OT Matters

OT Matters Diane White, Occupational Therapist will update this pages regularly.

Providing useful information to parents about their child's gross and fine motor skills development, sensory processing skills and perceptual development.

If you don’t use it you loose it!Sadly with iPhones, tablets, gaming this happens !! Build those muscles in the fingers!...
09/12/2025

If you don’t use it you loose it!
Sadly with iPhones, tablets, gaming this happens !! Build those muscles in the fingers!!!!

💪 Have you ever heard the saying, "If you don’t use it, you lose it"? 💪

Our muscles need regular strength and movement to perform at their best – and this goes for our fingers, too! 🖐️ Finger-strengthening exercises can improve flexibility, build strength, and help reduce discomfort during everyday activities. ✋

✨ Can You Build Muscles in Your Fingers? ✨ While the fingers themselves don’t have muscles, they rely on tendons connected to muscles in the hands and forearms. This connection allows for movement, strength, and dexterity. So, building muscles in the hands and forearms is the secret to improving finger strength and control. 💥

🖐️ Each Finger Has Its Own Job! 🖐️

Thumb 👍: Works with other fingers to pinch, grasp, and lift objects.
Index Finger 👉: Points at objects and helps the thumb pinch and grab.
Middle Finger ✌️: Provides the main force for holding objects.
Ring & Pinky Fingers 🖖: Add power and stability, supporting grip strength.
With practice, we can enhance each finger’s function, supporting everything from fine motor tasks to daily activities! 🌟

A few tips about EBSA
09/12/2025

A few tips about EBSA

✨ EBSA (Emotionally based school avoidance)

Unable, Not Unwilling.

And if you’re living it, I promise you are NOT a bad parent!

EBSA isn’t kids “refusing school” so they can sit at home on their consoles all day. They’re not lounging around joyfully levelling up on Fortnite, cackling with snacks and freedom. Most kids in EBSA can’t even enjoy anything, their nervous system is in full-blown survival mode.

They’re often crying, shutting down. Frozen, stuck in freeze mode. Withdrawn, struggling to talk and eat. Barely functioning bless them.

EBSA is fear. Sleeping from exhaustion after meltdowns. Not laziness, not bunking off, and it is definitely not a parenting issue. EBSA is a nervous system condition, not a behaviour choice.

Many kids with EBSA wish they could attend school, to see their friends, to feel included, to learn, to be “like everyone else.” They don’t stay home because they don’t care. They stay home because there are barriers that are yet to be unpicked (or because we wait years for bloody tribunals)

Not all children/young people with school based anxiety will show physical symptoms, but most of them do….

Many of these kids wake with their stomachs in knots every morning. It’s Kids throwing up in bushes on the way to school. It’s Kids panicking so badly when they get there, they vomit in the corridor. Kids who suddenly go silent and disappear inside themselves when they struggle to recover from meltdowns.
Teens who self-harm because they can’t cope with school . Teens who quietly whisper that they don’t want to be here anymore. Kids aged seven diagnosed with depression by psychiatrists. Kids who chew their fingers until they bleed and dissociate. Kids who’ve been dry since age three suddenly bedwetting again from stress. Teens with constant pain in their joints, bellies, and heads. Kids pulling their own hair out in clumps through distress.

This is not a lack of resilience?
This is not “just push them through the door.”
And it’s definitely not “they’ll be fine once they’re here.”!!

Anyone who thinks forcing a child into school will fix this is bluntly, an absolute fu***ng moron!

I am not saying education doesn’t matter.
It matters deeply. But unsuitable education causes harm and no child should be sacrificed to a system just to tick an attendance box.

And to the parents living this right now, I hear cases like this every single day. Keeping your child at home while you fight for appropriate support is NOT bad parenting! it is safeguarding their mental health.
And in my opinion, mental health comes before everything!

You are their safe place. You should never feel bullied by the services meant to help you. If your gut is screaming that something is wrong do listen to it.

Please also make sure any physical symptoms (vomiting, shutdowns, panic attacks, bedwetting, headaches, upset tummies, pain) are discussed regularly with your GP. The morre support you can get from professionals, the better.

I’ve lived EBSA as a parent for a long time.
I know how relentless, frightening and suffocating it is. Our children just need the right support.

But Keeping them safe, Listening to their nervous system & responding with compassion instead of fear is good parenting. That’s love!

And please remember this bit of actual law, because schools and LAs love to pretend it doesn’t exist….

📝 The full-time education you must ensure your child receives MUST be suitable to their age, ability, aptitude, and any SEND they may have.
(Section 7, Education Act 1996)

“Full time” does not mean dragging a child in no matter the mental damage. You do not have to physically force your child into school

It means the education they receive (wherever they receive it) must be appropriate for them-at that time.
If school is making them ill, shutting them down, or pushing them into crisis, then by definition it is not really a suitable education.

Keep your evidence together, make notes. Make a WhatsApp chat with yourself called EBSA. Add it all.
Keep emails. Record symptoms, GP visits, refferals if you can, log meltdowns, shutdowns, photo physical signs, every bit of it. Be transparent and be honest but mostly be BRAVE!

You’re not hiding anything. You’re protecting your child. I know how lonely this road can feel, but I promise you, there are thousands of families walking it alongside you. I wish someone told me this when I was walking in the trenches.

Love always,
Leigh
###

PS if you made it this far, here is a medal for you because I do waffle 🥇

May be useful for a list of Alternative Provisions in Surrey
03/12/2025

May be useful for a list of Alternative Provisions in Surrey

We recently published the list of independent Alternative Provision (AP) Providers available in Surrey.

AP is education arranged for children of statutory school age (5 to 16) who are unable to regularly attend mainstream school due to exclusion, illness, or other needs.

We run a flexible framework for commissioning AP called the Dynamic Purchasing System (DPS), and all providers on the DPS must meet standards in safeguarding, quality and compliance. We are publishing the list of providers to make the process open and transparent for families, schools, and professionals.

You can find the full list on our website: https://orlo.uk/ax0Le

“Getting advice from Beyoncé!”  lol!!
27/11/2025

“Getting advice from Beyoncé!” lol!!

Did you know you can ask for OT or SALT (or other) assessments as part of your child’s EHCNA.
(Template in Comments )

This morning a parent told me their LA refused their request for OT (despite clear evidence of need)

The LA said:

“We only seek advice from professionals that your child is already under. We won’t be seeking advice from OT because we don’t feel it’s reasonable at this stage”

Oh? Okay well erm, on that note
You also don’t feel that sticking to tribunal deadlines, writing specific EHCPs, or being honest is reasonable either, do you? 😒

Anyway here is the ACTUAL law…

During an EHC needs assessment, the LA must get advice from:

ANY person the parent reasonably requests!
(SEND Regs 2014, Regulation 6.1(H)

Not just people already involved.
Not “who we normally ask.”
Not “their current team.”

The whole point of an EHCNA is to involve specialists to assess unmet needs right?

So what’s “a reasonable request”?

OT when a child has sensory or motor needs
SALT- for communication or social communication needs. Physio, CAMHS, Paediatrics and so on.

All perfectly reasonable requests depending on your child’s particular needs.

So what’s unreasonable then?

Asking them to get advice from Beyoncé,
your mate Karen who did a psychology diploma in 1992, or Bob the local plumber.

So if they say….

“We don’t feel your request is reasonable at this time…”
or
“We only seek advice from professionals already involved.”

Remember that’s NOT what the law says.

What to do:

Email your caseworker requesting OT/SaLT (or whatever you need) as part of your child’s EHCNA
(template in comments) ✔️

And if they STILL refuse?

Use IPSEA’s Template Letter 7 to send to the Director of Children’s Services if they fail to listen. ❌
There is never any guarantee as they do as they please (and it often takes a content appeal) but, empowering yourself with the law will always help your case 😘

Always keep pushing forward everyone ###x

03/06/2025

Spotlight Session: "You Don’t Get an EHCP for Dyslexia – True or False?"

Join us in just 2 weeks on Tuesday 17th June, for a powerful online session with Rachael Allison, exploring the facts (and fiction) around EHCPs and IEPs. Whether you're a parent or education professional, this session is not to be missed.

What we’ll cover:

✅ The key differences between EHCPs and IEPs
✅ How to build a strong case with the right evidence
✅ What to look for when choosing a school
✅ Tips for navigating SENDIST appeals

Don’t miss out – book now: https://helenarkell.org.uk/events/spotlight-you-dont-get-an-ehcp-for-dyslexia-true-or-false/

This is going to be so good to delve into!
26/04/2025

This is going to be so good to delve into!

From sensory sensitivities to a lack of accessible information, periods can present unique challenges for autistic people.

26/02/2025
06/02/2025

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