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About Our Service

The Wandsworth Community Feeding Service aims to provide a service which is effective, child-centred and equitable, for children in Wandsworth (age 0-11 years) who have:

  • Dysphagia
  • Highly selective eating
  • Feeding aversion

Our service is commissioned to provide clinical psychology, dietetics, occupational therapy, speech and language therapy and a therapy assistant, all with special interests in childhood feeding difficulties and disorders.

Our service has two arms, the Community Dysphagia Team and the Multidisciplinary Feeding Team.

Community Dysphagia Team

The Community Dysphagia Team (CDT) provides a service for children with dysphagia requiring speech and language therapy input outside of the acute setting. The CDT service is responsive to each individual client’s needs, including:

  • Initial screening and clinical assessment
  • Intervention, including individual therapy and “Little Foodies” groups
  • Counseling and training for caregivers, and mainstream nurseries/schools
  • Follow-up planning

Multidisciplinary Feeding Team

The Multidisciplinary Feeding Team (MDT) functions in a collaborative and trans-disciplinary model to support families as they need, providing a service to deliver:

  • MDT Feeding Clinic appointments, inclusive of clinical psychology, dietetics, occupational therapy and speech and language therapy
  • MDT Feeding Groups, including “SOS” groups, and “Food Scientist” groups using the SOS Approach to Eating
  • MDT Feeding Workshops for caregivers of highly selective feeders
  • Parent Reflection sessions after receiving intervention
  • Individual therapy for complex and high-risk restricted feeders
  • Occupational therapy seating assessments for children with dysphagia

Referral Criteria:

  • Families with a Wandsworth GP
  • Aged 0-11 years and not attending a specialist educational provision

Acceptance Criteria:

  • Children who have a history of chest symptoms / infections / pneumonias where there are concerns about the safety of their swallow and the contribution this may be having to chest health
  • Children with reported signs of aspiration / difficulty feeding to include choking, coughing, wet breathing / voice, weight loss or static weight gain, changes to colour or breathing when feeding
  • Children struggling with weaning or transitioning through textures of foods
  • Children with significantly restricted diets (less than 20 foods) or who show severe anxiety around mealtimes
  • Children who require specialist seating assessments and provision of equipment for safe feeding
  • Children requiring enteral feeding, and multidisciplinary support for management

Exclusion Criteria:

  • Children who attend a special school provision – these provisions have specialist therapy teams on site
  • Children where there are concerns regarding body dysmorphia and related eating disorders such as anorexia or bulimia nervosa – these children should be referred to CAMHS
  • Children who are aversive feeders but who continue to struggle with unmanaged reflux symptoms – these children can be referred to the service once the reflux is medically managed

Referring to Us

Please note: we only accept referrals from medical, nursing, allied health professionals, and SENCOs.

Using our referral form (Word), referrals can be sent either: