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Children's Occupational Therapy (Richmond)

An occupational therapist working with a child

What is occupational therapy

Occupational therapy provides services for children and young people who are experiencing functional difficulties at school, home or during play. Therapy aims to enable children to improve their ability to function within their everyday lives and to access the national curriculum more effectively.

We work on things like developing a child’s play, fine motor, self-care and sensory processing.  As a team we offer two different clinics:

  • Advice clinic: Parents can contact the service directly with view to arrange an appointment for the advice clinic. This will be a 1 hour assessment. At the end of the session, the therapist will provide advice and suggest activities to support your child’s difficulties. Your child will then be discharged.

  • Assessment clinic:  A health or education professional must refer for assessment into this service using the referral forms. Once the assessment is completed further sessions may be offered in discussion with the parents. For students with EHC Plans, assessments and input will be delivered in school. 

Where we do it

We assess children at Ham clinic, school, and nursery as well as in the home environment.      


Children's OT images.jpg

School age and pre-school children

Our team of therapists work across a variety of settings, including schools, nurseries and clinics to provide occupational therapy interventions for children aged between 0-19. We work closely with parents and educational staff to feel supported and confident to implement occupational therapy into day to day activities, as well as offering blocks of therapy sessions to address a specific clinical need. 


We offer a selection of both occupational therapy and multidisciplinary (MDT) groups. MDT Groups include Little Stars and Sunbeams (pre-school MDT group) and Motor Heroes (MDT group for children between 4 and 8 with co-ordination difficulties). 

Occupational therapy specific groups include Handwriting, Visual Perception, Hands Up for School and Messy Play depending on the demand on the service. These groups are held at Ham Clinic. 

Joint assessment

Families can come and meet the team for the first time in a joint assessment.  We offer multidisciplinary assessment clinics at Ham Clinic which are delivered by the paediatrician, occupational therapist, physiotherapist and speech and language therapist as necessary. 

Educational and health care plans (EHCP)

We support children with EHCP plans where occupational therapy is outlined in their EHC plan. This support is offered in school. As part of this service we contribute to new EHC plans for children that are known to our service. The therapist will contact parents to discuss their concerns for children who are going through this process.  

Students and observation opportunities

We can offer student placements for occupational therapy students and observation opportunities for students that are interested in learning more about becoming a paediatric occupational therapist. 

Referrals will only be accepted if the child has a Richmond GP and consent is obtained from parent or main caregiver. Referrals are accepted from all professionals as well as directly from parents.

All referrals need to have a clear functional concern describing how the child’s difficulties are affecting them on a day to day basis.  Once a referral is accepted the child will be seen within an assessment clinic or an advice clinic.

Please return the referral to : 

Hounslow & Richmond Community Healthcare NHS Trust
Children’s Therapy Services Admin Hub
Teddington Health & Social Care Centre
18 Queens Road
Teddington, TW11 0LR

Tel: 020 8973 3480
Fax: 020 8630 3354

Alternatively, referrals can be made electronically via HRCH.Childrens-Therapies@nhs.net if being sent from another nhs.net account.

Please note the following about our non-attendance policy:

In order to minimise the impact of missed appointments, which increase wait times for users of our service, please note the department’s non-attendance policy: 

  • Initial appointments: If you do not attend your booked initial appointment, without contacting the service beforehand, you will be discharged immediately.

  • Follow-up: If you do not attend your follow up appointment, without contacting the service beforehand, you will be given 10 days to contact the department before being discharged.

  • Groups: If you do not attend two consecutive sessions, without contacting the service beforehand, the remaining group appointments will be cancelled and you will be referred back to your therapist.

The occupational therapy team are all based at Ham Clinic.


Ham Clinic
Ashburnham Road
TW10 7NF

  • Telephone Number - 020 8891 8190

  • General enquiries/administration hub:  0208 973 3480


Opening times: 

Clinics operate during office hours. There is an answerphone service for messages to be left; these are picked up on a daily basis.

Staff will endeavour to get back to you as soon as possible. However due to day to day commitments and some staff working part time it may not be possible to get back to you immediately. Every effort is made to get back to you within 48 hours. 



Richmond children's occupational therapy team

Meet the team:

Julie Hale - Divisional Manager

Claire Schneider - Clinical Service Manager for Children’s Therapies

Jo Fargher – Paediatric Occupational Therapist

Kim Martinczak- Paediatric Occupational Therapist

Tina Chen – Paediatric Occupational Therapist

Lyndsey D’Souza - Paediatric Occupational Therapist

Nicole Guerney - Paediatric Occupational Therapist

Charlotte Porter - Paediatric Occupational Therapist

Emma Worthington - Occupational Therapy Assistant

See where we work:

Ham Clinic
Ham Clinic 2.jpg

The Royal College of Occupational Therapists is the UK's only professional association for OTs.


Children’s Centres aim to provide children and their families with the best start in life. There are six centres around the borough of Richmond.


Achieving for Children is a social enterprise company created by the Royal Borough of Kingston upon Thames and the London Borough of Richmond upon Thames to provide their children’s services. On 1 August 2017, the Royal Borough of Windsor and Maidenhead became a co-owner of AfC and they now deliver children’s services across all three boroughs. 



Portage is a home-visiting educational service for pre-school children with SEND and their families. Portage aims to:

  • Work with families to help them develop a quality of life and experience, for themselves and their young children, in which they can learn together, play together, participate and be included in their community in their own right.

  • Play a part in minimising the disabling barriers that confront young children and their families.

  • Support the national and local development of inclusive services for children. 


Information on local services and support available for families including children and young people aged 0 - 25 years with special educational needs or disabilities


A volunteer parent-led charity, formed in June 2014, in response to the opportunities offered by the SEND reforms; these are the changes in laws which aim to create equal partnerships between families of children and young people with Special Educational Needs & Disabilities (SEND) and the professional services. 


The Independent Support Partnership (ISP) can support you through the process of applying for a new Education, Health and Care (EHC) Plan or the conversion from an existing statement to an EHC Plan if you live in the Richmond, Kingston and Hounslow boroughs. 


This website has free resources to help families get the right education for children and young people with all kinds of special educational needs and/or disability (SEND). 


Local support groups:

Small Steps. Charity based in Wandsworth that run conductive education group classes for pre-school children with physical disabilities.   

Me too and co. An independent Richmond-upon-Thames based charity that provides activities and therapies for children with disabilities and additional needs. They also support and provide therapies, courses and information for their whole families.  

Parent Partnership. A local charity providing impartial advice for families of with children special educational needs.

Hounslow Toy Library is a library where parents can borrow a variety of fun toys to take home which are suitable for all children with disabilities.

National charities and support groups:

Contact a Family. A national charity working to provide information, advice and support to families. They run events for families and children with disabilities, advise on legal or financial support and have a useful database of specific condition support groups. 

Special Kids in the UK. Special Kids in the UK aim to bring families together for friendship, to share information and to support one another via their online forums and regular events throughout the country.

Local and national sports groups:

  • Whizz Kids  - provide equipment, support and life skills for disabled children.

  • Companion Cycling in Bushy Park – Based in bushy park this group run inclusive cycling session for all ages and levels of ability

  • Riding for the Disabled Association – A national group for inclusive horse riding 

  • Park Lane stables (RDA) - Their horses and ponies provide invaluable therapy, achievement and enjoyment to people with disabilities in and around London

  • Specialist swimming teachers – Teddington pool are able to offer both accesses to public sessions in for families use their hydrotherapy pool, as well as 1:1 swimming lessons for children with additional needs.

  • Wheelchair basketballRichmond’s well established and successful wheelchair basketball team - The Knights 

  • Weir Archer Academy - wheelchair racing- based in Kingston, they host regular training opportunities as well as being and involved in local wheelchair racing events Contact: info@weir-archer-academy.com

  • RISE – hosting regular inclusive sporting events in the Richmond area for children to come along and try a new sport, as well as running a variety of inclusive sports groups from football, yoga, golf, and dancing

  • British Paralympic Association – This website provides details about a huge variety of national inclusive sports opportunities – also see the questionnaire below that can help you to find the perfect sport and club for your child 

  • Fill in the questionnaire to see which sport might be right for you and where you can play it!

  • CP Sport – a national charity that promotes and supports sporting opportunities for people with cerebral palsy

  • English Federation of Disability Sport 

  • Phyz Swimming is a support group that allows parents/carers to use the Hydrotherapy Pool at Teddington Pool

Local events:

Me too and co. Visit the website for a list of all the events, activities, talks, workshops, clinic & therapies they have coming up. 

Reflections and Redlees Stay and Play Sessions. Drop in stay and play sessions in Feltham and Isleworth for children and young people with special needs and their families. There is a relaxing white room, a ball pool, soft play area and garden for you to enjoy. Sessions run weekly, Sundays and throughout the school holidays. 

Charitable funding:

Action for Kids. Acton for kids is a charity that helps young people with physical and learning disabilities across the country find greater levels of independence and opportunity through the provision of mobility aids, employability training and family support.

The Adam Millichip Foundation. The aim of the foundation is to help disabled people be able to participate in sport.

Always look on the Bright Side of Life Charitable Trust. Grants to make children smile. The trust awards one off grants to children in need for activities/ items (not household)/trips that children’s families are unable to afford. The child must be disadvantaged due to financial circumstances, disability/ill health or other category. 

Boparan Charitable Trust. The Boparan Charitable Trust aims to help children and young people up to the age of 18, throughout the UK, who are disadvantaged either through poverty, disability or life-limiting conditions.

Bruce Wake Charitable Trust. Equipment for leisure/activities for physically disabled wheelchair users. Applications on behalf of individuals will only be accepted through a charitable organisation or equivalent recognised body.  

Cash for Kids. Cash for Kids is Bauer Radio’s network of local charities, which operate across 22 areas around the UK. Our mission is to respond to the needs of children in our communities, and we aspire to enable all children to live life to the full and achieve their individual potential.  

Cauldwell Children. Offers a range of support to children with disabilities including family support, short breaks equipment, treatment and therapies. You can apply direct and the process is straightforward.  

Children Today. Children today encourage applicants, usually parents, to come to them for funding and other services on a regular basis as their child’s needs change. Hopefully, this will continue as they grow and develop, gaining more independence and an improving quality of life that is also shared by all those around them. They will continue receiving support until the child reaches the age of 25 years.

Cerebra. Cerebra is a unique national charity that strives to improve the lives of children with neurological conditions, through research, information and direct, on-going support.

Disability Grants. Disability Grants is a web resource which has been set up for people with disabilities and for parents/carers of disabled people. There is a wealth of information on this site to help you find suitable funding, including blogs and forums to help you get a heads up from others who have gone through this process.

Dreams Come True. Dreams Come True is a UK children’s charity. Their mission is to enrich the lives of children and young people with serious and life-limiting conditions across the country by making their dreams come true. Over the last 25 years they have fulfilled dreams for more than 5,000 children and young people as well as their friends, family and carers.

Florence Nightingale Aid in Sickness Trust. The Florence Nightingale Aid in Sickness Trust provides life enhancing grants to help people of all ages in need who are ill, convalescent or disabled. 

Family Fund. Will look at any grant request that relates to the needs of a disabled or seriously ill child, young person and their family. 

Happy Days Children's Charity. The charity supports families with children aged 3-17 who have learning difficulties, physical or mental disabilities, acute, chronic or life limiting illnesses, been abused or neglected, witnessed domestic violence, been bereaved or act as carers for a parent or a sibling. Eligible applicants can apply for the costs of the following activities: Day trips/theatre trips/theatre workshops and group activity holidays.

Just 4 Children. Just 4 Children is passionate about the relief of sickness and prevention of health of children in the UK and Ireland by providing and assisting in the provision of grants to enable them to obtain medical treatment, therapies, living environments, equipment and holidays which would  not otherwise be available to them.

Local funders. There are a number of local funders such as Richmond Parish Lands Charity, Hampton Fuel Allotments and Barnes Workhouse Fund that offer grants to individuals and families particularly in relation to fuel grants, white goods and other household equipment and education. For a full list of the local funders 

Newlife Charity. Newlife is the UK's largest charity funder of children's specialist disability equipment. We also run the UK's only national emergency equipment service, for terminally ill children.  Newlife Nurses support thousands of families, we campaign for policy change and we fund targeted medical research, to improve child health. 

The Family Fund. If you are raising a disabled or seriously ill child, the family fund may be able to help with a grant for household items, equipment, sensory toys, a family break or something to help with college for 16/17 year olds. You can apply as a parent carer, or agencies can apply on their behalf.
The Family Holiday Association (FHA). Supports families on a low income, that have not been on holiday for the past four years and have at least one child between three and 18 years of age can obtain financial support for a break during 2016 and 2017. The FHA can only accept applications from referring agents (such as a teacher, social worker or health visitor, etc) and not directly from families. The website also has a great resource page which lists other charities and trusts that can support holidays and short breaks

The Henry Smith Charity (Richmond). People experiencing hardship or distress who live in Richmond, Ham, Petersham or Kew. Applications in writing from referring bodies such as citizen advice and social services.

Tree of Hope. Tree of hope is the crowdfunding charity that helps children and young people with a disability or illness by supporting their families to raise the money they need to pay for specialist care that is not freely available through the UK healthcare system.

Turn2us. A fantastic website that offers help and information for anyone experiencing financial hardship or debt problems, or who is looking for funding to support an individual need within the family such as a short break. It has a grant and benefits search engine which can be tailored to meet your requirements including locality, and a phone helpline that is free to call and gives you access to trained staff who can talk you through your options. The service is available to individuals and organisations acting on their behalf. 

Whizz-Kidz. This charity provide equipment, support and life skills for disabled children. Creating independence to live a life of freedom at home, at school and at play and the independence to be themselves.

Frequently asked questions

Where can I park?

Ham Clinic
Ashburnham Road
TW10 7NF

  • Free parking available on site for visitors and free road parking nearby.

Teddington Health and Social Care Centre
18 Queens Road
TW11 0LR

  • Free parking for visitors for up to 4 hours. Visitors must get a free ticket from the machine and display in car. Free road parking is also available on Queen’s Road just outside Teddington Health and Social Care Centre.

Can I bring siblings?

Siblings are welcome to attend appointments. However, if it is possible to arrange childcare this can make the session easier for parents to talk to the therapist without distractions. 

What should I wear?

For occupational therapy appointments we advise that both parents and children do not wear their best clothes. Please note both parents and children may be required to do exercises, participate in messy play and activities on the floor. 

  • Motor Heroes group – Children will need to wear appropriate clothing to exercise in e.g. shorts and t-shirt.

  • Messy Play group - Please prepare to get messy! We do not advise that you and the child wear your best clothes.  You may want to bring a change of clothes for both you and the child.

Can I communicate by email with the therapist?

Yes, email communication is possible. Parental consent for sharing programmes and documents via email is required. 


  • ‘The boys have loved this group. All the staff have been great – Thank you.’
    Richmond parent

  • ‘Well organised, structured, good encouragement and good discipline. Gave parents ideas to incorporate into everyday life and weekend activities.’ 
    Richmond parent