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Health services

General Practitioner (GP)

A GP deals with a wide range of health issues including general health advice, contraception, maternity services and vaccinations. If the GP can’t help, they may refer you to a hospital for tests or treatment, or to specialist services if you need them.

It’s important that you register with your nearest GP practice by completing a registration form.

Maternity services

Women can give birth in their home, or any maternity unit or birthing centre they choose. You can self-refer for maternity care or see your GP to make a referral. To self-refer, visit your chosen hospital in person, or look on their website.

It is important that you see a midwife by ten weeks of your pregnancy so you know all the essential information and are able to have the proper tests and scans. You should contact your midwife or your GP as soon as you know you are pregnant.

Health visitor

The health visiting service is automatically informed of the birth of all babies by the midwifery services. A visit is usually arranged 10-14 days after the birth. If your baby is diagnosed with medical needs requiring additional support, this is usually referred to all appropriate services at the time of diagnosis. Your health visitor will be able to support you if you have concerns at a later stage with your child's development.

For information on your health visitor, visit your local children's centre.

School nursing service

Every school has a named school nurse who:

  • gives specialist advice to children and their families
  • provides immunisations in school
  • assists with infectious outbreaks closely linking with Health Protection Agency colleagues
  • supports national and local strategies for improving health

Vaccinations and immunisations

It is important to make sure your child has their routine vaccinations at the right age, to protect them as early as possible and minimise the risk of infection. Childhood vaccinations are offered free on the NHS to all children. The first injections are due when your baby is two months old.

For more information, see the NHS vaccination timetable.

Bladder and bowel problems affect people of any age and have a huge impact on an individual’s quality of life. The continence service undertakes assessments to promote continence and provide training to nursing and care home staff. We act as a resource and provide information on continence related issues and concerns. If continence cannot be achieved, we can provide containment aids. The enuresis service is currently provided by Chase Farm Hospital.

Accessing the service

Children must live in Enfield, or have a GP in Enfield, which will allow them to be seen in clinics that run all day Monday, Thursday afternoon and Friday morning.

Referrals can be made by GPs, hospital staff, any member of the multi-disciplinary team and nurse colleagues. Carers or families can refer to the service if the GP is unable to.

Products are provided from the age of three and families should approach the health visitor or school nurse who will assess for these. Children can be expected to be seen within three to six weeks of the service receiving the referral.

After receiving a referral, a letter is sent requesting families or carers to contact the continence team and make an appointment.

For more information, contact the team on 020 8702 5820.

You can also visit:

The community paediatric dietetic service provides a specialist service to children and young people under 19, who have identified nutritional problems with neurodevelopmental conditions and syndromes, and attend a special needs school in Enfield.

The service works in partnership with parents, carers, children centres, schools, and multi-disciplinary teams.

Eligibility

Referrals are only accepted if the patient is under 19, lives in Enfield and is referred by:

  • GPs
  • Hospital Consultants
  • Community Paediatricians
  • Acute dieticians referring from tertiary hospitals
  • Paediatric Speech Therapist
  • Paediatric Physiotherapist
  • Paediatric Occupational Therapist
  • Complex Care Nurses
  • School Nurses based at the special needs schools

Accessing the service

Priority one children and young people will be seen within two weeks for issues including home enteral feeding, severe dysphagia, end stage terminal illness, or if they are subject to a child protection plan.

Priority two children and young people will be seen within 8-12 weeks for issues including faltering growth, premature metabolic conditions and conditions compromising nutrition and fluid intake.

Priority three children and young people will be seen within 18 weeks for issues including general nutrition advice, obesity and constipation.

For more information, visit the Barnet, Enfield and Haringey Trust or contact the team on 020 8702 5436.

What is occupational therapy?

Occupational therapists help children and young people improve their ability to take part in everyday activities (’occupations’). These occupations may include self-care tasks, play and leisure activities, and taking part in school life.

Occupational therapists work closely with the child or young person, parents and teachers, with the aim of helping the child to participate as fully as possible in their chosen occupations.

Who is the service for?

Disabled children, or those with additional needs, can be referred to children’s occupational therapy if they are finding it difficult to perform their daily occupations. This can include difficulties with:

  • completing self-care tasks (like bathing, brushing teeth, getting dressed or eating)
  • taking part in daily school life (like using a pencil or scissors, joining PE lessons, or organising their school equipment and work)
  • engaging in leisure and play activities (like riding a bicycle, swinging on a swing, drawing and colouring, or playing with Lego)

To use the service, children must live within the borough of Enfield or be registered with an Enfield GP. They must be aged 0 to 18 years old.

Unfortunately, we are not commissioned to see children who attend an Enfield school but don’t live in the borough nor have an Enfield GP. These children need to be referred to their home borough’s NHS occupational therapy service.

Referrals for home equipment or housing adaptations need to go to Enfield Local Authority Occupational Therapy Team.

Some special schools in Enfield pay for their own school occupational therapist. Please check this with your school.

How to access our service

Referrals to children’s occupational therapy are accepted from:

  • Registered health professionals (for example, paediatricians, GPs, health visitors, school nurses, physiotherapists, speech and language therapists)
  • School SENCOs.

Referrers should complete the occupational therapy referral form. You can call the OT admin on 0208 702 5630, or email beh-tr.cssadminhub@nhs.net to request a form.

Contact details

Address:

Children and Young People’s Occupational Therapy Service
Cedar House, St Michael’s Site
Gater Drive
Enfield, Middlesex
EN2 0JB

Telephone:

0208 702 5630

Definition of Occupational Therapy - World Federation of Occupational Therapy (2012)

Occupational therapy is a client-centred health profession concerned with promoting health and wellbeing through occupation. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. Occupational therapists achieve this outcome by working with people and communities to enhance their ability to engage in the occupations they want to, need to, or are expected to do, or by modifying the occupation or the environment to better support their occupational engagement.

Paediatric physiotherapy is the treatment and care of babies, children and young people under 18. Paediatric physiotherapists have specialist skills, expert knowledge and experience of child development and childhood disabilities.

We cater for children with a range of disabilities, functional or motor difficulties resulting from neurological impairment, musculoskeletal issues, genetic disorders and mobility issues. The team work closely with patients, carers and school or nursery staff to make sure the physiotherapy strategies are incorporated into the child’s daily routine.

Eligibility

Referrals are only accepted if the patient is under 18, lives in Enfield or has a GP in Enfield.

Accessing the service

Healthcare professionals must refer you to the service. Children with complex needs may be referred by the child development centre and tertiary care hospitals. We aim to see all referrals within 13 weeks.

For more information, visit the Barnet, Enfield and Haringey Trust or contact the team on 020 8702 5640.

Pre-school speech and language

The pre-school speech and language service provides assessment, diagnosis, and interventions for children with speech, language and communication difficulties, and eating and swallowing disorders.

Drop-in clinics are held in children's centres. These are the first point of contact for assessment and advice, if there are concerns regarding children’s speech, language and communication skills. The team work with parents, carers, nurseries and multi-disciplinary teams to provide high quality therapy to children. Specialist advice and training is provided for parents, carers and other professionals.

Eligibility

This service is available to children up to reception age, who live in Enfield or are registered to a GP in Enfield.

Accessing the service

The service can be accessed via the drop-in clinics. These are advertised in local nurseries, children’s centres, or information gained from the speech and language therapy department. Children with complex needs may be referred by the children’s development centre.

Following a drop-in session, we aim to see all children for therapy within 13 weeks. Families will receive a letter inviting them to attend therapy two weeks before the appointment.

Help you can receive

Depending on your child’s needs, you may be referred to:

  • Talk Activity, a ten-week course with three parent workshops about speech, language and communication development. The next seven sessions support parents and their children with planned activities to help language development and achieve individual aims
  • Specific Care Pathways for speech, language and communication needs. In group sessions we support the development of language and social skills. Each group has around six children and lasts 4 to 6 weeks, with a follow-up if needed

Individual support is also available for children with the most severe and complex needs.

School-aged children

The special educational needs co-ordinator (SENCo) or inclusion manager within the school will monitor your child's speech, language and communication needs, and put support in place to develop their skills.

If specialist support is needed, the SENCo will discuss this with you and ask for your written permission to refer to the Barnet, Enfield and Haringey Trust Speech and Language Therapy Service.

This service is for children and young people (from reception to school leaving age) who attend mainstream schools in Enfield or who have an Enfield GP, and have difficulties in the following areas.

Health needs

This includes children who have difficulties with:

  • speech sounds
  • stammering
  • eating and drinking
  • communication- resulting from severe hearing impairment
  • communication - resulting from an injury or illness
  • selective mutism
  • voice

Referrals will be accepted from other professionals, and directly from parents, if a child has an identified health need. Once a referral is received, it will be triaged by senior therapists. If the referral is accepted, a speech and language therapist will aim to see the child and parents within 13 weeks for assessment. In some cases, the child may be seen in school rather than with the parent, but this will be discussed with you.

If the referral is not accepted, you will receive a letter explaining the reason.

Educational needs

This includes children who have difficulties with understanding or using language, and whose school has applied for a statutory assessment leading to an Education, Health and Care Plan (EHCP).

Schools can access advice and support for children without EHCPs by talking to a clinical lead speech and language therapist.

For children and young people who attend Enfield special schools and additionally resourced provisions, including Speech and Language Resource Bases, speech and language therapists will work closely with classroom staff to determine and offer support for any communication, eating and drinking needs of the child.

For more information and resources, visit Barnet, Enfield and Haringey Mental Health NHS Trust.

This service provides assessments and prescriptions for wheelchairs, associated seating and positioning equipment. Initial referral should be sent by your GP, occupational therapist or physiotherapist.

Eligibility

Children must live within Enfield and have a permanent disability necessitating wheelchair mobility (six months or longer).

For more information, visit Independence and Well Being Enfield or contact the team on 020 8379 8842.


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