Geographically, the Network divides the UK into a number of regions. Each region has an Area Organiser who is responsible for its development and maintenance. A region includes a group of counties, each with its own County Co-ordinator. It is the County Co-ordinator’s responsibility to coordinate the activities of local Volunteers and schedule client visits. They are also responsible (with support from the Area Organiser) for recruiting Volunteers, administering the local network, advertising for clients and publicising ITCH Network throughout their county.

All applications for assistance are made to and assessed by the County Co-ordinator (or Area Organiser), who contacts the volunteer(s) geographically closest to the applicant to see who can respond soonest. Applications are received from disabled people themselves, their carers, other persons acting on their behalf and via the freephone AbilityNet Client Helpline.

The interests and security of clients are paramount and all prospective volunteers are carefully vetted and interviewed and, in England, Scotland and Wales, subject to an Enhanced Disclosure check before their appointment is confirmed. Prospective volunteers must submit a detailed application form and include the names and addresses of two referees; references are always obtained. Once they have been accepted, volunteers are provided with an ID card bearing their photograph and other details.