A universal health service can be accessed by anyone who needs support with their health; a referral is not needed to access these services, but they might need to refer the child or young person to a specialist service to receive the care they need.

What does the SEND Code of Practice say?

6.11 The Children and Families Act 2014 places a duty on maintained schools and academies to make arrangements to support pupils with medical conditions. Individual healthcare plans will normally specify the type and level of support required to meet the medical needs of such pupils. Where children and young people also have SEN, their provision should be planned and delivered in a co-ordinated way with the healthcare plan. Schools are required to have regard to statutory guidance ‘Supporting pupils at school with medical conditions

Universal Health Services

0-5 Health Visiting Service

Zone 5-19 (Previously School Nursing Team)

Primary Care

GP
All children and young people should be registered with a GP
Find an NHS GP in Doncaster | Choose From 19 Practices

Dentist

Children and young people should visit the dentist every 6month-1year from when their first milk tooth appears.
Find a dentist - NHS

Optometry
Free NHS sight tests are available at any local optician for children under 16 and for young people under 19 in full-time education. They are also available to adults who receive certain benefits or meet the eligibility criteria.

All children and young people should have regular eye tests (usually once per year) to ensure their eyes are working correctly.

 Healthy Learning, Healthy Lives

The Healthy Learning, Healthy Lives programme helps schools and settings to ensure that children remain healthy.
The  website contains free resources, information and useful contacts for teachers, professionals and families of children aged 2 to 18 years.
Healthy Schools (healthylearningdoncaster.co.uk)

Specialist Health Services

Universal services may refer children and young people to a specialist health service.

Community Dental Services 

Everyone needs to see a dentist, even if your mouth doesn’t hurt or you don’t have any teeth. Most children and young people with SEND will be able to access regular NHS general dental services along with the rest of their family. However, children with greater or more complex needs may need to be referred to the Community Dental Services for their care. 

The aim of the Community Dental Services is to provide dental care for those from vulnerable groups whose needs may not be accommodated in NHS general dental services or may require consultant/specialist led care due to the complex dental needs.

Who can refer a child to the Community Dental Services?

The Community Dental Services would accept children into the service following a referral. Referrals are accepted from general dental practitioners and other health professionals for example: GPs, health visitors, social workers, carers, school nurses, paediatricians.

 Children's Long Term Conditions Team

The Children's Long Term Conditions Team provide specialist nursing support for children and young people (0-19) and families in the home, school and other community settings. The team, include specialist nurses who support with the management of Diabetes, Epilepsy, TB, and continence problems.

Continence Service

The Children's Continence Service offer advice, assessment and support to children aged 4 years to 19 years with continence issues (bladder and/or bowel problems). Children must be registered with a GP in Doncaster to access this service.

Epilepsy Service

The Children's Epilepsy Service support children and young people aged 0-19 years who have epilepsy. The Children's Epilepsy Service is part of the Community Long Term Conditions Team. 

Once a young person reaches 19 years old, their care will be transferred to the Specialist Adult Epilepsy Nursing Service. This service also works with adults aged 18+ years, for new referrals.

Both the children and adult epilepsy services provide support to people with epilepsy. This includes regular check ups to review and assess the person's condition which may also include reviewing medication.

Diabetes Team

The Children’s Diabetes Team provide care for children and young people, aged 0-16 years, who have been diagnosed with diabetes. The service is part of the Long Term Conditions Team. 

If a child turns 16 whilst they are accessing the Children's Diabetes Team, they will keep accessing the Children's Service until around their 19th birthday. After this, the young person will be transferred to a Young Adults Diabetes Service.

Young people who are diagnosed with diabetes from the age of 16 will be referred to the Young Adult Diabetes Team and will remain with them until 24 years of age.

Paediatric Diatetics

 The Paediatric team are Registered Dietitians who provide dietary advice to children aged 0-16 years old with nutritional problems and their families across Doncaster and Bassetlaw. Paediatric Dietitians are specially trained to enable specialist nutritional care to be provided to infants, children and adolescents to promote optimal growth. . 

Dietitian’s work alongside Paediatricians, Community Children’s Nurses, Health Visitors, School Nurses, Child Development Centres, Speech and Language Therapists and any other staff who may be involved in the care of children.

The service covers most areas of paediatrics, including:

  • Enteral feeding
  • Faltering growth/Nutritional support
  • Cow’s Milk Protein Allergy
  • Allergies
  • Coeliac disease
  • IBS/FODMAPs
The service does not provide support for:
  • Weight management
  • Fussy eating in the absence of faltering growth
  • Children with a diagnosis of avoidance restrictive food intake disorder (ARFID)

Palliative Care

In Doncaster, palliative care is offered by Bluebell Wood Children’s Hospice. Bluebell Wood offers care and support to children and young people with a shortened life expectancy, both in their own homes and at their hospice in North Anston. 

Children and young people can receive care from the service until they reach 25 years old, but new referrals can only be made up to a young person's 19th birthday. 

Specialist Nursing Service

The Children's Specialist Nursing Service support and advise schools on how to best meet the health needs of their learners and input in to Education, Health and Care Plans. The Children’s Community Nursing Services provide a wide range of care from dressing a wound to advanced clinical practice and parental training. Referrals are taken from a variety of sources, including self-referral in some instances, and they have close working relationships with local hospitals, GP’s and schools.

Specialist School Nursing Service

The Specialist School Nursing team provides services to special schools inDoncaster, including:

They offer advice, support, and appropriate treatment based on assessments.

Child and Adolescent Mental Health Services (CAMHS)

Occupational Therapy

Offer assessment and advice and/or treatment for children and their families who have a range of conditions or difficulties including:

  • Fine motor difficulties
  • Self-care skills such as dressing or cutlery
  • Development coordination disorder (we are not a diagnostic service)
  • Neurological disorders or developmental delay
  • Specialist equipment
  • Postural management
  • Sensory (advice only)
  • Chronic fatigue

Children’s Occupational Therapy - Doncaster and Bassetlaw Teaching Hospitals (dbth.nhs.uk)

Physiotherapy

Offer assessment and advice and/or treatment for children and their families who have a range of conditions or difficulties (we do not diagnose) including:

  • Flat head problems known as  ‘Plagiocephaly’
  • Muscle and joint problems
  • Neurological disorders or developmental delay
  • Developmental co-ordination disorder

Children’s Physiotherapy - Doncaster and Bassetlaw Teaching Hospitals (dbth.nhs.uk)

Secondary Care Opthamology

Speech and Language Therapy

The Children’s Speech and Language Therapy Service supports children and young people in Doncaster and Bassetlaw who have difficulties with communication, or with eating, drinking, and swallowing.

The majority of children seen have difficulties with:

  • understanding what is said to them
  • expressing themselves
  • talking clearly (saying speech sounds)
  • stammering
  • eating and drinking

 Children’s Speech & Language Therapy Service - Doncaster and Bassetlaw Teaching Hospitals (dbth.nhs.uk)

General Development Assessment Pathway

Links

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