|
Significant Developmental Impairment
- Children under the age of 5 years with significant or increasing developmental impairment in their motor (fine or gross), play, social or communication (expressive or receptive).
- School age children with significant ongoing developmental / learning impairment requiring co-ordination of their overall or specific health needs
Children with Additional Learning Needs
- Children with significant learning difficulties or learning disability (IQ 70 or lower) may have their health needs co-ordinated by a community paediatrician.
- We deliver specialist clinics in each of our Special Educational Settings (e.g.Ysgol Tir Morfa, Ysgol Y Gogarth and Ysgol Plas Brondyffryn) in a multiagency approach to co-ordinate health care needs.
- We work in close partnership with the Child and Adolescent Learning Disability (CALDs) Team who where appropriate will support children and families with complex emotional difficulties or developing life skills for children with confirmed significant Learning Disability.
- We work in close partnership with the Local Education Authorities and DECLO team, supporting the Additional Learning Needs (ALN) processes through involvement at Education Moderation Panels and supporting formal requests from the Local Education Authority as part of the ALN Act.
Neurodisability
- Children with, or suspected to have non-acute neurological or neuromuscular conditions (eg cerebral palsy or muscular dystrophy) or other complex neurodisabilities (e.g. down syndrome, neurofibromatosis, tuberous sclerosis or complex genetic syndromes) for investigation and ongoing co-ordination of health care needs.
- Children with neurodisability or significant learning needs who have epilepsy.
- Children with visual / hearing loss who require further assessment or support of their health or developmental needs.
Autism & Social Communication / Neurodevelopmental Difficulties
- Pre-school children with significant and ongoing developmental difficulties, in whom autism is felt Autism to be a likely underlying cause; for initial assessment and consideration of onward referral to the Early Years Social Communication Panel who may consider a formal neurodevelopmental assessment.
Palliative Care Advice
- Children with life limiting conditions often have their health care needs co-ordinated and led by a community.
- Our service works in close partnership with our Children’s Hospices (Ty Gobaith and Hope House) as well as the All Wales Paediatric Palliative Care Network.
Statutory Responsibilities
- Children and young people under 18 years of age entering care will have an Initial Health Assessment (IHA) undertaken by a community paediatrician shortly after coming into care. Appropriate and timely request and consent must be submitted by Children’s Services.
- Community paediatricians undertake detailed and comprehensive Pre-Adoption Medical Reports. We meet with prospective adoptive parents to discuss an individual child’s current and potential ongoing health needs as well as being health advisors to local fostering and adoption panels hosted by the Local Authority.
- Children with suspected non-accidental or inflicted injuries or clinical signs of neglect must be referred through Children’s Services.
Children’s Continence Service
- Specialist continence service is hosted within the Community Paediatric service.
- We do not accept children who have primary difficulties in toilet training or who has simply not been toilet trained
Feeding & Swallowing Difficulties
- Community paediatricians are part of the County Feeding and Swallowing Panels
Motor Tics
- If there are concerns around the diagnosis, or to rule out seizure activity / abnormal neurological movements, a detailed referral can be made to the service to confirm the diagnosis.
|
