OT Medico-Legal Reports

Medico-legal Occupational Therapy & Sensory Integration Assessment, Treatment and Reporting  for Adults and Children in Litigation and beyond.


"I never place a clinician with a client unless they have the specialist skills and expertise required for that client’s specific conditions and needs.”


Helen Spencer, Clinical Director

Medico-Legal Reports with The OT Centre

Established in 2009, The OT Centre is a leading provider of Occupational Therapy services to legal professionals and Case Managers, specialising in comprehensive Assessment, Intervention and medico-legal reports for adults and children.


Our medico-legal Reports establish a clear and sound basis for treatment programmes based on goal driven, SMART objectives that are fully costed. Our Initial Assessment articulates how index and subsequent injuries and conditions affect activity and function in all aspects of a person’s life, whether at home, at work, in educational settings or life in the community. 


Working with over 140 Case Managers, we have secured a reputation for providing the right OT for every case, ensuring every client has every opportunity to achieve their full potential.

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We recognise that it’s crucial our treatment plans and interventions are outcome driven, demonstrating credible value in OT input and corresponding costs. We were the first provider in the UK to adopt a SMARTAAR driven approach to intervention, establishing a post Assessment baseline score within 4-6 weeks of Assessment followed by session to session scored progress reporting against each goal. 


The OT Centre’s Clinical Director continues to personally vet and recruit Adult and Paediatric Occupational Therapy and Sensory Integration specialists establishing comprehensive, credible expertise and experience across key clinical specialisms, including Neurorehabilitation (for Acquired Brain Injury,  Traumatic Brain Injury), Paediatrics, Spinal Injury and Orthopaedic Injuries.

Fast track enquiry online

CV provided for every enquiry

Same-day proposal & costs

The right OT every time

Who We Work With

Case Management Professionals

Providing highly specialist treating Occupational Therapy Services to Case Managers since 2009. Our long-standing experience in this sector ensures we tailor our services around the individual requirements of every Case Manager.

Solicitors & Financial Deputies

Enabling the litigation process through detailed evidence-based costs and reports at every stage of the client's rehabilitation with us.

Multi-Disciplinary Teams

A cohesive approach to integrated working with client teams across private and statutory sectors, including Speech & Language Therapists, Physiotherapists, Music Therapists, Neuropsychologists and Care Teams.

Families

Our Occupational Therapists and Sensory Integration specialists are an integral part of family life, providing support, guidance, training to family members and responding to any concerns and questions whilst supporting goals and objectives.

How our Medico-Legal Service works 

Enquiry & Proposal

Fast Track an Enquiry or Book a Call Back to discuss your medico-legal reporting requirements for a bespoke Costed Proposal and practitioner CV.

☑ Clear Proposal and Costs

☑ Full Practitioner CV

Fast Track an Instruction to get OT Services in place to your timetable

We never put forward a practitioner who does not have the expertise for your client’s needs.

Medico-Legal Assessment & Report

Comprehensive Assessment and Outcome Report including recommendations and costings for a programme of intervention.

You will have direct access to our OT prior to Assessment to ensure that our Assessment is fully informed, organised and scheduled.

☑  Comprehensive Functional Assessment by a subject matter expert

☑  Assessment outcome report

Fast Track service to get interventions underway to your timetable

Intervention & Medico-Legal Progress & Outcome Reporting

Never lose sight of what we are doing and how your client is progressing against an agreed SMART Goal Plan.

We send you a clear Outcome Report after each client session detailing Goals worked on, summary of the session and Progress Scores for each Goal. If there's something the Clinician feels you need to be made aware of, they will call you.

Secure Online Access to Appointments, Documentation & Reports

☑ Time-boxed Goal-driven Treatment

☑ Goal Achievement Outcome Measures

☑ Session by Session Goal-Orientated Progress Reporting

☑ Clear conclusions, recommendations and costed forward plan

Fastrack instruction to get services in place 

Secure online access to appointments, documentation & reports 

Goal-oriented Treatment Plans and Progress scoring 

Medico-Legal Assessments, Reports and Pricing

Neurological Assessment

Initial Assessment & Report

Functionally oriented Assessment with a fully qualified,  experienced Neurorehab OT specialist

From £540

excluding travel

(adult case)


Neurological Rehabilitation

Treatment Plan, 12 Sessions & Outcome Report

Goal driven intervention programme from a Fully Qualified, experienced Neurorehab OT specialist

From £2,205

excluding travel

(adult case)


Standardised Sensory Assessment 

Detailed Sensory Assessment & Report

Detailed Assessment and Report of Sensory Processing Difficulties using industry standard Assessment Protocols

From £900

excluding travel

(paediatric case)


Why Choose The OT Centre

UK Wide Occupational Therapy and Sensory Integration Services based on Clinical Excellence

Our team of experts have collaborated with Case Managers, Solicitors, Care Agencies and Legal Professionals, across a wide variety of complex cases since 2009, helped hundreds of clients and families live more independent and fulfilling lives.

Our Occupational Therapy and SI specialists understand your requirements and demonstrate exceptional flexibility, ensuring we meet the needs of every individual or family we work with. 

We never offer an OT or an SI Practitioner who doesn’t  have the specialist skills for every client case, assuring high quality services to the medico-legal profession every time.

Your Questions Answered

What is a medico-legal report?

A medico-legal report is a comprehensive document prepared by healthcare professionals, such as Occupational Therapists, for use in legal proceedings. These reports are crucial in cases involving personal injury, workers' compensation, or disability claims. Medico-legal reports provide expert opinions on an individual's functional capacity, treatment needs, and prognosis, serving as essential evidence in legal cases.

Medico-legal reports are characterised by several essential elements:

Comprehensive Assessment: Involving a thorough evaluation of an individual's medical history, current condition, and functional abilities. For occupational therapy medico-legal reports, this includes assessing the person's capacity such as performing activities of daily living, work-related tasks, and participating in social or leisure activities.

Objective Documentation: Medico-legal reports strive to present information in an unbiased, factual manner. They include detailed observations, results of standardised assessments, and professional interpretations of findings.

Expert Opinion: Based on specialised knowledge and experience, the OT provides expert opinions on various aspects such as:

Legal Context: Information is presented in a way that is relevant and understandable to legal professionals, insurance companies, and courts. Technical medical terminology is often explained in layman's terms.

Evidence for Legal Proceedings: Medico-legal reports serve as crucial evidence in various legal contexts, including:

Compliance with Legal Standards: Reports are prepared in accordance with specific legal and professional standards to ensure their admissibility and credibility in court.

Impartiality: Whether prepared by a treating professional or an independent expert, medico-legal reports are expected to maintain a high degree of objectivity and impartiality.

Are there different types of medico-legal reports?

It's important to recognise and distinguish between two main types of OT medico-legal report:

Treating Occupational Therapy Medico-Legal Report

A Treating OT Medico-legal Report is prepared by the occupational therapist who has been treating the client and is based on firsthand knowledge of the client's condition and progress. Typically a Treating OT Report;

Expert Witness Medico-Legal Report

An Expert Witness Report is prepared by an independent healthcare professional (often an Occupational Therapist) who has not treated the client and is based on a thorough, comprehensive assessment of the client and review of medical records. An Expert Witness Report will not be limited to an individuals future OT needs but will consider their health needs in the wider context;

Does The OT Centre provide medico-legal reports?

Yes, The OT Centre has been providing Treating OT Medico-legal Reports for litigation cases since 2010. 


The OT Centre was established by Helen Spencer, a highly experienced Neurorehabilitation OT to provide treating OT services for Personal Injury cases involving catastrophic injury including; 


Our Treating Occupational Therapists are selected based on the expertise in a particular OT Specialism ensuring comprehensive specialist condition-oriented expertise including the management and treatment of associated secondary conditions and difficulties including; 

Does The OT Centre provide expert witness reports?

Unfortunately, we are currently unable to provide Expert Witness reports. Our focus remains on delivering high-quality Treating Medico-Legal assessments and reports, along with OT services.

How much does a medico-legal assessment and report cost?

The precise cost of a Medico-Legal Assessment and Report is determined by the nature of each individual case, including the assessment objectives, the nature of the injury or condition, the age of the client and the client location.


Guideline prices can be found on our medico-legal pricing page. Our FastTrack Enquiry will provide you with a detailed proposal and costs by email either the same day or by a date/time of your choice.


Other common questions we're asked about payment;

Who can write a medico-legal report?

Medico-legal reports are typically written by healthcare professionals with specific qualifications and expertise. The individual selected to prepare a report will vary depending on the nature of the case and jurisdictional requirements. Generally, the following professionals can write medico-legal reports:

What qualifications are required to write a medico-legal report?

Key qualifications for writing medico-legal reports include:

What qualifications and experience do your occupational therapists have?

At The OT Centre, we guarantee that each case is handled by an OT or SI specialist with the necessary Professional Certification, Subject Matter Expertise, experience and training required for an individual’s presenting Diagnoses/Conditions and associated Difficulties. We will always provide the OT’s full CV detailing their Professional Certifications, Qualifications, Subject Matter Expertise (Specialisms) and Experience. Our OT CV’s are available to view and download from our Team Pages and include the following;

What information is included in a medico-legal report from a Treating Occupational Therapist?

Medico-legal reports produced by treating Occupational Therapists (OTs) provide comprehensive insights into a client's functional abilities, limitations, and progress. The OT Centre approach is one of Assess, Treat, Review.

Initial Assessment Medico-Legal Report

An Initial Assessment Report is a comprehensive document which establishes an  understanding of a client's functional status. It should form an objective measurable baseline and guide for forward treatment and intervention. It will typically contain;









Treatment Conclusion/End Term Medico-Legal Report

An End of Treatment Term Medico-Legal Report produced by a Treating Occupational Therapist (OT) serves as a comprehensive summary and analysis of the client's progress throughout the course of occupational therapy intervention. Crucially it will reflect and objectively measure progress over the course of treatment against the baseline established at time of Assessment. Complex cases will typically involve multiple terms of treatment/intervention of no more than six months (this is generally accepted as the furthest clinical horizon). It will typically contain;











Both types of reports aim to provide a clear, objective, and comprehensive view of the client's functional status, ensuring that all parties involved in the medico-legal process have the necessary information to make informed decisions. Our experienced OTs are skilled in producing detailed, professionally written medico-legal reports that meet the highest standards of the legal and healthcare communities.

What is the importance of outcome measures in treating OT medico-legal reports?

Outcome measures play a crucial role in Occupational Therapy (OT) medico-legal reports, providing objective, quantifiable data to establish functional baselines and measure meaningful progress through treatment and intervention. 

The OT Centre was the first UK provider to adopt the SMARTAAR methodology for outcome driven Goal-oriented Treatment Planning and Intervention. Our SMARTAAR Goal-oriented Treatment Plans establish objective functional scores against meaningful client goals including hierarchical breakdown of planned steps and actions to achievement. Our Session Outcome Reports identify and score progress against each Goal after every session. Our End Term Rehabilitation Review Reports include a detailed review of interventions by Goal including progress scores.

What is your turnaround time from referral to delivering a Medico-legal report?

It’s important to us that we respond to your specific timetable and case needs. We offer a Fast Track Enquiry service for enquiries and instructions to get costs to you and services in place as quickly as possible with the minimum of fuss and within your timeframes. 

As a general rule of thumb, we typically expect to undertake an Initial Assessment within 3-10 working days of instruction and release our Initial Assessment Report within 5 working days of Assessment.

Would your OT’s be able to work as part of a multi-disciplinary team alongside other professionals?

Yes, our team of OTs and SI professionals have many years of experience working closely with a client MDT and the wider professional team. We understand the importance of integrated care and are committed to working together to share expertise and ensure the best outcomes for patients. 

As a Case Manager or Legal professional who will be my main point of contact?

Your main point of contact following Instruction will be your dedicated OT or SI Practitioner via mobile phone and email as you need. In addition, you will have secure online access to all of our Clinical Records for your client through our Customer Portal, including our medico-legal Reports, our Goal-Oriented Treatment Plans, our Goal-Oriented Session Outcome Reports and our Client Visit Schedules. You can find out more about our Customer Portal here.

How do I know which Occupational Therapist is right for my Client?

It's important to enquire about a therapist's Qualifications, Training, Experience and Specialism to ensure that your Client receives services from a well-trained and competent professional who, crucially, has specialised in treating your Client's specific Conditions and Difficulties

It is, and always has been, our policy to provide detailed CV's, in response to your Enquiry, along with our Proposal and Costings. This ensures you have detailed evidence of a selected OT's Qualifications, Training, Experience and Specialism(s). All of our Occupational Therapists meet or exceed the following minimum academic, clinical and regulatory standards.

Education

An Occupational Therapist must have a Bachelor's Degree (BSc) or PostGraduate Qualification Certificate in Occupational Therapy (for example a PGCert or MSc). All our OT CV's cite their educational qualifications, grade and corresponding academic institutions and are downloadable from our Team pages.

Certification

An Occupational Therapist must be licensed to practice in the UK through the Health & Care Professions Council (HCPC).

All our OT CV's link to the HCPC Registration page (citing their registration direct with the HCPC website) available from our Team pages.

Clinical Experience and Specialised Training

Clinical experience is a vital component of an occupational therapist's education and practice and The OT Centre asserts that your Client should only be treated by an OT who has experience in the OT Specialism pertinent to your client's specific Conditions and Difficulties.

All our OT CV's cite their Clinical Experience and Specialisms and are downloadable from our Team pages. This ensures we are able to provide the very best advice and treatment for a person's specific needs. 

Communication and Interpersonal Skills

Strong communication and interpersonal skills are essential for Occupational Therapists; they need to effectively communicate with clients, their families, and other healthcare professionals to provide the best possible care.

All our OT CV's have a "Bio" page (Biography) to give you a sense of who they are, their strengths, their passion and specific interests and broader experience working with clients and other professionals. Our OT CV's are downloadable from our Team pages.


You may not always know what OT Specialism best meets your and your client's specific needs. Rest assured we do. When you Contact Us to discuss your needs, our Enquiries Team follow a clinically assured process to identify and clarify your specific Requirements and your client's Diagnoses/Conditions and Difficulties so that we can establish the appropriate OT Specialism and individual OT. We then provide you with a no-obligation proposal which includes costings together with one or more OT CV's for your decision.


Check out our pages dedicated to help you understand how a Client's Conditions/Diagnoses and Occupational Difficulties factor in determining the OT Specialism best suited to your client's needs.

How do I know which Sensory Integration Therapist is right for my Client?

A qualified Sensory Integration Therapist typically possesses a background in Occupational Therapy and has received additional training and clinical experience in Sensory Integration. 

Sensory Integration Qualifications & Experience Infographic

It's important to enquire about a therapist's Qualifications, Training, Experience and Specialism to ensure that they receive services from a well-trained and competent professional who, crucially, has specialised in treating your Client's specific condition(s) and difficulties. 

It is, and always has been, our policy to provide detailed CV's, in response to your Enquiry, along with our Proposal and Costings. This ensures you have detailed evidence of a selected Therapist's Qualifications, Training, Experience and Specialism(s). All of our SI Therapists meet or exceed the following minimum academic, clinical and regulatory standards.


An Occupational Therapist must have a Bachelor's Degree (BSc) or PostGraduate Qualification Certificate in Occupational Therapy (for example a PGCert or MSc).

All our Practitioner CV's cite their educational qualifications, grade and corresponding academic institutions and are downloadable from our Team pages.


An Occupational Therapist must be licensed to practice in the UK through the Health & Care Professions Council (HCPC).

All our Practitioner CV's link to the HCPC Registration page (citing their registration direct with the HCPC website) available from our Team pages.


Clinical experience is a vital component of a therapist's education and practice and we assert that clients should only be treated by an OT who has experience in the OT Specialism pertinent to the client's specific Condition(s) underlying their Sensory Processing Difficulties.

Substantial clinical experience in providing Sensory Integration services is essential. This experience helps therapists apply theoretical knowledge to real-world situations and develop clinical reasoning skills. 

All our Practitioner CV's cite their Clinical Experience and Specialisms and are downloadable from our Team pages. This ensures we are able to provide the very best advice and treatment for a person's specific needs. 


Commitment to ongoing professional development and continuing education in the field of sensory integration is crucial. This ensures that therapists stay updated on the latest research, assessment tools, and intervention strategies.


Strong communication and interpersonal skills are essential for SI Therapists; they need to effectively communicate with clients, their families, and other healthcare professionals to provide the best possible care.


All our Practitioner CV's have a "Bio" page (Biography) to give you a sense of who they are, their strengths, their passion and specific interests and broader experience working with clients and other professionals. Our Practitioner CV's are downloadable from our Team pages.

Membership in professional organisations related to occupational therapy and sensory integration may also be a positive indicator of a therapist's commitment to ethical standards and ongoing professional development.

Whilst the above SI Qualifications/Experience Infographic is invaluable, it is important to understand that your Client's Sensory Difficulties will almost certainly present alongside Diagnoses and Conditions which do not necessarily determine Sensory Processing Difficulties but do however have a significant bearing on your client's overall Occupational performance, abilities and potential. We therefore assert that an SI Practitioner with a background in an OT Specialism concerned with your Client's wider Diagnoses and Conditions presents obvious advantages.

You may not always know what OT Specialism best meets your and your client's specific needs. Rest assured we do. When you Contact Us to discuss your Client's needs, our Enquiries Team follow a clinically assured process to identify and clarify your specific Requirements and your client's Diagnoses/Conditions and Difficulties so that we can establish whether a background in a particular OT Specialism will be of value. We always provide a no-obligation proposal which includes costings together with one or more Practitioner CV's for your decision.

Check out our pages dedicated to helping you understand how a Client's Conditions/Diagnoses and Occupational Difficulties factor in determining the OT Specialism best suited to your client's needs over and above the Practitioner's SI Experience and Qualifications.

How do I start the process of working with the OT Centre?

Common questions we're asked when people are considering using a Private Occupational Therapist through The OT Centre;





How do I select the right occupational therapy and sensory integration therapy provider ?

What should think about when you are considering paying for a private healthcare provider for an OT or SI Therapist;









Together We Make a Difference

Working with over 140 Case Managers and Solicitors we have helped hundreds of clients and families live more independent and fulfilling lives 

Brownbill Case Management Services

Bush & Co

Case Management Cymru

Community Case Management

Harrison Associates

Hcml

Proglaim Group

Westcountry Case Management

The Right Clinician

Practitioners who have the right skills for your client's specific needs

The Right Provider

High quality OT and SI Services to The Medicolegal Profession

The Right Approach

Goal-driven interventions and measured outcomes

The OT Centre Team

Statement

Helen Spencer

Clinical Director

" My personal and professional experience in this field is unique. Whilst I understand Brain Injury as an Occupational Therapy professional, I also have a lived experience as a sister of someone who suffered a brain injury as a result of an acute brain hemorrhage. "

Helen qualified as an OT in 2002 and specialised in Neurorehabilitation with The Oxford Centre for Enablement, the Internationally renowned clinical service for neurorehabilitation.

Statement

Lynne Merrett

Case Manager & OT

"I joined The OT Centre as an Occupational Therapist over other providers because I like their Ethos and aspirations to do their best for a client.

In the world of ‘Case Manager seeks OT', the two biggest challenges are finding the OT with the right skills for a particular client and someone who is effective at reporting and timely communication."

Lynne qualified as an Occupational Therapist in 2001 specialising in Neurorehabilitation in 2003, joining The OT Centre as an Occupational Therapist in 2017.