Complex Employee Case Support
Service Overview
Helping employers manage employees that everyone is worried about - but nobody knows how to support.
When an employee is experiencing anxiety, depression, burnout, autism, ADHD, PTSD, long COVID, chronic fatigue or work-related stress, managers often feel unsure what to do next.
Serenity Occupational Therapy provides independent, evidence-based occupational therapy that bridges the gap between Occupational Health, HR, managers and the employee.
Our aim is simple:
-
Keep people in work where possible
-
Support a safe and sustainable return to work
-
Reduce sickness absence
-
Improve employee wellbeing
-
Help HR and managers make informed decisions based on the employee's functional needs and occupational demands.
-
Give HR clear, practical recommendations
When you should consider a referral
Employers, OH or HR should consider a referral for an employee when:
-
repeated or prolonged absence
-
unsuccessful previous return-to-work attempts
-
multiple interacting health/work barriers
-
neurodivergence combined with mental health difficulties
-
burnout with significant functional deterioration
-
conflicting recommendations
-
adjustments that have not worked
-
strained employee/manager relationships
-
cases where HR/OH know what the problem is but the employee needs hands-on rehabilitation to progress
A referral may ask us to consider:
-
what functional barriers are currently affecting work?
-
how do these relate to the actual demands of the employee's role?
-
what workplace adjustments may help?
-
what level of work is currently sustainable?
-
would a phased return be appropriate?
-
what rehabilitation is required?
-
are current adjustments working?
-
is further occupational therapy intervention recommended?
Package Fees
Complex Employee Case Support
Structured occupational therapy support for employees who need assessment, practical intervention and support with workplace adjustments.
Assessment and Four-Session Support Package
£1,650
Includes:
-
An initial Vocational Rehabilitation Assessment.
-
A detailed assessment report with recommendations and an individual rehabilitation plan.
-
Four 60-minute occupational therapy sessions tailored to the employee’s assessed needs and agreed goals.
-
Session preparation and routine clinical documentation.
-
Up to 60 minutes of additional liaison with the manager, HR, Occupational Health or referring professional, with appropriate consent.
-
A review of progress within the final intervention session.
-
A concise written outcome report summarising progress, remaining needs and recommendations.
Assessment and Six-Session Support Package
£1,950
Includes everything in the four-session package, with six 60-minute occupational therapy sessions in total.
The additional sessions allow more time to practise strategies, address difficulties as they arise and review how changes are working in everyday life and at work.
Choosing the Appropriate Support
We agree the scope of the work with the referring organisation before the package begins. The recommended package depends on the referral questions, the employee's needs and the level of support required.
Where a referral requires more extensive assessment, documentation or professional liaison, we provide an individual quotation.
Liaison, Reviews and Additional Work
The liaison allowance covers up to 60 minutes in total across professional meetings, telephone discussions and substantive email correspondence following the initial assessment. Routine appointment arrangements are included separately.
Progress is reviewed throughout intervention and within the final session. The closing outcome report summarises the work completed and provides recommendations for next steps.
Additional sessions, meetings, reassessment or detailed reporting can be arranged where required. We explain the proposed work and obtain agreement to any additional fees before proceeding.
Travel time and mileage are quoted separately and agreed in advance.
Additional Services and Fees
Additional support can be arranged alongside your assessment or rehabilitation package. We confirm the scope and cost before any additional work begins. Services already included within your package allowance are not charged again.
Manager Consultation - £95
A telephone or video consultation of up to 30 minutes to discuss existing recommendations, workplace adjustments or practical questions about supporting the employee. Includes brief preparation and a short email summary of agreed actions. Employee-specific discussions require appropriate consent.
Virtual Workplace Meeting - £195
An online meeting of up to 60 minutes with the employee and relevant manager, HR representative, Occupational Health professional or case manager. Includes review of relevant existing assessment findings, preparation and a brief written action summary.
Follow-up Occupational Therapy Review - £175
A review appointment of up to 60 minutes to assess progress against agreed goals, discuss how strategies or adjustments are working and identify any changes needed. Includes preparation, routine clinical notes and a brief written summary of progress and recommendations. A new assessment or substantially revised report is quoted separately.
Half-Day Workplace Visit - £495
Includes up to three hours at the workplace for agreed activities such as observing work tasks, reviewing the working environment, supporting the implementation of adjustments or meeting with the employee and manger. Includes one additional hour for routine preparation and a brief written action summary of findings and agreed actions.
Full-Day Workplace Visit - £895
Includes up to six hours at the workplace where more extensive observation, practical support or discussions are required. Includes one additional hour for routine preparation and a brief written summary of findings and agreed actions.
Workplace visits provide additional input alongside an assessment or rehabilitation package. The purpose and scope of each visit are agreed in advance. Where more extensive preparation, formal assessment or a detailed report is required, we provide an individual quotation before the visit is booked. Travel time, mileage and any agreed travel expenses are charged separately.
Travel Costs
Travel time is charged at £50 per hour and mileage at 45p per mile, calculated for the return journey. Any parking or other necessary travel expenses will be identified in advance. All travel costs are agreed before the visit is arranged.
Additional Reporting and Work Outside the Agreed Scope
Detailed additional reports, substantial revisions arising from new information or changes to the referral questions, and further assessment are quoted separately. We obtain agreement to the additional fees before proceeding. Corrections to errors in our reports are made without charge.
What Happens Once You Refer?
Step 1 - Referral
The employer, HR, OH professional, case manager or insurer provides the referral question and relevant information.
Step 2 - Consent and Information Gathering
The employee is informed about the purpose of the assessment and appropriate consent is obtained.
Step 3 - Occupational Therapy Assessment
We assess the employee's functional abilities in relation to their work demands.
Step 4 - Report and Recommendations
A clear report responds to the referral questions and provides practical recommendations.
Step 5 - Review or Intervention where required
Further occupational therapy support can be arranged when assessment alone is unlikely to be sufficient.
Why Serenity Occupational Therapy
Serenity Occupational Therapy complements Occupational Health and HR input by providing hands-on occupational rehabilitation, working directly with employees to address the functional impact of mental health, neurodivergence, fatigue and long-term health conditions on work performance.
We assess how the employee functions within the demands of their role and provide practical rehabilitation strategies that can support sustainable work participation.
Our reports are written to address the agreed referral questions and focus on functional ability, occupational demands, barriers, strengths and practical recommendations. Where appropriate and with consent, we can liaise with HR, managers, Occupational Health, case managers and other professionals involved in the employee's support.