hampshire, Surrey, West Sussex

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills

Ciara

Middlesex, London

Qualified in advanced sensory integration and Bobath techniques, Ciara provides expert occupational therapy to children and families.

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - Central, London - North, London - East

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, Therapeutic listening, Train the trainer

Specialist skills

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, Postural managemen, School Based Therapy/Support

Mamta

London - North, Middlesex

Mamta is an expert paediatric Speech & Language Therapist, working with children and their families across London.

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Profession

Speech and Language Therapy

Regions covered

London, Middlesex, London - North

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support

Natiq

London

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

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

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Daily living skills, Wheelchair accreditation

Lynn

Rutland, East Midlands

An expert paediatric Occupational Therapist, Lynn works with children in the East Midlands and Lincolnshire with Sensory Processing needs.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Leicestershire, Lincolnshire, Northamptonshire, Rutland

Specialisms

Paediatrics

Further qualifications

Sensory Integration, AMPS

Specialist skills

Motivational interviewing, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural managemen, School Based Therapy/Support

Robert

Brighton, West Sussex

Qualifying in 2002, Robert specialises in paediatrics, as well as adult rehabilitation. He completed a Professional Doctorate in 2013.

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Profession

Occupational Therapy

Regions covered

South East of England, East Sussex, Hampshire, Kent, Surrey, West Sussex, Brighton

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Counselling, Behaviour management, School Based Therapy/Support, Sign Language, Anxiety management & relaxation, Sensory attachment intervention

Karin

Cambridgeshire, 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

Specialist skills

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

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 managemen

Sharon

London - South, Kent

Sharon covers South London, Kent, Croydon & Bromley and has a special interest in housing adaptions, seating & postural management.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Postural managemen

Kirsty

Wrexham, North West England

Qualifying in 2001, Kirsty specialises in housing & equipment, moving & handling and rehabilitation for adults and children.

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Profession

Occupational Therapy

Regions covered

North West England, Yorkshire and Lincolnshire, West Midlands, Wales, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside, Shropshire, South Yorkshire, Staffordshire, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Powys, Wrexham, Liverpool, Manchester, Hull, Stoke-on-Trent, Salford

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Daily living skills, Community access, Self care, Social integration

Morag

Edinburgh, Edinburgh (City of)

An expert occupational therapist based in Edinburgh, Morag specialises in rehabilitation, moving & handling and housing & equipment.

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Profession

Occupational Therapy

Regions covered

Scotland, Borders, Clackmannan, East Lothian, Edinburgh (City of), Falkirk, Fife, Midlothian, Perthshire and Kinross, West Lothian, Edinburgh

Specialisms

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

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural managemen, Anxiety management & relaxation

Helen

London - North, Hertfordshire

Working with children at home and school, Helen provides expert occupational therapy in North London, Bedfordshire, Buckinghamshire and Essex.

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Profession

Occupational Therapy

Regions covered

London, South of England, Hertfordshire, London - North

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

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

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

Lone

Hertfordshire, East Anglia

Trained in advanced sensory integration techniques and both Bobath and Chailey approaches, Lone treats children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, CO-OP Practitioner

Specialist skills

Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care

Emma

Brighton, West Sussex

Emma is an expert occupational therapist working with clients with a range of needs in Hampshire, Surrey & Sussex.

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Profession

Occupational Therapy

Regions covered

South East of England, West Sussex, Brighton

Specialisms

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

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Postural managemen

Sian

Somerset, West and South West of England

Working across the South West, Sian is an expert Occupational Therapist working with children in their own homes and schools.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Self care

Rachael

Southampton, Hampshire

Working with adults and children, Rachael is an expert occupational therapist based in Hampshire who supports clients in their homes.

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Profession

Occupational Therapy

Regions covered

South of England, Hampshire, Southampton

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Hannah

Leeds, West Yorkshire

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

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Lancashire, 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

Michelle

Surrey, South East of England

Trained in advanced sensory integration techniques and British Sign Language, Michelle helps families by treating children at home or school.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Berkshire, Middlesex, Surrey, London - Central, London - South

Specialisms

Paediatrics, Housing and Equipment, Neurological rehabilitation

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural managemen, DMO (Lycra) Splinting, School Based Therapy/Support, Sign Language

Deanna

Birmingham, Derbyshire

Deanna is an expert paediatric OT working in Birmingham and the West Midlands, working with children at home and school.

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Profession

Occupational Therapy

Regions covered

West Midlands, Derbyshire, Birmingham

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care

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