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I qualified as an Occupational Therapist in 2009 and have experience of working in acute hospitals in surgical & orthopaedics and acute stroke. I then specialised in NHS wheelchair services in 2013 where I gained extensive experience of postural assessment, measuring and prescribing wheelchairs and specialist seating. I have been working independently since 2022. I have a keen interest in 24 hour posture management.

This practical guide gives health and social care professionals straightforward and comprehensive advice on wheelchair assessment and provision. It covers how wheelchairs are provided within the UK through statutory services and the private market, the types of wheelchairs available, comprehensive assessment methods for understanding posture related to seating and taking measurements, how to build a wheelchair specification, wheelchair provision across the lifespan and environmental considerations.
This book addresses the wide range of considerations required across different professions, assisting with joint working, understanding of role and remit, and professional development within the sector. It also features the perspectives of wheelchair users themselves, as well as downloadable resources on measurements and appropriate wheelchair use and transfers.

Published in the British Journal of Occupational Therapy, I am delighted to share my first academic paper, which was based on my MSc Dissertation: https://doi.org/10.1177/03080226221148414

This article gives an overview of a typical day working in the Wheelchair Service: https://www.theothub.com/article/a-day-in-the-life-of-a-wheelchair-therapist
This blog article explores how transfers can impact posture: https://www.careflex.co.uk/info-centre/blogs/the-impact-of-transfers-on-posture/
This blog article explores things to consider when someone appears to be unable to sit safely: https://www.careflex.co.uk/info-centre/blogs/when-someone-appears-unseatable/
This blog article explores the benefits of collaborative assessment: https://www.careflex.co.uk/info-centre/blogs/collaborative-assessment/
This blog article explores how the ICF can guide postural assessment : https://www.careflex.co.uk/info-centre/blogs/using-the-icf-framework/
This blog article explores how managing position in lying can impact sitting position : https://www.careflex.co.uk/info-centre/blogs/management-of-lying-posture-to-support-functional-sitting/
This blog article explores how lying position can impact sitting position : https://www.careflex.co.uk/info-centre/blogs/how-lying-impacts-sitting/
This blog article explores how belts and harnesses can be used safely and appropriately to support posture : https://www.careflex.co.uk/info-centre/blogs/safe-use-belts-harnesses/
This blog article explores the benefits and risks of positioning aids : https://www.careflex.co.uk/info-centre/blogs/benefits-risks-positioning-aids/
This blog article explores the role of Occupational Therapists in postural care and specialist seating : https://www.careflex.co.uk/info-centre/blogs/role-of-occupational-therapists-in-postural-care-and-specialist-seating/
This blog article compares the importance and benefits of specialist seating with wheelchairs: https://www.careflex.co.uk/info-centre/blogs/specialist-seating-a-comparison-with-wheelchairs/
This blog article discusses some fo the challenges for specialist seating provision to care home residents: https://www.careflex.co.uk/info-centre/blogs/provision-of-specialist-seating-to-care-home-residents/
A video about the importance of pressure care for wheelchair users:
- Causes of Pressure Ulcers
- Common Pressure Ulcer sites
- Risk Factors
- Ways to reduce the risk
- Pressure-relieving leans demonstrated with pressure-mapping
- Assisted pressure-relief
- NICE Guidelines
- When to see medical attention or reassessment from the wheelchair service
A video guide to positioning in a tilt-in-space Rea Azalea wheelchair:
- Importance of correct positioning
- Tilt vs Recline
- Features of the Rea Azalea wheelchair
- Tips on effective hoisting for good positioning
- Good positioning vs Poor positioning
- When to seek reassessment
A video explaining how to check the fit of your child's wheelchair and whether they have grown or need repositioning.
- Ideal sitting vs poor sitting
- How to check the fit of the wheelchair
- How to ensure the child is sitting correctly in the wheelchair
- Assisted repositioning
- Tips on effective hoisting for good positioning
- When to seek reassessment for growth
Go Kids Go is the leading provider of free wheelchair skills training for children in the UK. Our unique free Courses are practical, fun and an ideal way to meet other young wheelchair users and their families. Go Kids Go relies on donations to help us continue to provide our vital help and support.
Freedom Wheelchair Skills offers peer-led training of everyday skills and techniques to help people get the most out of life when using a wheelchair. Supporting people to develop skills and overcome everyday environmental challenges that will help develop confidence and increase independence.
"Assessments were really thorough and I really felt as though you had a lot of experience and expertise; it was so easy to trust you straight away. You really listened to what I needed and were willing to adjust recommendations based on things I thought didn’t quite fit my needs right, which I appreciated. I felt much more secure in purchasing the wheelchair you recommended with your guidance at equipment trial & handover, as you were able to ensure the chair fitted correctly and met my needs - without your help I feel sure I wouldn’t have ended up with the right chair."
Wheelchair user.
"I can't thank you enough for your support, expertise and efficient service"
Parent of a client with custom-moulded seating.
"Lauren took great care of our mother, politely listened and observed our mother's posture and requirements. Lauren was impeccable on detail and found the correct wheelchair for our mother that was supportive, comfortable, safe and secure. More important, for both my wife and I, Lauren answered every query we were concerned about for my mother's needs. A true professional with a passion."
Son of a client with tilt-in-space wheelchair.
Twitter: @LaurenOsborneOT
LinkedIn: www.linkedin.com/in/laurenjuliaosborne/