Therapy Provision

Greenmead Therapy Provision

We aim to provide an integrated therapy service at Greenmead, in partnership with education staff, to help our pupils achieve their full potential.

Our therapy team is multi-disciplinary and includes Speech and Language Therapists, Occupational Therapists, Physiotherapists, and Multi-therapy Assistants. We are based in school and are either full or part time.

Our Therapy team has strong links with other agencies including social care, acute services, community teams and other specialist services. We jointly work with these services on site to offer the following clinics:

  • Feeding clinic
  • Wheelchair clinic
  • Orthotic clinic
  • Orthopaedic clinic

Therapy is based upon an integrated and holistic approach. Therapy programs are implemented throughout the day and across the curriculums thus maximising opportunities to work on them. As such, we aim for the child’s therapeutic and educational needs to be imbedded within our curriculums to ensure that our pupil’s receive the best possible support to reach their potential.

We combine input from our specialist therapy team with support from our therapy assistants and class staff. Our input may involve both direct and indirect support. Indirect support would involve consultation and liaison with other professionals, attendance of meetings and reviews, report writing and joint target setting and providing therapy programmes.

We support our pupils in the following ways:

  • Working directly with children in 1:1, paired or group sessions
  • Working indirectly to support therapy assistants and class staff to carry out therapy programs
  • Providing training and support to educational staff and families
  • Providing focused group support to pupils with similar needs
  • Provide home support to our pupils and their families

Each child’s therapeutic needs will change over time, and as a result the type of support and intensity of support will also change. However any changes that occur are agreed in consultation with parents.

Feeding Clinic is facilitated by SLT and nursing and it held twice per term and is support by outside services including community nursing and dietetics. Feeding clinic provides specialist support for pupils with dysphagia (swallowing impairment) or those with significant nutritional concerns. The feeding clinic serves as a referral pathway to specialists feeding services.

Wheelchair Clinic is facilitated by Occupational Therapy with the appropriate Wheelchair Service. Wheelchair clinic serves as a referral pathway to specialist wheelchair services. Both Wandsworth Wheelchair Service (Wandsworth, Sutton and Merton and Richmond) and Westminster Wheelchair Service (Hammersmith and Fulham, Kensington and Chelsea, and Westminster) conduct clinics on site at school.

Orthotic clinic is conducted on a fortnightly basis by orthotists from Queen Mary’s Hospital and the school Physiotherapists. The clinic is for reviewing lower limb orthoses (foot splints, gaiters, insoles). Pupils both from within and outside Wandsworth are seen in this clinic.

Speech and Language Therapy

Our Speech and Language Therapy (SLT) team provides support for our pupils that have difficulties with:


  •  Communication
  • Speech
  • Language
  • Social communication skills
  • Eating and drinking

The SaLT team uses a variety of assessment methods both formal and informal to identify appropriate support for each pupil. We aim to help all our pupils reach their communication potential to access information, develop social relationships and develop independence.

We work alongside other specialists in communication and feeding to support our pupils, including teacher of the Deaf, our sensory service, dietitians, nursing and specialist centres.

Many of our pupils need some form of Augmentative and Alternative Communication (AAC) system to help them communicate. The SaLT team has experience with a wide range of unaided and aided AAC systems.

  • Unaided systems we use include: Gestures, body language, Makaton Signing, Sign Supported English, Coactive signing, and On-body signing
  • Aided systems we use include: PODD communication books, PECS and Object exchange, Aided Language Display Boards, Object of Reference, tactile referencing, and static and dynamic hi-tech voice-output technologies (e.g. switches, GoTalks, ipads, Proxtalker, Tech Speak, Eye Gaze).

Our team are used to working on developing switch progression and in the use of new technologies such as eye gaze for both access and to facilitate communication. We work closely with special interest groups and GOSH AAC hub to support our pupils communication.

Therapy sessions are likely to occur within our classrooms as these are the most important environments for enhancing our pupil’s learning.

Occupational Therapy

Our Occupational Therapy (OT) team is responsible for supporting the pupils to develop and maintain their skills in everyday activities in order for them to develop their independence and access their education.

In order to support our pupils to develop their independence we work jointly with the school staff and outside services including wheelchair services, social care colleagues, and social services OTs.

Our OT team is highly experienced in working with students who have complex physical health needs and learning disabilities and in the areas of:

  • Sensory Processing Difficulties
  • Upper Limb Management
  • Postural management
  • Specialist equipment provision
  • Skills and fine motor development

The OT team support our pupils by:

  • Completing specialist assessment and intervention based on individual need
  • Ensuring appropriate seating to provide postural stability and promote function
  • Ensuring appropriate access to the school curriculum, environment and social activities
  • Supporting upper limb management and fine motor control
  • Provision of equipment to promote function and assist with activities such as eating and personal care
  • Promote personal independence through developing activities of daily living e.g. feeding, drinking, dressing, toileting and play skills.

Our input may involve both direct and indirect support.
Direct support may include group class based or 1-2-1 interventions.
Indirect support would involve consultation with other professionals working with the children such as providing advice or providing therapy programmes to be completed throughout the school week.


Our Physiotherapy (PT) team is responsible for the assessment, treatment and management of our pupil’s physical and gross motor development. We aim to optimise pupil’s individual physical potential.

Physiotherapy support is provided through:

  • Programmes that are integrated into daily routines both at home and school
  • Physiotherapy group sessions within classes
  • One-to-one physiotherapy assessments
  • One-to-one physiotherapy treatment sessions, based on prioritisation criteria
  • Provision of equipment to assist with standing, walking, seating and lying postures as part of a pupil’s postural management programme
  • Hydrotherapy programmes, when clinically indicated
  • Liaison with outside professionals, including other therapists and healthcare professionals, consultants and social care teams
  • Referrals to other services, such as Orthotics
  • Joint physiotherapy clinics with Orthopaedic and Orthotics

Our PT team is highly experienced in working with pupils with complex physical and learning disabilities and in the areas of:

  • Postural management
  • Neuro-developmental and neurological assessment and treatment
  • Specialist equipment provision
  • Hydrotherapy

Therapy sessions are likely to occur within our classrooms as these are the most important environments for enhancing our pupil’s learning.


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Photo of a pupil at Greenmead School
Photo of a pupil at Greenmead School
Photo of a pupil at Greenmead School

Friends of Greenmead

The Friends of Greenmead (FOG) is the registered charity of Greenmead School. It depends on the support of parents, friends and staff for its success. Through FOG’s fundraising activities, Greenmead pupils have access to a range of facilities which would not otherwise be available. This includes funding Music Therapy. New parents are encouraged to join. If you would like to make a donation to the school please contact the school office or go to

Charity Name: Friends of Greenmead Charity No.: 1012795