Refresh - Community Services for Working Age Adults, with Learning Disabilities, Complex Health Needs, Autism, Mental Health or Physical Disabilities

Individuals will have learning disabilities, autism, physical health needs, sensory impairment and/or mental health needs, but will not need support with personal care and end of life care. Individuals may require support with the following: • They may be living independently or with family or friends. • They will need a small number of hours of support each week or month. The level of support may reduce over time as they build confidence and independence. Support may not always Page 6 to 15 need to be provided one-to-one. • Support will include information, advice, practical support and connections to help people to make their own decisions, and to access training, volunteering, employment, social and community activities. • Active avoidance of restrictive and punitive approaches to managing behaviour that challenges, at all times • Positive strategies to manage early warning signs or triggers, e.g., distraction techniques Additional information: The initial contract term will be from 5th September 2023 to 31st July 2028 however the Council reserves the right to extend the contract by further periods not exceeding 60 months (60 being the maximum available extension period) at the discretion of the Council based on the contract performance of the successful applicant.

Individuals will have learning disabilities, autism, physical health, sensory impairment or mental health needs and may have personal care needs. They may be living independently, with family and friends, or in registered accommodation. They will need more hours of support each week (28hrs+) than those in Lot 1, but this will not be full-time and may reduce over time as they build their confidence and skills. Providers will have the necessary registration to undertake regulated activities and staff will have skills in relation to Positive Behaviour Support. Support will include access and provision of information, advice, community connections, practical support and personal care support Additional information: The initial contract term will be from 5th September 2023 to 31st July 2028 however the Council reserves the right to extend the contract by further periods not exceeding 60 months (60 being the maximum available extension period) at the discretion of the Council based on the contract performance of the successful applicant.

The primary aim of services delivered under this Lot is to reduce the frequency, intensity and duration of behaviour that challenges, as well as mental health and emotional distress, young people and adults with a learning disability and/or autism. Individuals are likely to have behaviour that challenges, behaviours of destructive nature, experienced trauma, forensic needs or fluctuating mental health needs. Types of need may include persistent oppositional disorder, attachment disorder, mental illness, ADHD etc, characterised by a range of issues: emotional issues e.g., anxiety, low mood, anger/aggression, low resilience, social difficulties, self-harm and depression. One of the purposes of this Lot is to facilitate access to providers of specialist services for young people and adults of all ages. We will be looking to commission a range of providers with specialist skills. Providing a range of complex highly specialist clinical assessments and interventions (where required), employing methods based on proven efficacy, for individuals, adjusting and refining clinical formulations Additional information: The initial contract term will be from 5th September 2023 to 31st July 2028 however the Council reserves the right to extend the contract by further periods not exceeding 60 months (60 being the maximum available extension period) at the discretion of the Council based on the contract performance of the successful applicant.

3a - Complex Physical Health Needs Individuals are likely to have multiple complex physical health needs. We will be looking to commission a range of providers with specialist skills in relation to: • Complex physical health needs; Mental Health needs; Profound and multiple learning disabilities; • Individuals are likely to need longer-term care and support, often on a full-time basis. With the right specialist support this may reduce over time as people build their networks and skills. • Providers will have the necessary registration to undertake regulated activities and staff will have specialist skills in relation to managing complex physical health needs. 3b - Complex behaviours Individuals are likely to have behaviour that challenges, behaviours of destructive nature, experienced trauma, forensic needs or fluctuating mental health needs. We will be looking to commission a range of providers with specialist skills in relation to: • Dual diagnosis including physical needs, mental health and/or learning disabilities and/or autism; • Complex behaviours; • Behaviours that can challenge services; • Trauma informed practice. • Forensic Needs Individuals are likely to need longer-term care and support, often on a full-time and 24/7 basis, including 1:1, 2:1, 3:1 support and higher. With the right specialist support this may reduce over time as people build their networks and skills. Providers will have the necessary registration to undertake regulated activities and staff will have specialist skills in relation to Positive Behaviour Support & support and liberty protection safeguarding. Additional information: The initial contract term will be from 5th September 2023 to 31st July 2028 however the Council reserves the right to extend the contract by further periods not exceeding 60 months (60 being the maximum available extension period) at the discretion of the Council based on the contract performance of the successful applicant.