Environmental control systems (ECSs) are a form of assistive technology that can enable people with complex physical impairments to operate a range of appliances and devices by remote control, therefore enabling them to maintain a higher level of independence. The functional independence and improved communication abilities afforded by ECSs can, in turn, increase people’s confidence, self-esteem and feelings of self-worth.

Occupational therapists can support people with complex physical impairments to access assistive technology solutions by assessing their need for, and prescribing, ECSs. However, they face challenges, including funding restrictions and a lack of research. Learning disability nurses can benefit from an understanding of the role that assistive technology can play in improving the lives of people with learning disabilities.

This article provides an overview of ECSs, using a case study to illustrate their role in promoting functional independence in people with complex physical impairments.