Specialist commissioning and individualised care packages
Specialist commissioning: a psychology-led multidisciplinary team for complex cases
Individualised care packages for commissioners with a complex case and no suitable local provision. We provide psychology, occupational therapy and creative therapies, with as much or as little input as the case needs, and no waiting lists.
Individualised care packages: psychology, occupational therapy and creative therapies that come to the person
People with complex or overlapping needs, such as mental health difficulties alongside a learning disability, or alongside an offending history, are not always able to access specialist psychological assessment, treatment or other therapies through the NHS, because of long waiting lists or exclusion criteria. Community teams are not always able to take on people considered high risk either. That is the gap we fill.
We offer a full-service therapeutic multidisciplinary team, with as much or as little input as is required. That can include specialist therapies, such as forensic therapies to reduce risk, or trauma therapy.
We can provide a psychologist, an occupational therapist and a creative therapist, such as an art or drama therapist, who can:
- Attend MDT meetings and care planning reviews
- Carry out assessments, including detailed assessments of risk and capacity
- Create treatment plans
- Deliver therapy
- Visit placements
- Work jointly with the existing team around the person
When it works well, our clinician becomes another consistent, reliable member of the team around the person, chosen by them and their team.
Packages are cost-effective because senior psychologists design and oversee the work while assistant psychologists deliver structured day-to-day sessions under close supervision. Intensive support stays within the agreed budget.
How commissioning a package works
- Get in touch
By form or email, with an outline of the need. There is no need to share identifying details at this stage.
- An informal call
We talk through the person’s needs, the existing team and what input would help.
- A proposal
We set out who would be involved, what they would do and how often.
- The work begins
With no waiting list, our clinicians join the team around the person.
Who we work with
Integrated care boards, local authorities, case managers and other commissioners arranging care for someone whose needs sit outside standard provision, typically on a spot purchase basis. We often work with people whose needs intersect and overlap, such as a learning disability, autism, a personality disorder and a forensic history.
Standards commissioners can rely on
Every clinician holds current HCPC or GMC registration, professional indemnity insurance and a DBS check. Every clinician is individually registered with the Information Commissioner’s Office and handles data in line with UK GDPR.
Led by
Dr Mareike Suesse, Clinical Director, who leads the Psychology and Therapies departments at a psychiatric hospital. Meet the team.
See it in practice
An anonymised example: a person with complex needs in supported accommodation, no route into NHS psychology, and a skills-based package delivered by assistant psychologists under senior supervision, with reports for the Court of Protection. Read the case study.
Complex case psychology across Bedfordshire, Cambridgeshire, Hertfordshire, Essex and London
We are based in Cambridgeshire and provide commissioned psychology, occupational therapy and creative therapies in person across Bedfordshire, Cambridgeshire, Hertfordshire and Essex, and further across London, the South East, the East of England and up to the Midlands. Our commissioned work comes mainly through NHS Central East ICB and NHS Essex ICB, and our associate model means we can respond to requests from neighbouring ICBs. If you are a commissioner arranging care for a person whose needs sit outside standard provision, tell us about the case.
Track record and registrations
- 100+court reports written
for solicitors and the courts 
Dr Mareike Suesse, Consultant Clinical Psychologist
HCPC registration PYL32511
Registered with the Information Commissioner’s Office
Every clinician insured and DBS checked
Start a conversation
Tell us about the need, and we will arrange an informal call.