Community Paediatrician Service
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Community Paediatrician Service

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Community Paediatrician Service

Providing assessment, treatment and management of complex and long-term conditions, affecting a child's physical and emotional well-being which stops them succeeding educationally and socially.

Contact This Service

This service can be accessed through our Care Co-ordination Centre

Available Monday to Friday 8am to 6pm

About this service

Eligibility criteria

Children and young people (under 19 years) with long-term conditions, who are registered with a GP in the Mid Essex area - excluding Halstead, Earls Colne, Wickford and Tiptree.

Exclusions

  • Behavioural problems not related to neurodevelopmental conditions, such as ADHD and ASD.
  • Dyslexia.
  • Mental health issues which require input from CAMHS.
  • Acute paediatric problems.

Service details

We assess and treat children with additional needs who have difficulties or problems in the following areas:

  • Development
  • Social and communication skills – autistic spectrum disorder.
  • Attention and behavioural difficulties – ADHD core symptoms.
  • Cerebral palsy and long-term neurological conditions.
  • Coordination.
  • Hearing.
  • Gait.

We also see vulnerable children, such as those on the children in need and child protection plan.

Our team includes consultant paediatricians, specialty doctors and specialist registrars who are doctors in training.

Service delivery

We run clinics at various times, Monday to Friday, 8.30am-5pm, at these locations:

  • Chelmsford: Stapleford House, Parkside, Springfield Green and Moulsham Clinic.
  • Maldon: St Peter's Hospital.
  • Braintree: Carousel Children's Centre.
  • Burnham Clinic.
  • South Woodham Ferrers Clinic.
  • Witham Health Centre.

See map below for details of these venues.

Attendance is by appointment only.

Referral process

Your child must be referred by a healthcare professional, such as a:

  • GP
  • health visitor
  • hospital
  • local authority
  • child and adolescent mental health services
  • local acute trust

ADHD information for parents

Attention deficit hyperactivity disorder (ADHD) is a Neurobiological Disorder with symptoms that include inattentiveness, hyperactivity and impulsiveness.

Many people with ADHD also have additional problems such as Oppositional Defiant Disorder and sensory processing difficulties.

 Children with ADHD may also have generalised or specific learning difficulties

Common symptoms of ADHD include:

  • a short attention span
  • restlessness
  • being easily distracted
  • constant fidgeting

ADHD is the most common behavioural disorder in the UK. It is estimated that the condition affects 3–9% of school-aged children and young people. Worldwide, around 2% of adults may be affected by ADHD.

Symptoms of ADHD tend to start at an early age, and they may become more noticeable when a child's circumstances change, such as starting school. ADHD is normally diagnosed between the ages of three to seven, although in some cases it may not be until much later. It is more commonly diagnosed in boys. 

ADHD can be a lifelong condition, and many children continue to have symptoms as a teenager and adult. It is estimated that nearly two-thirds of children with ADHD still have some symptoms at the age of 25.

Autism Assessment Pathway

Following an assessment with a Community Paediatrician, your child may be referred on for an Autism Spectrum Disorder (ASD) diagnostic assessment.

This is a specialist assessment carried out by a multidisciplinary team including a paediatrician, an Occupational Therapist (OT) and a Speech and Language Therapist (SLT). Your child may be seen jointly by a paediatrician, OT and SLT or your child may be seen by the SLT and OT first and then a follow-up appointment will be carried out with the paediatrician to feedback the assessment findings.

The assessment involves one member of the team, usually the paediatrician, talking with you and finding out about:

  • your concerns, and those of your child if appropriate
  • how your child has been getting on at home, in nursery or school, or in care
  • your child’s past and present health, and that of the family
  • your child’s behaviour and development

The other members of the team, usually the speech and language therapist and occupational therapist will talk with and observe your child. They will also carry out other specific assessments like ADOS (Autism Diagnostic Observation Schedule) that will help to provide more information, such as an assessment of how your child uses language and/or how they interact and communication with others.

When the members of the team have completed their assessment they use all the information from the assessment, the information you have given them and any information from your child’s school/preschool or other professionals who work with your child to help them come to a decision about whether your child may have an Autism Spectrum Disorder (ASD).

If your child is diagnosed with autism spectrum disorder

You will be told at the assessment if your child meets the criteria for a diagnosis of ASD. The team will explain more about autism spectrum disorder and how it might affect your child.

You will also be given information about the support you and your child can get in your local area. For example, you may be given contact details for support groups that can give you the opportunity to meet other families with experience of ASD, and advice about other services that are available.

They team will share information from the assessment with your child’s GP, and if you agree, with other professions such as your child’s school or other professionals if appropriate, to help them offer you the support you need.

A member of the team should talk to you (and your child, if appropriate) about all of this, soon after the assessment, and give you a written report explaining the findings of the assessment.

If the diagnosis is uncertain

Sometimes there can be uncertainties when diagnosing autism spectrum disorder and it may not be possible to be clear about what is the diagnosis. If this happens the team will talk to you about will happen next. This may be that they will see your child again after an agreed period of time or they may refer your child to another team that can help.

If your child does not have autism spectrum disorder

A member of the team will explain why your child doesn’t have ASD and may offer to refer you to other specialists, for example, Emotional Wellbeing and mental health services, also known as EWMHS) if they think they may be able to help.

Please note: The demand for this clinical assessment is very high so at present, the average time for this assessment to be completed is 18 months to 2 years. We are working to reduce this waiting time and understand that this period of waiting can be a difficult time. It is important to know that you can access support while you are waiting for an appointment and that a diagnosis is not required to access this support

When & Where

We provide this service at a number of locations. To find the location nearest to you, enter your postcode into the field below and then click ‘Submit’.

Then click on a red marker on the map to find out details about that particular location and to get directions to it from your postcode.

Directions will appear at the bottom of your screen once you have clicked the "get directions" option on the red marker, so please scroll down.

Find your nearest site

If you are registered with SystmOnline you will be able to view your own Electronic Medical Record (EMR), manage your appointments, request repeat medication, update contact details and message your healthcare service. There is also a SystmOnline app available for Apple and Android devices.

Getting In Touch

Your feedback is a key source of information and we encourage you to get in touch if you have any questions, concerns, compliments or would like to make a complaint relating to our services. We can:

  • Resolve your problems or concerns
  • Provide advice and support
  • Answer your questions
  • Point you in the right direction of useful information and support

Key Resources

Documents

Videos

Useful Links

  • National Autistic Society

    The UK's largest provider of specialist autism services. [Source: National Autistic Society]

  • Autism Anglia

    Autism Anglia is an independent charity which provides care and support to children, adults and families affected by autism in East Anglia. [Source: Autism Anglia]

  • SAFE

    SAFE is a support group for individuals and families affected by Asperger Syndrome (AS) and High Functioning Autism (HFA) in Essex, including the unitaries of Southend and Thurrock. [Source: SAFE]

  • Play and Resource Centre (PARC)

    PARC (Essex) is a registered children's charity based in the beautiful setting of Great Notley Country Park, near Braintree in Essex. [Source: PARC]

  • Families In Focus (Essex)

    We are a leading independent parent led registered charity providing holistic support to families of children with disabilities and special needs (aged 0 to 25) across Essex, who require advice, information and support, particularly at times of change, challenge and crisis. [Source: Families In Focus]

  • Good Beginnings Parent Workshops

    Preschool Specialist Teachers coordinate and lead the delivery of parent workshops for parents of preschool children, following diagnosis of autism or social communication difficulties as part of the Essex early years autism programme, Good Beginnings.

  • CADDRA

    CADDRA is an independent, not-for-profit, resource organization for medical, healthcare and research professionals with an interest in the field of ADHD. [Source: CADDRA]

  • NHS ADHD Overview

    NHS Overview Attention deficit hyperactivity disorder (ADHD) [Source: NHS.UK]

  • ADHD and You

    ADHD resource. [Source: ADHD and You]

  • Living with ADHD

    Whether you are a teenager who has been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD), or you are the parent/carer or teacher of someone who has the condition, we understand that you face lots of challenges and have many questions and concerns.

  • ADHD Foundation

    The ADHD Foundation works in partnership with individuals, families, doctors, teachers and other agencies to improving emotional well being, educational attainment, behaviour and life chances through better understanding and self management of ADHD, ASD and related learning difficulties such as dyslexia, dyspraxia, Irlen’s Syndrome, dyscalculia and Tourette’s Syndrome. 

  • ADDISS, The National Attention Deficit Disorder Information and Support Service

    The National Attention Deficit Disorder Information and Support Service provides people-friendly information and resources about Attention Deficit Hyperactivity Disorder to anyone who needs assistance - parents, sufferers, teachers or health professionals. [Source: Addiss]

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