A cot for children with disabilities will have four high cot sides (also known as side/external doors, panels or surrounds). These cot sides are for children at risk of falling, climbing and/or harming themselves in a bed with standard side rails and are not to be used as a means of restraint.

These specialised cots are usually the same size as a single bed (to allow children's growth), although there are various mattress sizes available and many may also be made-to-measure.

Features available include height adjustment, profiling, Trendelenberg (this feature allows the entire bed to be tilted towards the head) and reverse Trendelenberg (tilted towards the feet) and lateral turning. The doors can be front opening, bi-fold, sliding or drop-down and can include clear perspex panels and full or partial padding.