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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

Azade

London - Central, London

Specialising in Sensory Integration, Azade works with children who have Developmental Coordination Disorder, Autism, Attention Deficits, and Motor Skill challenges.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Paediatrics

Donna

Tyrone, Northern Ireland

Donna is a dedicated occupational therapist based in Northern Ireland, specifically serving the Tyrone region.

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Profession

Occupational Therapy

Regions covered

, Armagh, Londonderry, Tyrone, Belfast

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management

Further qualifications

Sensory Integration

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

Further qualifications

BOBATH

Specialist skills

Gross motor skills, School Based Therapy/Support

Marie

Worcestershire, West Midlands

Based in Evesham, Worcestershire, Marie is a Paediatric OT specialising in neurological conditions and brain injury.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Gloucestershire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics, Housing and Equipment

Further qualifications

BOBATH

Specialist skills

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

Rachel

Dorset, South of England

Rachel, an expert Occupational Therapist based in Hampshire, specialises in paediatrics and handwriting assessments and treatments and EHCPs.

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Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Wiltshire

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Handwriting assessment & treatment

Morven

Edinburgh, East Lothian

Morven has over 30 years' experience as an OT in paediatric and adult hand therapy, neuro rehabilitation and more.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Hand Therapy, Housing and Equipment, Moving and Handling, Neurological rehabilitation

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Routine planning, Daily living skills, Community access, Fine motor skills, Self care, Social integration, Anxiety management & relaxation

Jo

Gloucestershire, West and South West of England

Jo has almost two decades of experience in major and minor housing adaptations, moving and handling & rehab in Gloucestershire.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Gloucestershire

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Julia

Kent, South East of England

Julia is a dedicated Paediatric Occupational Therapist with extensive experience in working with children from infancy through school age.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Paediatrics

Specialist skills

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

Sarah

Swindon, Wiltshire

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Specialist skills

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

Natasha

London - Central, Essex

Natasha is a highly skilled occupational therapist specialising in paediatrics and sensory integration.

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Profession

Occupational Therapy

Regions covered

London, Essex

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration

Bhawna

Coventry, Warwickshire

Bhawna, a paediatric Occupational Therapist specialising in sensory integration and a certified CO-OP practitioner assists clients with their motor skills.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Leicestershire, Warwickshire

Specialisms

Paediatrics

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Daily living 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, Mental Health

Sam

OT Sam has 25 years experience, and specialises in pediatrics, brings a wealth of experience to her clients.

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Profession

Occupational Therapy

Regions covered

Specialisms

Paediatrics

Shira

London - Central, Middlesex

Shira is a Paediatric Occupational Therapist specialising in Sensory Integration. She is based in London, visiting clients across the city.

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - North, London - East, London - West

Specialisms

Paediatrics

Further qualifications

Therapeutic listening

Specialist skills

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

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

Diana

Birmingham, West Midlands

Trained in Sensory Integration techniques, Diana provides specialist Paediatric Occupational Therapy in schools and patient’s homes.

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Profession

Occupational Therapy

Regions covered

West Midlands

Specialisms

Paediatrics

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

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

Katie

Gloucestershire, West and South West of England

Based in Tewkesbury, Katie is a specialist Paediatric OT delivering expert interventions across Gloucestershire and Herefordshire.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Herefordshire, Worcestershire

Specialisms

Paediatrics, Housing and Equipment

Specialist skills

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

Lucy

Cambridgeshire, East Anglia

Lucy delivers expert Functional Rehabilitation and Housing & Equipment assessments for clients across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Hertfordshire, Norfolk, Northamptonshire, Suffolk

Specialisms

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

Further qualifications

AMPS, Train the trainer

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Behaviour management, Co-ordination, Self care, Social integration

Nikki

Renfrewshire, Scotland

Based in Renfrewshire, Nikki is a highly skilled Paediatric OT with over 25 years’ experience.

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Profession

Occupational Therapy

Regions covered

Scotland, Argyll and Bute, East Ayrshire, East Dunbartonshire, East Renfrewshire, Falkirk, Glasgow (City of), North Ayrshire, North Lanarkshire, Renfrewshire, South Ayrshire, South Lanarkshire, Stirling, West Lothian, Glasgow, Edinburgh

Specialisms

Paediatrics

Specialist skills

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

Ganga

Kent, South East of England

Ganga is a highly experienced OT delivering specialist rehabilitation for adults and children across the South East of England.

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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

Joni

London - South, London

Joni, an experienced OT with a passion for pediatrics, sensory integration, and therapeutic listening, makes a positive impact in London.

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Profession

Occupational Therapy

Regions covered

London , London - Central, 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, School Based Therapy/Support, Learning disability

Emily

Cornwall, West and South West of England

Emily is a dedicated Occupational Therapist with a specialization in pediatrics, she works in the West and Southwest of England.

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Profession

Occupational Therapy

Regions covered

London, Bristol, Cornwall, Devon, Dorset, Hampshire, Herefordshire, Somerset, Wiltshire

Specialisms

Paediatrics

Specialist skills

Fatigue management, Daily living skills, Community access, Fine motor skills, Balance, Co-ordination, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Mairead

Belfast, Down

Occupational Therapist Mairead, specializing in pediatrics and neurological rehabilitation, brings over a decade of expertise since qualifying in 2009.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

BOBATH, CBT, CO-OP Practitioner

Specialist skills

PIPs, Fatigue management, Pain management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, DMO (Lycra) Splinting, Splinting, Sign Language, Wheelchair accreditation, Anxiety management & relaxation

Robyn

London - East, London

Occupational Therapist Robyn is a Paediatrics specialist working in London (Bow, Mile End, Stratford, Bethnal Green).

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Profession

Occupational Therapy

Regions covered

London , London - Central, London - North, London - South, London - East, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Sensory Attachment Therapy

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Balance, Co-ordination, Self care, School Based Therapy/Support, Anxiety management & relaxation, Sensory attachment intervention, Learning disability

Marie

Liverpool, Merseyside

Based in Merseyside, Marie provides expert neurological occupational therapy and rehabilitation to adults and children at home.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, West Midlands, Wales, Cheshire, Lancashire, Merseyside, Shropshire, Conwy, Flintshire, Isle of Anglesey, Wrexham, Liverpool

Specialisms

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

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Terri

Coventry, West Midlands

Working in the Midlands Terri is a highly skilled OT specialising in paediatrics, sensory integration, behavior management, and mental health.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Leicestershire, Lincolnshire, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Behaviour management, Anxiety management & relaxation, Mental Health

Stephanie

Nottinghamshire, East Midlands

Stephanie, an accomplished Occupational Therapist residing in Nottinghamshire, serving regions across the north of England and the midlands.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, East Anglia, London, Wales

Specialisms

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

Further qualifications

Sensory Integration

Specialist skills

Pain management, Sensory integration, Gross motor skills, Fine motor skills, Social integration, Learning disability

Emma

Warwickshire, West Midlands

Emma is an experienced Paediatric Occupational Therapist providing specialised care to children across the Midlands in various settings.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, West Midlands, Worcestershire, Coventry, Nottingham, Leicester, Wolverhampton, Derby

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management

Specialist skills

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

Stefanie

Southampton, Hampshire

Trained in Sensory Integration techniques, Paediatric Occupational Therapist Stefanie helps families by treating children across Hampshire.

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Profession

Occupational Therapy

Regions covered

South of England, Hampshire

Specialisms

Paediatrics, Functional rehabilitation

Lisa

Derby, Derbyshire

Based in Derbyshire, Lisa works across the North of England supporting adults and children with Housing & Equipment needs.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, East Anglia, London, South of England, South East of England, Scotland, Northern Ireland, Ireland, Wales, Derbyshire

Specialisms

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

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

Client feedback

Further reading

Our Experts' Blog

A professional's guide to EHCPs for children with complex needs

The EHCP is an important component of a child's rehabilitation plan. In this article our aim is to provide contextual guidance to case managers and other supporting professionals on the purpose and application of EHCPs for children with complex needs.

Read more

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