Places and therapies

Getting out, having somewhere good to go during the day, and therapy that keeps a body comfortable. This page gathers what we know, and we will keep adding to it.

Changing Places toilets

A Changing Places toilet has more space and the right equipment for people who cannot use a standard accessible toilet, including a height-adjustable changing bench, a ceiling hoist and a peninsular toilet. Changing Places says over a quarter of a million people in the UK need one to get out and about.

Changing Places: find a toilet

A map of registered Changing Places toilets across the UK. You can search near you, filter by type of venue and plan a route.

Website
changing-places.org/find

Before a trip, contact the venue to check the toilet is open and working.

Day services

In our experience, specialist day services for adults with PMLD are much harder to find in Scotland than in parts of England. Many general day centres cannot meet complex health needs. If you are looking at a day service, ask these questions before anyone agrees to it:

  • Are staff trained in the person's own care: epilepsy and rescue medication, tube feeding, suction, positioning?
  • Is there a Changing Places toilet, a hoist and space for a wheelchair and specialist seating?
  • How will staff learn the way this person communicates?
  • What will the person actually do all day, and how is that meaningful for them?
  • Who supports the person on the days they are too unwell to attend?

Sense: day services

Sense runs day centres across the UK offering daytime activities for adults with complex needs.

Website
sense.org.uk

No suitable day service? See Build your own week for a step-by-step roadmap.

We are building a list of PMLD day services in Scotland and England. If you know a good one, email hello@judesjustice.org.uk.

Pooling budgets

Some families bring their self-directed support budgets together to pay for something they could not buy alone, such as a shared day activity, a shared PA or a group trip. This is often called pooling.

  • Pooling is an arrangement people make. It is not set out in the Social Care (Self-directed Support) (Scotland) Act 2013 or the Direct Payment regulations.
  • Each person's support must still meet their own assessed needs and outcomes.
  • Talk to your social worker before you start, and agree in writing who pays for what.
  • Self Directed Support Scotland has run workshops on pooling budgets and can point you to local help.

Hydrotherapy

Hydrotherapy is exercise and relaxation in a warm pool, usually led by a physiotherapist. The warmth and support of the water can ease pain and stiffness and make movement easier. Ask the person's physiotherapist whether it would help, and whether there is an NHS or community hydrotherapy pool nearby.

  • Check the pool has a hoist or ramp and a changing bench or Changing Places toilet.
  • Check the person's epilepsy plan covers being in water, and who will be in the pool with them.
  • For swimwear that contains incontinence, see Equipment.

Holidays and days out

  • Equipment can travel with you. Mobility and care equipment hire companies can deliver hoists, profiling beds, shower chairs and more to holiday accommodation. Ask when you book, and check who sets it up.
  • Plan the essentials: Changing Places toilets on the route, a hospital near where you are staying, enough medication and feed, and oxygen if needed.
  • Tell your PAs' insurer if PAs are coming with you, and check the Direct Payment agreement allows it.

Tourism for All

A charity for accessible tourism, with a travel planner for disabled people and families planning a holiday.

Website
tourismforall.org.uk

Cerebral palsy and neurological therapy

Cerebral Palsy Scotland

Scottish charity SC022695 · Glasgow · formerly Bobath Scotland

Scotland's only cerebral palsy charity. Specialist therapy and support for children and adults with cerebral palsy across Scotland, plus training and information.

Website
cerebralpalsyscotland.org.uk
Phone
0141 352 5000
Email
info@cpscot.org.uk

Craighalbert Centre

Cumbernauld · ages 0 to 19

The Scottish Centre for Children with Motor Impairments. A charity recognised by the Scottish Government as a specialist provider, offering nursery and school places and early intervention for children with complex communication, learning, health and care needs.

Website
craighalbert.org.uk

Brainwave

Specialist therapy programmes for children with disabilities, including cerebral palsy and acquired brain injury, designed by qualified therapists and taught to families to carry out at home or school.

Website
brainwave.org.uk

Headway

The brain injury association, with a helpline and information for people with brain injury and their families.

Website
headway.org.uk
Helpline
0808 800 2244

Rebound therapy

Rebound therapy uses a trampoline for movement, exercise and enjoyment. Anyone leading sessions should be trained.

ReboundTherapy.org

The UK-based founding organisation for rebound therapy, founded in 1972. Courses include a Rebound Therapy course, Rebound Plus and a refresher workshop.

Website
reboundtherapy.org/courses

BounceOT

Stirling, with a base in Hamilton, South Lanarkshire

Activity-based occupational therapy in Scotland: rebound therapy for children and adults with disabilities, rebound therapy training and supervision, and specialist OT consultations.

Website
bounceot.com
Phone
01786 643535
Email
hello@bounceot.com

Sources

  • Changing Places, Sense, Self Directed Support Scotland, Cerebral Palsy Scotland, Craighalbert Centre, Brainwave, Headway, ReboundTherapy.org and Tourism for All websites, checked 29 September 2026
  • Social Care (Self-directed Support) (Scotland) Act 2013 and the Self-directed Support (Direct Payments) (Scotland) Regulations 2014, searched for "pool" on legislation.gov.uk, 29 September 2026: no provision on pooling