The Nottingham Community Paediatric Team

The Nottingham Community Paediatric Team is a group of specialist doctors and nurses from Nottingham Children’s Hospital who are experts in different medical and developmental conditions that children may have, such as learning disabilities, ADHD, and Autism. We hold clinics in Health Centres around Nottingham where we see children and help them with their health.

These clinics are held in the Children’s Development Centre (Nottingham City Hospital), Beeston, Bulwell, Carlton, Clifton, Hyson Green, Keyworth, Kimberley, Radford, St Ann’s, Stapleford, Strelley and West Bridgford. We also have special clinics for children with conditions like Down Syndrome, Rett syndrome, hearing problems, and difficulty in communication. Sometimes, we have appointments with other doctors who specialise in bones, brain, or genetics, and these appointments happen at the Children’s Development Centre at Nottingham City Hospital or Queen’s Medical Centre.

Our team also visits Specialist Schools to review children with complex medical and learning needs in their education environment.

When young people reach 14 years old, we start planning for adulthood and start to move their medical care to adult services who can provide ongoing support for their health needs. This may involve clinics with Paediatric and Adult specialist teams.

Where we are

We facilitate clinics across Nottinghamshire and your child will be offered an appointment nearest to your address. At times we offer appointments at a different clinic to support your child being seen sooner. If that happens, we can talk about follow-up options during your first appointment.

To find out where we are based in an AccessAble format, click on the links below:

What we do

The Community Paediatric team see the following children:

 - Children who have developmental concerns.

 - Children with complex disabilities like cerebral palsy.

 - Children with learning disabilities and worries about genetic conditions or specific syndromes.

 - Children with brain injuries, those born very early, or with hearing/vision problems who need assessment or ongoing help.

- Children with general medical issues like concerns about growth, possible seizures, and more.

- Children who need evaluation for conditions like ADHD or Autism.

Referrals:

We cannot accept referrals directly from parents, caregivers, or teachers. Referrals to our clinics must come from your family doctor (GP).

Referrals for possible neurodevelopmental conditions might be directed to other teams like the Behavioural and Emotional Mental Health Team in Nottingham City or the Neurobehavioral team in Nottinghamshire, as they are equipped to provide support and gather important information for assessments.

We work within a multi-disciplinary team to link with services such as:

 - Speech and language therapy

- Occupational therapy (OT)

- Physical therapy (Physio)

- Orthotics

- Dietitians

- Whole Life Disability Team

- Phlebotomy (for blood tests)

- Early Years services

- Family support services

- CAMHs (Child and Adolescent Mental Health services)

- Continence services

- Healthy Family team and Public Health Nurses

- Education services

The availability of these services may vary slightly depending on your local area. You can find more information on local services at ASKLiON | Ask Lion - Nottingham City Directory or Nottshelpyourself.

Information about your visit / what to expect at a community paediatric clinic

When you arrive at the clinic, the receptionist will show you where the waiting area is for you and your child to wait.

A Clinic Support Worker will check who has parental responsibility and make sure we have the right contact details, school information, and GP details. They will measure your child’s weight, height, and, if needed, blood pressure and head size. We would appreciate if you could arrive 10 minutes early to allow time for this. If someone other than a parent brings the child to the appointment, they must have written consent from the parent unless there are special circumstances.

Please know that your child may be seen by any member of the paediatric team (Doctor, Nurse Specialist, or Advanced Clinical Practitioner) and a student may be there too. The Doctor or Nurse Specialist will listen to your main concerns and try to help as best they can. They will ask questions about your child's medical history, social background, strengths, and difficulties. If more information or tests are needed, they will explain this to you and may suggest helpful resources. They want to work together with you to support your child. Please tell us how we can support and communicate in a way that is best for your child.

If further tests are needed, they will be arranged, and you will be informed about how and when they will take place.

Your first appointment will be about 40 minutes long. Follow-up appointments are usually 20 minutes. We do our best to see your child at their scheduled time, but sometimes there may be delays. Thank you for your patience if this happens. If you need to change or cannot make your appointment, please contact the Community Paediatrics Hub as soon as possible.

You can also request a telephone consultation or inform us of any reasonable adjustments.

If your contact details or address change, please let us know.

After each appointment, you will receive a summary letter. This letter can be used as evidence to support applications, such as for Disability Living Allowance.

Resources

Community Paediatrics resources

Resources

Nottingham Children’s Hospital Community Paediatric leaflets

Help for Having a Healthy Headspace: concerns about a child or young person’s mental health or emotions.

Leaflets on ADHD, Autism Spectrum Disorder, Tics/Tourettes

Sleep difficulties, and common medical concerns like constipation etc.

www.nuh.nhs.uk/childrens-leaflets?smbfolder=964

Health For Teens: Website designed for teenagers that covers everything from relationships and sexual health to school to mental health to lifestyle.  It also has extra sections for those in Leicestershire and Nottinghamshire.  https://www.healthforteens.co.uk/

Health For Kids: Has a section for adults (grown-ups) and a section for children.  Has information and advice about health worries in children  as well as extra sections for those living in the Nottingham area www.healthforkids.co.uk and www.healthforkids.co.uk/grownups/

NottAlone

Local mental health advice and help for young people in Nottingham and Nottinghamshire. If you are aged under 25, are a parent or carer, or a professional that supports young people, you can find information, advice and where to go to get help locally.  https://nottalone.org.uk/

Safe Spot: iPhone and Android app that promotes positive mental wellbeing in children and young people and has been designed to help children and young people with their coping skills.

https://safespot.org.uk/

Medicines For Children

Information for parents and young people about medicines, side effects, and other important useful information.  Type in the name of the medicine or type of medicine to find the one you are looking for.  Includes drugs for epilepsy, ADHD etc but also how to give medicines like tablets, drops, sprays etc.

www.medicinesforchildren.org.uk

 

Nottingham CITY: Ask Lion

www.asklion.co.uk 

Excellent and easy to use site with information about organisations and services in the City of Nottingham. Where to get help with health, finances, housing, Special Educational Needs and Disabilities (SEND), support groups, and things to do.

Nottinghamshire COUNTY: Notts Help Yourself www.nottshelpyourself.org.uk

Excellent and easy to use site with information about organisations and services in the County. Where to get help with health, finances, housing, Special Educational Needs and Disabilities (SEND), support groups, and things to do.

Ask us Nottinghamshire

Impartial information, advice and support for parents / carers about Education and Special Educational Needs (SEND) from 0 - 25 years.

https://askusnotts.org.uk Tel: 0115 804 1740 enquiries@askusnotts.org.uk

County Local Offer for SEND

Information about provision for children and young people who need additional support in education and who are in the County.

https://www.nottshelpyourself.org.uk/kb5/nottinghamshire/directory/site.page?id=mjHuZeCQAY4

 

City Local Offer for SEND

Information about provision for children and young people who need additional support in education and who are in the City.

https://www.asklion.co.uk/kb5/nottingham/directory/advice.page?id=P2eOQyKrnUs

 

Nottingham CITY: Children and Families Direct https://www.nottinghamcity.gov.uk/marf

A 'one stop shop' to access a huge range of services to suit your situation.  Families can contact directly.  Monday to Friday from 8:30 am to 4:50 pm. Tel: 0115 876 4800

Nottinghamshire COUNTY: the Early Help Unit

Provides early help and support on a range of concerns from behaviour to housing to school attendance.  Families can contact directly.

Tel 0115 804 1248 or emailing early.help@nottscc.gov.uk

 

Attention Deficit Hyperactivity Disorder (ADHD) in Children and Young People: Information for parents and carers.  Leaflet explaining about ADHD, what causes it, how to help, medications, and where to get support. https://www.nuh.nhs.uk/childrens-leaflets in the ‘Community Paediatrics’ folder.  Also see:

www.ADHDFoundation.org.uk

www.ADDISS.co.uk            www.ADHDUK.co.uk

www.borntobeADHD.co.uk     www.ADHDandyou.co.uk

 

Attention Deficit Hyperactivity Disorder (ADHD) Behaviour Strategies: Information for parents and carers. Explains how ADHD can impact on behaviour and how to help manage the Fizz! https://www.nuh.nhs.uk/childrens-leaflets in the ‘Community Paediatrics’ folder

 

 

Autism Spectrum Disorder (ASD) in Children and Young People: Information for parents and carers. Information about and links to support for ASD, including for areas of daily life that may be more challenging in ASD. https://www.nuh.nhs.uk/childrens-leaflets in the ‘Community Paediatrics’ folder

 

Tic Disorders in Children and Young People: Information for families, children and young people and professionals.  Information about tics and

what they are like as well as management and treatment options. https://www.nuh.nhs.uk/childrens-leaflets in the ‘Community Paediatrics’ folder

Tics and Tourettes: Tourettes and Tics information, support, and links.

https://www.tourettes-action.org.uk/

 

Tics and Tourettes: Great Ormond Street resources for families and teachers

https://www.gosh.nhs.uk/medical-information/search-medical-conditions/tourette-syndrome/tourette-syndrome-information-pack

 

Functional Neurological Disorder: Sometimes something that looks (or sounds) like tics can happen and not actually be tics.  These can be a functional neurological disorder, and this site explains what this means.  This can happen as the only diagnosis, but also in people who already have Tourette’s or similar www.neurosymptoms.org

 

 

A behavioural approach to managing sleep difficulties: Information for families.  Information, support and advice for sleeping concerns in all age groups.  Contains a diary to help understand possible causes and solutions. https://www.nuh.nhs.uk/childrens-leaflets in the ‘Community Paediatrics’ folder

The Sleep Charity: https://thesleepcharity.org.uk/

7pm and 9pm, Sunday to Thursday on 03303 530 541

Teen Sleep Hub: https://teensleephub.org.uk/

Online help for sleep difficulties in teenagers.

Sleep in children with additional needs

https://contact.org.uk/wp-content/uploads/2021/03/helping_your_child_sleep.pdf

Helping a child with disability sleep

https://www.scope.org.uk/advice-and-support/help-disabled-child-sleep/

 

NSPCC: https://www.nspcc.org.uk/

Call us or email help@nspcc.org.uk.0808 800 5000

Childline: offers free, confidential advice and support for anyone under 18, whatever your worry, whenever you need help.  0800 1111

EMCYPSAS https://www.emcypsas.co.uk/ Tel: 0800 183 0023

Regional Medical Service for Children and Young People who are victims of sexual abuse and rape.  Referrals are via Police or Social Care, but 16 years and over can self-refer.  The website provides useful advice and information for parents/carers and young people:

Nottingham CITY: Children and Families Direct https://www.nottinghamcity.gov.uk/marf

A 'one stop shop' to access a huge range of services to suit your situation.  Families can contact directly.  Monday to Friday from 8:30 am to 4:50 pm. Tel: 0115 876 4800

Nottinghamshire COUNTY: the Early Help Unit

Provides early help and support on a range of concerns from behaviour to housing to school attendance.  Families can contact directly.

Tel 0115 804 1248 or emailing early.help@nottscc.gov.uk

The Pants Rule: NSPCC

Talk PANTS helps children understand that their body belongs to them, and they should tell someone they trust if anything makes them feel upset or worried.  To help you start the conversation with your child, they will send you helpful tips, advice and materials by email.

Chat Danger: www.chatdanger.com   A site about potential dangers of services like chat, IM, online games, email and  mobiles.

Kid Smart: www.kidsmart.org.uk  Teaches children and adults about the internet and being a SMART surfer.

Road Safety Awareness: http://www.brake.org.uk/

In car safety: https://incarsafetycentre.co.uk/

Child Accident Prevention Trust: https://www.capt.org.uk/

 

https://www.gires.org.uk/tranzwiki/

TranzWiki is a comprehensive directory of non-commercial groups and organisations supporting or assisting trans and gender diverse individuals, their families and friends across the UK.

Gender Identity Research & Education Society

https://www.gires.org.uk/

GIRES is a UK wide organisation whose purpose is to improve the lives of trans and gender diverse people of all ages, including those who are non-binary and non-gender.

 

Constipation and Macrogol Laxative Treatment: Information for patients, parents and carers.  Explains about constipation and soiling and how to treat this, including use of medications. https://www.nuh.nhs.uk/childrens-leaflets in the ‘Community Paediatrics’ folder

ERIC: https://www.eric.org.uk/

Excellent website for parents/carers but also children and young people.  Has sections with advice and support for constipation, soiling, and wetting.

There is a good leaflet about managing periods here:

https://britspag.org/wp-content/uploads/2019/07/Heavy-Periods-Information-leaflet-2019.pdf

 

Vulvovaginitis: Information for parents and carers

Advice on how to treat and prevent this very common cause of soreness and itch/discharge in young girls.

www.nuh.nhs.uk/download/doc/docm93jijm4n9130.pdf?ver=20378

Contact us

Community Paediatrics Hub Number:

0115 8404848 (available from 8:30 am to 15:00 pm Monday to Friday)

This number is for patients with active follow-up with Community Paediatrics services.

Please call if you need to reschedule your appointment, switch to a telephone appointment, or require reasonable adjustments for your child's appointment. Please note that same-day responses from our clinical team are not always possible and that as we do not provide an emergency service, urgent health concerns should be raised with the GP or other appropriate service.

Prescriptions:

For ADHD medication prescription queries, please email […………….] or leave a message with the Hub. Please  allow up to 10 days for a response. Once your child's medication dose is stable, we may ask your GP to provide prescriptions  through ‘shared care’.

For melatonin prescription queries, please contact the NUH pharmacy at 0115 9709472.

 

In Case of Urgent Health Concerns:

If you have an urgent health concern, please seek advice from your GP, call 111 for non-emergencies, or go to A&E if you are worried that your child is very unwell.