Call on 0330 024 9910

Call for more information and costs or if you are enquiring for yourself or a family member you can use our online cost guide for individuals.

Gross motor skills

Gross motor skills are a prerequisite for children's progress at school, as well for their play and independence. Difficulty with these skills is often the cause of clumsy or uncoordinated movement, leading to problems with everyday tasks such as dressing, running or riding a bike.

We regularly assist parents and schools concerned about a child struggling with classroom or playground activities because of problems with gross motor skills, and our practical advice and treatment programmes enable them to grow in ability and confidence in all areas of daily life.

How OT's help

Whether your child's school has identified problems with their gross 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 gross motor skills include:

  • Lateness in reaching developmental milestones such as sitting up, walking or running
  • Awkward or clumsy movements, possibly associated with a higher risk of accident
  • Dislike or avoidance of physical activity and games
  • Rapid tiredness after participating in physical activities for only a short period
  • Slumped, head-in-hands posture when sitting doing table-top activities
  • Difficulty in completing activities involving sequences of physical movements, such as an obstacle course or hop-scotch

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

Common areas we work on

Through our assessment we will identify the specific gross 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 are:

  • Balance and coordination
  • Strength and endurance
  • Attention and alertness
  • Body awareness
  • Movement planning.
  • Sensory processing
  • Working with parents and schools to ensure that the right approaches to developing gross motor skills continue even when the OT is not present

Schools, LEAs and businesses

Is your organisation looking for professional OT services?

Find out more

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.

Find out more

LEA's

Occupational therapy provision at home or school as recommended in an EHCP or Statement on behalf of LEA's.

Find out more

Case managers

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

Find out more

Healthcare concierge

Assessment and treatment services for clients in their own homes both in the UK and internationally.

Find out more

Solicitors

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

Find out more

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

Lucy

Cambridgeshire, East Anglia

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

View profile

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

Sam

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

View profile

Profession

Occupational Therapy

Regions covered

Specialisms

Paediatrics

Tina

Glasgow, East Renfrewshire

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

View profile

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

Farhat

Birmingham, West Midlands

Farhat is a Paediatric Occupational Therapist specialising in Sensory Integration, supporting children and families across the West Midlands.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Stephanie

Nottinghamshire, East Midlands

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

View profile

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

Elena

Cardiff, Cardiff

Based in Cardiff, Elena helps children develop confidence, independence and everyday skills through Occupational Therapy.

View profile

Profession

Occupational Therapy

Regions covered

Wales, Bridgend, Cardiff

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Further qualifications

CO-OP Practitioner

Specialist skills

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

Jennifer

West Sussex, South East of England

Trained in Sensory Integration, Specialist Paediatric Occupational Therapist Jennie, offers services to paediatric clients in Surrey, Sussex, Southampton and Portsmouth.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, East Sussex, Surrey, West Sussex

Specialisms

Paediatrics

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

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

Helen

Hertfordshire, East Anglia

Based in St Albans, Helen is a Paediatric OT working with children across North London, Bedfordshire, Buckinghamshire, and Essex.

View profile

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

Jade

Plymouth, Devon

Based in the South West, Jade empowers children and families through compassionate paediatric Occupational Therapy, supporting neurodiversity and everyday independence.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, Cornwall, Devon, Dorset, Somerset

Specialisms

Paediatrics

Further qualifications

AMPS

Specialist skills

Behaviour management, Social integration, School Based Therapy/Support, Anxiety management & relaxation, Learning disability, Mental Health

Fran

Newcastle upon Tyne, Northumberland

Working in the North East of England, Fran is a dedicated Occupational Therapist specialising in housing & equipment.

View profile

Profession

Occupational Therapy

Regions covered

North East England, North Yorkshire, Newcastle upon Tyne

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments

Zandri

London

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

View profile

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

Alison

Coventry, West Midlands

Based in Coventry, Alison has been a Paediatric OT for over 10 years, specialising in fine motor skills and handwriting.

View profile

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

Rosie

Lincolnshire, Yorkshire and Lincolnshire

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

View profile

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

Rachel

Hertfordshire, South of England

Rachel is a Paediatric Occupational Therapist supporting children in the South of England with diverse developmental, behavioural, and learning challenges.

View profile

Profession

Occupational Therapy

Regions covered

London, South of England, Cambridgeshire, Essex, Hertfordshire

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Planning & execution, Self care, School Based Therapy/Support, Anxiety management & relaxation, Mental Health

Terri

Coventry, West Midlands

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

View profile

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

Dawn

Cornwall, West and South West of England

Dawn is an OT based in Cornwall, providing expert assessments and therapy for both adult and paediatric clients.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration, The Listening Programme

Specialist skills

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

Alexis

Norfolk, East Anglia

Alexis provides Occupational Therapy services in Rehabilitation, Housing and Equipment, Moving and Handling, Paediatrics, and Neurological Rehabilitation across East Anglia.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Cambridgeshire, Lincolnshire, Norfolk, Suffolk

Specialisms

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

Specialist skills

Blue Badges / Mobility Assessments, 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, Postural management, School Based Therapy/Support, TBI

Amy

Sheffield, South Yorkshire

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

View profile

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

Claire

Brighton, East Sussex

Claire is a Paediatric Occupational Therapist specialising in supporting children with developmental, behavioural, and sensory challenges across the South East.

View profile

Profession

Occupational Therapy

Regions covered

London, South East of England, East Sussex, Essex, Kent, London - Central, London - South, London - East, London - West, Brighton

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Self care, Learning disability

Nicola

Bristol, Avon

Helping children build confidence and independence, Nicola specialises in paediatric occupational therapy, sensory processing and early years development.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Bristol, Bath

Specialisms

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

Amy

Lancashire, North West England

Amy is a Paediatric Occupational Therapist and Sensory Integration Practitioner supporting neurodiverse children across North West England.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Cumbria, Greater Manchester, Lancashire

Specialisms

Paediatrics, Functional rehabilitation

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, Planning & execution, Self care, Social integration, School Based Therapy/Support, Learning disability

Jessica

Newcastle upon Tyne, Northumberland

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

View profile

Profession

Occupational Therapy

Regions covered

North East England

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Co-ordination, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Dysphagia management

Chia-Chien

London - South, Surrey

Chia is an occupational therapist fluent in Mandarin who specialises in paediatrics and neurology.

View profile

Profession

Occupational Therapy

Regions covered

London , London - North, London - South, London - West

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Splinting, Sensory attachment intervention, Learning disability, TBI

Katy

Cheshire, North West England

Supporting every stage of childhood, Katy specialises in paediatric Occupational Therapy across North West England.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Merseyside

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, School Based Therapy/Support

Kyla

London - South, Surrey

Kyla is an experienced Occupational Therapist supporting children and adults with neurological, physical and developmental needs across Surrey and London.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Neurological rehabilitation

Hannah

London - South, Surrey

Based in London, Hannah is an experienced Rehabilitation Occupational Therapist supporting children, adults and older people with complex clinical needs.

View profile

Profession

Occupational Therapy

Regions covered

London , London - South

Specialisms

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

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Planning & execution, Self care, Postural management, Splinting, TBI

Michelle

Staffordshire, West Midlands

Qualified in Sensory Integration, Michelle is a Paediatric Occupational Therapist supporting children with autism, ADHD and developmental needs.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, Staffordshire

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Fatigue management, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Anxiety management & relaxation, Learning disability, Mental Health, TBI

Tenille

London - Central, London

Ayres Sensory Integration trained, Tenille helps children in London build confidence, independence and participation through specialist paediatric occupational therapy.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, School Based Therapy/Support, Learning disability

Melissa

Cumbria, North West England

Melissa is a Paediatric Occupational Therapist and Sensory Integration Practitioner supporting children and young people across the North of England.

View profile

Profession

Occupational Therapy

Regions covered

North West England, North East England

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Balance, Co-ordination, Self care, Social integration, School Based Therapy/Support, Makaton, Anxiety management & relaxation, Learning disability, Mental Health

Jo

Brighton, East Sussex

With over 10 years of experience, Paediatric Occupational Therapist Jo provides expert assessment, advice, and treatment across London and Surrey.

View profile

Profession

Occupational Therapy

Regions covered

South of England, East Sussex, Brighton

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Mental Health

Client feedback

Further reading

Our Experts' Blog

Understanding Gross Motor Skills for Children

Gross motor skills are essential for movement, learning and independence. When children experience difficulties with balance, coordination or posture, these challenges can impact many aspects of school and daily life. This article explores the signs of gross motor difficulties and how occupational therapy can help.

Read more

Our Experts' Blog

Developmental Delays in Children during Lockdown

Tina is an expert Paediatric Occupational Therapist, she specialises in Sensory Integration and over the last year has helped many children with developmental delays. In this article, Tina shares her experiences of delivering remote therapy and shifting her focus onto coaching parents and carers.

Read more