Children's Community Medical Services

Services

North & Mid Beds

Child Development Centre

The service provides Paediatric Medical and Nursing Services to children and young people.  In addition, it provides specific role related functions such as

  • Named Doctor for safeguarding children
  • Designated Doctor for Education
  • Lead Doctor for Newborn Hearing Screening Programme & Looked After Children (medicals)
  • Medical Advisor to Adoption Panel
  • Lead Paediatrician to the  Child Death Overview Panel
  • Role of Lead Professional & Team around the Child

The service complies with statutory requirements and has extended its role to develop health activities in line with "Every Child Matters".

Multi-Disciplinary Services Available at the Child Development Centre, Kempston:

  • Community Paediatricians
  • Early Support Service which aims to provide co-ordination of care and improve the outcomes for children, young people and their families through integrated support.
  • Special Needs Nursing Team which include provision of Nurse Led clinics (behaviour, sleep & bowel clinics- current/prior attendance at CDC not pre-requisite but must have additional need or disability)
  • Speech and Language Therapy
  • Physiotherapy - including Orthotics service
  • Occupational Therapy
  • Audiology
  • Ophthalmology
  • Education Support Teams (Early Years and Sensory Impairment Teams)
  • Liaison Social Worker - Children With Disability Team

South Beds & Luton

Edwin Lobo Unit

  • Services Offered at the Redgrave Children & Young people's Centre:
  • Community Paediatricians
  • Paediatric Community Physiotherapy
  • Paediatric Community Occupational Therapy
  • Paediatric Community Speech and Language Therapy
  • Sure Start
  • Health Visitors
  • Midwives
  • Childminding Association

Who to Refer

North & Mid Beds

Suspected developmental delays or disorders

  • Neuro-developmental problems such as Autism Spectrum Disorders, Cerebral Palsy, Epilepsy
  • ADHD and associated behavioural problems (excluding anxiety disorders, depression, mood disorders, Obsessive Compulsive Disorders, suicidal tendency)
  • Developmental Coordination Disorder / Dyspraxia
  • Enuresis, encopresis and constipation 
  • Special Educational Needs ( we do not accept referrals to confirm/rule out dyslexia)
  • Children with additional needs/disability and having sleep/ behaviour/ toileting/ feeding problems

Additionally

  • Adoption and Looked After Child medicals
  • Alleged neglect, physical, emotional and sexual abuse 

Referral Guidance for Early Support Service

Referral Guidance for Occupational Therapy

 

South Beds & Luton

Multi-Disciplinary Assessment:

MDAs will be offered to children 0-5 years of age for initial assessment of their development and special needs. The child will always be seen by a paediatrician and usually the following professionals - speech and language therapist,  SENST/EYSS (education), orthoptist, audiologist, and social worker (Luton Children's Disabilities Team) if available.

Children are usually seen for a multi-disciplinary assessment if they have complex health needs affecting their development, or delay in more than one area of their development, including:

  • Physical disability or significant motor delay*
  • Medical diagnosis associated with developmental delay
  • Speech and language difficulties
  • Social communication difficulties
  • Behaviour difficulties where there is an additional concern about development  delay/disorder.

*As there is currently no physiotherapy/occupational therapy input to MDAs, referrers should make a direct referral to the physiotherapy/OT services if indicated.

Individual Assessment:

Children aged 0-16 years can be referred for an individual assessment to be carried out by a paediatrician.  Occasionally young people up to 18 years may be seen if in full time education or up to 19 years if attending special schools.  This would usually be under special circumstances however, for example when such young people move into the area and require paediatric follow up.

Pre-school children may be seen for an individual assessment if they do not meet the criteria for a multi-disciplinary assessment, for example where there are concerns about behaviour (without associated developmental delay) which have not responded to primary measures put in place at home and/or nursery.

School age children may be seen for assessment and follow up as appropriate of:

  • Persisting developmental difficulties or disorders
  • Physical disability
  • Learning difficulties
  • Social communication difficulties including Autism and Asperger's syndrome
  • Sensory impairment
  • Emotional behaviour disorders, including ADHD** (unless there are significant mental health concerns, when referrals should be made directly to the Child and Adolescent Mental Health Services)

**Referrals for children with behavioural problems will only be accepted if there is evidence that primary measures have been put in place at home and/or in school and that despite these problems are persisting.

In addition referrals should be made to the Edwin Lobo Centre for:

  • Adoption and fostering medicals (referrals from Adoption and Fostering Team)
  • Statutory assessment medicals (referrals from Luton and Bedfordshire Education services)
  • Child protection and child 'in need' assessments (mostly referred by Social Services)
  • Encopresis clinic

Who not to Refer

Across Bedfordshire & Luton

  • Anxiety disorders, depression, mood disorders, OCD, self harm
  • Dyslexia
  • Behavioural management  concerns - more appropriately supported by 0-19 Team and Universal Services

Resources

North & Mid Beds

Patient Information Leaflets (PILs)

CDC patient information leaflet
Early Support in Bedfordshire

Patient Pathways

CDC referral pathway

Autism in Children & Young people available at
http://pathways.nice.org.uk/pathways/autism-in-children-and-young-people


South Beds & Luton

Patient Information Leaflets

Children's Therapy Services - Edwin Lobo

Patient Pathways

Autism in Children & Young people available at
http://pathways.nice.org.uk/pathways/autism-in-children-and-young-people

NHS Choices

Serious conditions and special needs in children

http://www.nhs.uk/Planners/birthtofive/Pages/Seriousconditions.aspx

Patient Support Groups

Early support programme information available at www.earlysupport.org.uk

Contact a Family brings together the families of children with special needs and gives information and advice. You can phone the free helpline on 0800 808 3556 or go to www.cafamily.org.uk

Families united Network - Support group for Bedfordshire Families with a child with a disability or special needs available at http://www.familiesunitednetwork.co.uk/

Autism Bedfordshire- Autism Bedfordshire is an independent charity providing information, advice, emotional and practical support to individuals with Autistic Spectrum Conditions, (A.S.C.) their parents/carers, families and associated professionals throughout Bedfordshire and Luton available at http://www.autismbedfordshire.net/

Scope- supports disabled people and their families through practical information and support, particularly at the time of diagnosis and in a child's early years available at www.scope.org.uk

Mencap- aims to work in partnership with people with a learning disability and all Mencap services support people to live life as they choose. Local branch information available at http://www.bedfordmencap.org.uk/



Last updated: 02/07/2012

Update due: 02/07/2013