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Children with complex needs

Find out how we can help

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

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

Annmarie

Hertfordshire, London

Annmarie is part of our paediatric team, helping children and their families in London.

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Profession

Occupational Therapy

Regions covered

London, Hertfordshire, London - Central

Specialisms

Paediatrics

Specialist skills

Routine planning, Fine motor skills, Handwriting assessment & treatment, Social integration, School Based Therapy/Support

Joanne

Surrey, South East of England

Based in Surrey, Joanne is an expert paediatric occupational therapist, treating children at home, in school or at nursery.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

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

Rachael

London - Central, Buckinghamshire

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, Buckinghamshire, 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

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

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

Natalie

Kent, South East of England

Natalie is an expert occupational therapist working in Kent & the South East, providing support to children and their families.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

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

Further qualifications

BOBATH

Specialist skills

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

Chris

Newcastle upon Tyne, Tyne and Wear

Chris is an expert occupational therapist, having gained a PhD for a study investigating individuals with liver disease.

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Profession

Occupational Therapy

Regions covered

North East England, Durham, Northumberland, Tyne and Wear, Sunderland, Newcastle upon Tyne

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Self care, Social integration, Anxiety management & relaxation

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

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

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

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

Jan

Suffolk, South East of England

Profession

Occupational Therapy

Regions covered

East Anglia, Essex, Hertfordshire, Kent, Suffolk, London - Central, London - North, London - South, London - East

Specialisms

Paediatrics, Housing and Equipment

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Postural management, School Based Therapy/Support

Ann

London - South, Surrey

Ann is an expert neurological rehabilitation OT, working with clients in their own homes in London and the surrounding areas.

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Profession

Occupational Therapy

Regions covered

London, South of England, Surrey, London - South

Specialisms

Paediatrics, Seating and Postural management, 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

Louise

Suffolk, South East of England

Trained in advanced sensory integration techniques, Louise treats both children and adults at home, school and work.

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Profession

Occupational Therapy

Regions covered

East Anglia, South East of England, Essex, Suffolk

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Routine planning, Daily living skills, Community access, Sensory integration, Behaviour management, Social integration, Anxiety management & relaxation

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

Katy

Hampshire, South East of England

Trained in advanced Bobath and sensory integration techniques, Katy will assess and treat children at home, school or nursery.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, Hampshire, Surrey

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

BOBATH, Therapeutic listening, CO-OP Practitioner

Specialist skills

Visual perception, Balance, Co-ordination, Planning & execution, Self care, DMO (Lycra) Splinting, School Based Therapy/Support

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

Jonathan

Birmingham, Warwickshire

Jonathan is an expert Children's OT who specialises in complex and long term conditions, working with children and their families.

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Profession

Occupational Therapy

Regions covered

West Midlands, Gloucestershire, Herefordshire, Oxfordshire, Warwickshire, London - West, Birmingham, Coventry, Wolverhampton

Specialisms

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

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Daily living skills, Self care, Postural management

Rebecca

Bristol, Somerset

Rebecca is an expert paediatric OT, working with children with a range of needs across south west England.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Angela

Cleveland, North East England

Working in the north east, Angela is an expert paediatric OT, visiting children at home and school with various needs.

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Profession

Occupational Therapy

Regions covered

North East England, Cleveland

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Postural management, 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

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

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

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

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

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

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

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

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

Client feedback

Further reading

Our news & press

Presenting Paediatric Clinical Team Lead- Lynn

Lynn is our Paediatric Clinical Team Lead, she has been bought on board at The OT Practice to add leadership, specialist training and mentoring to our nationwide OT's. Read this interview to find our more about her and the vision she has for the role.

Read more

Our news & press

The OT Practice delighted to exhibit at Kidz to Adultz South

A great day for The OT Practice as we exhibit at the Kidz to Adultz South show. The exhibition is a great event showcasing products and services for children & young adults with disabilities and additional needs.

Read more