SEND

Telford & Wrekin Local Offer

SEND - Local offer


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Specialist Services

On this page you will find information about specialist health services avaliable to children and young people with SEND

Healthier Together: Support available while waiting for your appointment

Neurodevelopment Diagnostic Services

Children aged 0-5s should be referred to the Child Development Centre for Autism diagnostic services.

Child Development Centres in Shropshire and in Telford and Wrekin

BeeU provides Autism and ADHD diagnostic assessments for Children (aged 5-18) in Shropshire, Telford and Wrekin.

Referrals into the BeeU service

For more information about Neurodevelopmental conditions and support for Children and young people and their families while waiting for a diagnostic assessment visit Neurodiversity.

Child Development Centres

The Child Development Centres (CDCs) provide information and advice for parents and carers and developmental assessment and intervention for young children. The services are currently provided for children who are less than 5 years old and before they begin going to school. Families may be referred to the CDC when their child has been given a diagnosis which is likely to affect their long term development or when it is felt that their child’s development is not progressing as expected.

Child Development Centres in Shropshire and in Telford and Wrekin

Children's Community Physiotherapy

The Children's Community Physiotherapy team provides physiotherapy assessment, treatment and rehabilitation during/following; illness, surgery, disease, disability or injury. Children's Physiotherapy have a specific interest and expertise in working with children and young people who present with a wide range of conditions. The Physiotherapists work in a variety of different settings such as homes, clinics, Child Development Centres and schools (mainstream and special).

Children's community physiotherapy services in Shropshire

Children's Continuing Care and Personal Health Budgets

A personal health budget uses NHS funding to create an individually agreed personalised care and support plan that offers people of all ages greater choice and flexibility over how their assessed health and wellbeing needs are met. The personalised care and support planning conversation identifies the care, support and services the personal health budget will be spent on. Personal health budgets are flexible and can be used to meet a variety of needs.

NHS England » Personal health budgets

Community Childrens Nursing Team

The Children's Community Nursing service provides nursing care to children aged 0 to 18 years who have an identified nursing need. We offer community visits to children, young people and their families across Telford and Wrekin.

Community Children's Nursing | Shropshire, Telford and Wrekin

Community Paediatrics

Community Paediatricians are specialist doctors with skills and knowledge in child health and development. 

The Community Paediatricians are able to offer a holistic child (paediatric) service as our focus is on identifying and working with others to meet each child's needs - medical, educational and social. 

Our service is for children and young people aged 0-16 years old but this extends to under 19 years for children with complex neurodisability educated full time in a local specialist provision.

We are able to medically assess and care for children with neurodisabilities and some relevant complex or chronic health needs, including:

  • Cerebral Palsy and other complex neurodisabling conditions
  • chromosome or syndrome disorders (e.g Down's’Syndrome) requiring Community Paediatric surveillance
  • developmental difficulties in preschool children
  • Autistic Spectrum Disorder in preschool children
  • coordination difficulties 'd‘spraxia' ’medical assessment only)
  • severe learning difficulties in school age children (medical assessment only)
  • specialist audiology services (hyperacusis and to investigate children with hearing loss)
Community Children's Doctors

Diabetic Services

The diabetes specialist nursing team are a clinically-led service that provides care to children with type 1 diabetes, or those with type 2 diabetes who manage their diabetes with Insulin or who are unable to control their diabetes with tablets alone and require injections. 

The following key services are offered by the diabetes specialist nursing team:

  • Education and skill development so that adults and children can manage to live with the condition to the best of their ability
  • Specialist advice and support to individuals with diabetes
  • Education and advice to professional and non-professional staff who care for people with diabetes
  • Structured Education Programme X-PERT for adults with Type 2 diabetes (virtual and face to face sessions)
Diabetes care to adults

Feeding and Dietetics Service

SaTH Dietetics - Dietitians work across Royal Shrewsbury Hospital and Princes Royal Hospital, providing nutritional expertise to patients and staff.

Inpatients - Dietitians provide nutritional assessment and treatment plans for patients in the acute hospital setting including food/nutrient/drug interactions, enteral feeding, and food fortification.

Outpatients - Dietitians provide individualised nutritional intervention using their expertise in conditions requiring dietary modification, behavioural modification and use of counselling skills. This is delivered in an outpatient setting including 1 to 1 clinic appointments and group education sessions.

We also provide individualised treatment plans for patients on community hospital wards, home enteral feeding and patients in their own homes referred by interdisciplinary care teams in the community.

MPFT - The Paediatric Dietetic team provides a service to children (0 to 18 years, or 19 for children attending special schools) and their families with a wide range of special dietary needs. Paediatric Dietitians use the most up-to-date research on food and nutrition in health and disease, and translate this into practical and understandable dietary treatment for clients and families to follow on a day to day basis. This includes children struggling to gain weight, allergic to foods, or needing to be fed artificially.

The Paediatric Dietitians provide a specialist dietetic service to infants and children with a wide range of medical conditions, some examples are listed below:

  • Type 1 and Type 2 Diabetes
  • Single and multiple food allergies
  • Gastro-intestinal Disease
  • Complex Feeding Difficulties – including children who require home enteral (tube) feeding
  • Coeliac Disease
  • Autistic Spectrum Disorder with restrictive diet
  • Faltering Growth
Dietetics – SaTH

Hope House Children's Hospice

Hope House Children's Hospices  care for babies, children and young people who have life-threatening conditions and are not expected to live beyond 18 years of age. We also offer counselling and bereavement counselling to families of children who access our hospice services.

Our help is available to children and families living in Shropshire, Cheshire, and across Wales.

Anyone can refer a child whether they are a doctor, other health care professional or family member. All we ask is that the child's parents or person with parental responsibility agree to the referral.

Hope House Children's Hospices

Keyworker Service (learning disability and/or autism)

The Keyworker Service for Shropshire, Telford and Wrekin is delivered by Barnardo’s and is for children and young people with high support needs.

Keyworker Service (learning disability and/or autism) - SEND - Local offer

Learning Disability Annual Health Check

Annual health checks are for adults and young people aged 14 or over with a learning disability.

An annual health check gives people time to talk about anything that is worrying them and means they can get used to going to visit the doctor.

Learning Disability Annual Health Checks

Occupational Therapy Services

Occupational therapists and occupational therapy assistants in our service help children/young people who aren't able to/or are struggling to undertake activities at home due to an illness or disability, or they aren't as independent as they could be.

Shropshire Community Health Trust NHS Children’s Occupational Therapy Services provides provide advice, assessment, intervention and rehabilitation to enable children and young people to particate in activities of daily living such as self-care, classroom activities and leisure activities.

Children's Occupational Therapy

Ophthalmology and Orthoptics

The Orthoptic Department specialises in seeing patients with a variety of eye problems including strabismus (squint), amblyopia (lazy eye), double vision and eye movement problems. We are specialists in assessing vision, how the eyes work together and ocular motility in patients of all ages. We work closely in clinics with the Paediatric Ophthalmologists to assess children with all types of eye conditions. The service covers children and young people 0-17 years.

Ophthalmology and Orthoptics

Orthotics

RJAH Orthotics - Our department of Orthotics helps to treat and rehabilitate patients by providing orthoses to aid movement, correct deformity and relieve discomfort. We also aim to offer a continuing programme of maintenance, repair, reassessment and review of need once an orthosis has been supplied. 

Orthotics - RJAH

Children's Community Physio - This community physiotherapy team provides physiotherapy assessment, advice, treatment and rehabilitation to enable the children and young people with physical difficulties to reach their full potential by maximising function and independence.

Children's community physiotherapy services in Shropshire

Paediatric Epilepsy Clinic

The Paediatric Epilepsy Clinic at Shrewsbury and Telford Hospital Trust supports children and young people aged 0-16 years or 18 years if they have Special Educational Needs or Disabilities (SEND).

Referrals can be made by GPs, Community Paediatricians or Ward doctors.

If you think your child is having seizures, you should firstly make an appointment with your GP who can take a detailed history of events and refer into our Epilepsy clinic. National guidance is that you should be seen within 2 weeks, it may take longer to be seen depending on number of referrals. However, your child may be seen sooner if your child's condition is classed as urgent. If your child is admitted to hospital with possible seizures, the doctors on the ward can also refer into our service and you are likely to be seen by a member of our team during your child's admission and treatment plan initiated at that time.

Epilepsy

Epilepsy support services

Psychology

The children's Paediatric Psychology Service (PPS), delivers specialist treatment for children and young people with serious, life-threatening or significant physical health problems and their families, aimed at helping them to cope with, and adjust to their conditions.

Paediatric psychology

Speech and Language Therapy (SaLT)

The Children's Speech and Language Therapy (SaLT) Service in Shropshire provides assessment and treatment of speech, language, communication and/or swallowing difficulties for children and young people from 0-16 years of age (or to 19 years old in full time education).

Speech & language therapy

Shropshire Community Children's Occupational Therapy

Shropshire Community Children’s Occupational Therapy service provides provide advice, assessment, intervention and rehabilitation to enable children and young people to particate in activities of daily living such as self-care, classroom activities and leisure activities.

Children's Occupational Therapy

Wheelchair and Posture Service

Shropshire Wheelchair and Posture Service is a clinically-led service which aims to meet the mobility needs of children and young people with long term disabilities and restricted abilities. 

The following are provided by the Shropshire Wheelchair and Posture Service:

  • Specialist clinical assessment for wheelchair posture and mobility
  • Re-assessment offered for changing conditions
  • Bespoke prescriptions for wheelchairs and postural seating
  • Issue of manual and powered wheelchairs with special controls
  • Maintenance and repair of equipment
  • Wheelchair user weighing clinic
Wheelchairs

Young People's Community Eating Disorder Service

BeeU - Young People Community Eating Disorder Service provides specialist outpatient assessment and treatment for young people suffering from an eating disorder in Shropshire, Telford & Wrekin. The service provides an evidence-based approach to helping young people restore physical health whilst helping them to improve their emotional health and wellbeing through therapy and guidance, focusing on positive and effective ways to manage eating difficulties.

BeeU :: Midlands Partnership University NHS Foundation Trust

Beat - We are the UK’s eating disorder charity. Founded in 1989 as the Eating Disorders Association, our mission is to end the pain and suffering caused by eating disorders. Beat provides Helplines for people of all ages, offering support and information about eating disorders no matter where you are in your journey. These Helplines are free to call from all phones.

Helplines - Beat