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Children with complex needs

Occupational therapy for children with complex or multiple needs can lead to improvements in independence, communication, quality of life and safety.

Our OTs ensure that the recommendations we make are practical and achievable for each family. Whether we are looking at splinting, environmental controls, comfy seating, adapted vehicles, housing or moving & handling, our team aim to promote independence in all areas of daily life.

How OT's help

Children and families with complex needs are rarely strangers to the world of assessments and advice. We aim to work alongside existing support services to ensure a holistic and rounded approach for the family. Whether a child is refered to us through a case manager, LEA, school, or a parent directly, our service is uniquely tailored to the needs of each family.

Some of the most common areas in which we assist children with complex needs include:

  • Night-time positioning, comfy chairs and wheelchairs
  • Splinting
  • Sensory programmes
  • Moving & handling
  • Bathing equipment
  • Adapted vehicles
  • Housing adaptations and reviews

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

Our packages of care

We are flexible around the needs of each 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 the child experiences measurable improvements.

  • Our assessment package is a stand-alone service that allows us to identify all the areas we can assist with
  • Our subsequent report will explain these in detail and provide a clear costing for each recommendation
  • At this stage, some case managers or families will already be able to move forward independently
  • Where a child is moving from another practice and their last OT report was completed within the previous 6 months, a shorter review normally allows us to build on previous interventions
  • We also arrange quotations for home adaptations such as bathroom, sensory room or access adjustments
  • Recommended equipment such as chairs, environmental controls or hoists can be given the necessary trials, as well as quotations for your approval
  • We normally provide treatment in blocks of eight sessions to deliver sensory programmes or to work on other identified areas

How we help

Our assessments can examine all areas of a child's daily life, or focus on a specific area of concern.

Some of the most common areas we would expect to address include:

  • The current home environment and its suitability for their current and future needs
  • Moving & handling concerns of carers and family, such as how the child can best be helped to move between their bed, shower or wheelchair
  • Postural positioning during the day and at night
  • Access to hobbies and social activities
  • Sensory needs and communication
  • The needs and goals of the child, their family and carers

Case managers, LEA's or Solicitors

Is your organisation looking for professional OT services?

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Why The OT Practice

We recognise the importance for parents and professionals of knowing that their child or client 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 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 a therapist local to you that best suits the needs of the child
  • Intensive treatment available in 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 at home or school as recommended in an EHCP or Statement on behalf of LEA's.

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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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Charities

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

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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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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

Lorraine

Newcastle upon Tyne, Northumberland

Based in Northumberland, Lorraine is an expert Paediatric OT supporting children of all ages with physical and sensory needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Cleveland, Durham, Northumberland, Tyne and Wear, Borders

Specialisms

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

Further qualifications

Sensory Integration, Chailey Postural Management

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, DMO (Lycra) Splinting, School Based Therapy/Support, Learning disability

Michaela

Essex, East Anglia

Based in Essex, Michaela is an expert Paediatric Occupational Therapist working with children with sensory needs at home and school.

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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

Vimbai

Bedfordshire, South East of England

Vimbai is a Paediatric OT based in Bedford, providing expert therapy for children across London and the South East.

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Profession

Occupational Therapy

Regions covered

London, South East of England

Specialisms

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

Jo

London

Jo is a paediatric physiotherapist providing expert assessments and treatment for children across London and the home counties.

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Profession

Physiotherapy

Regions covered

London, South East of England, Berkshire, Buckinghamshire, Hertfordshire, London - West

Specialisms

Paediatrics

Specialist skills

Gross motor skills, DMO (Lycra) Splinting, School Based Therapy/Support

Jennifer

Glasgow, East Dunbartonshire

Providing expert interventions for children across Scotland, Jennifer is a specialist Paediatric OT based in Glasgow.

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Profession

Occupational Therapy

Regions covered

Scotland, East Dunbartonshire, Falkirk, Inverclyde, North Lanarkshire, Renfrewshire, Stirling, West Dunbartonshire

Specialisms

Paediatrics

Specialist skills

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

Naima

Bedfordshire, South East of England

Naima is a Speech and Language Therapist offering expert interventions for children of all ages, across London and the South-East.

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Profession

Speech and Language Therapy

Regions covered

London, South East of England, Bedfordshire, Buckinghamshire, Hertfordshire

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support, Makaton

Joanne

Londonderry, Northern Ireland

Located in Mid-Ulster, Northern Ireland, Joanne is a Paediatric Occupational Therapist offering specialist assessments and treatment.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

AMPS

Specialist skills

Motivational interviewing, Routine planning, Financial management, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Balance, Co-ordination, Planning & execution, Self care, Social integration, School Based Therapy/Support, Anxiety management & relaxation

Hannah

Hampshire, South of England

Specialising in Paediatrics, Hannah is an experienced OT located in Basingstoke.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Hampshire, Surrey

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Gross motor skills, Fine motor skills

Zandri

London

Based in London, Zandri is a Paediatric OT specialising in Sensory Integration, providing support for children at home and school.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Paediatrics

Further qualifications

Sensory Integration, The Listening Programme

Specialist skills

Sensory integration, Fine motor skills, Visual perception, School Based Therapy/Support

Elana

Plymouth, Devon

With expertise in Sensory Integration, Elana supports children and their families across the South West of England.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Joanne

Birmingham, Worcestershire

Located in Birmingham, Joanne is a Paediatric OT delivering expert assessments and treatments for children in the West Midlands.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration

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

Catriona

London - South, London

Based in London, Catriona is an expert Paediatric OT, working with children with complex needs and 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 management, School Based Therapy/Support, Anxiety management & relaxation

Rachel

Hertfordshire, East Anglia

Based in Hertfordshire, Rachel is a highly skilled OT delivering specialist rehabilitation assessments to children and adults.

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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

Emma

Southampton, Hampshire

Emma is a highly skilled OT based in Southampton. She supports adult and paediatric clients with expert assessments and rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Midlands, West and South West of England, London, South of England, South East of England, Wales, Berkshire, Bristol, Buckinghamshire, Derbyshire, Devon, Dorset, East Sussex, Hampshire, Herefordshire, Isle of Wight, Leicestershire, Middlesex, Nottinghamshire, Oxfordshire, Somerset, Suffolk, Surrey, West Sussex, Wiltshire, London - Central, London - South, Birmingham, Sheffield, Bristol, Nottingham, Leicester, Brighton, Stoke-on-Trent, Derby, Southampton

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

CBT

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Planning & execution, Self care, Social integration, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Sarah

Bedfordshire, East Anglia

Sarah is a Paediatric Occupational Therapist and Advanced Practitioner in Sensory Integration based in Bedfordshire, near Luton and Milton Keynes.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Berkshire, Buckinghamshire, Cambridgeshire, Hertfordshire, Oxfordshire, London - North

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration, Conductive education, Therapeutic listening, Train the trainer, Sensory Attachment Therapy

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, Postural management, School Based Therapy/Support, Anxiety management & relaxation, Sensory attachment intervention, Learning disability

Joy

West Lothian, Scotland

Joy is located in Falkirk, providing specialist Housing and Equipment interventions for adults and children across Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Clackmannan, East Dunbartonshire, East Lothian, Falkirk, Fife, Glasgow (City of), Midlothian, North Lanarkshire, Perthshire and Kinross, South Lanarkshire, Stirling, West Lothian

Specialisms

Paediatrics, Housing and Equipment

Specialist skills

Blue Badges / Mobility Assessments

Lorna

Shropshire, West Midlands

Lorna is a Paediatric OT located in Shropshire, supporting with sensory and motor needs for clients across the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Cheshire, Herefordshire, Shropshire, Staffordshire, West Midlands, Powys, Birmingham, Stoke-on-Trent, Wolverhampton

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain 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, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation

Ann

Surrey, South East of England

Ann is an expert OT specialising in Neurological Rehabilitation, working with clients across London and the South of England.

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Profession

Occupational Therapy

Regions covered

London, South of England, Surrey, London - South

Specialisms

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

Specialist skills

Fatigue management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Self care, Postural management, Splinting

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

Victoria

Cardiff, Newport

Based in Newport, Wales, Vikki is a Paediatric OT specialising in Sensory Integration and hearing impairments.

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Profession

Occupational Therapy

Regions covered

West Midlands, South East of England, Wales, Bristol, Gloucestershire, Cardiff, Newport, Swansea, Birmingham

Specialisms

Paediatrics, Vocational Rehabilitation

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, Functional rehabilitation, 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

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

Cait

North Yorkshire, Yorkshire and Lincolnshire

Cait is an experienced Paediatric OT based in North Yorkshire, specialising in helping children with complex needs.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Lancashire, Leeds, Bradford

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Further qualifications

Sensory Integration, Chailey Postural Management

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Learning disability

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

Richelle

Surrey, South East of England

Specialising in Neurological Rehabilitation and Paediatrics, Richelle is an OT based in Epsom, Surrey, visiting clients across the South East.

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Profession

Occupational Therapy

Regions covered

South East of England, Surrey

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

Sensory Integration

Dawn

Cornwall, West and South West of England

Dawn is an OT based in Cornwall, providing expert assessments and therapy for both adult and paediatric clients.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support

Alison

Coventry, West Midlands

Based in Coventry, Alison has been a Paediatric OT for over 10 years, specialising in fine motor skills and handwriting.

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Profession

Occupational Therapy

Regions covered

West Midlands, Leicestershire, Northamptonshire, Oxfordshire, West Midlands, Worcestershire, Coventry

Specialisms

Paediatrics

Specialist skills

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

Jane

Wiltshire, South East of England

Jane is a Paediatric OT with over 20 years’ experience, specialising in Housing & Equipment and Rehabilitation.

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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, Wiltshire, Southampton

Specialisms

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

Further qualifications

Train the trainer

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

Katy

Durham, North East England

Katy is a Paediatric OT based in Chester-Le-Street, County Durham, experienced helping with a variety of physical and sensory needs.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Cleveland, Durham, East Riding of Yorkshire, Greater Manchester, Lancashire, North Yorkshire, Northumberland, Tyne and Wear

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Chailey Postural Management, The Listening Programme

Specialist skills

DFG Assessments, Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, School Based Therapy/Support

Client feedback

Further reading

Our Experts' Blog

Developmental Delays in Children during Lockdown

Tina is an expert Paediatric Occupational Therapist, she specialises in Sensory Integration and over the last year has helped many children with developmental delays. In this article, Tina shares her experiences of delivering remote therapy and shifting her focus onto coaching parents and carers.

Read more

Our Experts' Blog

The Impact of COVID-19 on the Educational Needs of Children Born Prematurely

Catriona is one of our specialist Paediatric Occupational Therapists, helping children with complex needs and life limiting conditions. She is also the founder of a premature baby charity, supporting families following neonatal intensive care. In her article, Catriona highlights the educational needs of children born prematurely and the impact of COVID-19.

Read more