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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

Mary

Oxfordshire, South East of England

Specialist Paediatric Occupational Therapist Mary works with children across various settings in the South East of England and Oxfordshire.

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Profession

Occupational Therapy

Regions covered

South East of England, Oxfordshire

Specialisms

Paediatrics

Gabrielle

London

Gabrielle is a specialist Paediatric therapist providing tailored Occupational Therapy services to children across London, enhancing their development and independence.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Paediatrics

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

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

Zandri

London

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

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Paediatrics

Further qualifications

Sensory Integration, The Listening Programme

Specialist skills

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

Amitav

London - South, Surrey

With over two decades of experience in paediatrics, Occupational Therapist Amitav provides therapy services to children throughout London and Surrey.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

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

Rachel

Shropshire, West Midlands

Based in Shrewsbury, Rachel is an experienced Paediatric OT offering assessments and care to children at home and school.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, Wales, Cheshire, Shropshire, West Midlands, Powys, Wrexham, Birmingham, Liverpool, Wolverhampton

Specialisms

Paediatrics

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

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

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

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

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

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

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

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

Natalie

Cambridgeshire, East Anglia

Occupational Therapist Natalie specialises in rehabilitation, equipment provision, housing modifications, and paediatrics, supporting client independence through tailored assessments and interventions.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Nottinghamshire, Suffolk

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

Routine planning, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Anxiety management & relaxation

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

Lorraine

Newcastle upon Tyne, Northumberland

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Sensory Integration, AMPS, Chailey Postural Management

Specialist skills

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

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

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

Shivangi

London - South, Kent

Shivangi is an experienced Paediatric OT based in London who supports children with a wide range of conditions and disabilities.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, CO-OP Practitioner

Specialist skills

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

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

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

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

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

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

Katy

Birmingham, West Midlands

Katy is a dedicated Occupational Therapist specialising in pediatrics, sensory integration, and sensory attachment. across the Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Warwickshire, West Midlands, Birmingham, Coventry, Derby

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Sensory Attachment Therapy

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Co-ordination, Self care, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

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

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

Amy

Sheffield, South Yorkshire

Specialising in paediatrics and sensory integration, OT Amy possesses expertise in fine and gross motor skills.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, South Yorkshire, West Yorkshire, Sheffield

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, Planning & execution

Client feedback

Further reading

Our Experts' Blog

Stepping stones to independence – Dressing skills

Dressing is a key step towards independence for children, involving complex motor and sensory skills. This article explores typical dressing development, practical tips for parents and carers, and how occupational therapy can support children facing dressing related challenges.

Read more

Our Experts' Blog

The role of Occupational Therapy in Hand Trauma

Hand therapy is crucial for restoring function and improving quality of life for individuals recovering from hand injuries, as it addresses both the physical limitations and psychological impacts of trauma.

Read more