Critical Incident
Referral

Booking Critical Incident Referrals


Wellbeing Solutions deliver a range of critical incident response services to help organisations and individuals deal with unexpected traumatic events.

Critical incident counselling helps teams and individuals in a range of scenarios following a challenging situation or event e.g sudden or harrowing traumatic event, sudden loss, disaster, reduction in force. The CISD responder can help individuals and groups at all levels in you organisation better understand the reasons for their reactions, address a range of feelings, responses or challenges related to the event.

We know that effective and prompt critical incident support can lessen the impact or likelihood onset of some conditions such as - Post Traumatic Stress Disorder (PSTD).

If you are concerned that you or someone you know is at immediate risk of harm. Always consider contacting / 999 for immediate emergency support
Our main Critical Incident Services are:

1. On-site critical Incident support for groups or individuals
2. Off-site (remote) critical Incident support for groups or individuals

Planning Your Response – Before Confirming This Booking:


To get your critical incident support in place, complete the details below as accurately as possible. If you are unsure about this form, please speak to your account manager who will be able to support you.

We recommend that you fully consult with your colleagues (especially managers on-site close to staff affected) before you submit this order form.

Once we receive your completed order form and it has been reviewed, the request is appropriate and booking is confirmed, we can then arrange your CI support. Please note that if the CI requirements change after submission of this form there may be additional charges**.

Please see our Terms and Conditions section of this booking form fees for managing any changes and/or cancellations

Please complete all sections:

Commissioning Manager for authorisation of CI Support.

Finance Information


** Financial authorisation must be confirmed to proceed.

Critical incident Support information:


Our specialist critical incident therapist will attend for either:

a half-day (3 hours) or
a full-day (two 3-hour sessions with an hour’s break in-between) – as indicated by you on the next section of this booking form.

Please indicate if you are anticipating:

a group trauma debriefing sessions (for up to 15 individuals) or
a series of ad-hoc one-on-one counselling support sessions for staff affected.

Our therapists are flexible, and will accommodate your requirements on the day, but it is helpful to know if you are planning a Group Session or just one-on-one ad-hoc sessions. A group session and some one-on-one sessions can be provided within the same half-day or full-day booking.

Onsite contact details

Fees for Critical Incident Support:



Pricing is per responder dependent on no. of attendees.

There are four pricing and service options. Please indicate your selections:
Standard Response - Half-Day:

On-Site = CI Support in place two working days of receipt of fully completed Critical Incident Support form.
£680
Standard Response - Full-Day:

On-Site = CI Support in place two working days of receipt of fully completed Critical Incident Support form.
£1,240
Rapid Response - Half Day:

CI support in place within two-working days of receipt of fully completed Critical Incident Support form
£980
Rapid Response - Full-Day:

If counselling is required within two-working days of receipt of fully completed Critical Incident Support form
£1,660

On-Site Arrangements for Critical Incident Support


• Please ensure that your HR/onsite contact etc is prepared for the session to take place and has made all necessary arrangements. Communications to enable our CI responder to facilitate the sessions as per your booking.

• Sometimes attendee take-up will be limited, or in some cases on the day, no-one will participate. Even if take-up is limited, arranging and publicising the critical incident support is still a very valid and worthwhile exercise as it demonstrates your organisation’s concern for everyone affected.

• Please make arrangements to provide a suitable room as a venue for any on-site group session(s) and/or any one-on-one counselling sessions. This room should be private and free from disturbances for the duration of the CI support.

Who will be our CI responder (s) point of contact on the day?

Terms & Conditions


a)This Referral Form is a contractually binding order to purchase mental health support services from Wellbeing Solutions (registered as Work Stress Management Ltd.).

b) Any amendments to this order must be made in writing and confirmed by an authorised representative of Wellbeing Solutions.

c) On receipt of this order, Wellbeing Solutions will start the process of booking a clinician or other suitably qualified individuals to deliver the session(s) at the specified date and time. Cancellation or any alteration of this booking incurs additional charges, reflecting our costs in changing arrangements that we will begin to put in place as soon as we receive this booking.

Changes and Cancellations:

Changes:

If any changes are made to this booking (dates, times, venues etc.) are made after the form has been submitted (emailed to WS), an additional 50% of the booking value will be added to the total value of the original order.

Cancellations:

Once a CI is booked full fee is payable if your requesting organisation cancels or changes the requirements.
If the CI is cancelled 48 hours or less before the booked CI is due to take place – full fees will be due.