Paediatric neurodevelopment, neurodisability and epilepsy
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Within the services there are currently 7 consultants, 1 associate specialist and 2 specialty doctors.
What we offer:
- Complex neurodisability clinics based at the Child Development Centre including joint neurodisability /respiratory clinics, joint neurology clinics, joint orthopaedic clinics and neurodisability transition clinics.
- The secondary (district) paediatric Epilepsy clinic, including transition clinics
- Developmental Clinics
- ADHD clinics
- Multipdisciplinary ASD assessments at the EYC
- Medical assessments for children undergoing statutory assessment for special education needs
- Medical assessments for looked after children
Neurodevelopment, Neurodisability and Epilepsy
St George’s Hospital has a dedicated paediatric outpatient department and a Child Development Centre for children with complex neurodisability and/or neurodevelopmental needs with input from clinical psychology, occupational therapy, speech and language therapy, physiotherapy. There are also excellent links with paediatric neurology, clinical genetics, orthopaedics, respiratory paediatrics, audiology, ENT and child & adolescent psychiatry including the learning disability team.
The Neurodevelopmental Paediatric Service is the largest sub speciality service within the NDND care group with approximately 1000 new referrals into the service in a year. Children are seen for developmental assessments at secondary Paediatric clinics at St George’s Hospital site and in community outreach clinics. All consultants have admitting rights and access to facilities for investigation at St George’s Hospital. Wandsworth has developed special schools and units/resource bases for learning and physical disability, emotional and behavioural problems, visual and hearing impairment and autism.
Close by is the Early Years Centre (EYC), a joint Health and Local Authority service catering for children with special needs up to 8 years of age. Co-located in the EYC are Mind, who provides a wide range of support services and the Wandsworth Autism Advisory Service (WAAS).
The EYC currently provides a range of assessment and outreach services It has a particular role in relation to children with Autistic Spectrum Disorders and other communication disorders who make up the majority of the children assessed in the form of a multidisciplinary assessment with a team of highly specialist Speech and Language Therapists. The ASD service has undergone a lot of transformation since 2020 and has improved the assessment experience and impact on waiting times. The ASD service is in line with the NICE guidelines.
The specialist ADHD service manages about 900 children assessing around 150 new patients per year. The service is supported by two ADHD nurse specialists. A multi-disciplinary meeting is held weekly.
The Special Educational Needs and Disabilities (SEND) service for children with special educational needs has very good relationships with the Education and Social Services. The department contributes medical assessments for more than 300 children per year undergoing assessment for Education, Health and Care Plans (EHCPs), we collaborate with the therapists’ team and communicate with other Paediatric specialties and CAMHS to ensure that a bespoke comprehensive medical/health plan is assembled for each child to help the children achieve their potential in learning.
The Complex Neurodisability service cares for children with cerebral palsy, Down syndrome, neuromuscular disorders, progressive neurological conditions and neurodevelopmental problems requiring investigation. A multi-professional assessment (MPA) service is provided by the five core CDC disciplines (paediatrics, physiotherapy, speech & language therapy, occupational therapy and psychology). Joint neurology, joint orthopaedic and joint respiratory clinics are held at regular intervals. The service is supported by a neurodisability nurse specialist. The service accepts referrals for children who have a home address in Wandsworth and/or GP in Wandsworth only.
The second tier paediatric epilepsy service at St George’s Hospital (assessing over 100 new patients per year), is provided by 2 consultants from the Neurodisability/Epilepsy specialist team. There are well established epilepsy, neurodisability transition clinics and joint neurology clinics. The service is supported by an Epilepsy Nurse Specialist. The service accepts referrals for children who have a home address in Wandsworth and/or GP in Wandsworth only.
Looked After Children
The Looked After Children’s Health Team works in close partnership with the Local Authority, London Borough of Wandsworth (LBW). Effective joint working arrangements between the LBW and SGH are in place to ensure that the health and well-being of children in care are promoted and that all children receive timely Initial Health Assessments (IHAs), Review Health Assessments (RHAs) and dental checks that are in line with the Standard Operating Procedures (SOPs).
The Local Authority is responsible for around 320 Looked After Children. There are approximately 200 new accommodations each year.
Contact details
Email address for both the Neurodisability and Neurodevelopmental Services: PaediatricDevelopmental.Secretaries@stgeorges.nhs.uk
Neurodisability and Epilepsy Service
Dr Hadjikoumi/Dr Ghazavi sec tel 020 87253728
Dr Subramanian (neurodisability only) sec tel 020 87253728
Epilepsy CNS tel 020 87252829
Neurodisability CNS tel 020 8725438
For referrals: FWRUO.PathwayHub@stgeorges.nhs.uk
Neurodevelopmental Service
Dr Haywood, Dr Deshmukh, ADHD Clinical Nurse Specialist, Dr Sokhi
Secretary: Tel 020 8725 3762
Dr Osman
Secretary Tel: 020 8725 2214
Dr Hudson/ Dr Sri Kantha/ Dr Singer
Secretary Tel: 020 8725 3758
Gwendoline Hutchinson, Named Nurse for Looked After Children 020 87251962
Looked After Children (LAC) Coordinator Clinical Nurse Specialist:
Tel: 020 87251962 Email: lac.cns@stgeorges.nhs.uk
Looked After Children (LAC) Coordinator
Secretary Tel: 020 8725 3726,
Email: laccoordinatorteam@stgeorges.nhs.uk
Referrals
For referrals to the Neurodevelopmental Service: cdcreferrals@stgeorges.nhs.uk
