The Hillingdon Paediatric Occupational Therapy Service is part of the larger Children's Integrated Therapy Service (CITS) in Hillingdon.

We offer Occupational Therapy (OT) for children, young people and their family/carer(s) in Hillingdon to help them participate in the everyday activities (or occupations) that they need, want or are expected to perform in order to improve their health and wellbeing.

Daily life consists of different activities (or occupations). For children and young people this may include self-care (dressing, washing, using cutlery, personal care), being productive (going to nursery, school or college, handwriting, using tools in the classroom, attending to tasks), and leisure or play (doing hobbies, playing sports/games or with toys).

Our service is made up of qualified occupational therapists as well as experienced occupational therapy technicians and assistants. We also have administration staff who support the team to run smoothly and efficiently.

Our service works with children and young people aged 0-18 years old. We help children and young people who have significant difficulties due to a physical, motor or sensory based need that has an impact on their independence and ability to participate in everyday activities (occupations), that they need, want or are expected to perform, such as play.

We work in partnership with parent/carers(s), nurseries/schools and other professionals involved in helping children and young people with their functional difficulties.

We can help with the following:

  • Self care: dressing, cutlery use, eating a meal, washing, brushing teeth, accessing the toilet etc.
  • School and nursery work/readiness: handwriting development, attending to tasks, participating in PE, using tools and materials following school routines etc.
  • Leisure and play: playing with age appropriate games and toys, riding a bike, participating in hobbies and sports etc.

1. Assessment of the child/young person's skills and environment

  • Assess and identify the child/young person's strengths and areas of difficulties in everyday activities
  • Identifying priorities and collaborative goal setting with the child/young person and their family
  • Recommend appropriate interventions to support the child/young person dependent on their strengths and needs
  • Work with the child/young person, their families/carers, nurseries and schools to jointly identify how best to support the child/young person to participate at home, in school and within their community.

2. Therapy interventions

Our service supports children and young people to participate in everyday activities by using a tiered approach. This involves different levels of support (such as Universal, Targeted and Specialist) depending on the child/young person’s need. This can include:

  • Individual/ group goal-directed therapy sessions with an occupational therapist/technician or coaching session with parent/school staff
  • Signposting to Hillingdon Plays website resources and advice sheets and termly parent and school staff training sessions.

3. Provision of equipment

  • We assess for and provide seating and bathing equipment for the home environment for 0 to three years old. Any child over three years with home equipment needs should be referred to social care directly. This service can be contacted on 01895 556633 or you can email
  • Early Years Settings: We assess for and recommend seating/equipment on behalf of the Early Years Inclusion Team (EYIT). The EYIT provide the equipment for children in early years setting (private nurseries and childminders)
  • Mainstream School Settings: We assess for and recommend seating/equipment for mainstream schools and provide quotes for them to purchase their own equipment (school nurseries, primary schools and secondary schools)
  • The equipment is reviewed by our Occupational Therapy Service every six months.

4. Hand assessment/splinting

  • These clinics are for children and young people with neurological conditions, neuromuscular conditions, hypermobility and arthritic conditions
  • Hand assessment/splinting clinics are run twice a month. This involves an assessment and then possible provision of splints as well as reviews of existing splints and activity programmes.

5. Statutory assessments

  • The Occupational Therapy Service, as required, contributes to the multi-professional statutory assessment process. This is when children/young people known to the service undergo a statutory assessment of their Special Educational Needs (SEN), which may lead to an Education and Health Care Plan (EHCP)
  • Our service provides Occupational Therapy Provision stated in the EHCP at local Hillingdon mainstream schools.

An interpreter can be provided to help your child/young person's occupational therapy session. Please let your occupational therapist know if you would like us to arrange this for you by contacting the occupational therapy department (details on the right).