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ETS is committed to keeping pace with rehabilitation advancements, developing our people and offering the best knowledge, skills and experience to our service users and clients. We have arranged a training opportunity for our Associate Occupational Therapists to attend at the Head Office and to introduce Becky Simpson ETS new Clinical Lead OT for Acquired Brain Injury Service and Complex Care Case Manager.

Introducing Becky Simpson!


ETS are proud to welcome and introduce Becky Simpson to the ETS team. Becky is the Specialist Clinical Lead Occupational Therapist and complex care case manager for Acquired Brain Injury.

She is a highly experienced OT with extensive knowledge and skills in the clinical area of Acquired Brain Injury and complex neurological diagnoses including Cerebral Palsy, Traumatic Brain Injury, Multiple Sclerosis and Hypoxic Brain Injury for the last 10 years of her career.

Quick Facts

  • Specialist Clinical Lead
  • Complex Care Case Manager
  • Acquired Brain Injury Expert
  • Active Member of BAOT, HCPC, RCOT, SS-NP, BABICM, CMSUK
  • Over 10 Years Experience


We adore Becky’s great passion for her specialist clinical area, she is committed to exceeding the highest expectations within therapy interventions. She brings experience of providing thorough assessment and planning rehabilitation intervention for clients with acquired brain injury and other neurological impairment, using a graded goal-oriented approach to support clients in optimising their recovery. Becky understands the importance of placing the client at the centre of her practice ensures she develops and maintains strong working relationships with her clients, families and the wider rehabilitation team including referring partners.

Becky is leading the nationwide team of  specialist occupational therapists and case managers to provide an exceptional Acquired Brain and Catastrophic injuries service.

She is a member of the British Association of Occupational Therapy (BAOT) and the Health Care Professions Council (HCPC) and maintains her registration through continual professional development.

In addition Becky is a member of the Specialist Section for Neurology at the college of Occupational Therapy (RCOT SS-NP,) the British Association of Brain Injury Case Managers (BABICM)and Case Managers Society UK (CMSUK)

If you would like to know more about the ETS Acquired Brain Injury and Complex care service please email or telephone 0845 555 2526.

This week is Occupational Therapy Week, which provides an excellent opportunity to reflect on what occupational therapy is all about. Despite being such a valuable service, occupational therapy is often seen as 'the best kept secret in health care.' We want to change that. One of the best reasons I've heard for what occupational therapists actually do is from Sarah Lyon, an OT who said: "Occupational therapy practitioners help clients participate in daily activities when the ability to do so has been compromised by illness, injury, or disability."

Occupational therapy is also on the increase;  predicted to grow faster than most health sectors over the next ten years by 21%, this is a profession on the rise. Despite this, many people in the general public are unsure as to why occupational therapy is so important to society. To find out we asked the therapists themselves!






1. It puts the client in charge 

"As an OT I can put that person at the centre of their care – they become the team leader, they are in charge of their recovery -I then use my skills and knowledge to assist them on that road." -Ixchiel




2.  It tailors the recovery to the client

"At Enable Therapy Services, together OT's and clients can identify what is important to them and as an OT I can creatively consider how we can achieve solutions to their difficulties. We are creative problem solvers that can apply clinical skills, knowledge and experience to assist clients in their recovery.  Furthermore, as an OT we recognise the important of including the client in the process of recovery."







3. OT's help you live the life you want to live.

"What you do each day i.e. your ‘occupations’ and how you do them are a huge part of what makes you who you are....with scope to consider all areas of your life and improve the most important details, occupational therapy is invaluable!" -Holly








Source: NHS Choice



Tennis elbow is a condition that causes pain around the outside of the elbow.

It's clinically known as lateral epicondylitis.

It often occurs after strenuous overuse of the muscles and tendons of the forearm, near the elbow joint.

You may notice pain:

  • on the outside of your upper forearm, just below the bend of your elbow
  • when lifting or bending your arm
  • when gripping small objects, such as a pen
  • when twisting your forearm, such as turning a door handle or opening a jar


If you have tennis elbow, you will usually experience:

  • pain on the outside of your upper forearm, just below your elbow – the pain may also travel down your forearm towards your wrist
  • pain when lifting or bending your arm
  • pain when writing or gripping small objects – for example, when holding a pen
  • pain when twisting your forearm – for example, when turning a door handle or opening a jar
  • pain and stiffness when fully extending your arm

An episode of tennis elbow will usually last between six months and two years. However, the majority of people (90%) will make a full recovery within a year.

Tennis Elbow Affects 5 in Every 1000 People.




Holding a cold compress, such as a bag of frozen peas wrapped in a towel, against your elbow for a few minutes several times a day can help ease the pain.

Manual tasks, such as lifting, you may need to avoid until the pain in your arm improves.

Taking painkillers, such as paracetamol, and non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may help ease mild pain and inflammation caused by tennis elbow.

Your GP may refer you to a Occupational Therapist if your tennis elbow is causing more severe or persistent pain. Occupational Therapist  are healthcare professionals who use a variety of methods to restore movement to injured areas of the body.
Your OT may use manual therapy techniques, such as massage and manipulation, to relieve pain and stiffness, and encourage blood flow to your arm. They can also show you exercises you can do to keep your arm mobile and strengthen your forearm muscles.

The use of an orthoses – such as a brace, strapping, support bandage or splint – may also be recommended in the short term.



For more info contact us on or ask for an OT Assesment on 0845 555 2526

An occupational therapy intervention can help improve HbA1cand improve quality of life in young adults with diabetes, new research finds.

Results from the randomized, controlled Resilient, Empowered Active Living (REAL) diabetes study were presented June 11 here at the annual meeting of the American Diabetes Association (ADA) 2017 Scientific Sessions by Beth Pyatak, PhD, who is both an occupational therapist and a certified diabetes educator at the University of Southern California, Los Angeles.

Occupational therapists are generally thought of in a rehabilitative context, but "It's an emerging practice area within the past 10 years or so to focus on chronic disease management," Dr Pyatak told Medscape Medical News, explaining that the main goal of occupational therapy (OT) is to help people accomplish their daily tasks, of which diabetes management involves many.

"We're helping to promote adherence. We're not making specific recommendations for what people should do to manage their diabetes, but we're helping them to implement the advice of other practitioners."

In her talk, Dr Pyatak gave an example of a 24-year-old auto mechanic with type 1 diabetes who has trouble monitoring his blood sugar at work for several reasons: He's embarrassed to check in front of coworkers, his hands are dirty and it's tough to get away from the work area to wash them — especially when the workshop gets busy — and his diabetes supply kit is clunky and inconvenient to carry.

An occupational therapist could help the young man to brainstorm about solutions, such as talking to his boss about taking scheduled breaks, carrying a smaller testing kit, and setting a reminder on his phone.

"It's the process of looking at an activity, figuring out what the challenges are, and helping problem-solve through those that's really at the heart of what OT works on," she said.

Asked to comment, session moderator Arshiya A Baig, MD, of the Chicago Center for Diabetes Translation Research, Illinois, told Medscape Medical News that the REAL study points to the potential value of including occupational therapists as part of diabetes healthcare teams, which also typically include professionals such as nurses, pharmacists, nutritionists, educators, and social workers alongside physicians.

"It gets at engaging other healthcare team members in promoting a healthy lifestyle. If that comes from occupational therapists, who have their own approaches, sure. We often refer our patients to OT for physical issues and physical disabilities, but I think engaging them in chronic disease care is really innovative and novel," she commented.

Different Results in Type 1 and Type 2 Diabetes

The REAL study included young adults aged 18 to 30 years old of low socioeconomic status who had had either type 1 or type 2 diabetes for at least a year and an HbA1c of 8.0% or higher.

The intervention comprised 12 one-hour OT sessions delivered over 6 months in home or community settings. Content modules covered living with diabetes, access and advocacy, activity and health, social support, and emotional well-being. Each was individually tailored to the patient with the use of motivational interviewing.

Controls received informational pamphlets and were called by phone every 2 weeks to check whether they'd read the material and if they had questions.

A total of 81 patients were randomized. They had a mean age of 22.6 years, 63% were female, 78% were Hispanic/Latino,10% were African American, 10% white, and 23.8% were living below the federal poverty line.

Three-quarters had type 1 diabetes, and the rest had type 2. Overall diabetes duration was 9.7 years, and mean HbA1c for the entire group was 10.8%. Mean score for diabetes distress was 9.6 on a scale where greater than 8 reflects clinically significant distress. In all, 35 in the OT group and 37 in the control group completed the study and follow-up.

At 6 months, HbA1c had dropped by 0.57 percentage points in the OT group, while in the control group it rose by 0.36, a significant difference between groups (= .01).

Unexpectedly, the response differed by diabetes type: Among the 56 patients with type 1 diabetes, HbA1c dropped by 0.84 vs 0.03 percentage points in the OT treatment and control groups, respectively (= .04), while it actually rose in both treatment and control groups among the 19 with type 2 diabetes (0.2 vs 1.58 percentage points, = .10).

The reason for this difference isn't clear. It may be that something about the intervention didn't resonate with the type 2 patients, or simply that it was a spurious finding given the small number in that group.

Moreover, Dr Pyatak noted that youth-onset type 2 diabetes is particularly difficult to control and little is known about the usual HbA1c trajectory in that population. "Is the 20s just a time you'd expect to see worsening? I'm still puzzling through this a bit," she said.

Overall for the entire group, significant improvements were also seen for the OT treatment compared with the controls in the Audit of Diabetes-Dependent Quality of Life (0.7 vs 0.15, = .04) and for checking blood glucose in the Self-Reported Behavioral Automaticity Index, a measure of the extent to which the behavior had become a "habit" (3.94 vs 1.65, = .05).

There were no other differences in overall effect by gender, ethnicity, diabetes type, or setting.

Dr Pyatak said her team has now received funding to implement the REAL intervention in a large Los Angeles County primary-care setting, and they're hoping to also launch a study of the intervention delivered via telehealth.

When Dr Baig was asked whether her Chicago center employs an occupational therapist as part of their diabetes team, she replied: "We don't. We should. I think we haven't engaged them in their full capacity."

The REAL study was funded by the National Institute of Diabetes and Digestive and Kidney Diseases/National Institutes of Health. Dr Pyatak has no relevant financial relationships. Disclosures for the coauthors are listed in the abstract. Dr Baig has no relevant financial relationships.  

Source: Occupational Therapy Helps Young Adults With Diabetes - Medscape - Jun 21, 2017.

Written by Miriam E Tucker

In her speech to close the Royal College of Occupational Therapists annual conference, its CEO Julia Scott told delegates that to ensure that the occupational therapy profession continues to go from strength to strength the role of occupational therapists need to continue to evolve.

"I think the key is in staying flexible, seeking out new opportunities to support people in healthy occupations, continually thinking: how can we improve on this, how can we make a bigger difference, how can we provide more value?

"When Occupational therapists are set free of the constraints existing models of service provision imposed on them, they come up with most beautifully crafted alternatives."

Building on the theme, she asked her 32,000 members from across the UK to join her in an "occupational therapy uprising".

"We have to continue to build and maintain this profile of occupational therapy. You [members] can do your bit, by using your title in full, by explaining to others that Occupation has a vital role to play in terms of the maintenance of citizen’s health and well-being, by being brave and thinking differently."

2016's Royal College of Occupational Therapists (RCOT) Conference was awarded Best Association Conference for between 450 and 1500 delegates at the Global Conference Network’s awards ceremony. This is a title RCOT hope to maintain following this year’s event which attracted a record number of delegates. More than 1,500 attended the event at Birmingham’s International Convention Centre. Work is already underway to plan next year’s conference which will take place in Belfast for the first time.




Monday 26th June 2017 will be a day to remember for Harry Potter fans old and new as it marks 20 years since the iconic Harry Potter and the Philosopher’s Stone was first published! You are hereby invited to save the date for magical happenings!

From an idea born on a train journey to its creation in a small cafe in Edinburgh, Harry Potter and the Philosopher’s Stone started a global phenomenon. It has sold over 450 million copies worldwide in 79 languages, inspired a major movie franchise, a spellbinding theatre production and captivated readers of all ages for twenty years.



Here at ETS we recognise the power these books have to boost your mood, lift your self esteem and set a positive example for generations to follow! J.K Rowling we salute you!