Islington Community Paediatrics: Pathway for Children Referred with Physical Disability
Who is this care pathway for?
Who do we see?
How to use this tool
- Who we see?
- Who can refer and how?
- Care Pathway: gives a flow-diagram type overview of the pathway
- Detailed actions: sets out in more detail what is involved in the different parts of pathway
- Associated documents: more for use by professionals
- Resources: these are links to relevant web sites
- Quality standards: this is a list of the quality standards that we report on annually on this web site and these are designated by QS where they appear in the text
Care Pathway

Detailed Actions to be Completed
Referral Received |
Please note that in our service:
We welcome and actively seek, and act on feedback from all who use our services (QS-2).
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Referral Triaged
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All referrals are triaged by a consultant paediatrician who will request additional information if needed e.g. discharge summaries and clinic letters. If your child’s referral is accepted they will be seen in a paediatric clinic and depending on the complexity of the case additional referrals will be made to therapy services if not already done. For complex cases we take these to our multidisciplinary team meeting to ensure that we coordinate care between paediatricians and therapists.
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Assessment Phase
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It may take several appointments to complete the diagnostic evaluation. The appointments offered may be:
The paediatrician will discuss with you:
If a diagnosis is made you will be given written information relevant to your child’s condition or directed to where you can find such information. |
Follow up to 2 years
of age
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In these appointments the paediatrician will:
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Follow up to 5 years
of age
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In these appointments the paediatrician will revisit the issues as outlined in the previous row and reassess your child’s progress. In addition if not already done, they will consider the following issues:
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Follow after 5 years
of age
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Your paediatrician will continue much as for the preschool years – the timing of the follow up appointments will be agreed with you based on the medical issues. Children who attend a special school will be seen in their school while children attending mainstream school will be followed up in clinics at the Northern Health Centre. |
Transition to Adult Services
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Preparation for and transition into adult services is a multidisciplinary process involving Education, Social Care and Health. If your child is still under our care we will participate in the transition process to adult services and make any relevant referrals to adult medical services. |
Associated Documents
Resources Table
Useful links | |
This is an NHS website that gives information on cerebral palsy, its symptoms, causes, diagnosis, treatment and complications.
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NICE - Spasticity in children and young people |
Spasticity in children and young people with non-progressive brain disorders: Management of spasticity and co-existing motor disorders and their early musculoskeletal complications - NICE guidelines [CG145] Published date: July 2012
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Scope is a charity that exists to make the UK a place where disabled people have the same opportunities as everyone else.
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Centre 404 is a voluntary sector organisation that offers a range of high quality services to assist children and adults with a learning disability and their family carers. These include: direct support, information, respite, activities, advocacy, help with personal budgets and form filling, and access to social groups and other local networks.
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The London Borough of Islington Disabled Children's Team (DCT) provides services for children with disabilities and their families. |
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The summaries the Islington Local Offer of all the help there is in the Islington area for children and young people aged 0-25 with special educational needs and disabilities.
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Disability Living Allowance (DLA) for children may help with the extra costs of looking after a child who:
is under 16 AND has difficulties walking or needs more looking after than a child of the same age who doesn’t have a disability |
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When a child has exceptional need for education, health and social care support that cannot be met from resources/ assessments/ interventions normally available, they will need an Education, Health and Care Plan.
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When a child has exceptional need for education, health and social care support that cannot be met from resources/ assessments/ interventions normally available, they will need an Education, Health and Care Plan (EHCP).
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The Learning Disability Partnership works with adults with learning disabilities and this one of the services we would be in contact with as part of the transition into adult services.
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Quality Standards Table
QS-1 |
We will send out our clinic letters within 2 weeks of the appointment
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QS-2 |
We welcome, actively seek and act on feedback from all who use our services
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