+139%
rise in waiting lists for occupational therapy in England since 2019.
LGACase for change (Dec 2025), citing Ames 2024
Optimised moving and handling
Better movement.Better care.Better living.
We assess what a person can actually do, then set the support to match it. No more, no less, written down so any carer can follow it.
- HCPC-registered physiotherapists & occupational therapists
- Minimum 10 years’ clinical experience each
- Enhanced DBS · fully insured
- Aligned to the LGA High Impact Change Model (Dec 2025)
Clinical reasoning in motion
We observe function before we decide support.
Every recommendation starts with what the person can do, observed in the real task.
01
Observe
Ability, pain, confidence, consent, and what the person wants back.
02
Decide and trial
The least restrictive safe method, trialled in the real room and taught to the team.
03
Review
A date, and the triggers that bring the plan back sooner: a fall, new pain, a change in cognition.
The assessment model
Five factors decide a safe transfer: not the equipment catalogue.
Change one factor and the safe option changes.
Person
The frame we work within
HSE TILE(O) logic applied to people rather than loads, under MHOR 1992, LOLER 1998 and the Care Act 2014. We work alongside the Local Authority’s own assessment, never instead of it.
Optimal Handed Care
The least restrictive safe support, delivered with dignity.
More independence where it is safe, more support where it is needed. Three things must be true before any package changes.
- Function, task, equipment, environment and staffing assessed together, with consent
- The method trialled in the real setting, the equipment fitted and compatible
- Staff signed off competent, with a review date and an escalation route agreed
Where one carer is safeWe document how, with what and when to review, so the decision can be defended.
Where two carers are still neededWe say so, with the reasoning. Over-provision and under-provision are both assessment failures.
Where function can improveRehabilitation goes into the plan, so the support follows the person’s ability.
The service
One service. Optimised moving and handling.
Assessment, equipment, technique, training and review are scoped into one piece of work, not bought separately.
Start here
Moving & Handling Assessment
Transfers, mobility, positioning and manual-handling risk, assessed with the person. It ends in a written plan a carer can follow and a reviewer can check.
Scoped within it
- Optimal Handed Care Review
- Rehabilitation & Reablement
- Equipment & Transfer Assessment
- Wheelchair Referral Support
- Bed Rail & Bed-System Risk Assessment
- Optimal Handed Care Training & Competency
- Care Home & Provider Programmes
Not sure which you need? Book the assessment and triage confirms the pathway.
The handling plan
From assessment to action.
Seven sections, the same seven every time, so anyone who picks it up can follow the reasoning and check it.
Real plans are individual and shared only through agreed, secure routes.
For Local Authorities & commissioners
Better assessment. Better decisions. Better use of care.
Independent OT and physiotherapy capacity for Optimal Handed Care reviews, under your governance, with the reasoning written down.
The evidencePublished national and local-authority data · not Thrive outcomes
50%
of Kirklees referrals assessed as Optimal Handed Care, releasing about 56,500 care hours a year.
LGACase study: Kirklees Council
52%
of 651 patients reviewed in Southampton had their care needs reduced, releasing 3,039 bed days.
LGACase study: University Hospital Southampton
~9 hrs
of staff time per double-handed package review. Capacity, not intent, holds waiting lists in place.
Peer-reviewedWhitehead et al. 2022, Health & Social Care in the CommunityFigures are published evidence, not Thrive outcomes. Where two carers remain necessary, that is documented with the same rigour. Governance: clinical assurance, information governance, safeguarding, complaints.
For homecare agencies & care homes
Make every transfer safer.
Inspectors compare the written plan with what they see on the floor. We check both, in the room.
Bed and chair heights, the person’s position and participation, equipment fit and LOLER status, where the carer stands, and the space to turn in.
Optimised Handling Plans
The handling plan, built and shared in minutes.
Tick what the person needs, edit it for them, and send the care team a plan code. They read it on any phone and confirm they have understood it.
- Fifty-four verified plans: standing, hoists, slings, bed, bathroom, wheelchair, car and floor recovery
- Every step and stop point editable, with a log of who read it and acknowledged it
Book an assessment
Book the first visit. Triage does the rest.
Choose a priority and a time. Triage confirms the service.
Response lanes
- Red24–72 hoursUrgent, non-emergency
- AmberWithin 2 weeksA decision is needed soon
- GreenWithin 4 weeksPlanned and scheduled
Service aims, not guaranteed response times.
Caseload, waiting list or pathway to discuss?Talk to us about assessment capacity and provider programmesThis service is not an emergency medical response. If there is immediate danger, serious injury or acute medical deterioration, call 999. If you believe an adult is at risk of abuse or neglect, contact your Local Authority safeguarding team, see our safeguarding policy.
Better living starts here
Better movement starts with better assessment.
Care that fits the person keeps them safer, more independent and at home for longer. It starts with one question: what can this person do?
Start where you are
Individuals & familiesNo records needed to start.
Homecare agencies & care homesAssessment, training, plan reviews.
Local AuthoritiesDiscovery call, 25-case pilot, scale.
07901 603714Not an emergency line: in an emergency call 999.