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Children's handwriting difficulties

A child struggling with handwriting may soon become frustrated and lose motivation. Proactive, early action ensures that their difficulties are addressed quickly and minimises the impact on their progress at school.

We regularly assist children with handwriting difficulties and have developed our own programme which can be delivered at home and/or school. And when we help a child with their handwriting, we typically observe improvements in other areas of development too, including their academic progress and behaviour.

How OT's help

Whether your child's school has identified that their handwriting is falling behind that of their peers, or you have noticed such difficulties yourself, we can help. Parents contact us for a variety of reasons related to handwriting, but some of the most common difficulties to which it may contribute include:

  • Difficulty remembering how to form letters or in copying from a book or whiteboard
  • Poor spacing and positioning of letters and words
  • Discomfort in gripping a pencil for any length of time
  • Weak fine motor skills, hand strength and dexterity
  • An unwillingness to complete written homework
  • Difficulties concentrating, or poor behavior in the classroom that is less evident in the playground
  • Excessive tiredness after short periods of writing

Our assessment process allows a specialist occupational therapist to identify the nature of your child's difficulties with handwriting, and 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 handwriting 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 handwriting 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 handwriting group at weekends or over the holidays

Common areas we work on

Through our assessment we will identify the specific areas of handwriting 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:

  • Developing a mature pencil grip
  • Assuming and maintaining an effective seating posture
  • Correct letter formation
  • Development of pre-writing and copying skills
  • Activities to increase core and shoulder stability
  • Fine motor skills, hand strength and dexterity
  • Organisation and presentation of work on the page
  • Working with parents and schools to ensure that the right approaches to handwriting continue even when the OT is not present

Schools, LEAs and businesses

Is your organisation looking for professional OT services?

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Why The OT Practice

We recognise the importance of knowing that you and your child are in safe hands. That is why, when you first make contact with us, you will straightaway be able to explain your concerns to a member of our client management team who will be able to provide relevant information about our services, answer any questions you may have and provide guidance on next steps. This dedicated paediatric team will then remain in charge of your case through any subsequent assessment and treatment we provide.

Other reasons to rely on The OT Practice include:

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

Services for businesses, organisations and the public sector

Schools

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

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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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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

Samantha

Southampton, Hampshire

Samantha is a Specialist Paediatric Occupational Therapist working across Hampshire supporting children with diverse developmental, sensory, and behavioural challenges.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England , Southampton

Specialisms

Paediatrics

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, 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, Learning disability, Mental Health

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

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

Kirsty

Renfrewshire, Scotland

Kirsty is an expert Paediatric OT who supports children with a range of conditions across West Scotland.

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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

Rebecca

Edinburgh, Edinburgh (City of)

Based in Edinburgh, Rebecca is a specialist Paediatric OT providing expert care for children across Lothian and Fife.

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Profession

Occupational Therapy

Regions covered

Scotland, East Lothian, Edinburgh (City of), Fife, Midlothian, West Lothian, Edinburgh

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, Self care, School Based Therapy/Support

Katie

West Yorkshire, North West England

Specialising in autism and learning difficulties, Katie is an experienced OT based in West Yorkshire.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Lancashire, West Yorkshire, Leeds, Bradford, Manchester, Wakefield, Salford

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, School Based Therapy/Support, Learning disability

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

Louise

Essex, East Anglia

Louise offers expert assessments and interventions in paediatrics, moving and handling, and housing and equipment across Essex and East Anglia.

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Profession

Occupational Therapy

Regions covered

, Essex, Suffolk, London - East

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Daily living skills, Community access, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Balance, Co-ordination, Self care, School Based Therapy/Support

Claire

Cheshire, North West England

Based in Cheshire, Occupational Therapist Claire specialises in tailored interventions, housing adaptations, and supporting diverse conditions, with extensive clinical experience.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire

Specialisms

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

Specialist skills

DFG Assessments

Jessica

Newcastle upon Tyne, Northumberland

Jess supports children and adults with functional rehabilitation, equipment adaptations, moving and handling, and complex paediatrics clients.

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Profession

Occupational Therapy

Regions covered

North East England

Specialisms

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

Specialist skills

Motivational interviewing, Pain management

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

Eva

Bristol, West and South West of England

Trained in Sensory Integration, specialist Paediatric Occupational Therapist Eva supports children with neurodiverse needs across the South West of England.

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Profession

Occupational Therapy

Regions covered

Specialisms

Paediatrics

Further qualifications

Sensory Integration

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

Deborah

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

London, Hertfordshire, Middlesex, London - Central, London - North

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support

Sue

Gloucestershire, West and South West of England

As an OT with nearly 40 years of experience, Sue is an expert in paediatrics; vocational and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Wales, Avon, Bristol, Gloucestershire, Somerset, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Pain management, Motivational issues, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Learning disability

Hannah

Kent, South East of England

Hannah is a Specialist Paediatric Occupational Therapist supporting children with various developmental conditions across the South East of England.

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Profession

Occupational Therapy

Regions covered

South East of England, East Sussex, Essex, Kent, London - South

Specialisms

Paediatrics

Specialist skills

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

Rosie

Lincolnshire, Yorkshire and Lincolnshire

Rosie is a Specialist Paediatric Occupational Therapist and Sensory Integration Practitioner offering services across the East Midlands.

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Profession

Occupational Therapy

Regions covered

East Midlands

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration, Sensory Attachment Therapy

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Balance, Co-ordination, Planning & execution, School Based Therapy/Support, Sensory attachment intervention, Learning disability, Mental Health

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

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

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

Sally-Ann

Lincolnshire, Yorkshire and Lincolnshire

OT Sally-Ann specialises in paediatrics and sensory integration, and has a wealth of experience.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Derbyshire, Lincolnshire

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

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

Caroline

London - Central, London

Caroline is a skilled Occupational Therapist specialising in Paediatrics and Neurological Rehabilitation, supporting children and adults across Greater London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Community access, Sensory integration, Gross motor skills, Fine motor skills, Co-ordination, Anxiety management & relaxation, TBI

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

Karin

Cambridgeshire, East Midlands

Working as a Paediatric Occupational Therapist in the East Midlands, Karin assesses and treats children at home and education settings.

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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

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

Maire

Londonderry, Northern Ireland

Maire is an experienced and knowledgeable Paediatric OT who supports children of all ages across Northern Ireland.

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Profession

Occupational Therapy

Regions covered

Northern Ireland

Specialisms

Paediatrics

Further qualifications

BOBATH

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, 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

Claire

Hertfordshire, East Anglia

Trained in advanced handwriting and sensory integration techniques, Claire is an experienced Paediatric OT helping children across the South East.

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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

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

Client feedback

Further reading

Our Experts' Blog

Addressing Handwriting Challenges in School-Aged Children

Occupational therapists are well-trained for analysing contributing factors impacting handwriting development and creating bespoke interventions and support plans for a child when required. In this article we look at the challenges and explore some of the solutions.

Read more

Interested in Private Practice

Pocket Guide to Fine Motor Development in Early Years

Our Clinical Lead Emma shares with the paediatric OT community a helpful check list for fine motor skill development in 2-5 year olds. This provides useful guidance and example activity ideas that paediatric OTs can use to when observing children interacting with their environment.

Read more