In Kingston, the Integrated Service for Children with Disabilities (ISCD) includes health service provision as part of the integrated offer to children and families. The health services are commissioned by the Clinical Commissioning Group and delivered directly by AfC staff. The service also commissions an external provider to offer an orthotic service for children. Other services are provided by the ISCD, but commissioned from a different provider. Speech and language therapy is provided by Your Healthcare and community paediatrics by Kingston Hospital. Kingston ISCD health services work as an integral part of the ISCD and are based at the Moor Lane site. This co-location enables communication and liaison and allows for significant joint working practices. Most of the directly employed Achieving for Children health staff are funded through Kingston Clinical Commissioning Group, but therapy services are sometimes funded by the Special Educational Needs Service where therapy intervention and management is concerned with access to educational settings and to the wider curriculum.
Some health services are provided by external providers, for example, wheelchair services and special seating services which are provided by Queen Mary’s at Roehampton through a national NHS England contract. In Richmond, orthotics is also provided by Queen Mary’s.
Other relevant healthcare providers are acute trusts such as Kingston Hospital, St George’s Healthcare, West Middlesex Hospital, Guys and St Thomas’ and Great Ormond Street. South West London and St Georges Mental Health Trust provides support for Kingston and Richmond residents. For example, in the absence of a disability and for children over school age, referrals for autism spectrum diagnosis will be referred to the trust.
How you access health services depends on which GP (doctor) you are registered with and which borough or health authority the GP comes under.