Bathtime for children is often a time of fun and an opportunity to play with their parents, sisters and brothers.

Where possible this should not be any different for a disabled child, although if the child needs supportive equipment there may not be enough room in the bath for a sibling, or the child may need to be supported in a position that makes playing difficult. Try to encourage your child to try washing, drying, teeth cleaning, hair washing, hair combing etc.

The range of small children's bathing equipment is quite limited but once they get bigger it is worth looking at adult bathing equipment, some of which can be used with a support cushion or harness.

The following need to be considered:

• what grants are available to help with alterations?


• the needs and wishes of the child and the parents


• access and space


• types of flooring


• structural alterations


• sanitary fittings.

• children who are not able to move around easily may get cold very quickly when undressed. Additional safe heating in the bathroom may be required or the child may have to be washed quickly and not be given time to play
• children with tight muscles may find it easier than usual to move in water, and this may allow them to do things that are not possible in other situations
• safety for children with poor head control or epilepsy needs to be considered and quick release Velcro fastenings on equipment are essential
• the storage and cleaning of the more supportive pieces of bathing equipment can be a problem
• check that the bath is the right size to take supportive bathing equipment. No child should be left unsupervised in the bath even if in a supportive bath chair. Similarly, young brothers and sisters should not be left in charge of a child in a bath seat.

Provision may include:

• hammock supports


• bath cushions and inserts


• bath lifts


• grab rails.

Before making any decisions about buying equipment, it is advisable to contact a paediatric occupational therapist (OT), who will come and assess the child's daily living needs. They will advise on possible solutions and may be able to provide some items of equipment on loan.

If you decide to buy equipment and gadgets privately, it is best to try them out first. Arrange a visit to one a Disabled Living Centre (DLC) (www.dlcc.co.uk). DLCs have a range of children's equipment on display and you may also receive information on what may be most suitable for you.

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