If your child is facing challenges in school or at home, then we are here to help.

We believe all children deserve the very best start in life. Let us reframe your child’s future, today.

Now, Next & Then specialises in helping children and young people with additional challenges, empowering them to reach their potential in everyday life.

Based in Bath, Now, Next & Then exists to help your child or young person to overcome their difficulties, no matter how great or small, so they can flourish. Our mission is simple. To help.

We don’t see problems, we see barriers to be overcome.  

We have a range of specialist services to support your child and you

Meet our team

Our specialists work collaboratively as a whole team or stand-alone if only one of us is needed. 

We have the skills to help with the unpicking of your child or young person’s challenges, the professional knowledge to explain them and the problem-solving ‘know how’ to guide what to do about them. We always offer bucketloads of playfulness to make sure our appointments are fun, as well as compassion to celebrate your child’s strengths and successes, and yours too.

  • Emma Puttock

    Founder, Managing Director & Children’s Occupational Therapist

  • Rachel White

    Children’s Occupational Therapist

  • Louise Race

    Children’s Occupational Therapist

  • Lucinda Garthwaite

    Trainee Occupational Therapist

  • Ali Cliffe

    Child & Adolescent Psychotherapist

  • Lizzie Young

    Autism Advocacy & Support Specialist

  • Lara Harris

    Autism Advocacy & Support Specialist

  • Issy Martin

    Autism Advocacy & Support Specialist

  • Marianne Roberts

    Clinical Psychologist

  • Kate Testo

    Parent & Family Support Specialist

  • Julia McDonald

    Parent & Family Support Specialist

  • Amy Pink

    Office Manager

  • Kate Lunt

    Personal Assistant to Emma Puttock

Read all about us

Our approach

Under our nurturing care your child and you will receive top quality specialist support for as long as it’s needed. We’ll be by your side. 

We’re dedicated to helping children and families just like yours and we’re confident that the help we provide will make a positive, if not invaluable, difference to your child not only now but onwards through their foundation for life. 

We are here to help at any stage of the educational journey, from nursery all the way to college or uni, and beyond. We help those who can’t be in school at the moment too. We work alongside your child and you to navigate the world of special educational needs.

How we work

From the moment you get in touch we will be by your side.

We will listen and guide you to the best support we can offer. 

We will make all the necessary arrangements and pop some dates in the diary to get the ball rolling.

01 Now

Get in touch

  • Contact us with your worry, concern or query

  • We will talk you through the different options we have and guide you to decide what is right for your child and you

02 Next

We assess

  • We will carry out a thorough and careful assessment of your child’s strengths and challenges

  • You will join us for a feedback meeting when we explain all we have learnt

  • We will provide you with a comprehensive report with recommendations

03 Then

We support

  • You decide what you would like to happen next

  • We will provide ongoing support with one of our specialists

“Emma, you super human being you! Keep fighting for those that don’t have a voice yet, they need you!”

• Early Years colleague • 

Let us reframe your child’s future, today

Would you like to join our team?

If you have plenty of experience within the field of community paediatrics (ideally four+ years), as well as the ability to creatively and professionally ‘think outside the box’ then you might be a fit for our team.

Have a browse around our site, and if our ethos and passion fit with your own and you would like to join an incredibly dedicated team, then get in touch.