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Fine motor skills

Fine motor skills guide the small movements of the hand and fingers that allow a child to write and draw, as well as manipulate buttons, zips or scissors. When these skills are under-developed, the results can include reduced independence, school performance and self-confidence.

We work with children and their families as well as school staff, using proven techniques for improving fine motor skills.

How OT's help

Whether your child's school has identified problems with their fine motor skills or you have noticed such difficulties yourself, we can help.

Childhood development is complex and not all children will move at the same pace, but some of the most common reasons that a parent will contact us with concerns about their child's fine motor skills include:

  • An awkward or immature pencil grasp
  • Messy or slow writing, drawing or colouring
  • Excessive tiredness after short periods of writing, drawing or typing
  • Difficulty when using scissors or performing precise manipulations such as fastening buttons, zips or shoelaces
  • Problems performing self-care tasks independently
  • Reluctance to engage with tasks requiring hand-eye coordination such as building Lego

Our assessment process allows a specialist occupational therapist to identify the nature of your child's difficulties with fine motor skills, 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 fine motor skill treatment packages to ensure we provide the right solution for you. All of our interventions are oriented towards ensuring that you and your child see measurable improvements.

This might include one or more of the following:

  • An eight-week block of one-to-one bespoke treatment sessions, delivered to your child at home or school, after which we will review and plan the next steps with you
  • An intensive block of treatment delivered over the holidays - this is popular with overseas families, or those with limited weekend or after-school capacity in term time
  • A home and school programme providing practical, everyday techniques, with advice and support to ensure that the approach is consistent throughout your child's day
  • Attendance at a fine motor skills group at weekends or over the holidays

Common areas we work on

Through our assessment we will identify the specific fine motor skills 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:

  • Hand dominance
  • Bilateral integration
  • Finger isolation
  • Hand and finger strength
  • Working with parents and schools to ensure that the right approaches to developing fine motor skills 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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LEA's

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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Solicitors

We provide solicitors with professional reports for educational tribunals or rehabilitation needs.

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Case managers

Providing OT to families & children with complex or multiple needs to achieve optimum independence.

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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

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

Kirsty

Renfrewshire, Scotland

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

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

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

Rachael

Buckinghamshire, South East of England

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

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

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

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

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, Seating and Postural management

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

Annmarie

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

Lucy

Hertfordshire, East Anglia

Lucy is a Paediatric Occupational Therapist offering expert advice and treatment. She visits clients across London, Hertfordshire, and Buckinghamshire.

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Profession

Occupational Therapy

Regions covered

London, Bedfordshire, Buckinghamshire, Essex, Hertfordshire, Middlesex, Northamptonshire, Surrey, London - North

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Conductive education

Specialist skills

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

Lana

London - North, London

Lana is an expert paediatric OT, specialising in Sensory Integration. She works with children and their families in London

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Profession

Occupational Therapy

Regions covered

London, South East of England, Middlesex, London - Central, London - North

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, School Based Therapy/Support

Louise

Essex, East Anglia

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

Lynn

Cambridgeshire, East Anglia

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, AMPS

Specialist skills

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

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

Helen

Hertfordshire, East Anglia

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

Catriona

London - South, London

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

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Profession

Occupational Therapy

Regions covered

London, South East of England , London - South

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Chailey Postural Management

Specialist skills

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

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

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

Clare

Kent, South East of England

Based near Rochester in Kent, Clare is a Paediatric Occupational Therapist specialising in autism, learning disabilities, and sensory processing.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Paediatrics

Specialist skills

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

Lucy

Cambridgeshire, East Anglia

Qualifying in 1999, Lucy specialises in seating & postural management, rehabilitation and housing & equipment for adults.

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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

Tina

Glasgow, East Renfrewshire

Tina is a Paediatric OT specialising in Sensory Integration. She is based in Glasgow and visits children across Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, East Ayrshire, East Dunbartonshire, East Renfrewshire, Glasgow (City of), Inverclyde, North Ayrshire, Renfrewshire, South Lanarkshire, Glasgow

Specialisms

Paediatrics

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

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

Michaela

Essex, East Anglia

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

Sarah

Devon, West and South West of England

Based in Devon, Sarah is a Paediatric OT offering assessments and treatments for children in both home and school settings.

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Profession

Occupational Therapy

Regions covered

, Devon

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

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

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

Eve

Sheffield, South Yorkshire

Eve is a highly experienced Occupational Therapist working with children in the Yorkshire, Lincolnshire and Derbyshire areas.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Derbyshire, South Yorkshire, Sheffield

Specialisms

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

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

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

Client feedback

Further reading

Our news & press

Radio 5 Live interview with our Paediatric Client Manager: Handwriting

Is there a right and wrong way to hold a pencil? When Radio 5 Live presenters approached us to find out, our Paediatric Client Manager Sarah Stagg was only too pleased to explain.

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Our news & press

Our YouTube channel is live

We are delighted to announce the launch of our YouTube channel. The first videos are focused on our paediatric developmental services. Told through OT Practice Kids clients and their families, we explain our ethos for working with children is to focus on resolving their difficulties not their diagnosis.

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