Hi, I am Lesley Malgas - an Occupational Therapist and the founder of OT-Vation

My Approach

I am an experienced Occupational Therapist with a strong background across both the NHS and private sectors. OT-vation was established to provide high-quality, responsive Occupational Therapy delivered in the environment where it makes the greatest difference, your home.

My approach combines clinical expertise with practical understanding. I work with individuals and families who want clear guidance, structured rehabilitation, and meaningful outcomes. Whether the goal is recovery, adaptation, or maintaining independence, support is always tailored, discreet, and outcome-focused.

Specialist Areas of Practice

I support adults and children living with a range of physical, neurological, and cognitive conditions, including:

  • Stroke rehabilitation

  • Multiple Sclerosis

  • Alzheimer’s disease and Dementia

  • Orthopaedic recovery, including joint replacements and fractures

  • Post-hospital rehabilitation

  • Frailty and fatigue management

  • Mental health and emotional wellbeing

  • Autism support for children

Each intervention plan is individually designed, with measurable goals and practical strategies that fit seamlessly into daily life.

A Home-Based, Client-Centred Service

Delivering therapy within the home allows for a level of precision and relevance that clinic-based work often cannot provide. We address real environments, real routines, and real priorities.

Assessments are thorough and structured. Recommendations are practical and clearly explained. Communication is professional and consistent.

Above all, the focus is on enabling safe, confident, and sustainable independence.

“Supporting Independence Where it Matters Most”

The OT-vation Commitment

  • Initial assessments typically completed within one week of referral

  • Comprehensive, evidence-based evaluation

  • Clear written reports and structured therapy plans

  • Equipment and adaptation guidance

  • Flexible, responsive follow-up

I understand the impact that reduced function can have on confidence and quality of life. My role is to provide clarity, direction, and practical solutions, so that you can move forward with confidence.

If you are seeking a personalised, professional Occupational Therapy service that prioritises independence and quality of life, I would welcome the opportunity to support you.

Client Stories

“Carol’s mobility deteriorated significantly during 2024 and early 2025, and she experienced several falls in our home. In May we decided to seek professional advice about making the house safer and contacted OT-Vation Occupational Therapy.

Lesley Malgas discussed our concerns by phone, visited us shortly afterwards, and produced a clear action plan within just a few days. He worked very professionally and took time to listen carefully so that he fully understood our needs.

Lesley then managed the process of installing grab rails, handrails and other equipment to make the stairs, shower room, toilets and bedroom safer. He also worked with Carol to develop practical techniques to help her move safely around our large two-storey home.

Since then, Lesley has continued weekly sessions with Carol to strengthen the muscles she needs to sit, stand and walk safely. The combination of home modifications and therapeutic exercises has made a significant difference to Carol’s mobility and her confidence both inside the house and when going out.

Lesley achieves this through his knowledge, professionalism, and a manner that is firm but empathetic. We greatly appreciate his support and would strongly recommend him to anyone looking to improve their quality of life.”

Alan & Carol, Cheshire

“OT-Vation have really helped to support and encourage me following a long and debilitating illness. They have been very kind and have offered practical, sensible advice that has helped improve my wellbeing enormously. I would not hesitate to recommend them.”

P. Bernard, Kent

“I would like to express my sincere thanks and appreciation for the outstanding support provided by Les at OT-Vation.

From the very beginning, he took the time to fully understand my daily challenges and complex medical needs. During the assessment, he recognised that my current home was not a safe environment for me. He carefully explored the possibility of adaptations, but when it became clear that these would not be viable, he advocated firmly that a new, safe property was necessary to meet my needs and protect my wellbeing.

From that point onwards, he went above and beyond. He guided me through complex procedures, communicated with the relevant housing teams, and ensured that the risks I faced were clearly documented and taken seriously. His professionalism, compassion, and determination made an overwhelming situation feel far more manageable.

Throughout the process he treated me with dignity and respect, always taking the time to explain decisions and next steps. His commitment to ensuring that I was allocated a safe and suitable home has had a life-changing impact, giving me reassurance, safety, and hope for the future.

I am deeply grateful for everything he has done and for the unwavering support he has given me throughout this process. He is a credit to his profession, and I cannot recommend him highly enough.”

D.K, Cheshire

“Lesley has been working with my child for the past three and a half years, and during this time I have seen a remarkable improvement in my son’s behaviour and development.

With Lesley’s care and guidance, my son’s attention span has increased and he has learned to follow instructions more effectively. He has gained a better understanding of his surroundings and is now able to complete activities with greater focus and confidence during sessions.

Lesley has also made everyday tasks, such as brushing teeth and getting dressed, fun and easier for my son to learn. He has supported the development of my son’s communication skills and helped him improve his handwriting as well.

On the days of his sessions, my son genuinely looks forward to spending time working with Lesley. He has become a wonderful support for both my child and our family.

We are extremely grateful for everything Lesley has done. The progress and milestones my son has achieved are a testament to his hard work, dedication, and commitment. We feel very lucky to have him.”

I.G Greater Manchester