What the Children’s Community Medical Services do
Community Paediatricians are doctors specially trained in the assessment and diagnosis of a number of conditions in children and contribute in their management:
- Neurodevelopmental disorders: these are conditions like Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Developmental Co-ordination Difficulties (DCD)
- Neurodisability, such as Cerebral Palsy, muscle disorders and some of the other neurological conditions in children
- Chromosomal abnormalities such as Down Syndrome
- Learning Difficulty (SEN)
- Safeguarding children
Early intervention with children reduces the future likelihood of major intervention being necessary.
The quality of life achieved later is greatly affected if the child does not maximise their potential at the earliest possible time.
The Community Paediatric Medical Service will enable the children of Halton (and parents/caregivers) to receive relevant treatment, advice and support for their condition, at the earliest possible time to benefit them in later life.
Where we work
This service is mainly based at:
The Child Development Centre (CDC)
Crow Wood Lane
0151 495 5400
There are also satellite clinics at Hallwood Health Centre, St Paul’s Health Centre, Castlefields Health Centre in Runcorn and Chapelfield and HCRC Clinics in Widnes.
Services are also provided from local Children’s Centres on an adhoc basis.
In addition clinic sessions are undertaken at some special schools for children with complex and multiple difficulties.
Who does this service provide for
This service is a secondary referral service. Referrals are taken from health professionals and specialist teachers and educational specialists.
It caters for children with developmental problems, neurodevelopmental difficulties or disability aged 0 – 16 or up to 19 if attending special schools.
Children are also referred from secondary children’s services at Warrington and Halton Hospitals, Whiston Hospital and Countess of Chester Hospital.
How decisions are made about how we work with families
What families can expect from Community Paediatricians:
- Expert assessment including in depth case history and medical evaluation.
- Collation of information about the child or young person to inform diagnosis.
- Liaison with other professionals, including Therapists and Education staff
- To be fully involved in the development of a management plan for their child that the family, nursery / school staff and others will implement.
- Families can expect that they and important others, such as teaching staff, develop. their own skills in using the appropriate strategies to support their child on a daily basis.
- Those who work with the child have written information which is always copied to the family.
- That Community Paediatricians will contribute to Education, Health and Care plans where appropriate for children and young people with additional needs.
- Families can expect signposting to other agencies and services where appropriate and when families consent to this beneficial support.
How to use the service
Many of the referrals come from the complex case allocation panel.
Complex case referral forms are sent to the child development centre where they are discussed weekly by a multi-professional and multiagency panel and cases are allocated to appropriate professionals to assess according to the child’s need.
All children are seen before 18 weeks from referral.
The service may offer follow up appointments if the child / young person has a need to be seen again by the Community Paediatricians.
There is no cost for families to use the Children’s Community Medical Services.
Moving on – transitions and discharge
Once the Community Paediatrician has complete the medical assessment and where support is being provided by other professionals and other agencies it may be that the role of the Community Paediatrician is complete.
A small number of children may need to continue to be involved with the service, such as when medication is being prescribed. In these cases a young person’s needs are continually reviewed and reassessed.
Where the service continues to be involved at transition points, such as moving from primary to secondary, this transition will be supported to be as seamless as possible by ensuring links are made with other services.
The Community Paediatricans service does not deal with acute conditions e.g. acute asthma attacks, infections, convulsions etc.
The Children’s Community Medical Services is involved with early detection and intervention with children with additional/complex needs.
So when the child / young person or their parents / other professionals are self-sufficient with respect to knowledge about appropriate strategies the service will discharge the child to the care of these relevant others.
This is likely to be at the point where:
- Support is being provided by other professionals
- Medical intervention is not required
The decision to discharge to the support of all others in the child’s life will always be discussed and agreed with the child or young person, their family and other relevant professionals.
How we communicate with service users and how you are involved in decision making/planning
You can mainly expect to speak to us face to face in appointments and occasionally by appointment by phone, if clinically required. You can also expect to receive letters and reports.
We will contribute to Education, Health and Care plans and review for children and young people with additional needs.
We value what you say
We routinely ask for feedback from you to see how we are doing.
This may be a request for verbal feedback, or we will ask you to complete a ‘Talk to Us’ feedback form.
This information will be treated confidentially, and may be used by the team in order to improve our service.
Who you can contact for further information
For general enquiries regarding Community Paediatrics, specific enquires about a child, or for questions about a referral please get in touch with your Health Visitor or School Nurse.
In order to offer integrated, high quality services for children, all of our Childrens Services work closely with preschools, nurseries and schools.
We share information about the outcomes of assessments and the strategies recommended in order that preschools, nurseries and schools implement the same strategies on a daily basis.
We also inform preschools, nurseries and schools when a parent does not attend an appointment.
This will greatly help your child, but it you do not wish information to be shared you may withdraw your consent at any time.
Other sources of information
Halton Families Information Service is sent details of additional needs activities and activities for 13-19 years old as and when they turn up. Vist their Facebook page.
For information on children with ASD