The detailed administration and implementation of the Housing Adaptation Grants for Older People and People with a Disability scheme is a matter for the local authorities. However, I understand that both the HSE and private occupational therapists are routinely engaged by local authorities to assess the needs of applicants for grants under the Scheme. While I understand that some local authorities do experience delays in processing applications due to the difficulties in engaging occupational therapists, an applicant can engage a private sector occupational therapist and have the cost refunded to them as part of the total grant paid, subject to a limit of €200 per assessment.
It is in the interests of the applicant and the local authority to ensure that adaptation works are appropriate to the long-term circumstances of the applicant and the assessments of occupational therapists play a key role in the process.