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Mobility & falls

As we age, or after an illness or accident, it is common for mobility to deteriorate leading to falls, loss of confidence and reduced independence. For some, this may be a temporary period on the path to recovery; for others, it may be an ongoing hazard requiring management over the long-term.

Falls and decreased mobility are among the commonest reasons we are engaged to help clients seeking advice and assistance to maintain independence and reduce the risk of injury.

How OT's help

Whether you are enquiring on your own behalf, or for a family member, friend or client, we can help you plan the way forward. The frequency of falls can usually be reduced or even eliminated with even minor changes around the home, whilst mobility can be improved or stabilised with the right professional advice.

Some of the most common reasons we are approached for help with mobility and falls include:

  • A one-off fall, or sequence of falls, occuring in the home or outside
  • A gradual or sudden deterioration in mobility, possibly following a period in hospital
  • Shortness of breath or excessive fatigue after walking short distances

Our sensitive assessment process can allow a specialist occupational therapist to identify any such problems, informing our recommendations and allowing us to plan a pathway to improved mobility and reduced risk of falling.

Our approach

Our aim is to provide flexible and practical solutions to maintaining and improving your mobility around the home and reducing the risk of falls. Our assessment may involve looking at:

  • Mobility in and out of doors
  • Physical stamina and health
  • Your home environment, identifying trip hazards and likely points of injury
  • Daily routines and activities
  • Your goals for the future

Common recommendations

Some practical solutions to help reduce the risk of falls and maintain mobilty include:

  • Our six-week Falls Prevention Programme, all conducted within the home
  • Recommendations for home adaptations to reduce the risk of falls
  • Advice on arranging your home to maximise safety and mobility
  • An individualised, illustrated exercise programme to help increase strength, balance and flexibility
  • Guidance and practical demonstrations to help you cope in the event that a fall does occur
  • Advice to family and carers

Public sector, charities 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 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 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 in your own home and at a time convenient to you and your family, and are happy to offer evening and weekend appointments
  • We do not have waiting lists and so can offer appointments within 7 working days of referral or sooner
  • Our extensive nationwide network of registered occupational therapists allows us to find you the right local therapist
  • We can provide ongoing support for as long as you need it
  • Our clear, fixed pricing system will be provided to you in writing for you to consider in your own time
  • Your occupational therapist will be a specialist in their field, with over 5 years' clinical experience including time in social services or NHS practice
  • Our team are well connected to networks of local and national equipment providers, stair lift and building companies

Services for businesses, organisations and the public sector

Charites

Working with charities to provide reports and recommendations for grant funding applications.

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Case managers

We help your client's achieve optimum independence through assessment, treatment & advice.

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Care homes

We provide individual equipment recommendations or advice on environmental accessibility.

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Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our client management team, who will be able to understand what your 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 would 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 a visit at your home. Normally this first visit will comprise a full assessment, after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations. These may include useful items you can buy or activities you can do independently, but they may also include more complex recommendations such as home adaptations or additional treatment by the occupational therapist. 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

Melissa

Manchester, Greater Manchester

Melissa is an experienced OT in physical and complex neuro rehab, covering Manchester, Cheshire and the North West

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Merseyside, Liverpool, Manchester

Specialisms

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

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Splinting, Anxiety management & relaxation, TBI

Sian

Southampton, Hampshire

With over two decades of experience, Occupational Therapist Sian provides expert rehabilitation services across the South of England.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Dorset, Hampshire, Isle of Wight, Surrey, West Sussex, Wiltshire, Southampton, Swindon

Specialisms

Moving and Handling, Functional rehabilitation, Housing and Equipment, Vocational Rehabilitation

Specialist skills

DFG Assessments, PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Planning & execution, Self care, Anxiety management & relaxation, Mental Health

Michael

Merseyside, North West England

Housing & equipment, and functional rehabilitation OT Michael operates in the North West of England.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Greater Manchester, Lancashire, Merseyside, West Midlands, Flintshire, Wrexham

Specialisms

Housing and Equipment, Functional rehabilitation

Further qualifications

Ergonomics

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Routine planning, Gross motor skills, Fine motor skills, Balance, Planning & execution

Pilar

East Sussex, West and South West of England

OT Pilar provides Functional Rehabilitation, Manual Handling, and Pain and Fatigue Management across East Sussex (Brighton) and South London.

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Profession

Occupational Therapy

Regions covered

West and South West of England, London, East Sussex, West Sussex, London - South, Brighton

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills

Liz

Gloucestershire, West and South West of England

Liz is an expert Occupational Therapist specialising in rehabilitation, equipment, and mobility, serving Gloucestershire, Herefordshire, and Monmouthshire.

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Profession

Occupational Therapy

Regions covered

Specialisms

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

Ellie

Gloucestershire, West and South West of England

Ellie is an expert OT based in Gloucestershire, delivering specialist Housing & Equipment assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Avon, Bristol, Gloucestershire, Herefordshire, Oxfordshire, Somerset, Wiltshire, Worcestershire, Cardiff, Monmouthshire, Newport, The Vale of Glamorgan

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Postural management

Jo

Buckinghamshire, South East of England

Experienced Occupational Therapist Jo specialises in Neurological Rehabilitation, supporting adults with various conditions across the South East of England.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, Buckinghamshire, Hertfordshire, Oxfordshire

Specialisms

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

Further qualifications

Train the trainer, Certificate in Education

Specialist skills

Fatigue management, Pain management, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Balance, Planning & execution, Self care, Postural management, Splinting, Anxiety management & relaxation, TBI

Miriam

Middlesex, London

Located in Edgeware, Miriam is an expert OT who supports adults of all ages with rehabilitation and housing needs.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Essex, Hertfordshire, Middlesex, London - Central, London - North, London - East, London - West

Specialisms

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

Specialist skills

Fatigue management, Pain management, Daily living skills, Balance, Co-ordination, Self care, Postural management

Benedicta

Buckinghamshire, West Midlands

Benedicta is a dedicated occupational therapist specialising in Functional Rehab and Housing & Equipment solutions.

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Profession

Occupational Therapy

Regions covered

West Midlands, Bedfordshire, Buckinghamshire, Essex, Herefordshire, Nottinghamshire, Oxfordshire, West Midlands

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

DFG Assessments, Daily living skills

Stacey

Kent, South East of England

Based in Canterbury, Stacey is an expert OT providing assessments and interventions for adults with physical and neurological conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Functional rehabilitation, Housing and Equipment, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Self care, Postural management, TBI

Ronda

Kent, South East of England

Occupational Therapist Ronda specializes in functional and neurological rehabilitation and moving and handling. She serves clients in the South East.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

Train the trainer

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Planning & execution, Self care, Splinting, TBI

Ruth

Kent, South East of England

Ruth is an OT based in Whitstable, Kent, offering comprehensive assessments and rehabilitation for clients with injury and long-term conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, London - South

Specialisms

Housing and Equipment

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Self care, Social integration

Lucy

Norfolk, East Anglia

Lucy is an experienced Occupational Therapist specialising in mental health and physical rehabilitation, delivering holistic, patient-centred interventions across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Anglia

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Anxiety management & relaxation

Karina

London - West, London

Specialising in Seating and Postural Management, Functional Rehabilitation and Moving and Handling, Karina provides occupational therapy services in London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Moving and Handling, Functional rehabilitation, Seating and Postural management

Specialist skills

Motivational interviewing, Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Planning & execution, Postural management

Lindsey

Ceredigion, Wales

Working across South Wales, Lindsey is an expert Occupational Therapist providing holistic assessments and treatment plans for her clients.

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Profession

Occupational Therapy

Regions covered

Wales, Carmarthenshire, Ceredigion, Pembrokeshire, Powys

Specialisms

Functional rehabilitation, Seating and Postural management, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Daily living skills, Self care, Anxiety management & relaxation

Marta

Surrey, South East of England

Based in Surrey, Marta is a highly skilled OT who specialises in Neurological Rehabilitation and supports clients across the South-East.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, Hampshire, Surrey

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Daily living skills, Community access, Fine motor skills, Co-ordination, Self care, Postural management

Cheryl

Wolverhampton, Staffordshire

Cheryl is a specialist Occupational Therapist with expertise in rehabilitation, housing adaptations, and equipment provision, promoting independence and safety.

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Profession

Occupational Therapy

Regions covered

West Midlands, Cheshire, Wolverhampton

Specialisms

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

Claire

Buckinghamshire, South East of England

Claire, an experienced Occupational Therapist based in Buckinghamshire in the South East of England, specializes in housing and equipment.

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Profession

Occupational Therapy

Regions covered

South East of England, Buckinghamshire, London - Central

Specialisms

Housing and Equipment

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Community access

Wendy

Sheffield, Derbyshire

Wendy provides specialist Occupational Therapy services, focusing on rehabilitation, housing adaptations, seating, postural management, and complex condition management.

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Profession

Occupational Therapy

Regions covered

North West England, Derbyshire, Sheffield, Manchester, Nottingham, Derby

Specialisms

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

Specialist skills

Daily living skills, Community access, Gross motor skills, Postural management, Anxiety management & relaxation

Anna

Stoke-on-Trent, Staffordshire

Anna, a dedicated Occupational Therapist based in the Midlands, serves Cheshire, Derbyshire, Staffordshire, and Stoke-on-Trent and has multiple specialisms.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Cheshire, Derbyshire, Staffordshire, West Midlands, Stoke-on-Trent

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Splinting, TBI

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

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

Josie

Essex, South East of England

Josie is an OT providing expert Housing & Equipment assessments and recommendations across Essex and the South East.

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Profession

Occupational Therapy

Regions covered

South East of England, Essex

Specialisms

Housing and Equipment, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Learning disability

Leane

Birmingham, West Midlands

Leane, an Occupational Therapist in Birmingham, specialises in Housing & Equipment, Paediatrics, and Moving & Handling.

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Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham

Specialisms

Housing and Equipment

Specialist skills

Community access

Jo

Gloucestershire, West and South West of England

Jo has almost two decades of experience in major and minor housing adaptations, moving and handling & rehab in Gloucestershire.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Gloucestershire

Specialisms

Housing and Equipment, Moving and Handling, Functional rehabilitation

Khatira

London - Central, London

Occupational Therapist Khatira, specialises in housing and equipment, functional rehabilitation, and moving and handling.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills, Community access, Self care

Rebecca

Edinburgh, Scotland

Specialising in Neurological and Functional Rehabilitation, expert Occupational Therapist Rebecca offers holistic care for complex conditions across Northumberland and Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Northumberland

Specialisms

Functional rehabilitation, Seating and Postural management, Neurological rehabilitation

Specialist skills

Daily living skills

Kathryn

Newcastle upon Tyne, Tyne and Wear

Based in Newcastle, Kathryn is an expert OT working with clients with rehabilitation needs across the North East of England.

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Profession

Occupational Therapy

Regions covered

North West England, North East England

Specialisms

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

Specialist skills

TBI

Val

Cornwall, West and South West of England

Val is an accredited Best Interests Assessor, delivering specialist assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, Bristol, Cornwall, Devon, Isles of Scilly, Bristol, Plymouth, Salford

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS, BIA, Therapeutic listening

Specialist skills

Counselling, DFG Assessments, Fatigue management, Motivational issues, Daily living skills, Community access

Joanne

London - East, Essex

Based in London, Joanne is a specialist OT offering neurological rehabilitation for clients with acquired brain injury and neurological conditions.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Neurological rehabilitation, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Community access, TBI

Sophie

London - Central, Oxfordshire

Sophie is a highly experienced OT specialising in neuro rehab covering both Oxfordshire and London.

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Profession

Occupational Therapy

Regions covered

South of England, Oxfordshire, London - Central

Specialisms

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

Angela

Kent, South East of England

Based in Kent, Angela is a specialist OT in Housing and Equipment assessments and interventions.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

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

Further qualifications

BIA

Specialist skills

DFG Assessments

Claire

London - North, Hertfordshire

Occupational Therapist Claire, with over 20 years of experience, specializes in housing and equipment as well as moving and handling.

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Profession

Occupational Therapy

Regions covered

London, South of England, South East of England, Buckinghamshire, Hertfordshire, Middlesex, London - North, London - West

Specialisms

Moving and Handling, Housing and Equipment

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments

Liz

Liverpool, Merseyside

Liz is a therapist specialising in Functional Rehabilitation & Housing and Equipment for pain conditions and more.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Merseyside

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Motivational issues, Daily living skills, Anxiety management & relaxation, Mental Health

Fiona

Edinburgh, Borders

Experienced in providing specialist Neurological Rehabilitation, Functional Rehabilitation and Moving and Handling assessments, Fiona covers Scottish Borders, Edinburgh and Glasgow.

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Profession

Occupational Therapy

Regions covered

North East England, Scotland, Tyne and Wear, Borders, East Lothian, Edinburgh (City of), Falkirk, Glasgow (City of), Midlothian, Stirling, Glasgow, Edinburgh, Newcastle upon Tyne

Specialisms

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

Further qualifications

Therapeutic listening

Specialist skills

Counselling, Fatigue management, Routine planning, Daily living skills, Visual perception, Planning & execution, Self care, Splinting, Anxiety management & relaxation, Mental Health, TBI

Jennie

Hampshire, South East of England

Hampshire and West Sussex based occupational therapist Jennie specialises in mental health, Moving & Handling and Housing.

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Profession

Occupational Therapy

Regions covered

, Hampshire, West Sussex

Specialisms

Functional rehabilitation, Moving and Handling, Housing and Equipment

Specialist skills

Daily living skills

Yvonne

Wiltshire, West and South West of England

Qualifying in 1991, Occupational Therapist Yvonne provides expert Functional Rehabilitation, Moving and and Handling, and Housing and Equipment assessments.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England

Specialisms

Housing and Equipment, Moving and Handling, Functional rehabilitation

Further qualifications

Therapeutic listening, Train the trainer

Specialist skills

Daily living skills, Learning disability

Elizabeth

London - Central, London

Elizabeth is a passionate and dedicated Occupational Therapist who has specialised in supporting paediatric clients in London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Postural management

Jacqui

Surrey, South of England

Jacqui, an OT with a focus on housing and equipment, moving and handling, and functional rehabilitation, is based in Surrey.

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Profession

Occupational Therapy

Regions covered

South East of England, Surrey, West Sussex

Specialisms

Housing and Equipment, Moving and Handling, Functional rehabilitation

Bethany

Staffordshire, East Midlands

Covering a large client base across the Midlands, Bethany is an expert OT who supports with rehabilitation and equipment provisions.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, West Midlands, East Midlands , Birmingham, Nottingham, Leicester, Derby

Specialisms

Functional rehabilitation, Moving and Handling, Vocational Rehabilitation, Housing and Equipment

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

Amy

Devon, West and South West of England

Located in Devon, Amy is an expert OT who provides specialist interventions for clients across the South-West of England.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Daily living skills, Gross motor skills, Self care, Postural management, TBI

Thelma

London - North, Cambridgeshire

Thelma provides expert Occupational Therapy services addressing diverse physical and mental health conditions across North East England.

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Profession

Occupational Therapy

Regions covered

North East England, Bedfordshire, Cambridgeshire, Lincolnshire, Northamptonshire, London - North, London - East, Edinburgh, Leicester

Specialisms

Housing and Equipment, Moving and Handling, Functional rehabilitation

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Mental Health

Client feedback

Further reading

Our Experts' Blog

FAQs for Case managers - Functional rehabilitation

Functional assessments require an OT to observe a client carrying out their everyday tasks, and discovering solutions to improving their quality of life. What is an activity analysis? How do compensatory and restorative methodologies differ, and what are their common outcomes? Let our expert OT answer your questions in our latest FAQ.

Read more

Our Experts' Blog

A Professional’s Guide to Moving & Handling

This Case Manager guide explores moving & handling assessments, the impacts of poor techniques and what to expect from a risk assessment and handling management plan.

Read more