Welcome to Health Horizons Limited!

Our team of Directors consists of a Consultant Paediatrician, a Speech and Language Therapist and a Clinical Psychologist. We also have a group of associate specialists who work with us in some circumstances. We can see families from across the UK. We are based in the North west of England within easy reach of Cumbria, Lancashire and West Yorkshire.

We have worked in the NHS for many years and began to realise that families in crisis felt they had been passed to separate services, stayed on separate waiting lists (sometimes for long periods of time), and had very little joined up thinking around their situation.

When a child, young person or family is in crisis, our aim is to offer support to develop a shared understanding about their situation, so as to develop ideas for a brighter future.

Health Horizons offer a holistic and integrated multi-disciplinary assessment to children, young people, adults and their families, who might be dealing with a complex situation.

Within the context of their family and systemic relationships, we holistically assess the physical and mental health and development of a child or young person. This includes questions about attachment relationships, trauma, speech and language disorders and the possible diagnoses of autism spectrum disorder (ASD) and/or attention deficit hyperactivity disorder (ADHD). We can also revisit previous diagnoses, to see if they still apply for a young person.

For a full list of the concerns Health Horizons may deal with please see the table below:

ADHD Anxiety disorders ASD
Asperger's syndrome Attachment difficulties Challenging behaviour
Communication difficulties Conduct Disorder Developmental Problems
Emotional difficulties Learning Difficulties Low mood
Mental health difficulties Obsessions Oppositional defiant disorder (ODD)
Parenting Pathological demand avoidance (PDA) Physical health difficulties
Repetitive behaviours School refusal Selective mutism
Self esteem Sleep Social anxiety
Social and relationship difficulties Special educational needs and disabilities (SEND) Stereotypical behaviours
Trauma Foetal alcohol spectrum disorders (FASD) Foetal alcohol syndrome

 

Health Horizons Limited take self-referrals from families, or referrals from GPs. We also welcome referrals from professionals requiring a second opinion, and from commissioners, solicitors and social workers.

We always feedback to GPs on completion of our work.

All our consultations can be done face to face or remotely using virtual media, depending on the needs of the individual and the COVID-19 guidelines at the time.

Health Horizons Limited Assessment Options

  1. Initial Consultation
    1. We are able to respond to initial enquiries by email or a brief phone call. However if you have more extensive questions we would recommend an initial consultation. This can be a face to face consultation or by phone and takes place between the parent/carer over one hour by one professional from the Health Horizons' team. It is meant to explore the requirements of the parent /carer requesting support and assessment. In it the professional will be able to signpost to which assessment might be most appropriate to meet the young person's needs, or we could signpost you to a more appropriate service. We send you our terms and conditions and request that our consent form and referral form is completed and returned prior to this appointment. If we think that we can offer support we move to the next phase.
    2. Although very helpful the initial consultation is not always necessary. If the person requesting the assessment is certain of what specific assessment is required, they can proceed straight into the other assessment options.
  2. Cost : £135

  3. Attention Deficit Hyperactivity Disorder and Autism Assessment
    1. This is a multidisciplinary neurodevelopmental assessment performed by various professionals. Rather than committing to a full assessment from the outset, some people might prefer to first start with a basic assessment.
    2. Basic Assessment. This will include:
      • a developmental history (including questions about trauma and attachment)
      • a basic screening using interaction with and observation of your child.

      This involves two clinicians and takes up to two hours. A meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider an understanding of the situation. This information will be shared with you and we will advise if it is appropriate to continue with the full assessment if we are concerned your child may have a diagnosis / diagnoses.

      Please note that by doing only the basic assessment, we will be unable to give a diagnosis of ADHD or ASD.

      Cost - £649. This includes a basic A4 summary report to your GP. A full report will be at an additional cost.

    3. Full Neurodevelopmental Assessment
      This is a complete neurodevelopmental assessment where we can explore the following potential conditions.
      • Autism/ ASD/ ASC/ Asperger's syndrome
      • Pathological demand avoidance (PDA)
      • Social communication disorder
      • ADHD/ ADD
      • Foetal Alcohol spectrum disorders (FASD)
      • Trauma, attachment and family functioning difficulties
      • Learning disability
      • Sensory processing difficulties

      A joint clinical assessment takes place using clinical interviews, observations and standardised tests. Every assessment includes:

      • A developmental history (including questions about trauma and attachment)
      • A physical health assessment
      • A structured observation of the young person's levels of activity, sensory experiences, speech, language, communication and social interaction skills.
      • We will choose from a battery of standardised testing depending on your child/ young person's needs. These might include Autism Diagnostic Observation Schedule-2, Qb check, Clinical Evaluation Of Language Fundamentals- 5, Conners, Schedule of Growing Skills, Cognitive assessments etc
      • A school observation may be required
      • A sensory assessment may be needed
      • This involves 3-6 clinicians from a range of professional backgrounds
      • This assessment will take place over a number of sessions

      A multi-disciplinary meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider an understanding of the situation. At this stage will we be able to decide whether a diagnosis or diagnoses is appropriate. The outcome is given to the family and any other professionals involved who can attend. A clinical report is also written to detail our findings. At this point we can give you advice and recommendations for the future, sign post you to free services if appropriate, and consider offering further interventions through our service to help achieve change.

      Cost: £3500 to £6150 depending on your requirements. Following a basic assessment this will be reduced to £2851 to £5501.

      In some circumstances at the outset we may become aware that your situation is more complex than the standard full neurodevelopmental assessment would cover (e.g. in some legal cases). In this case we will provide an individual estimate. Extra hours of clinical work are charged at £135.00 per hour. Travel is charged at a rate of £67.50 per hour travel time and 0.45p a mile.

  4. Attention Deficit Hyperactivity Disorder (ADHD) Assessment and Management in under 18 year olds
    1. This will consist of a neurodevelopmental assessment performed by one clinician. This will include:
      • a full neurodevelopmental history (including questions about trauma and attachment)
      • a physical health assessment
      • a structured observation and interaction with your child /young person
      • standardised testing depending on your child/young person's needs
      • a school observation may be required

      Following the assessment, we will we be able to decide whether a diagnosis of ADHD is appropriate. The outcome is given to the family and any other professionals involved who can attend. A clinical report is also written to detail our findings.

      At this point we can give you advice and recommendations for the future, sign post you to free services if appropriate, and consider offering further interventions through our service to help achieve change. If appropriate, medication can be recommended (see ADHD Medication Initiation and titration).

      These assessments can be done over a virtual platform or face to face, if possible, with the COVID-19 pandemic guidelines at the time.

      Cost – £787

      If ongoing care for ADHD is required, the cost for follow-up consultations with our Consultant Paediatrician or Consultant Psychiatrist are £280.
      On request we can also provide ADHD training courses for parents and carers.

  5. Assessment of challenging behaviour and emotional or mental health problems, family functioning and/or trauma
    1. This will include:
      • a developmental history (including questions about trauma and attachment)
      • a basic screening using interaction with and observation of your child.

      This can involve a Clinical Psychologist alone, and/or another clinician alongside the Clinical Psychologist e.g. a paediatrician, family therapist and specialist nurse. If two clinicians are involved a meeting will need to take place between the clinicians in order to develop a shared understanding/formulation and come to an agreement about how to advise you as a family.

      Cost - £861 one clinician; £1131 two clinicians.

  6. Attachment style interview for adoption and fostering
    1. This is an evidence based adult support assessment tool for adoption and fostering practice. It aids the understanding of the parent/carer's current supportive network including the quality of their partner's and other close supportive relationships. It measures their ability to make and maintain relationships and their overall attachment style.
    2. Some people may want this assessment to understand and support their family functioning.
    3. It can also be used for appropriate matching in fostering and adoption.
    4. This will involve one clinician and will take up to two hours face to face for each individual assessed.
    5. It will include a full written report with advice.
  7. Cost : £750

  8. Paediatric Health and Developmental assessment
    1. This will include:
      • a developmental and medical health history (including questions about trauma and attachment)
      • a basic screening using interaction with and observation of your child
      • physical examination of the child/ young person
      • in children up to the age of 5 years, it will also include standardised developmental assessment.
    2. This assessment can also be used as an initial health assessment for children looked after
    3. This will involve one clinician, usually a paediatrician.
    4. It will take up to two hours to complete.
    5. It will include a full written report with advice.
  9. Cost : £505

  10. Psychiatric assessment (online)
    1. This will include a developmental and psychiatric history and a basic interaction and observation of the child/young person/ adult
      • This is completed by a psychiatrist
      • The assessment and feedback will take place over a virtual platform
      • It will include a full written report with advice.
  11. Cost for online assessment: £720. Face to face assessment will incur an extra charge.

  12. Speech and language therapy assessment
    1. This will include :
      • a developmental history.
      • a basic screening using interaction with and observation of your child.
      • Assessment of understanding and use of language and effective communication.
    2. This will involve one clinician, a speech and language therapist.
    3. It will take up to two hours to complete.
    4. It will include a full written report with advice.
  13. Cost : £505

  14. Continence assessment
    1. This is offered for children above the age of 5 years
    2. The assessment will include:
      • a developmental and medical health history (including questions about trauma and attachment)
      • a basic screening using interaction with and observation of your child
      • physical examination of the child/ young person
    3. This will involve two clinicians, usually a paediatrician and a specialist nurse.
    4. It will take up to two hours to complete.
    5. A meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider as clear an understanding as possible of the situation. We will provide you with support and/or advice. If appropriate, we would recommend further assessments
    6. Cost – £649. This includes a basic A4 summary report to your GP. A full report will be at an additional cost.
  15. Assessment of unexplained physical symptoms
    1. This will include :
      • a developmental history (including questions about trauma and attachment)
      • a basic screening using interaction with and observation of your child.
      • physical examination of your child/ young person
    2. This involves two clinicians and will take up to two hours. This will include a clinical psychology and paediatric assessment.
    3. A meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider as clear an understanding as possible of the situation. We will provide you with recommendations for further assessment, support and/or advice.
    4. Cost – £649. This includes a basic A4 summary report to your GP. A full report will be at an additional cost.
  16. Standard Sensory Integration assessment
    1. This is a standard assessment by a Specialist Occupational therapist and will include:
      • Sensory questionnaire completed by parents online, in advance of the initial meeting
      • Parent Zoom interview to gather background information, developmental history and discuss the sensory questionnaire
      • Face to face assessment with the child. Assessment may include standardised occupational therapy assessments and structured clinical neurological observations (related to sensory processing)
      • Analysis of the results of the assessments and production of a short report which includes recommendations based on the identified areas of need
      • 30-minute feedback session via Zoom to parent(s)/carer(s) explaining the report and giving recommendations.

      Cost – £825. This includes a Summary Report and recommendations (approx. 2 pages)

      Please note that the face-to-face assessment is normally carried out in the clinician's premises. If travel to another location is required, this will be charged at the rate below.

  17. Comprehensive Sensory Integration assessment
    1. This is a full assessment by a Specialist Occupational therapist and will include:
      • Sensory questionnaire completed by parents online, in advance of the initial meeting
      • Extended Parent Zoom interview to gather background information, developmental history and complete/discuss the sensory questionnaire in more detail
      • Sensory questionnaire completed by School online
      • Face to face assessment with the child. Assessment may include standardised occupational therapy assessments and structured clinical neurological observations (related to sensory processing) and discussion with the teacher and/or SENCO. Standardised assessments may include assessment of motor skills, visual motor integration, motor coordination, visual perception and handwriting
      • Analysis of the results of the assessments and observations and production of a comprehensive report which includes recommendations for school and home, based on the identified areas of need. This is suitable for EHCP target setting
      • 1 hour feedback session via Zoom to parent(s)/carer(s) explaining the report and practical demonstration of recommendations and equipment.

      Cost – £1080 - This includes a Full Comprehensive Report and recommendations (approx. 20+ pages)

      Please note that the face-to-face assessment is normally carried out in the clinician's premises. If travel to another location is required, this will be charged at the rate below.

  18. Adult ASD Assessment
    1. A joint clinical assessment takes place using clinical interviews, observations and standardised tests. Every assessment includes:
      • A developmental history (including questions about trauma and attachment)
      • A structured observation of the person's levels of activity, sensory experiences, speech, language, communication and social interaction skills
      • We will choose from a battery of standardised testing depending on your needs. These might include Autism Diagnostic Observation Schedule-2, Language assessment, Cognitive assessment, sensory assessment etc
      • This involves 2 clinicians from a range of professional backgrounds
      • This assessment will take place over a number of sessions.

      A multi-disciplinary meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider an understanding of the situation. At this stage will we be able to decide whether a diagnosis is appropriate. The outcome is shared in a feedback appointment. A clinical report is also written to detail our findings. We can give you advice and recommendations for the future, sign post you to free services if appropriate, and consider offering further interventions through our service to help achieve change if required.

      Cost – £1265

      In some circumstances at the outset we may become aware that your situation is more complex than the standard ASD assessment would cover (e.g. in some legal cases). In this case we will provide an individual estimate. Extra hours of clinical work are charged at £135.00 per hour. Travel is charged at a rate of £67.50 per hour travel time and 0.45p a mile.

  19. Adult ADHD Assessment
    1. A clinical assessment takes place using clinical interviews, observations and standardised tests. Every assessment includes:
      • A full developmental and psychological history
      • A structured observation of the person's levels of activity, sensory experiences, speech, language, communication and social interaction skills. This can be done face to face or via Zoom virtual platform.
      • We will choose from a battery of standardised testing depending on your needs. These might include Conner's questionnaires, Qb Check etc
      • The ADHD DSM-5 criteria are used to fully assess and provide you with the appropriate diagnosis. Conditions that might share similar symptoms to ADHD are also considered
      • A Zoom feedback appointment to discuss the outcome of the assessment. At this point we can give you advice and recommendations for the future, sign post you to free services if appropriate, and consider offering further interventions through our service to help achieve change. If appropriate, medication can be recommended
      • A clinical report is also written to detail our findings.

      This assessment involves 1 or 2 clinicians from a range of professional backgrounds.
      These assessments can be done over a virtual platform or face to face if possible, with the COVID-19 pandemic guidelines at the time.

      Cost – £745. This includes a full report

      In some circumstances at the outset we may become aware that your situation is more complex than the standard ADHD assessment would cover (e.g. in some legal cases). In this case we will provide an individual estimate. Extra hours of clinical work are charged at £185.00 per hour.

      Travel is charged at a rate of £67.50 per hour travel time and 0.45p a mile.

  20. ADHD Medication initiation and Titration (Adults, children and young people)
    1. After an ADHD diagnosis if you choose to try medication, you will need to go through a process called titration where you have frequent contact with a clinician to judge what is the best medication and dosage for you. This titration is done by our specialist ADHD nurse. Costs are as follows:
      • £150 per month, including the cost of a monthly prescription. This will give you at least weekly contact with an ADHD specialist nurse prescriber. The clinician will work with you on achieving the right medication at the correct dose to ensure you are on the best treatment for you
      • Additional prescriptions will be £55 each
      • Your medication can be obtained from a local pharmacy, which you will pay for as a private prescription. Please note that medication costs can vary considerably, between pharmacies and between medications
      • Alternatively, you can receive your prescription from a specialist online pharmacy, with the medication delivered to you by courier, wherever you want it delivered
      • When you are on the optimal medication for you, you will be reviewed. At this stage you will be handed over to your GP on a shared care agreement and they will hopefully agree to take over prescribing. This review and organisation of the shared care agreement will cost £185.

       

Please note that if required extra hours of clinical work are charged at £135.00 per hour. Travel to venues away from our premises is charged at a rate of £67.50 per hour travel time and 0.45p a mile. This will always be discussed and agreed at the outset.


Boys looking out over lake
Boys looking out over lake

Health Horizons Limited services offered

These are the interventions currently offered by our team of professionals. Prices are dependent on the service required. We can also provide other services that are not listed on request. Please contact us for further information.

  1. Attention Deficit Hyperactivity Disorder management and support
  2. Specialist sleep services
  3. Life story work
  4. Trauma therapies for example Eye Movement Desensitization and Reprocessing (EMDR)
  5. Psychological therapies for example Cognitive Behaviour Therapy (CBT)
  6. Play therapy approaches
  7. Family therapy
  8. Specialist parenting behaviour support
  9. Family based and individual therapies for eating disorder
  10. Specialist continence interventions
  11. Communication focussed programmes
  12. Prescribing medication

 


Contacts and Referrals

Please feel free to contact us about any concerns you may have. We prefer to be initially contacted by email.

Email: info@healthhorizons.org.uk

If you wish to make a referral, please download and complete the appropriate referral form and return it to us:
Email: info@healthhorizons.org.uk

Adult Referral Letter (Word doc)
Adult Referral Letter (PDF)

Children and Young People Referral Letter (Word doc)
Children and Young People Referral Letter (PDF)

It is important that you feel you can work with us as having a good relationship is key to any support you receive. Health Horizons Limited will only agree to begin the assessment process if we all agree we can work together.

Please read the privacy policy before sending Health Horizons Limited any of your personal data. If you choose to send us any personal data, this must be with your consent for Health Horizons Limited to have this information. Health Horizons Limited recommend that information is only sent to us in a password protected document. Do not send Health Horizons Limited any information, if you do not consent for us to have it.