We believe all children deserve the very best start in life

Our dedicated team of specialists can help guide each one to achieve everyday success

Let us reframe your child’s
future, today

Based in Bath, Now, Next & Then helps local children and young people with additional challenges, empowering them to reach their potential in everyday life.

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

Our team of health and family specialists is dedicated to helping your child or young person at any stage of their educational journey, from nursery all the way to college or uni, and beyond. We’re also here to help those who can’t be in school at the moment too.

We totally understand how overwhelming it can feel if your child or young person seems to be struggling, whether this is physically, emotionally, socially or with sensory needs. We also know just how much these things can impact school and home life. Whether the challenge you’ve noticed seems quite subtle, on and off, or there all the time, or if your child has a known difficulty that you and they need help to navigate, then we are here to help. We always say that you are your child’s expert, so if you have a concern or worry, then we’re here to listen.  

Our goal is to help children and young people overcome barriers, no matter how great or small, so they can experience success every day.

What we offer

Under our nurturing care your child and you will receive top quality support for as long as you need us to 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 within their foundation for life. 

We have a range of 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 or what to do about them. We also have the time and resources to be able to come alongside your child or young person and you to bring about positive changes. 

We always bring 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

  • 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

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 service and 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

  • We can then talk you through the different services and 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 can 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

Let us reframe your child’s future, today

Follow our journal for great advice and tips

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

• Early Years colleague •

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.

“I've just read your report and I am completely blown away. I have read many OT reports in my professional role and as a parent, and this is head and shoulders above them all in quality. Thank you so, so much. I am so grateful to you.”

• Matt’s parents •

“Lizzie is just incredible! What an asset to the team.”

• Ruben’s parents •