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 621062

• 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 Centre

Greater 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 Clinic

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.  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.