West Suffolk CBT Service – Terms and Conditions.

Please retain a copy for your reference.

Payments to the West Suffolk CBT Service

Self funding referrals

For individuals who are self-funding, payment is usually expected directly after each session by cheque, credit or debit card. Cheques are to be made payable to the WSCBT Ltd. We do not accept payment by cash.

Self-funding fees (Dr Nicola Ridgeway) – £175.00 for an initial assessment followed by £155.00 per session thereafter.

Mel Amps – £155 for an intial assessment followed by £130 per session thereafter.

Insurance company referrals

We no longer accept insurance companmy referrals. If you wish we can supply you with an invoice so that you can reclaim therapy fees.

Statutory body referrals (e.g. the NHS)

For individuals who are referred by the NHS, the legal system, social services or rehabilitation companies you will not be involved in the administration of payments. You will not be liable for any payment withheld or not paid by your referrer. We will liaise directly with your referrer for payment.

Length of sessions

Initial assessment appointments usually take between 1 hour and 20 minutes and 1 hour and 30 minutes. Sessions following this will take between 50 minutes and one hour.

Cancellations and fees

No fee will be charged if greater than 24 hours notice is given of a cancellation. We will charge you a full fee if less than 24 hours notice is given of a cancellation. (This fee can be waived at the discretion of your therapist). A full session fee will be charged if an appointment is not attended and no notice is given, as your therapist will need to be present and available to you at our offices throughout your appointment time.

Confidentiality at the West Suffolk CBT Service

Self-funding referrals

Your notes will be kept in lockable filing cabinets, within an alarmed building. No information about your treatment will be given to third parties without your prior permission (except in specific circumstances, see below). We will write to your GP to give information about your case, only if you request this. No information about your treatment will be held on NHS recording systems unless you specifically request this. The West Suffolk CBT Service follows advice as set out in the Data Protection Act. All reports or documents held on computers are password protected as are entry to computers themselves. The West Suffolk CBT Service use McAfee virus protection programs to protect data held on computers and in e-mail accounts. Generally, we make an assumption that e-mail communication is not secure, so if you wish to pass confidential information via e-mail to your therapist we suggest that you do this using a password protected document.

We will supply session notes on request. We will not supply process notes (which are in the form of scribbled notes and are often only legible to the therapist) unless in extreme circumstances. We will offer a report summarising process notes on request.

Circumstances where confidentiality may not apply

If it is the case that your therapist believes that the risk to yourself or others is significant in terms of a threat to your life or a threat to others life, then we may be obliged to break confidentiality and inform third parties from statutory organisations (e.g., your GP or the NHS). We will make attempts to contact you personally prior to any such information being shared.

Clinical supervision of therapists

All therapists within the West Suffolk CBT Service have clinical supervision. Clinical supervision is mandatory for all clinicians and your case may be discussed within clinical supervision. Any information discussed will be kept confidential and your real name will not be used. Notes from supervision consultations will be placed in your file. Therapists at the West Suffolk CBT Service meet for supervision on a bi-weekly basis. If you do not want any of your information being shared with other therapists at the West Suffolk CBT Service please let us know. We make an assumption that for husband and wife or partner/partner dyads who are receiving therapy simultaneously that information will not be shared unless this is explicitly requested by both parties.

Homework and Symptom monitoring

We request that you access the three West Suffolk CBT Service websites to access psychological advice that is related to your sessions. Within this website you will find many homework tasks that we believe will benefit you between sessions (although you are under no obligation to complete homework tasks). We also request that you access symptom questionnaires related to your presenting condition and share your feedback about your symptoms at the beginning of each session with your therapist. Questionnaires can be completed on this website or we can e-mail or post you questionnaires on your request.

Child clients

We are happy to see children in therapy sessions accompanied by their parents, guardians, teachers or carers. On some occasions some children prefer to be seen alone. We are happy to offer children below the age of 16 sessions on their own, if parents or guardians agree to this verbally. We may not be able to share information disclosed within these sessions if a child particularly requests that we do not. This could occur in the circumstance where a therapist decides that a child has sufficient maturity and understanding to make specific decisions about whether he or she wants others to be given information about their sessions. Although children under the age of sixteen are not deemed as legally competent, rulings made in courts have determined that children can be deemed to be legally competent to make decisions about who has access to their information if they have ‘sufficient understanding and maturity to enable them to understand fully what is proposed’. This is based on a concept now known as ‘Gillick competency’ which initially arose in the case of Gillick v West Norfolk and Wisbech Health Authority in 1986. The term ‘Fraser competency’ is also used in this respect (Lord Fraser was the judge who ruled on the case). The West Suffolk CBT Service follows guidelines issued by the department of health which state that parents and guardians of children under the age of 16 should be involved about decisions about their children’s care unless there is a very good reason for them not doing so. Equally guidance suggests that if a competent child under the age of 16 is insistent that their family should not be involved in their treatment, their right to confidentiality must be respected, unless such an approach would put them at serious risk of harm. Risk of harm occurring by not sharing information will be determined by the child’s individual therapist.

If you would like an assessment with a Consultant Psychiatrist we can also arrange for assessment and treatment at our premises.