Child Health
Our specialist neonatal team provides care and support for premature babies in our newly developed Neonatal Unit.
The children’s ward at Royal Preston Hospital provides a range of care and treatment for young people. The ward is designed to be welcoming and friendly and put children and young people at ease. Play specialists are on hand to occupy young people during their stay in hospital, and education support is provided to enable children to keep up to date with their studies.
Children’s outpatient clinics are held at both Chorley and South Ribble Hospital and Royal Preston Hospital.
The children’s outreach team provides care and treatment for young people in their own homes.
- About the team
Consultants
Click on a consultant to see more information.
- Community Neurodevelopmental Paediatrics
Support to Children, Young People and Families during COVID-19 Outbreak under Our Care
- New! What to expect on the day of your operation.
Day case unit
Ward 8 Day Case
- Child Health Dietitians
Introducing solids to babies with cow’s milk protein allergy
Reintroduction of cow's milk protein into your child's diet
- Child Health Neurology
While a lot of children ‘grow out’ of their epilepsy, there are a number of young people who will continue to have epilepsy. After many years coming to children’s clinic, they will need to move on to our services for adults. We are aware this can be a daunting process, but we are very keen to support our young people and their families through this process. Some of our young people have made this video to share not only their worries, but also their experience of this transition, and even more importantly give some advice on how to tackle this. We hope this video helps you understand things to come, but please don’t hesitate to ask more at your next clinic visit.’
- Child Health Leaflets
- Child Diabetes
This short video has been made with the help of the Paediatric and Young Adult Diabetes team. In it, young people with diabetes have shared their thoughts, worries and experiences of transition alongside expert advice, reasurrance and support from our dedicated team. We hope this video helps you understand things to come, but please don’t hesitate to ask more at your next clinic visit.
Community Paediatric Service
The Community Paediatric team in Lancashire Teaching Hospitals NHS Foundation Trust provides community and neurodevelopmental services for children and young people across Chorley, South Ribble and Greater Preston. We offer specialist assessment, coordination with other services and long-term support to children and young people and their families with developmental conditions or complex health needs.
We are an outpatient service. We work very closely with our therapy colleagues (physiotherapy, occupational therapy, speech & language therapy) and a specialist nurse. We have established links with health visitors, school nurses, education professionals, educational psychology, audiological physicians, Clinical Psychology, Child & Adolescent Mental Health Services (CAMHS) and Children’s Social Care.
We have a range of expertise areas including assessing and managing children & young people with:
- Neurodisability (neurological problems associated with disability e.g. cerebral palsy)
- Developmental delay or abnormal development in pre-school aged children
- Suspected neurodevelopmental disorders, which include:
- Autism Spectrum Disorder
- Attention Deficit Hyperactivity Disorder (ADHD)
- Developmental coordination disorder (dyspraxia)
- Sensory impairment e.g. newly diagnosed visual impairment or significant hearing impairment
- Neonatal presentations with high risk of developmental delay including those with congenital syndromes
- Special circumstances relating to Childhood Immunisation
- Involvement of the Adoption and Fostering teams – performing medical assessments and
- participation in Adoption Panel Meetings
- Special Educational Needs or Disability (SEND) attending Special School
- Special Educational Needs or Disability (SEND) requiring completion of Health advice
Other involvement of the Community Paediatric team:
• Children 7 years and over with nocturnal enuresis – a dedicated enuresis clinic (nurse led) is available
Enuresis Continence Service Community Local offer
• Audiology: the community paediatric team contribute to the tier 2 audiology service
• Epilepsy: the team offer input into the specialist epilepsy clinics at Royal Preston Hospital
• Tone management: the team offer input into the specialist tertiary tone management clinic led by a consultant paediatric neurologist and a consultant in paediatric neurodisability, supported by a specialist physiotherapist and specialist occupational therapist.
- Address and contact details and area covered
The service is divided into two teams; the team seeing children & young people who live in Chorley and South Ribble, and the team managing those living in Greater Preston. The contact details are:
• Child Health Office, Broadoaks Child Development Centre, Balcarres Road, Leyland PR25 3ED
Telephone: 01772 215560• Child Health Office, Ashton Health Centre, Pedders Lane, Ashton, Preston PR2 1HR
Telephone: 01772 777222
Clinics are held in a variety of community locations including:
Chorley & South Ribble:
Broadoaks Child Development Centre, Leyland
Leyland Clinic
Shawbrook House, Leyland
St Mary’s Health Centre, Penwortham
Coppice School, Bamber Bridge
Mayfield School, Chorley
Chorley Health CentreGreater Preston:
Ashton Health Centre, Preston
Brookfield Clinic, Preston
Avenham Clinic, Preston
Geoffrey Street Clinic, Preston
Ribbleton Clinic, Preston
Acorns School, Preston
Sir Tom Finney School, Preston
Royal Preston Hospital
Longridge ClinicThe service is available 9.00 am to 5.00pm Monday to Friday. Outside working hours if there was an emergency the
family would be directed to contact their G.P. or the Paediatric Assessment Unit at Royal Preston Hospital. 01772 523189 - The service is for:
This service is designed to serve children and young people between the ages of 0 - 16 years, or up to 19 years if attending a special school setting.
- Accessing the Service
The child or young person can be referred into the service by a professional such as their GP, health visitor, school nurse, nursery teacher or school teacher and we accept referrals from colleagues in therapy services, general paediatricians, neonatologists and consultants in other specialties. The service is accessed free of charge.
- Decision making processes used to determine who is eligible to receive a service.
The child or young person will be eligible to receive the service if they are aged between 0 - 16 years, or 0-19 years if attending a special school. The team will assess the referral to decide whether the service is appropriate. All referrals are triaged by the consultant team and either appointed to the service or referred on to a more appropriate service. The referring practitioner is advised of the outcome if the referral is not accepted, otherwise an appointment will be sent to the family.
- Methods of communication with service users/patients and how they are involved in decision making/planning:
We offer a family-centred approach. Children and young people are directly consulted about their plan of care where they are able to comment. Clinical management takes into account the views of parents and carers and is individualised according to the identified needs. Parents and carers receive copies of all clinic letters and consent is obtained before discussing their child with an outside agency. Other methods of communication include:
• Service user information leaflets
• Phone calls to families
The service accesses bilingual interpreters as appropriate for families whose first language is not English. - Service Accessibility:
Services are provided in a variety of settings. All the health centres and community hospital sites are wheelchair accessible and have disabled toilet facilities. There is no out of hours service. If there was an emergency the family would be directed to contact their G.P or Paediatric Assessment Unit (01772 523189) as appropriate.
- Workforce Skills and Training
All staff are compliant with mandatory training requirements and have completed an annual personal development
review with learning and development opportunities identified. The team have specialist training according to their roles and national guidelines and standards. - Contacts for further information
The first point of contact for the parent/carer or child/young person to discuss something about their care would be the practitioner involved in delivering their care.
- Feedback
Queries, compliments and complaints can be discussed with a member of staff or team manager. If you wish to make a formal complaint or compliment we advise that you contact the LTHTR Patient Advice and Liaison Service: PALS@lthtr.nhs.uk Tel: 01772 522972. Incidents and complaints are investigated thoroughly and lessons learnt shared with those concerned and the
wider professional team. Patient experience surveys are distributed to families and children via random selection throughout the year.
- Friends and Family Test
Services for Children and Young People with Special Educational Needs and Disabilities
Here are the details for 'Lancashire’s Local Offer : Lancashire’s Health Services' for our hospital.
- Name of the service
Paediatric Therapy Department.
Our team currently comprises 3 Physiotherapists and 1 Occupational Therapist. The team aims to provide a high standard of therapy across a wide range of presentations and complex needs within Paediatrics.
The service includes input into;
Neonatal Unit
Children’s Ward including Day case Unit
Children’s Clinic including Talipes, Orthopaedics, Cystic Fibrosis and Neuromuscular
We also provide a service for out-patient assessment and treatment of patients within our catchment area.
- Service provision
The team provide therapy for Children and Young People from 0-18 (still within full time education).
Our service also includes close MDT working with Ward staff, Occupational Therapists, Community Paediatric Therapists, Speech and Language Therapists, Specialist Nurses, Specialist teachers, Consultants, Psychologists and School Nurses to ensure the child’s needs are met holistically with an integrated approach.
- Contact Details
How to contact us
Therapy Department
Royal Preston Hospital
Sharoe Green Lane
Preston
PR2 9HT01772 522876
- Accessing the Service
Written referrals into the service are accepted from Consultants, Therapists from specialist Children’s Hospitals and members of the wider MDT (Multi Disciplinary Team). The referrer should provide a brief outline of the child’s presenting condition and relevant medical history.
There are waiting lists within the service, however we aim to see children within the allocated 18 weeks wait guidelines.
- Decision making processes
Decision making processes used to determine who is eligible to receive a service.
All referrals are triaged by a senior member of staff for their appropriateness and relevance, prioritised to their urgency and then placed on the waiting list.
Should a parent wish to know where their child is on the waiting list then they can ring the department and a member of staff will inform them of their position and give parents an idea of the expected waiting time.
- Methods of communication
Methods of communication with service users/patients and how they are involved in decision making/planning.
We do have information leaflets about the service and some of the treatments we provide. Some of these have been translated into other languages as appropriate.
Children receiving treatment are provided with a physiotherapy programme of exercises to be carried out at home. These will include both a written description of the exercise alongside a picture to aid understanding.
Goals will be set alongside both the child and their parents/carers so that we work together to achieve the best clinical outcome. The child will be regularly assessed using recognised validated outcome measures so we can monitor their development / progress and feedback will be provided.
- Accessibility
The Therapy department within Royal Preston Hospital is wheelchair accessible. There is a disabled toilet and changing facilities nearby in main out-patients.
- Workforce Skills and Training
All staff undertake mandatory training and Continual Professional Development to maintain and develop their knowledge and skills.
We have a range of staff with various skills and experience who are available to support one another and provide joint assessments if required, in the best interests of the child.
- For further information
Should parents / carers / children who are already receiving treatment have any questions or queries they should contact their named Physiotherapist in the first instance, if they were unable to answer the query they would liaise with a more senior member of staff / manager.
If the child is not already known to a named Physiotherapist then any member of the team could be contacted, or alternatively the Therapy reception.
If the child or parents did not feel they could contact the named Physiotherapist then they should contact the Team Leader(s) for the service or the Clinical Therapy Manager.
Therapy department 01772 522876
Royal Preston Hospital via switchboard 01772 716565, bleep 3800.
- Feedback
Questions, queries or complaints can be made directly to a senior member of staff within the department, or the Clinical Therapy Manager. Alternatively if parents did not want to contact the Physiotherapy department themselves they could speak with the Patient Advice and Liaison Service (PALS) at the hospital.
The department regularly seeks parents and child feedback about the service with questionnaires. Feedback can also be provided in writing via Therapy Reception of the Clinical Therapy Managers.
Enuresis Continence Service Community Local offer
Lancashire’s Local Offer
Lancashire’s Health Services
Lancashire Teaching Hospitals NHS Trust
- Lancashire Teaching Hospital NHS Trust – Continence Service
Lancashire Teaching Hospitals NHS Trust Outreach Enuresis Service is a specialist nurse-led tier 2 NHS service providing assessment and treatment for children and young people (age 7 years and over) for the management of nocturnal enuresis.
The service supports and promotes physical and emotional health and wellbeing for children and young people who have medium to long-term continence problems. The service aims to promote continence to ensure that optimum health, hygiene and developmental goals are achieved.
The service offers a range of expertise in managing and treatment for nocturnal enuresis:
Interventions could range from one session to on-going support and involvement with the service depending on the presenting problem.
- Address and contact details and area covered
The main location of the service and contact details are:
- The Outreach Team, Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston, PR2 9HT. Telephone 01772 522939
The service works across Preston and South Ribble with clinics based at a variety of community locations. Home and school visits are offered where required.
The service is available 9.00 am to 5.00pm Monday to Friday. Outside working hours if there was an emergency the family would be directed to contact their G.P. or the Paediatric Assessment Unit at Royal Preston Hospital. Telephone 01772 523189
- The service is for:
This service is designed to serve children and young people between the ages of 7 - 19 years who suffer from nocturnal enuresis. Daytime continence issues and children under 7 years with nocturnal enuresis will be seen by a Consultant at either Royal Preston or Chorley & District Hospital. To be eligible to receive the service, the child or young person should be aged between 7 - 19 years and be registered with a Preston or South Ribble GP.
Transition into adult continence services begins at age 16 years and as we are a small team this is usually a seamless process enabling the adult nursing team to meet young people and their families when continuous care into adulthood is needed.
- Accessing the Service
The child or young person can be referred into the service if they are experiencing bladder problems.
Initial assessment of need will be completed by GP, School Nurse, Health Visitor or Consultant and they will begin initial treatment. Where treatment is unsuccessful, or needs are complex, referral into the Continence Service will be accepted.
The team can be contacted directly to gain advice, support or signposting. The service can be accessed free of charge. Waiting lists exist however individual needs are reviewed at referral and allocated for initial assessment accordingly.
- Decision making processes used to determine who is eligible to receive a service.
The child or young person will be eligible to receive the service if they are aged between 7 - 19 years and are registered with a Preston or South Ribble GP.
The team will assess the referral to decide whether the service is appropriate. If the team require more information they will try to contact the referrer and / or the family and school nurse once the permission of the family is obtained. If clarity cannot be established the team will offer a consultation appointment to assess whether the Continence Service can meet the young person’s needs.
- Methods of communication with service users/patients and how they are involved in decision making/planning:
Children and Young People are directly consulted about their plan of care and decisions made about future care options. Staff will ensure that care plans are sensitive to children’s needs and that young people contribute to their future care plans. Parents and carers’ views will also be considered in the context of care planning to ensure that the needs of the whole family are taken in to account.
The service encourages Children and Young People and their families to voice their views about the service either directly to the nurse involved in delivering their care, contacting the service manager, or through LTHTR Patient Advice and Liaison Service. PALS@lthtr.nhs.uk Telephone 01772 522972
Other methods of communication include:
- Service user information leaflets
- Phone calls to families
The service accesses bilingual interpreters as appropriate for families whose first language is not English. Parents or carers may be present at appointments and will be informed of how their child is doing.
- Service Accessibility:
All the health centres and community hospital sites are wheelchair accessible and have disabled toilet facilities. Appointments can be offered in a variety of locations including health centres, family homes, and mainstream schools.
There is no out of hours service. If there was an emergency the family would be directed to contact their G.P or Paediatric Assessment Unit Telephone 01772 523189 as appropriate.
- Workforce Skills and Training
All staff are compliant with mandatory training requirements and have completed an annual personal development review with learning and development opportunities identified.
- Contacts for further information
- Feedback
Queries, compliments and complaints can be discussed with a member of staff or team manager. If you wish to make a formal complaint or compliment we advise that you contact the LTHTR Patient Advice and Liaison Service: PALS@lthtr.nhs.uk Telephone 01772 522972
Incidents and complaints are investigated thoroughly and lessons learnt shared with those concerned and the wider professional team.
Patient experience surveys are distributed to families and children via random selection throughout the year.
General Paediatrics Local Offer
Services for Children and Young People with Special Educational Needs and Disabilities
Lancashire’s Local Offer
Lancashire’s Health Services
Lancashire Teaching Hospitals NHS Trust
- Name of the service and what the service provides
We provide care for children and young people up to 16 years of age.
Our core inpatient provision is located at the Royal Preston hospital, with 58 beds (including 3 high dependency beds and PAU) We have a day case facility on the day case unit at Royal Preston Hospital We have children’s outpatient provision across the catchment area, and some outreach clinics to the boundaries of our catchment.
Our acute service also includes sub-specialist Children’s services for a range of complex and chronic needs, including
- Cystic Fibrosis
- Diabetes
- Haematology
- Nephrology
- Cardiology
- Complex needs
- Allergy
- Respiratory care
- Neurodisability and developmental delay
- Paediatric oncology (lower tier service only – level 1 POSCU)
Specialist Nurse-led services are provided in
- Paediatric Diabetes
- Children’s Outreach Nursing
- Paediatric Respiratory Care
- Paediatric Epilepsy
Safeguarding Children
- Address and contact details and area covered
Children’s Ward – 01772 522248
Children’s Observation & Assessment Unit, 01772 523189
Children’s Day Case Unit Ward 8 Tel 01772 522245
Children’s Outpatient Departments 01772 523080
Children’s Diabetes Team – Tel 01772 401340
Children’s Outreach Nursing Team – Tel 01772 522939
- The service is for
The service is available for children up to the age of 16 years and provides inpatient and outpatient provision for the following;
- General illness /problems –acute or chronic
- Cystic Fibrosis
- Diabetes
- Haematology
- Rheumatology
- Endocrinology
- Nephrology
- Cardiology
- Complex needs
- Allergy
- Respiratory care
- Neurodisability and developmental delay
- Paediatric oncology (lower tier service only – level 1 Paediatric Shared Care Oncology Unit -POSCU)
The team works closely with other professionals and services and will refer the child or young person to other appropriate services if they are unable to provide certain interventions.
- Accessing the service
Elective outpatient Care:
The outpatient service can be accessed by a process of referral through Choose and Book from GPs. The outpatient service does not accept self-referrals.
The service can be accessed free of charge and waiting lists for initial appointments are currently within 6 weeks.
Referrals other than from health need to be with an open and active Common Assessment Framework (CAF) to ensure that early intervention and prevention has been addressed before referral.
Emergency Care:
We provide a 24/7 service at the Royal Preston Hospital and Chorley and District site for emergency care.
For emergency care, the service is accessed via ambulance, Emergency Department or Primary Care Centre referrals or urgent direct GP referral. Patients access our service through either the Paediatrics Assessment Unit (PAU) at the Royal Preston Hospital for assessment and observation and then may be admitted to our Children’s Ward.
Whilst patients attend the ED or PCC, the Children’s Units are not ‘walk in’ and are accessed as described above.
- Decision making processes used to determine who is eligible to receive a service
Outpatient care- The child or young person will be eligible to receive the service if they are aged 16 or below and upon triage our consultants identify that we can provide assessment/care of their symptoms. All referrals are ‘triaged’ by the consultant team and either appointed to the service or referred on to the most appropriate agency. The referring practitioner is advised of outcome if the referral is not accepted, otherwise an appointment will be arranged with family.
Emergency care – All presentations/referrals are triaged either on telephone or on admission. Children attend our PAU for initial triage, assessment and observation. The PAU based at the Royal Preston Hospital is 24/7.
- Methods of communication with service users/patients and how they are involved in decision making/planning
We provide copy letters of all our consultations to the GP and to the family/carer of a child/young person attending the service.
The service encourages Children and Young People and their families and or carers to voice their views about the service either directly to the practitioner involved in delivering their care, contacting the Matron or Directorate manager or through Lancashire Teaching Hospitals PALS or the Trust’s formal complaints procedure.
Other methods of communication include:
- Suggestion box in the waiting room
- Trust website and emails to the service
- Service user information leaflets
- Young people friendly materials and magazines in all waiting rooms.
- Phone calls and meetings with families
- CHI feedback forms
The service adopts a collaborative care planning approach. This approach allows the young person and their family/carers to be actively participating in their treatment and care.
The use of bilingual interpreters as appropriate for families whose first language is not English can be arranged, as can British sign language or other requests.
- Service accessibility
Services are provided in a variety of settings, both within the hospital sites and within the community. This involves use of schools, health centres, children’s centres and young people’s homes as well as a number of different venues that young people may request.
All the health and local authority provision used is wheelchair accessible and have disabled toilet facilities.
For young people who present to ED, they may be admitted to our children’s assessment unit at Royal Preston Hospital or may be admitted to the Children’s ward and for an appropriate assessment and care to take place.
- Workforce skills and training
The team carries out all mandatory training and have an annual personal development review which identifies training needs.
The team have specialist training according to their role and national guidelines/standards.
- Contacts for further information
The first point of contact for the parent/carer or child/young person to discuss something about their care would be to the practitioner involved in delivering their care. If the service user has any urgent worries or urgent concerns, they are able to call the central teams on numbers identified above.
Once referred, the appropriate team will consider whether the child or young person will benefit from the service. The referrer will also be able to contact the service to discuss whether the child or young would benefit from service support.
Health Visitors, School Nurses, GPs, other CAMHS teams and other professional therapies will be involved in providing support for interventions for children and young people.
- Feedback
The service is keen to receive feedback about the service.
- Compliments: The service is happy to hear if you have been pleased and satisfied with the service and treatment provided. We like to ‘Share to Care’ amongst our teams too to roll out good practice. If you wish to send a compliment to any of the staff or services please do so. It gives valuable feedback and acknowledges the positive work that is carried out. You can send a card or letter or ask a member of staff for a compliments form.
- Resolving problems: The service wants everyone to receive the highest standard of care. If you feel this has not been achieved then let the service know. Your comments and complaints can help the service to improve. Some problems can be dealt with on the spot by the staff providing the care. Please contact the practitioner involved in your care, or the service lead. Alternatively contact switchboard on 01772 716565 and ask to speak to the Matron or General Manager for Women’s and Child Health.
- Making a complaint: If your problem cannot be settled informally by talking to a member of staff then you may wish to make a complaint. Please remember that your complaint will be treated in confidence, details will not be filed in your medical records and it will not affect your treatment in any way. There are several ways for you to make a complaint. You can ask the staff you see to provide you with a form to complete or you can write, email or phone the PALs Service or the Complaints team. This information is provided below:
PALs- Patient Advice & Liaison Service :Telephone 01772 522972 or email PALS@lthtr.nhs.uk
Complaints Team : Telephone 01772 522793 or email customerservices@lthtr.nhs.uk or write to Customer Services Team, Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston, PR2 9HT.
