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Gross motor skills

Find out how we can help

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?

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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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Case managers

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

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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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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

Sharon

Essex, South East of England

Based in Essex, Sharon provides expert speech and language therapy helping children with speech delay and eating or drinking difficulties.

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Profession

Speech and Language Therapy

Regions covered

East Anglia, London, South East of England, Essex, Hertfordshire, Kent, Suffolk, London - East

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support, Dysphagia management

Stephanie

Wrexham, North West England

Based in Cheshire, Stephanie provides expert occupational therapy to adult clients. She specialises in neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Derbyshire, Greater Manchester, Lancashire, Merseyside, West Yorkshire, Wrexham, Liverpool, Manchester, Salford

Specialisms

Paediatrics, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Self care

Sharon

London - South, Kent

Sharon covers South London, Kent, Croydon & Bromley and has a special interest in housing adaptions, seating & postural management.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Postural managemen

Samantha

Leeds, West Yorkshire

Trained in advanced sensory integration and therapeutic listening techniques, Sam helps families by treating children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Greater Manchester, Humberside, Lancashire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Manchester, Wakefield, Salford

Specialisms

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

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Social integration

Ganga

West Sussex, South East of England

Qualifying in 2008, Ganga specialises in rehabilitation for adults and children. She visits clients at home.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, Surrey, West Sussex, London - South, London - East, Brighton

Specialisms

Paediatrics, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Social integration

Joy

London - Central, Surrey

Working in London, Surrey and Berkshire Joy is a highly experienced and professional occupational therapist who visits clients at home.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Catherine

London - West, Buckinghamshire

An expert in Paediatric care and sensory integration, Catherine works with children & their families in Central and West London.

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Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, London - Central, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Balance, Co-ordination, Self care, Postural managemen

Helen

London - North, Hertfordshire

Working with children at home and school, Helen provides expert occupational therapy in North London, Bedfordshire, Buckinghamshire and Essex.

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Profession

Occupational Therapy

Regions covered

London, South of England, Hertfordshire, London - North

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care

Louise

Birmingham, Warwickshire

Louise is an expert Seating & Postural Management OT, delivering specialist mobility and Rehabilitation assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, South of England, South East of England, Warwickshire, Worcestershire, Birmingham

Specialisms

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

Specialist skills

Postural managemen

Kirsty

Glasgow, Glasgow (City of)

An expert occupational therapist, Kirsty works with children with a range of conditions in West Scotland in their own environments.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

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

Specialist skills

Counselling

Lynn

South Lanarkshire, Scotland

Lynn is an expert physiotherapist, delivering specialist assessments to adults and children in their home environment.

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Profession

Physiotherapy

Regions covered

Scotland, East Dunbartonshire, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Midlothian, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, West Dunbartonshire, West Lothian

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Gross motor skills, Balance, Postural managemen, School Based Therapy/Support

Hayley

Birmingham, Worcestershire

A highly regarded expert occupational therapist, Hayley works with adults with a variety of conditions in their own homes.

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Profession

Occupational Therapy

Regions covered

West Midlands, Derbyshire, Leicestershire, Staffordshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Coventry, Wolverhampton

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management

Rebecca

Bristol, Somerset

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

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

Carien

Dumfries and Galloway, Scotland

Based in Scotland, Carien provides expert paediatric therapy helping children with handwriting, sensory and complex physical needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Borders, Dumfries and Galloway, East Ayrshire, East Lothian, East Renfrewshire, Edinburgh (City of), Fife, Glasgow (City of), Midlothian, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, West Lothian, Glasgow, Edinburgh

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration

Michaela

London - North, Suffolk

Based in Essex, Michaela is an expert paediatric Occupational Therapist working with children with sensory needs in their own environments.

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Profession

Occupational Therapy

Regions covered

East Anglia, Essex, Suffolk, London - North

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

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

Amie

Bristol, Somerset

Amie is a highly experienced Occupational Therapist specialising in Neuro-Rehabilitation covering the Somerset, Bath & Bristol and West Wiltshire areas.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Fine motor skills, Planning & execution, Self care, Postural managemen

Paula

London - South, London

Paula is a highly skilled and long term experienced clinical Occupational Therapist working with Children in the London area.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, AMPS

Specialist skills

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

Kirsty

Wrexham, North West England

Qualifying in 2001, Kirsty specialises in housing & equipment, moving & handling and rehabilitation for adults and children.

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Profession

Occupational Therapy

Regions covered

North West England, Yorkshire and Lincolnshire, West Midlands, Wales, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside, Shropshire, South Yorkshire, Staffordshire, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Powys, Wrexham, Liverpool, Manchester, Hull, Stoke-on-Trent, Salford

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Daily living skills, Community access, Self care, Social integration

Hannah

Leeds, West Yorkshire

Qualifying in 2010, Hannah specialises in seating & postural management, housing & equipment and rehabilitation for children and adults.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Lancashire, Lincolnshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Manchester, Wakefield, Hull

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Social integration

Lone

Hertfordshire, East Anglia

Trained in advanced sensory integration techniques and both Bobath and Chailey approaches, Lone treats children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Cambridgeshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, CO-OP Practitioner

Specialist skills

Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care

Angela

Cleveland, North East England

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

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Profession

Occupational Therapy

Regions covered

North East England, Cleveland

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

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

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 managemen, School Based Therapy/Support, Anxiety management & relaxation

Elizabeth

Cardiff, The Vale of Glamorgan

Liz is an expert neurological rehabilitation specialist working with clients in their own homes across Wales and the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Bristol, Gloucestershire, Herefordshire, Shropshire, West Midlands, Worcestershire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Ceredigion, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Powys, Rhondda Cynon Taff, Swansea, Torfaen, The Vale of Glamorgan, Birmingham, Bristol, Cardiff, Coventry, Swansea

Specialisms

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

Further qualifications

BOBATH

Specialist skills

PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural managemen, Splinting, Wheelchair accreditation

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

Sam

London

Based in London, Sam is an expert paediatric speech and language therapist who treats children at home and in school.

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Profession

Speech and Language Therapy

Regions covered

London , London - Central, London - North, London - West

Specialisms

Paediatrics

Specialist skills

Behaviour management, School Based Therapy/Support, Dysphagia management, Makaton

Joanne

Manchester, Greater Manchester

Joanne is an expert Occupational Therapist specialising in neurological rehabilitation, working with clients in their owns homes across Manchester.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Manchester

Specialisms

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

Gaynor

Leicester, Warwickshire

A highly skilled occupational therapist, Gaynor provides expert neurological, vocational and functional rehabilitation to clients in the East Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Warwickshire, London - North, Nottingham, Leicester

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Motivational issues, Routine planning, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Self care, Wheelchair accreditation, Anxiety management & relaxation

Tracy

Leeds, West Yorkshire

Specialising in rehabilitation, Tracy is an expert Occupational Therapist working across Yorkshire with clients in their own homes and workplaces.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Wakefield, Hull

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Behaviour management, Planning & execution, Self care, Social integration, Anxiety management & relaxation, Learning disability

Beverley

Cardiff, Caerphilly

Beverley is an experienced Occupational Therapist covering South Wales and Mid Wales. Beverley has experience treating both adults and children.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Avon, Bristol, Somerset, Wiltshire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Rhondda Cynon Taff, Swansea, Torfaen, The Vale of Glamorgan, Bristol, Cardiff

Specialisms

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

Further qualifications

Sensory Integration, Chailey Postural Management

Specialist skills

DFG Assessments, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Co-ordination, Self care, Postural managemen, School Based Therapy/Support, Learning disability

Client feedback

Further reading

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.

Read more