Why Predictability Matters: The Role of Routine in Positive Behaviour Support (PBS)

In PBS, the most powerful interventions are often the quietest ones โ€” like a consistent daily routine.


Predictability doesnโ€™t mean inflexibility. It means people know whatโ€™s coming next, whatโ€™s expected of them, and where they fit. That kind of certainty is essential for reducing stress, building trust, and encouraging participation.


๐Ÿ“… Why Routines Matter in PBS

  • They reduce the emotional load of constant decision-making.
  • They help people feel more in control and less anxious.
  • They enable smoother transitions and fewer unexpected disruptions.

Routines can be visual, verbal, sensory, or activity-based. The key is that they work for the individual โ€” not just for staff convenience.


๐Ÿงฉ Flexibility Within Structure

Great PBS services build flexibility into structure. You might offer:

  • โ€œChoice pointsโ€ within a routine (e.g. โ€œWould you like to do X or Y first?โ€)
  • Alternative plans for when something changes unexpectedly
  • Visual tools that allow people to rearrange activities themselves

This keeps things person-centred โ€” not prescriptive.


๐Ÿ“ In Tenders and Inspections

To stand out, describe:

  • How you co-produce routines with individuals and families
  • How routines are adapted over time as the personโ€™s needs evolve
  • Any tools you use โ€” like visual planners, Now-and-Next boards, or sensory schedules

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Chat on WhatsApp or email Mike.Harrison@impact-guru.co.uk

Updated for Procurement Act 2023 โ€ข CQC-aligned โ€ข BASE-aligned (where relevant)


Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd โ€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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