For many disabled drivers in the UK, push-pull hand controls offer a safe, reliable, and empowering way to stay mobile. Whether you’re learning to drive for the first time or getting back on the road after injury, these adaptive driving controls can help you regain independence behind the wheel.
In this complete guide, we’ll cover:
- What push-pull hand controls are
- Who they’re for
- How they work
- What the installation process involves
- Where to find hand controls for cars in the UK
- How to access vehicles with hand control systems — including hire options from ORA
👉 Check Open Road Access Trustpilot Reviews
What Are Push-Pull Hand Controls?
Push-pull hand controls are a type of driving adaptation that lets you operate the accelerator and brake using your hands instead of your feet.
They are typically fitted to the right-hand side of the steering column. Here’s how they work:
- Push the lever forward to brake
- Pull the lever back to accelerate.
This system is ideal for drivers who:
- Have limited or no use of their legs
- Have experienced spinal cord injuries, limb differences, or neurological conditions
- Want more control, comfort, and safety when driving
Push-pull systems are one of the most popular vehicle hand control systems in the UK today.
Who Are They For?
You might benefit from push-pull hand controls if you:
- Have lower limb disabilities (e.g, amputations, paralysis)
- Have muscle weakness or coordination issues in your legs
- Have experienced a stroke or spinal injury
- Are transitioning from wheelchair passenger to driver
They are used by:
- Drivers returning to the road post-surgery
- Learner drivers with disabilities
- Older adults looking for safer driving adaptations
How Do Adaptive Driving Controls Work?
Most push-pull systems are fitted alongside the standard pedal system, which means:
- The car can still be driven conventionally
- A carer or companion without a disability can still operate the car safely
Many systems can also be combined with:
- Steering wheel knobs for easier turning
- Left foot accelerators
- Indicator extensions
- Electric handbrake buttons
Together, these adaptations make driving safer, smoother, and more intuitive.
Push-Pull Hand Control Installation in the UK
Hand control installation should always be done by a certified vehicle adaptation specialist. In the UK, providers like Jeff Gosling Hand Controls, Elap, or Autochair offer nationwide installation and product support.
Things to know:
- Most cars can be adapted, especially automatics
- The system does not affect the engine or car warranty when fitted professionally
- You’ll need an assessment (usually by an occupational therapist or driving instructor)
- You may need a short familiarisation or training session
The cost of installation can range from £500 to £1,200, but Mobility schemes, grants, or charities may help cover it.
Not sure where to start? ORA can offer adapted cars ready to drive.
Hiring a Vehicle with Hand Controls
Need a vehicle with push-pull hand controls for a temporary period?
At ORA, we offer adapted vehicle hire options for drivers across the UK — including:
- Short-term adapted car hire (from 1 day to several weeks)
- Long-term adapted vehicle hire (up to 12 months)
- Internal transfer WAVs with hand controls, powered lifts, and more.
Whether you’re:
- Going on holiday
- Waiting for a new Motability car
- Recovering post-surgery
- Trialling hand controls before purchasing
We offer a flexible, fully insured solution — delivered directly to your door.
Enquire about hand control vehicle hire
What to Expect When Driving with Hand Controls?
Like any driving adaptation, push-pull systems take some getting used to. But with practice and proper setup, many drivers report:
- Improved confidence
- Reduced fatigue
- Faster reaction times in traffic
- Enhanced freedom and mobility
👉 Check Open Road Access Trustpilot Reviews
Remember: The DVLA and your insurance provider may require you to declare any adaptations to your licence or policy, and some users may need a Mobility Centre driving assessment before hitting the road.
Summary: Should You Consider a Push-Pull System?
If you’re a driver with limited leg function and want to stay independent, push-pull hand controls are:
- Simple Effective
- Widely available
- Compatible with most automatics, Legally recognised across the UK
And with ORA, you don’t have to wait for installation. Try an adapted vehicle today or bridge the gap while you’re waiting for a new car.
