SENDMatters: Coronavirus (COVID-19)

Health for children and young people with SEND

Bromley Healthcare (BHC) children's therapy services are gradually returning to normal but will continue to offer appointments as a combination of remote (telephone and video) and face-to-face appointments depending on clinical assessment.

In line with government guidelines BHC services are identifying new ways of working to ensure that parents and schools can access support in as efficiently as possible.

We’ve provided details of some local health services below and advise you to visit the NHS England website for the latest updates on shielding, social distancing and assistance for the most vulnerable.

Physiotherapy

From August a full service is operating but services will continue to be offered remotely where possible. Urgent cases will be prioritised, this includes children with EHCPs, complex needs including early years, orthotics and priority equipment requirements.

Various clinics have restarted or are due to restart in August including orthotic clinics, Children’s CIPC (Cerebral Palsy Integrated Care Pathway) clinic and Musculoskeletal (MSK) clinic.

The normal referral criteria has resumed. Find out more about the children's physiotherapy service

Occupational therapy

From August a full service is operating but services will continue to be offered remotely where possible. Urgent cases will be prioritised this includes children with EHC Plans, urgent or complex needs and hospital discharge.

The normal referral criteria has resumed. Find out more about the children's occupational therapy service

Speech and Language Therapy (SALT)

From August a full service is operating but services will continue to be offered remotely where possible. Urgent cases will be prioritised, this includes children with an EHCP, dysphagia, young people under the Youth Offending Service, children who are deaf and those with urgent needs.

The service will be contacting parents of preschool children who are due to start school in September to offer advice.

The normal referral criteria has resumed. Find out more about children's speech and language therapy.

Dietetics 

The service is currently accepting referrals for children on enteral feeds, babies under six months with allergies, faltering growth and any urgent issues. From August, the service is also accepting referrals for children with obesity.

From September a full service will be operating but services will continue to be offered remotely where possible including virtual clinics and urgent cases will be prioritised. The usual referral criteria will resume from September. Find out more about children's dietetics

Health support for schools

Health support for schools will reinstate service from September 2020.

The service works with primary and secondary schools in Bromley, by supporting the pupils and each school with safeguarding and/or medical needs and concerns.

Community Wellbeing service: Bromley Y

The Community Wellbeing Service is run by Bromley Y. It provides a single point of access for emotional and mental health services across the borough. You can find out the latest changes in their services on the Bromley Wellbeing website.

Specialist service: Oxleas NHS Foundation Trust

Oxleas provide a number of specialist services across the borough, including Child and Adolescent Mental Health Services (CAMHS) and the Community Eating Disorder Service. You can find out the latest changes in their services on the Oxleas website.

Specialist service: Maudsley Centre for Child and Adolescent Eating Disorders 

The Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED) is run by South London and Maudsley (SLAM) NHS Foundation Trust. Find out the latest changes in their services on the SLAM website.

Specialist service: continuing care

A small number of children and young people who have very complex health needs may need additional health support to that which is routinely available from our universal or targeted health services. This is provided by NHS South East London Clinical Commissioning Group (CCG). You can find out the latest changes in their services on the CCG website

Hospitals: King’s College Hospital NHS Foundation Trust

The four hospitals in and around Bromley are run by King’s College Hospital NHS Foundation Trust. You can find out the latest changes in their services on the King’s website.

Planning for urgent care

The NHS provides a free service called Coordinate My Care. The care plan contains relevant information about diagnosis, allergies, medication and instructions for end of life care for an individual. It is then available to all those involved in the child or young person’s care. You can find out more on the Coordinate My Care website: www.coordinatemycare.co.uk.

As an alternative, families may want to complete a hospital passport to ensure that vital information travels with the child or young person. A hospital passport gives information relating to the person’s medication allergies etc. but also crucial information about how to support them to understand what is happening and how they communicate that they are in pain or distress.

Families can use a standard template and share this with the clinicians in the care setting. You can download a hospital passport standard template.