Making Changes - The Adaptations Process

The adaptations process can seem overwhelming, but there are professionals who will guide you through it. Most importantly you'll need the help and support of the local authority community occupational therapy service which is part of Social Services and specialises in this field. You can refer yourself, or request that your child’s NHS occupational therapist (OT) or physio refer you.

Others who may be helpful and supportive are your social worker, NHS occupational therapist, one of the organisations listed in the Resources section below, and SMA UK Support Services. You might also find it useful to talk to other individuals and families who have already been through the adaptations process; ask SMA UK if they can put you in touch.

The adaptation process can be very long and does vary depending on your local authority. As a rough guide it involves these stages:

1.    Referral to local authority social services community OT

2.    Meeting with community OT to assess your needs and discuss possible options

3.    Social services / community OT liaises with architect / housing surveyor on plans

4.    Decisions made about adaptations and equipment

5.    Social services / community OT look at plans with family

6.    Plans adjusted

7.    All relevant permissions sought

8.    Builders quote for the work and a builder is chosen

9.    Meeting held with the family, builder, OT, surveyor and any other interested parties (for example Housing Association officer) before work starts

10.   Work starts

11.   Social services / community OT and housing surveyor check completed work to sign it off and enable Disabled Facilities Grant (DFG) funds to be paid (see Costs & Funding section)

12.   Arrangements made to demonstrate use of any specialist equipment

Page last reviewed / updated: March 2021 
Next review due: March 2022