Individual Placement Contract -MH0228 Cygnet

Patient has a diagnosis of OCD, tourettes, tics, depression, suspected autism but not yet assessed as yet. Presents with risk of harm to self and others - head banging, punching, scratching, poking eyes, self neglect, poor medication adherence, absconding.

Due to the increase in risk the patient can no longer be safely managed in the community despite being on 4:1 staffing ratio. Cygnet Harrow is an inpatient hospital that offers assessment and treatment to individuals with mental health needs and who have a dual diagnosis of autism spectrum disorder.

Given the significant clinical risk and lack of NHS bed urgent admission was sought. This direct award is appropriate and proportionate to the urgent need and will be reviewed inline with the PSR guidance.

A mental health assessment was carried out on the 25th July 2025 and patient placed on Section 2 of the MHA and hospital admission recommended. A placement was found at Cygnet Hospital Harrow as there were no NHS beds available.

Admission was agreed and signed off by Chief Finance officer, Helen Jameson 19.08.25 Contract start date: 25/07/2025. To be reviewed every 3 months