Assessment before private clinical services

Before offering private clinical services to autistic patients, carry out an assessment that covers the clinical suitability of the service and the person's communication, sensory needs, anxiety, and likely tolerance of the appointment.

Clinical assessment

Record the purpose of the service, the patient’s medical history, current medicines, relevant contraindications, and any safety issues that could prevent safe delivery in the pharmacy.

Behavioural and sensory assessment

Identify the patient's communication preferences, common triggers for distress, and sensory sensitivities. Some patients manage well in a consultation room but have difficulty with waiting areas, transitions, touch, or unexpected changes. Others may need written information, extra time, a supporter present, or a quieter environment.

• Communication preferences: Note how the patient best receives information, how they ask questions, and how they indicate agreement, uncertainty, or distress.

• Sensory sensitivities: Note whether lighting, noise, smells, touch, crowding, or the clinical environment affect the patient's ability to engage.

• Behavioural assessment: Observe the patient's responses in the pharmacy, including signs of anxiety, overload, withdrawal, agitation, or difficulty coping with uncertainty.

• Practical support needs: Consider whether changes to timing, pace, privacy, the presence of a carer or supporter, or using a different setting are needed for the service to proceed safely and effectively.

Use the assessment to plan care that is safe, respectful, and feasible for the patient.

Based on the findings, pharmacy staff should agree with the patient and, where appropriate, carers or other healthcare professionals how best to deliver the service. This may include adjusting the setting, communication style, pace, timing, or deciding that another setting is more suitable.

Patient instructions

Give clear information to the patient and, where appropriate, their carer or supporter. Explain what will happen, how to prepare, and any aftercare, so the appointment is more predictable and less stressful.