COVID-19 NOTICE: WE ARE OPEN!

We are currently offering a range of services, which are being held via video call until face to face sessions are safe to resume.

We are aware that some families have struggled due to the stress and unusual demands placed on them. To be supportive during this difficult time, we are offering ONE FREE advice session over the phone, to support your child's mental and physical health and development.

Get in touch now on 07498 504854 or on info@healthhorizons.org.uk to arrange a free consultation to discuss your child's needs and how we can help.

A full list of our services and the concerns we work with can be found on our website. If you have any questions, please do not hesitate to get in touch.

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 and young people (aged 0-18 yrs), 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 : £110

  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 - £550. 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 at least 3 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: £1850-£2550 depending on your requirements. Following a basic assessment this will be reduced to £1300-£2000.

      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 £110.00 per hour. Travel is charged at a rate of £55.00 per hour travel time and 0.45p a mile.

  4. 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 involves two clinicians and takes up to two hours. This could include a combination of clinical psychologist, a paediatrician, family therapist and specialist nurse.

      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.

      Cost – £550 if two clinicians involved. This includes a basic A4 summary report to your GP. A full report will be at an additional cost. Please note that in complex cases, if more than two clinicians are required, it will incur an extra cost.

  5. 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.
  6. Cost : £650

  7. 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.
  8. Cost : £395

  9. 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.
  10. Cost : £395

  11. 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 – £550. This includes a basic A4 summary report to your GP. A full report will be at an additional cost.
  12. 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 – £550. This includes a basic A4 summary report to your GP. A full report will be at an additional cost.

Please note that if required extra hours of clinical work are charged at £110.00 per hour. Travel to venues away from our premises is charged at a rate of £55.00 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. 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 referral form and return it to us:
Email: info@healthhorizons.org.uk

Referral Form (Word doc)
Referral Form (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.