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East Lancashire Hospitals NHS Trust (ELHT) – Paediatric Physiotherapy (PT) Service

Description

The Children’s Physiotherapy Team provides physiotherapy assessment and intervention

  • for children and young people aged 0-19 years
  • who have any condition that affects their functional ability, gross motor movement, posture or physical skills development
  • It aims to promote maximum independence and the ability of the child/young person to participate in family, school and social activities.

The Care Pathway for Physiotherapy involves

  • Referral for assessment
  • Diagnostic assessment
  • Discussion of short and long term goals with child/young person and family, where difficulties are identified
  • Episodes of physiotherapy intervention with on-going monitoring of progress towards goals
  • Reassessment at key times, e.g. transition to educational settings
  • Discharge or transition to self-management /other forms of care

Children or young people may be supported through a specific, evidence-based care pathway according to the outcome.

Direct and / or indirect interventions may include ...

  • Advice (face to face, telephone or written) - both preventative or therapeutic
  • Direct physiotherapy intervention with the child/young person - either one to one or in a group,
  • Training others to carry out physiotherapy interventions with the child/young person
  • Recommendations for the provision of and specialist advice and training in the use of postural management and mobility equipment.
  • Preparation of physiotherapy programmes to be undertaken by appropriately “trained” people
  • Referral on to other agencies post discharge e.g. for long term support from the voluntary sector.

Aims of advice or physiotherapy interventions 

  • To enable children/young people to achieve and maintain their maximum gross motor abilities and potential.
  • To maximise the child’s/young person’s functional movement ability within their environment to enable participation.
  • To empower children/young people, parents and carers by enabling them to understand the movement difficulty and how they can manage this.
  • To facilitate access to education, leisure and if appropriate, employment thus reducing social isolation.
  • To promote wider awareness and understanding of movement and physical skill difficulties and empowering others in how to prevent and/or support these.

The Paediatric Physiotherapy service operates according to up-to-date evidence on physiotherapy approaches, including NICE guidance and according to the professional guidelines of the Chartered Society of Physiotherapy http://www.csp.org.uk/  and the Association of Paediatric Chartered Physiotherapists ( APCP)   http://www.apcp.org.uk

Who to contact

Contact Name
Helen Harrison
Contact Position
Community Therapy Manager
E-mail
helen.harrison@elht.nhs.uk

Where to go

Notes

·         Royal Blackburn Hospital Physiotherapy Department

·         Royal Blackburn Hospital Childrens Outpatient department

·         Royal Blackburn Hospital Childrens In patient ward

·         Shadsworth Childrens Centre

·         Livesey All user Centre

·         Newfield School

·         Main stream Schools and Nurseries

·         Childrens Centres

·         Private nurseries

·         Children’s/Young persons’ homes

Other Details

Availability

Referral required
Yes
Referral Details

There is access to the service, via referral from GP or Consultant.

 Written and electronic requests are accepted. The service is provided free of charge.

Other healthcare or education professionals may request involvement from the service e.g. Health Visitors, Learning Disability nurses, Speech and Language Therapists, Occupational Therapists, Children’s Services, Hospital staff, GPs, Community Paediatricians, School and Nursery staff, Portage.

Children/young people are generally seen in the order in which they are referred; however in line with professional guidance in certain cases where urgent clinical risk is identified a prioritised appointment is given.

Where possible children/young people are seen at a time and location of their preference, as long as this is appropriate for the intervention being delivered

Team working is encouraged to ensure that children/young people are seen by the Paediatric physiotherapist with the most appropriate knowledge and skills at the most appropriate time. Families will always know which Paediatric physiotherapist is responsible for a child/young person’s care, though the physiotherapist may change from time to time.

The service aims to be child focussed and led. The aims and type of intervention are always discussed with the parents and also the child/young person if appropriate, so that the outcome is one which meets the child and family’s needs. 

Expected Outcomes would include:

·         Shared description and analysis of movement and physical difficulties.

·         Improvement of movement and gross motor abilities where possible.

·         Improved participation at home, school and in leisure activities.

·         Support for the use of mobility and postural management equipment.

·         Prevention of secondary complications.

Greater awareness and understanding by parents and other professionals of the nature and implications of a child’s movement and physical difficulties, and how they can help.

Other notes

Contacts for further information

The first point of contact for a parent/carer or young person to discuss something about the physiotherapy care would be the physiotherapist delivering the care. If this was deemed inappropriate or the family had urgent worries, the Paediatric physiotherapy service has a Team Leader  who would be the next point of contact.

The Paediatric physiotherapy service will assess the referral to understand whether a child would benefit from the service. Similarly, the referrer could also contact the team to enquire about the whether the service would be appropriate.

This service is not commissioned out of hours.

This service is part of the Local Offer

Local Offer

Description

The services are provided across the localities listed below:

·         Royal Blackburn Hospital Physiotherapy Department

·         Royal Blackburn Hospital Childrens Outpatient department

·         Royal Blackburn Hospital Childrens In patient ward

·         Shadsworth Childrens Centre

·         Livesey All user Centre

·         Newfield School

·         Main stream Schools and Nurseries

·         Childrens Centres

·         Private nurseries

·         Children’s/Young persons’ homes

The service operates between 8.00am and 5.30pm on Monday - Friday (excluding bank holidays), however, where necessary therapists may be able to see clients outside of these times by offering early or late appointments. The service is not commissioned out of hours.

Local Offer Age Bands
5-11 years
11-16 years
0-5 years
16-19 years
Needs Level
High
Low
Medium
SEN Provision Type
Universal
Targeted
Specialist