About Us

Specialising in rehabilitation, accommodation, equipment and adaptations, we provide occupational therapy assessment and treatment services across the North West of England and beyond. We are experienced in assessing life changing illness and injuries and understand progression of long-term conditions. We work with adults of all ages and have experience of assessing and treating a range of complex conditions including but not limited to acquired brain injury, progressive neurological diseases, orthopaedic conditions, multi-trauma and spinal injuries. We provide recommendations for equipment and adaptations to support people to live independently at home and have good contact with local contractors, equipment suppliers and architects. 


Who we work with

We regularly work with Case Managers, Solicitors, Insurers, Architects, Local Authorities, Charities, Housing Associations, NHS, Allied Health Professionals and the General Public.

Where we work

Based in Ormskirk, Lancashire, we provide services within a 90-minute radius covering all areas of Lancashire, Merseyside, Cheshire, Manchester and Greater Manchester.


If you live outside of these areas and think our service meets your needs, get in touch to see if we can accommodate your request.

Meet the Team


Occupational Therapist

Matt is experienced in assessing and treating life changing injuries and provides rehabilitation, equipment and recommendations for adaptations to support people to live independently at home.


Occupational Therapist

Lucy has 13+ years experience in delivering a range of interventions including major adaptations, specialist equipment provision, moving & handling and rehabilitation.


Occupational Therapist

Over the last 13 years Holly has worked as a Case Manager & Occupational Therapist. She is experienced with major adaptations, equipment, moving & handling and functional based rehabilitation.


Business Manager

Vicky qualified as Nurse before working as an associate SENDCO and A-Level Health & Social Care teacher for 30+ years. Vicky deals with all things business, compliance, training & service improvement

Contact Us

Please get in touch via the form below or give us a call to see how we can assist.

What our customer say

We value our customer feedback, so here is a few of our most recent reviews and testimonials.


David Alcock - Accommodation Expert - DMA Associates

It has been a pleasure working with Birrell Associates on major home adaptations for clients following serious injury. Their input has been invaluable in the design and specification stage, to ensure specific needs are considered and incorporated early in the process.

Excellent report

Case Manager HCML

Please pass on my thanks to Matt Birrell for his excellent report. It was extremely detailed and provided the reader with an excellent insight into the clients difficulties’ at this time.

Very knowledgeable

Christy Simpson - Case Manager - Beacon Case Management

We found Lucy to be very knowledgeable in regard to statutory funding and has helped the family to attain social services input for equipment. This was really important because of his funding restraints. Thank you for recommending her.

Committed to achieving the best outcome

Dr Claire McDonald - Psychologist - Positive Neuropsychology Solutions

I have thoroughly enjoyed working with Matt Birrell. I was firstly impressed with the thoroughness and thoughtfulness of Matt’s initial assessment report and it has been clear that the intervention and support offered has been consistently tailored to the client’s personal values and needs, and has also included the impact & needs of the entire family. Matt has been a warm and supportive MDT colleague, providing detailed and regular updates- he is clearly committed to achieving the best outcome for clients and I would welcome any opportunity to work alongside him in future.

Thanks for your assessment

Private Client

Many thanks again for your comprehensive set of recommendations, Matt. You clearly have a very good eye to assess my needs and limitations, so we value your professional help.


Sonia Campbell-Thompson - Case Manager Unite - Unite Professionals

I have instructed Matt on a couple of case management cases recently where an equipment and adaptations OT has been required. I have been thrilled with his responsiveness, assessments, clinical reports and professional liaison.

Excellent Service

Private Client

I would like to pass on my personal thanks to Lucy for the manner in which she conducted the assessment with mum. She demonstrated outstanding professionalism along with entirely appropriate sensitivity, understanding and empathy and that is so very much appreciated. I would highly recommend you to friends and family.

Excellent OT to work with

Lynne Powell - Case Manager - Beacon Case Management

Client feedback following contact with Matt is always positive, and his assessments are thorough and concise. I work with Matt on a number of cases, he works closely with the client and their family, the case manager and the MDT, to move clients forward through their rehabilitation journey. Matt is an excellent OT to work with.