We have extensive experience in recommending, planning and facilitating home adaptations to support individuals to live independently at home. In conjunction with our trusted local contractors, we offer a range of adaptations see below for further detail.

Level Access Showers

We have extensive experience in assessing individual's bathing needs, taking into account their changing health conditions to recommend, plan and facilitate bathroom adaptations including level access showers to meet current and long term need. We understand that people don't want a "clinical" look, so we can assist with finding solutions that are inclusive, discreet and aesthetically pleasing.

Stair Lifts

With so many options available the choice can feel overwhelming, as Occupational Therapists we consider an individual's functional ability, cognition, health conditions and home environment to ensure the correct product is recommended. We are also able to assess for other lifts, such as external lifts, step lifts and home lifts.

Accessible Kitchens

We work in conjunction with leading inclusive kitchen manufactures to advise on the most suitable design to meet individual need. With strong links with trusted local contractors, we are able to recommend, plan and facilitate the completion of kitchen adaptations.


As Occupational Therapists we can assess, recommend and facilitate the purchase of a range of different ramps including wedges, threshold ramps, portable ramps, modular ramps and permanent ramps. Through a thorough risk assessment and in conjunction with our trusted suppliers, we can source both temporary and permanent ramps to meet individual need.

Wash Dry Toilets

Wash dry toilets offer the opportunity to increase independence and improve hygiene when toileting. As Occupational therapists, we will ensure the product selected offers all the functionality to meet individual need and is compatible with an individual's equipment requirements.


Sometimes the existing footprint of your home cannot provide the adaptation you need, We are experienced in working with building surveyors and architects who specialise in accessible and inclusive adaptations. We also have excellent contacts in the building industry who can provide such adaptations.

Vehicle Adaptations

We work closely with specialist vehicle adaptation manufactures and suppliers to provide various standard and bespoke solutions to support you to travel by car.

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.

Contact Us

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