NTDSS tailors its services to the requirements of each individual Service User.  These services will be delivered by one or more Personal Assistants, vetted and supervised by the management of NTDSS.

Upon receiving a request for Personal Assistant support from a perspective new Service User, a senior staff member will arrange to meet at the earliest convenient opportunity.  This meeting can also include family members and healthcare professionals if the prospective Service User wishes this.  The specific needs of the prospective Service User will be discussed at length, with the participants of this meeting working together to understand exactly how a Personal Assistant service may best enhance the quality of life for the prospective Service User.  The NTDSS staff member will then work to find a suitable candidate to fill this role as a Personal Assistant, before introducing this candidate to their prospective new Service User, allowing both parties to get to know each other and ask any questions that they feel might be relevant.  The decision as to whether or not to then commence this arrangement is entirely under the control of the new Service User.

Personal Assistants may support their Service User in a wide variety of roles.  These include, but are not limited to: assistance with dressing, bathing, eating, use of the toilet or getting in and out of bed.  Collection of prescriptions and assistance or supervision of regular medication programmes at home.  Assistance with exercise and physio programmes.  Use and maintenance of home appliances, mobility and accessibility aids.  Assistance with laundry, cleaning, food preparation, cooking, childcare, shopping and paying bills.  Personal Assistants may also provide transport for Service Users.  This may include trips to shops, places of employment or education, clinics, hospitals, religious services, day centres, holidays, visiting with friends, recreational activities or special events.

Personal Assistants provide assistance rather than care, and their role is directed and controlled by the Service User at all times.