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Community paediatrics (Kingston)

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The Consultant Community Paediatricians are part of the Kingston Hospital Trust Child Development Team providing services for children and young people aged 0 to 18 years who have a range of developmental and special needs. They are based at the Moor Lane Centre in Chessington.

The Consultant Community Paediatricians carry out neurodevelopmental assessments looking at aspects of children’s general development – including hearing, vision, motor skills, speech, language and communication, behaviour and social skills.

Where appropriate they carry out joint assessments with in-house and external therapy colleagues. They carry out statutory assessments for Children Looked After (CLA) and those children going through the Education, Health and Care Plan (EHCP) process. There are designated clinics for children with Downs Syndrome.

The Consultant Community Paediatricians run outreach clinics for children who attend local special schools and work as part of the Social Communication Assessment Team. They participate in the clinics of visiting orthopaedic and neurology professionals.

Meet the team

Dr Alison Pearce – Consultant Community Paediatrician and Lead Community Paediatrician-Kingston

Dr Divya Pore- Consultant Community Paediatrician, Lead for autism assessments (<5yrs), Designated Medical Officer for SEND, Interim Named Doctor for CLA

Dr Sandhya Kenyon- Associate Specialist in Community Paediatrics and Designated Doctor for CLA Kingston and Richmond

Referrals are accepted only for children who are registered with a Kingston GP.

Referrals are accepted from

  • Kingston GPs
  • Health Visitors
  • Therapists
  • SENCo/INCo, School Nurses
  • Other medical consultants

Reasons for referral

Children below 5 years:

  • Neurodevelopmental concerns
  • Genetic conditions known to be associated with developmental problems (e.g. Downs Syndrome)
  • Neurological/ Neuromuscular problems associated with developmental problems
  • Movement Disorder (including Cerebral Palsy)
  • Assessment of Social Communication Difficulties (Autism) 
  • Severe impairment in hearing or vision in the context of abnormal development
  • Prematurity - less than 28 weeks gestation +/ <1000gm birth weight when discharged by the Neonatal Team
  • Neonatal cranial complications (e.g. Intraventricular Haemorrhage, Hydrocephalus, Hypoxic Ischemic Encephalopathy, Periventricular Leukomalacia)
  • Complex medical needs likely to cause developmental delay or learning difficulties

Children and young people below 18 years:

Referrals for children and young people between the ages of 5 to 18 with the following conditions will be considered:

  • Genetic condition which require long term observation, for example Downs Syndrome
  • Neuromuscular disorders
  • Movement disorder – needing hip observation
  • Developmental Coordination Disorder jointly with Occupational Therapist
  • Assessment for Autism Spectrum in children with Severe Learning Disability known to the service

Referrals NOT appropriate for the Community Paediatric Team

  • Enuresis – refer to Continence Team based at Hollyfield House
  • Constipation – refer to PACE Clinic at Kingston Hospital
  • Emotional and behavioural problems – refer to Single Point of Access (SPA)
  • Autism in a child older than 5 years without severe learning difficulties – refer for a CAMHS autism screening appointment 
  • ADHD - refer for a CAMHS ADHD screening appointment
  • Learning difficulties – academic difficulties in school aged children should be assessed by the School SENCo and/or Educational Psychology Team
  • New referrals for Feeding and sleep difficulties – refer to health visitors for a child under 5 years of age initially, and over 5years consider referral to Kingston Hospital via GP

The paediatricians take part in the weekly Integrated Team Around the Child (ITAC) meeting held at the Moor Lane Centre. All referrals to the Integrated Service for Children with a Disability (ISCD) are discussed at this meeting to provide pathway planning for children and young people who meet the criteria for the service.

Referrals are accepted via our online referral form.

Additional supporting information can be sent to ITAC@achievingforchildren.org.uk

Telephone: Main Reception 020 8547 6527

The Moor Lane Centre, Moor Lane, Chessington, KT9 2AA.

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