The consultant Community Paediatricians are part of the Kingston Hospital Trust Child Development Team providing services for children and young people aged 0 to 18 years who have a range of developmental and special needs.
The consultant Community Paediatricians carry out neuro-developmental assessments looking at aspects of children’s hearing, vision, motor, speech, behavioural, learning, sensory, feeding, social and general development and, where possible, carry out joint assessments with in-house and external therapy colleagues. They carry out statutory assessments for children who are looked after and those children going through the education, health and care plan process. There are designated clinics for children with Downs Syndrome.
Community consultants run outreach clinics for children who attend local special schools and work as part of the Social Communication Assessment Team. They participate in the clinics of visiting orthopaedic and neurology professionals.
Community Paediatrics Referral Criteria:
Referrals are accepted only for children registered with Kingston GP.
Referrals are accepted from:
- Kingston GPs
- Health Visitors
- SENCo/INCo, School Nurses
- Other medical consultants
Reasons for Referral
Children below 5 years:
- Neuro-developmental concerns
- Genetic condition known to be associated with developmental problems (e.g., Down Syndrome)
- Neurological/ Neuromuscular problems associated developmental problems
- Movement Disorder (including Cerebral Palsy)
- Social communication problems (Autism Spectrum Disorder)
- Severe impairment in hearing or vision in context of abnormal development
- Prematurity - less than 28 weeks gestation +/ <1000gm Birth weigh once discharged by the neonatal team
- Neonatal cranial complications (e.g. IVH, hydrocephalus, Hypoxic ischemic encephalopathy, peri-ventricular leukomalacia)
- Complex medical needs likely to cause developmental delay or learning difficulties
- Assessment for Attention Deficit Hyperactivity Disorder (ADHD)
Children and young people below 18 years:
- Assessment of children with Autism Spectrum Disorder or Attention Deficit Hyperactivity Disorder if they have severe learning disability
- Genetic condition which require long term surveillance e.g., Down Syndrome
- Neuromuscular disorders
- Movement disorder – needing hip surveillance
- Developmental Coordination Disorder joint with Occupational Therapist
Statutory Special Educational Needs Assessment (from Education) for children open to the Community Paediatric team
Statutory looked after children/adoption work (from social services)
Referrals NOT appropriate for Community Paediatrics
- Enuresis – refer to School Health Nurse at Hollyfield House
- Emotional and behaviour problems – refer to Single Point of Access,
- Specific learning difficulties – Dyslexia refer to school.
- Autism or Asperger’s Syndrome in a child older than 5 years without severe learning difficulties - refer to Single Point of Access (SPA) for assessment by CAMHS
- Learning difficulties – academic difficulties in school aged children should be assessed by the school SENCO and/or Educational Psychologists.
- Feeding and sleep difficulties- Refer to Heath Visitors for a child under 5 years of age or GP to refer to specialist clinics at Evelina Hospital
Making a Referral:
The referral gateway is through the Achieving for Children Integrated Services for Children with Disabilities based at Moor Lane.
The Community Paediatric Service take part in the weekly integrated team around the child (ITAC) meetings held at the Moor Lane Centre. These act as a single point of access for all referrals to the ISCD, as well as providing care pathway planning for children and young people who meet the criteria for the service as a whole and who require multi-agency or multi-disciplinary involvement.
Please use the online referral form and enclose all relevant reports that are available.
Contact Name: Referrals through the Integrated Service for Children with Disabilities at Moor Lane
Telephone: 020 8547 6339
Address: The Integrated Service for Children with Disabilities, The Moor Lane Centre, Moor Lane, Chessington, KT9 2AA