Falls are common, but they are not a normal part of ageing to be accepted. The strongest evidence for reducing falls risk points to structured exercise that challenges balance and builds leg strength — exactly what a physiotherapist is trained to prescribe and progress safely. We assess your individual risk factors, retrain balance with a program matched to your level, and walk your home environment with you to find the practical hazards worth fixing.

Moving between bed, chair, toilet and car — and walking between them — decides how independent home life can be. We retrain the specific movements you're struggling with, in the exact places you do them, and where technique alone isn't enough, we look at aids, equipment or a different method that keeps you safe.

Stroke, Parkinson's disease, multiple sclerosis and similar conditions change how the body moves — but the capacity to improve, adapt and maintain function is often greater than people expect, including years after the original event. Neurological physiotherapy works through repetition, task-specific practice and progressive challenge: doing the actual movement, enough times, at a difficulty that demands something of you. In practice that means walking, balance, getting on and off the bed, in and out of the car, up the front step. Because we work in your home, we practise those tasks where they matter, with the furniture, thresholds and surfaces you actually deal with, rather than an approximation of them in a clinic. Dose matters as much as technique, so a large part of the job is building something that can be repeated between visits.

Heart conditions and long stretches of inactivity leave people with less in reserve than they used to have, and because effort feels risky, they attempt less — which erodes that reserve further. Rebuilding endurance is one of the most useful things you can do for energy and independence, but it has to start at the right level and progress at a rate your body tolerates. We assess what you can currently manage, monitor how you respond to effort — heart rate, breathlessness, how long recovery takes, how you feel the next day — and build from there, so the program stays ahead of you without ever getting away from you. Where clearance is needed before we begin, or your condition looks unstable, we'll say so and work with your GP or specialist first.

The honest truth about home programs is that most fail from being unrealistic, not from being wrong. Ours are short, specific, written in plain language with photos where useful, and reviewed every visit — then adjusted based on what you actually managed, not what was hoped.

Breathlessness makes ordinary tasks exhausting, and a chest that won't clear keeps you cycling through infections. We provide respiratory physiotherapy at home for people living with COPD, bronchiectasis, asthma and the lingering effects of a chest infection or hospital admission. The work is practical: airway clearance techniques you can carry out yourself between visits, breathing control and positioning for the moments when you're short of breath, and a plan for the tasks that reliably leave you winded — showering, dressing, getting to the letterbox. We also work out what tends to trigger a bad stretch, what your early warning signs look like, and what to do about them, so a deterioration gets acted on early rather than after it has become an admission.