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Royal Cornwall Hospital NHS Trust - Community Paediatrics
Services and organisations that have the Local Offer flash have filled out inclusion information, meaning that they meet the needs of people with Special Educational Needs and Disabilities (SEND)

Community Paediatrics, Children in Care Team (CIC), and Children’s Community Therapy Services (CCTS) work in partnership within the department of Community Child Health at the Royal Cornwall Hospital NHS Trust.

The Service will be delivered by locally based community paediatricians supported by consultant community paediatricians with county wide responsibilities.

The service will specifically target vulnerable, disadvantaged children and those with disability as a result of complex health needs.

The Service will be available to all families, children and young people who meet out inclusion criteria and live in Cornwall and the Isles of Scilly.

The Service is community focussed and therefore will be delivered from appropriate locations and within suitable settings in order to ensure an effective service for children and young people, close to where they live.  This may include the service user’s home or place of residence or nursery or school as well as local clinic settings and the hospital.

Who to contact

Contact name
Liz Taylor
Contact position
Medical Secretary
Telephone
01872 254514

Where to go

Name
Community Child Health Department
Address
Pendragon House
Royal Cornwall Hospital
Truro
Postcode
TR1 3XQ

Time / date details

When is it on?
Monday - Friday (excluding bank holidays) 9am - 5pm
Time of day
Afternoon
Morning

Other details

Availability

Referral required
Yes
Referral details

Inclusion criteria:

  • Statutory Assessments for medical advice for children with Special Educational Needs
  • Statutory Initial and Review Health Assessments for Children in Care
  • Statutory Adoption medicals
  • Children who are not achieving their developmental milestones
  • Children  requiring multidisciplinary assessment for complex health needs
  • Children with a life limiting illness
  • Specialist clinical work ,all of which have individual eligibility criteria ( Autism, neuromuscular, post adoption, feeding, epilepsy, obesity)

Exclusion criteria:

  • Children who require an ADHD assessment who are five years old and above may be seen within Child and Adolescent Mental Health Services. 
  • Children beyond 5years 6 months who require an autism assessment will be seen via the ASDAT within CAMHS.
  • This service does not provide medical treatment or interventions for challenging behaviours.

Discharge criteria:

  • Children reaching their 18th birthday alongside transition planning.
  • Children that move out of Cornwall and the Isles of Scilly.
  • Children who meet our exclusion criteria and are referred to CAMHS
  • Children who fail to attend on two consecutive occasions (RCHT DNA policy)
  • Children whose difficulties have resolved.
  • Children whose long term needs are now being met by alternative providers (eg Primary Care).

Referrals will be through a number of avenues, usually via GP, Health Visitor, School Nurse or School Senco.

No referral form is required but we require a formal referral letter summarising the current difficulties and any relevant history.

Inclusion details

Saint Piran's Flag
How we make our service inclusive

• Community paediatric assessment of children identified as in need of the service and meeting referral criteria. • Specialist paediatric assessment and review of children with significant and complex health needs. • Surveillance of children at Special Schools with complex health needs. • Intermittent review of children at mainstream schools with significant health or developmental needs. • Medical advice on health concerns related to Special Educational Needs, Adoption and Fostering. • Liaison and joint working with both Community Paediatric Therapy team and Children in Care team. • Multi professional working with other health providers and Agencies to enable local delivery of appropriate care pathways for children who are vulnerable and or with complex health needs.

Staff SEND experience

The community paediatricians work with children and young people who present with a range of complex needs and disabilities. How does your service ensure its members of staff have the expertise needed to support children and young people with SEND? All staff are qualified community paediatricians and have a range of experience working with children and young people with complex needs and disabilities. All staff have access to additional mandatory and vocational training and regular updating locally and nationally. The lead consultant will have a role in maintaining an overview of professional standards alongside that of the Annual Appraisal process locally including the Revalidation process which is mandatory for all doctors nationally.

Support at key transition points

The service will support young people and parents/carers in developing their capacity to reduce the health consequences of long term vulnerability and chronic medical conditions. This will include the appropriate provision of written materials and signposting to other support services. We are able to provide specific Joint Transition Clinics with Adult colleagues in some areas including Neuromuscular conditions, epilepsy and complex neurodisability. We are also able to provide medical advice towards the annual Education Health and Care plans including those that target transition.

Other local or national support

http://www.nice.org.uk provides guidance on many treatments and interventions for children and specifically for Autism, Continence, Spasticity, and Looked After Children.

Resolving disagreements, mediation and making complaints

Community Paediatrics actively seeks your views and experience of the service. Any concerns should be raised with your child’s paediatrician, or if this is not appropriate you should contact the Children’s Community Paediatric Lead. Alternatively, you may wish to contact the Patient Advice and Liaison Service (PALS) on 01872 252793 or pals.service@rcht.cornwall.nhs.uk

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