Complex Needs and Dysphagia

Children and young people (CYP) on the Complex Specific and Dysphagia pathway may have clinical needs that require an integrated approach to therapy with support from all three therapies (Speech and Language Therapy, Occupational Therapy and Physiotherapy). In this pathway we provide assessment and support for needs such as specialist seating and Augmentative and Alternative Communication (AAC) systems, eating, drinking and swallowing difficulties (dysphagia).
Our physiotherapists focus on the development of physical skills, maximising physical function, independence, and where possible limiting secondary complications, enabling participation at home, school and in the community.
Therapists working in the Complex Specific and Dysphagia Pathway see CYP aged between 0 – 18 (sometimes up to 25 with an EHCP). We work with the CYP in clinics, homes, nurseries and Special Schools in Barnet. Some of the CYP on our caseload may attend mainstream school settings.
The CYP may be seen by Speech and Language Therapists, Occupational Therapists and Physiotherapists. The therapists in the pathway are also supported by highly skilled Integrated Therapy Assistants who work with the CYP and those around them to carry out the therapy programmes under supervision of the therapists.
Referring to the Dysphagia SLT Team
The Complex Needs and Dysphagia service sees children and babies with eating and drinking/feeding difficulties which are anatomical, physiological, developmental or neurological in nature. Any infant/child with known or suspected risk of aspiration / choking / pharyngeal stage difficulties when eating, drinking or swallowing will be seen by our team.
Our main aim is to ensure that the child is eating or drinking as safely as possible. Please refer to our service if the child:
- Coughs/chokes during eating/drinking; not after
- Has watery eyes during feeding
- Develops noisy or wet-breathing sounds during feeding
- Struggles to breathe during feeding
- Has a change in colour when eating/drinking
- Loses more food/drink from their mouth than expected
- Ongoing chest infections (not due to a virus)
Please note that the child needs to be registered with a Barnet GP
Please use our referral form to refer to the team.
We are unable to see children whose difficulties are primarily behavioural or sensory in nature (please see the Universal training menu for online presentations/training), or if the difficulties are vomiting/retching or gastro-oesophageal reflux.
Eating difficulties and avoidant restrictive food intake disorders (ARFID) - Tavistock and Portman
For general breastfeeding support please email the breastfeeding support team at hcp4b.bfsupportteam@nhs.net
For general support around weaning please contact your Health Visitor.
Last updated29 Nov 2024