NHS Rotherham Clinical Commissioning Group - Complex Patient Package

Complex Patient

Rotherham Clinical Commissioning Group (CCG) is seeking to appoint a provider to support a clinical pathway for patient X.

Diagnosis: X is a young person who has moderate to severe learning disability and autism, and presents with significant behaviours that challenge. X has autism with complex sensory needs but is fully mobile and has no significant physical health problems.

Pen Picture X has spent the last two years in a hospital setting with a significant package of care including staffing of 4:1. At times X requires the use of rapid tranquilisation, but this has been reducing over the past 12 months.

X requires regular periods of short-term physical intervention to minimise incidents of head banging, finger biting, self-induced vomiting and assaultative behaviour. The frequency of these incidents vary, but is usually in the region of 30-70 per week, although these vary in intensity significantly. The clinical team feel that some of this behaviour is driven by a need for the increased sensory stimulation experienced during restraint.

X has a complex, mixed diagnosis, and has had significant input from a variety of national specialists, including South London and Maudsley NHS Foundation Trust and the Improving Lives Team. It is expected that this involvement will be maintained, at least in the short-medium term and any potential provider will be expected to work in partnership with these experts.