Families, Young People
and Children’s Division
Available to all schools
within Leicester, Leices
tershire
and Rutland
Improving health
and wellbeing
Helping your staff develop
knowledge and skills in the
areas of child development
and ill-health
Core and Traded Service Prospectus
for Healthcare in Schools in Leicester,
Leicestershire and Rutland 2013/14
FYPC
Working in
partnership
with schools
Supporting young
people with mental
Foreword 3 Introduction 4
About us 4
How to use this prospectus 5
Contacting us and Contracting Arrangements 6
To make a referral for a young person 6
To discuss additional ‘traded’ services 7
To discuss training opportunities 7
Further Information 7
Core and Traded Services Model 8
Core Services 8
Core Training 9
Additional ‘Traded’ Services 9
Additional Training 9
Supporting Young People to Lead Healthy Lives 10
Supporting Young People with Healthy Eating or Additional 14
Dietary Needs
Supporting Young People with Long Term Health Conditions 16
Supporting Young People with their Speech, Language And 18
Communication Needs
Supporting Young People with Mental Health Needs 20
- Emotional Wellbeing
Supporting Young People with Learning Disabilities 24
Supporting Young People with Physical Disabilities 28
Supporting Young People with Life Limiting Conditions 32
Supporting Young People with Emotional And Behavioural Difficulties 34
Supporting Young People During Transition to Adulthood 40
Notes 41
3
Foreword
The Families, Young People and Children’s Division of Leicestershire
Partnership NHS Trust are pleased to introduce their core and traded services prospectus for the academic years 2013 – 2014. This document is intended for all schools within Leicester, Leicestershire and Rutland to provide clarity about what you can expect from your NHS community services and details of what is available to be purchased with additional funds.
Improving health and wellbeing underpins the work of the Families, Young People and Children’s Division. Most of our core services for children and young people are commissioned through Leicester City and Leicestershire County and Rutland Public Health teams, the Clinical Commissioning Groups for Leicester City, East and West Leicestershire and NHS England.
This prospectus describes this commissioned ‘core offer’ which all schools can expect from our services. It also describes how we could help your staff to develop knowledge and skills in particular areas of a typical child development or ill-health and the additional services we can provide to support your staff or provide an enhanced service offer.
We trust that you will find the document useful and informative and we welcome any feedback you may have.
Many thanks,
Helen Thompson Divisional Director
Introduction
• Working collaboratively with a range of agencies and partners.
• Supporting and developing the team around the young person to improve health and wellbeing through Integrated Care Pathways.
• Supporting young people to take responsibility for their own health and wellbeing.
We are committed to supporting young people and families in community settings including schools. Our range of services to schools promotes: • Access to schools and participation with peers to
their own potential.
• Maintenance of young people’s mental and physical health and reduces the impact of ill health or disability on school attendance. • The adoption of healthy physical and
mental lifestyles.
• The development of the necessary attributes to move through childhood into adulthood.
What can you expect
from our services?
Families, Young People and Children’s Division are committed to providing high quality services supported by rigorous quality controls:
• All our qualified clinical staff are registered with their respective professional and regulatory bodies.
• Our health support/development workers are supervised by fully registered clinical staff. • All our staff are expected to access regular
supervision which assures clinical expertise and safety.
• All clinical staff have enhanced Criminal Records Bureau (CRB) or Disclosure and Barring Service (DBS) checks.
• All our staff are expected to attend regular training to maintain quality in clinical practice. • Leicestershire Partnership NHS Trust is a
registered partner agency of the Local Safeguarding Children Board (LSCB).
This prospectus sets out the provision of services within Families, Young People and Children’s Division of Leicestershire Partnership NHS Trust (LPT) for children from school entry age to statutory school leaving age, who attend mainstream and area special schools. Some of our services offer support up to an extended age range of 19 years for young people remaining in full-time education. It describes the core health provision available from our services, and sets out opportunities for you to commission additional services from us.
This prospectus is designed to:
• Inform schools within Leicester City,
Leicestershire and Rutland about our services. • Describe which health services are available
routinely free to schools.
• Provide a menu of additional services available to purchase.
This prospectus details how we can work in collaboration with schools to support young people with a range of health conditions during the 2013-2014 academic year.
About us
Families, Young People and Children’s Division provides a range of services to improve the health and wellbeing in local communities in Leicester, Leicestershire and Rutland. We provide services to support children and their families with physical and mental health difficulties
Children and young people are the focus of
everything that we do and our vision is to improve the health, wellbeing and long term outcomes of children and young people by:
• Offering early intervention and identification. • Supporting public health initiatives.
• Delivering evidence-based, clinically effective practice within local neighbourhoods
5
Equality and Diversity
Leicestershire Partnership NHS Trust (LPT) aims to design and implement policy documents that meet the diverse needs of our service, population and workforce, ensuring that none are placed at a disadvantage over others. It takes into account the provisions of the Equality Act 2010 and advances equal opportunities for all. This document has been assessed to ensure that no one receives less favourable treatment on the protected characteristics of their age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex (gender) or sexual orientation.
In carrying out its functions, LPT must have due regard to the different needs of different protected equality groups in their area. This applies to all the activities for which LPT is responsible, including policy development, review and implementation.
Identify child’s need of support or workforce development need.
Go to the relevant section in the prospectus. Supporting young people:
• To lead healthy lives (page 10).
• With healthy eating or additional dietary needs (page 14).
• With long term health conditions (page 16).
• With speech, language and communication needs (page 18).
• With mental health (emotional wellbeing) needs (page 20).
• With learning disabilities (page 24).
• With physical disabilities (page 28).
• With life limiting conditions (page 32).
• With emotional and behavioural needs (page 34).
• During transition to adulthood (page 40).
Choose the type of support you are looking for.
• Core services – services we provide as part of our NHS contract.
• Core training – training we provide
alongside or to support our core provision.
• Additional services – services you may purchase or contract from us.
• Additional training – training which you may purchase or contract from us.
Make a referral or contact us to discuss our services (see page 6).
Contacting us and Contracting
Arrangements
referrals are accepted from are detailed below. Services may also be contacted direct if you already know who you wish to speak to.
Mental Health Services can be accessed via a child’s GP or Educational Psychologist. We would encourage a young person or their family/main carer to visit their GP in the first instance if they have concerns. We also accept referrals through other professionals who the child is known to in Families, Young People and Children’s Division. Where a child is at a risk of self-harm a school nurse may make a direct referral. We are happy for schools to contact CAMHS:
CAMHS advisory helpline - Seek over the phone advice to help support young people and seek further advice regarding referrals. Tel: 0116 295 5048.
Referrals for our Community Paediatrics
team can be made through the school SENCO, Educational Pyschologist, School Nurse or child’s GP. If the referral is made directly by the school SENCO, please ensure that the child’s parents/ carers have available all documentation about the school’s concerns.
Our Paediatric Psychology team accept referrals from UHL Consultant Paediatricians for young people living in Leicester Leicestershire and
Rutland. We also accept referrals from Community Paediatricians for young people living in Leicester City and registered with a City GP.
To make a referral for a
young person
We operate a universal access system for referrals for individual young people. This means that all referrals are received at one contact point and we can then decide who is the most appropriate team or professional(s) to support the young person. We work through local co-ordination of our services once a referral is accepted. This means that we are able to involve other services as necessary using our Care Navigators.
When making a referral it is helpful to include as much information as possible. This should include:
• Any proformas or guidelines completed, e.g. MIN document (Leicester City).
• Any work that has already been carried out. • The main concerns that you are seeking
support for.
• When parents attend an appointment please
ensure that they have any documentation about the school’s concerns that is appropriate.
Most of our services accept referrals from school SENCO’s; where this is not the case details of who
• By telephone: 0300 3000 007
• Leicestershire Partnership NHS Trust Bridge Park Plaza
Bridge Park Road Thurmaston Leicester LE4 8PQ
• Visit our website: www.leicspart.nhs.uk
• By secure e-mail: fypc.referrals@nhs.net
How to contact us
7
To discuss Additional
‘Traded’ Services
If you are considering buying additional services we would like to ensure that we can meet the needs of your school and pupils.
When you contact us, we will discuss your requirements and arrange for a service manager to meet with you. We will draw up a detailed service specification (service level agreement) which describes the service you are buying. This is a jointly agreed document which explains exactly what our service will provide, how and when and what you can expect, the start and expiry date, and terms of conditions. It will also outline how you can extend or terminate the contract should you wish to.
To discuss training
opportunities
Our multiagency mental health training can be accessed through:
Greenwood Institute of Child Health Tel: 0116 2252888
Our Diana Children’s nursing team has its own training prospectus please contact us to obtain a copy.
Further Information
Further information on all our services and downloadable information is available on our website or on the local
offer websites:
• www.leicspart.nhs.uk
• www.localofferleicester.org.uk
Our service model (Figure 1) allows us to provide core services and training – these are free to all schools. They include services that are essential to meet the health and wellbeing of young people that are referred to us. We also provide opportunities to purchase additional training, or services that are currently outside of our commissioned remit. These are called our ‘Traded’ or ‘Additional Services’.
Leicester City Clinical Commissioning Group, East Leicestershire and Rutland Clinical
Commissioning Group and West Leicestershire Clinical Commissioning Group commission a range of services for Children and Young People from Leicestershire Partnership NHS Trust. These services form part of the core offer and are free to all schools as it is part of our commissioning arrangement.
Our health promotion services are based on public health priorities. These services are free at the point of delivery as part of our NHS contract.
Core Services
The primary focus of our Core Services for young people are based on the following principles: • Assessment of an individual young person’s
needs or for universal services based on your school profile to enable accurate identification of support needed.
• Aimed at meeting a young person’s essential health needs to maintain their ability to attend and participate in the school curriculum.
• Young people are assessed and seen in the most clinically appropriate venue. This may be within a school or at a clinic, group setting or home or as local as possible.
• Decisions about interventions are developed in partnership with our health professionals, appropriate representatives at the school and parents/carers’ with the exception of our confidential services such as smoking cessation and sexual health.
• Packages of care are agreed with the child and their family. We involve the school as and when appropriate. We will endeavor to provide a
Core and Traded Services
Figure 1 FYPC Core and Traded Services
Core Services (free) Core Training (free) Additional ‘Traded’ Training (cost) Additional ‘Traded’ Services (cost)
• Based on child specific health needs.
• Public health training.
• Based on individual young person’s health needs and public health priorities.
• Child and Adolescent Mental Health training. • Opportunity to
purchase additional training as described to enhance workforce knowledge and
support whole school’s strategies.
• Opportunity to purchase additional services as described to enhance workforce knowledge and support whole school strategies.
9 written copy of the plan where appropriate, with
the exception of confidential services such as smoking cessation and sexual health.
• We encourage young people to discuss their smoking cessation or sexual health with parents/ carers’ however they may choose for this to remain confidential.
• Parents and carers are sent letters to confirm appointments which can be used to explain the necessity for school absence. A copy can be forwarded to schools on parental consent.
Core Training
Our training around a child’s specific health needs is considered essential as part of our core services. This can include; the use of a standing frame, gastrostomy tube feeding, dysphagia training for children with eating and drinking difficulties and the use of Epipens.
Where a child attends ‘dual educational
placements’ or changes of staffing occur, there may be an additional charge for repeat training. Our Child and Adolescent Mental Health and Public Health training is provided to schools free as part of our commissioned core provision.
Additional ‘Traded’ Services
Examples of how our services may work in
partnership with schools and local authorities are described below. We can:
• Set up, train and support staff in planning and running skills development groups e.g. language, handwriting, health improvement programmes.
• Work with head teachers, class teachers/learning support assistants to develop whole class
strategies/approaches.
• Set up stop smoking clinics, weight management clinics within your school.
• Support in curriculum planning to assist in the differentiation for young people with additional needs in class groups, for example PHSE,
communication strategies.
• Provide additional sessions to support young people who may not meet the criteria of services for the core offer e.g. mild to
moderate learning
difficulties (see learning difficulties section), dual placements.
The most effective arrangements are where schools have a service level agreement with us. Schools may individually commission, collaborate with nearby schools to jointly commission
or become part of an NHS/Local Authority commissioning arrangement.
In each section we have provided examples of current additional services.
Additional Training
Many of our training packages can be tailored to meet individual school needs. We can:
• Run workshops/training sessions to skill up the workforce.
• Provide training sessions to develop the skills and capacity of your school workforce.
• Provide multiagency training to support mental health awareness in schools.
• Contribute to Inset training days around various health and wellbeing topics.
• Support development of skills around integration of young people with disabilities into the
curriculum.
Please refer to the descriptions in each section for examples of the training we can provide. We are happy to discuss development of training packages and delivery in collaboration with our partners.
Example:
Additional session to support development of language group in primary school
Core Services
We have a range of services that can help support schools in meeting their public health initiatives. Our services focus on health promotion, prevention and protection:
• Healthy lifestyles.
• Smoking cessation and tobacco control. • Sexual health.
• Immunisations. • Healthy weight.
• Drug and alcohol abuse.
• Mental health. • Physical activity. • General wellbeing. We provide support for: • Drop-in clinics.
• Immunisations as appropriate and required. • Gathering of information and data for localities
to help you with planning initiatives.
• Development of school based healthy living programmes based upon your school profile. • Completion of school profiles to identify the needs of your school’s population and tailor specific programme around your needs.
• Targeted assistance through one to one support for young people where they have an
identified need.
• Health fairs and careers events.
• Public health awareness and well-being sessions.
School Nurses
Your local School Nurse team will carry out the following services for all children:
• School entry questionnaire and health check upon entry to school.
• National Child Measurement Programme
(NCMP) at reception and Year 6.
• Support to identify young people with additional needs through a school profile, classroom
observations, screening assessments or drop in sessions.
The school nurse team is also able to support young people through schools where a specific need is identified in the following areas:
• Smoking Cessation Brief Intervention. • Sexual health advice/support.
• Drugs and alcohol advice/support. • Health assessment/surveillance.
• Promote emotional health and wellbeing. • Promoting public health programmes such as
healthy weight, healthy minds, and healthy bodies.
• Support with promoting dental health.
• Support the immunisation programme of the Human Papilloma Virus (HPV).
• Enuresis (Bedwetting) support/advice/clinics. • Advice and support on health issues to children
and young people with on-going or specific health needs related to a disability.
• Promote healthy weight/lifestyles and advise on coping strategies with follow up referrals where necessary to Child and Adolescent Mental Health Services (CAMHS).
• Training and advice to maintain the health of children and young people in order that they can continue to attend school.
• Targeted individual sessions for children on one to one basis with identified needs.
• Intervention aimed at reduction in teenage pregnancy, provision of contraception. • Advice around obesity control.
• Lead professional in Common Assessment
Framework (CAF) if necessary. • Support for young carers.
• Support for parents and carers’ in behavior management on a ‘one to one’ or group basis. Please discuss with your local School Nurse.
Supporting Young People to
Lead Healthy Lives
11
The Travelling Family team
Our specialist travelling family service works with school nurses to support travelling families in accessing health services. We will:
• Carry out health need assessments. • Offer support, advice and advocacy.
• Give immunisations and treatment.
• Support referrals to other services. • Signposting to appropriate services.
• Assist with registrations to services such as GPs, Dentists and Opticians.
• Encourage and support young people to attend
screening and other health appointments.
Specialist Health Visitors (Disability)
Some of our Health Visitors have specialist knowledge of children with disabilities up to the age of 19 and work with School Nurses/Health Visitors to support healthy living advice to families of children with disabilities. This may be through one to one work with the family or through supporting the school nurse.Health Improvement team
Our health improvement team focuses on improving the health and wellbeing of the most disadvantaged communities in the highest areas of deprivation within Leicester City, Leicestershire and Rutland.
We are commissioned by Leicester City and Leicestershire Public Health departments to meet public health targets and support healthy lifestyles in young people. We provide:
• Human Papillomavirus (HPV) cervical cancer vaccination service.
• Flu vaccinations in special schools.
• A healthy living centre based at Beaumont Leys. • Co-ordination for the National Child
Measurement Programme for all children at reception and Year 6 led by School Nurses. • Health promotion resources to develop
Stop Smoking Services and Tobacco
Control
The Stop Smoking Services support people in Leicester, Leicestershire & Rutland who want to stop smoking. We also help discourage young people from starting to smoke, and improve the health and well-being of babies and children by encouraging families to keep their homes and cars smoke free.
We are currently commissioned to provide school based projects particularly targeted at secondary schools:
• Setting up of school based tobacco prevention and stop smoking projects and clinics.
• Development of whole school smoke free
policies.
• Delivery of the smoke screen project at school assemblies.
• Recruitment of young people to act as
smokescreen promoters to act as key influences for desired behaviour communicators of
normative messages.
• Integration of tobacco education into personal development curriculum through PSHE and citizenship.
• Signposting of young people to other support such as GP practices, pharmacies and community settings.
• Parent evenings through our workers attending to promote the service and programmes
available locally and promote stop smoking services to parents.
• Resources for secondary schools in implementing consistent sanctions when young people are caught smoking.
• Provision of resources to develop programmes within schools.
• Adults to quit and promoting smoke free home
and cars.
New Direction - Young People’s Drug
and Alcohol Service
New Direction works with young people under the age of 18 living in Leicester City, to reduce the risks from drug and alcohol use.
We work with a wide range of young people from those needing a bit of advice to those who need more intensive support. Our team is made up of Social Workers, Youth Workers, a Harm Reduction Nurse and a Psychiatrist.
We also offer advice and support to parents and carers of young drug and alcohol users, and professionals working with young people. The service is a partnership between Leicestershire Partnership NHS Trust and Leicestershire Community Projects Trust.
We accept referrals direct for young people. After receiving a referral (to which the young person must consent) a member of staff will contact and arrange an appointment at a time and place to suit the young person. The worker will explain about our service and answer any questions the young person may have before agreeing on how we can best work with the young person to support them.
Core Training
We offer a wide range of training opportunities as part of our commissioned public health agreement. Please contact the services direct to discuss how this can be accessed. We offer training for: • Cultural awareness (Travelling Families). • Continence (School Nursing).
• Anaphylaxis (School Nursing). • Epilepsy (School Nursing). • Asthma (School Nursing).
• Diabetes awareness (School Nursing). • Carrying out health assessments such as
height, weight, BMI, blood pressure (Health Improvement Team).
• Delivering intervention and prevention of public health issues (Health Improvement Team).
Supporting Young People to
Lead Healthy Lives
Additional Training
If you do not find what you are looking for in our core training, please contact us as we may be able to offer bespoke training packages.
Where our school nurses provide training around an individual child’s health needs and are required to repeat this due to non-attendance or change of staff, there may be a charge for duplicate sessions.
13 • Health promotion and awareness training e.g.
smoking, diet, obesity (Health Improvement Team).
• Obesity Prevention (Nutrition and Dietetics). • Introduction to Child & Adolescent Mental
Health (Greenwood Institute).
Additional Services
We can provide bespoke packages based upon the identified needs within your schools following a school profile assessment. This list is not exhaustive please contact us to discuss your requirements.
• Wellbeing sessions as part of PHSE curriculum on alcohol, smoking, eating and sexual health.
• Weight management programmes in
collaboration with school nurses and NCMP.
• Food and active buddies programme for Year 10 & 11.
• Development and implementation of physical
activity sessions.
• Emotional and sexual health advice/education.
• Being active.
• Dental care.
Our Stop Smoking Service is currently looking to expand into primary schools engaging Year 6 students to promote the Step Right Out
programme - an initiative to encourage smoke free homes and cars.
Contact us
Please refer to page 6 for details on how to contact us.
Core Services
Our services accept referrals for individual young people and provide training and education for school staff to enable them to promote good nutrition or support young people who have specific nutritional requirements relating to a health condition.
We also support young people who have difficulty with eating, drinking and swallowing and/or use gastrostomy/nasogastric tubes. We provide advice and training to enable young people to safely feed during mealtimes and snack times - including: • Individual advice regarding a child’s specific
dietary needs, through phone calls, liaison visits or the provision of written nutritional plans. • Support to carers within school regarding
gastrostomy or enteral feeding for specific children with identified needs.
• Support and advice within multi-disciplinary team meetings for children accepted by the service.
• Group training sessions to support workers within schools involved with individual children known to the service.
• Outpatient clinics in some area special schools. • Joint dietetic and speech and language therapy
clinics are being developed.
• Support to you to enable a child to meet their dietary requirement during the school day. • Training packages to build up skills and
knowledge of your team and promote good nutrition within school.
• Assessment of children for contribution to Statement of Special Educational Needs.
Nutrition and Dietetics
Our Dietitians provide advice for young people regarding their nutrition, including both general healthy eating, and nutrition specific situations. Examples include malnutrition and nutritional
deficiencies, overweight, diabetes, cancer, coeliac disease, heart disease, and allergies or food tolerances.
Diana Children’s Nurses
Our Specialist children’s nurses can support young people in school who receive their nutrition
through gastrostomy tubes or naso-gastric tubing. They can visit school to re-pass nasogastric tubes and gastrostomy tubes as a planned episode of care.
Speech and Language Therapists
Our Speech and Language Therapists work with other professionals such as Dietitians, Occupational Therapists and Physiotherapists to discuss the safety and effectiveness of children’s eating, drinking and swallowing abilities. We devise plans to help school staff support a child’s meal and snack time during the school day.
Community Paediatrics
The Community Paediatric team is a specialist team involved in the assessment, diagnosis and management of children with a broad range of medical conditions. For example:
• Diagnosis and on-going management of children with complex developmental disorders or disability. Those with associated eating and drinking difficulties may require further medical assessment, treatment and follow-up and may have other secondary medical difficulties e.g. recurrent chest infections.
• Assessment, diagnosis and management of
children with constipation.
• Assessment, diagnosis and management of
children with other common medical problems e.g. feeding difficulties, headache, asthma, growth delay, failure to thrive.
Children and young people are assessed and monitored through local paediatric clinics with follow up and liaison with schools where appropriate.
Supporting Young People with Healthy
Eating or Additional
15
Paediatric Psychology
Our aim is to improve quality of life, as well as adherence with treatment regimens and acceptance of long term physical limitations due to disease and disability. We see children in both inpatient and outpatient settings.
We provide:
• Psychological assessments for young people who
are accepted by our service.
• Individualised care plans and interventions following assessment including group work with Speech and Language Therapists.
• Group work for young people with psychological
issues.
• Consultation with other services working with the child on the management of problems.
Core Training
We provide a range of free training to support those working on a daily basis with the young people we have accepted as a referral. This includes:
• Training in the use of enteral feeding and gastrostomy tubes specific to the young person. • Dysphagia training (supporting young people
with eating and drinking and swallowing
difficulties during the school day). This training is delivered to schools to support staff carrying out duties at mealtimes with children with specific difficulties. One free session per year.
Our Nutrition and Dietetics service also offers obesity prevention inset training as part of their core training.
Additional Services
We are happy to discuss arrangements for bespoke programmes or services to be delivered to your school please contact us.
Please see examples of some of our additional contracts as described below:
Additional Training
We currently offer ‘Big cook, Little cook’ training as below:
If you do not find what you are looking for in our core training, please contact us as we may be able to offer bespoke training packages.
Example:
We currently have 2 part time dietitians involved with the school meals service one in Leicestershire and one in Leicester City that provide advice and support around individual children’s dietary needs. This service is currently commissioned by Leicestershire and Leicester City Councils.
Example:
A ‘Food Routes’ programme within the city primary schools is currently commissioned by NHS Leicester City. This obesity prevention programme aims to align information provided in schools with practical application of this at home. It therefore includes training for teachers alongside practical family ‘cook and eat’
sessions. In combination these two aspects of the programme support families to choose and prepare healthier meals.
Example:
The Family Lifestyle Club (Flic) programme is currently commissioned and delivered in a number of Leicestershire county schools. It includes nutrition and physical activity sessions for families keen to learn more about becoming fit, healthy and managing their weight.
Example:
‘Big cook, Little cook’ programme is a training programme available which trains trainers to provide cookery programmes within schools.
Contact us
Please refer to page 6 for details on how to contact us.
Core Services
We have a range of services that support young people who live with long term or chronic health conditions including from Consultant and Associate Paediatricians, Advanced Nurse Practitioners, Diana Children’s Nurses, School Nurses and Paediatric Psychologists.
We see children with developmental problems or disabilities and associated health problems such as social communication difficulties, attention difficulties, educational difficulties, growth faltering; headaches, constipation, encopresis, enuresis, epilepsy, asthma and diabetes. We provide:
• Medical assessments as part of the statutory assessment of special educational needs code of practice on behalf of the local authority. It is anticipated that this will continue under the new SEND code of practice.
• Support to schools through a Designated Medical Advisor.
• Direct liaison with services/teacher about particular child’s health needs when required. • Direct care within school setting where nursing
procedures are required to limit disruption to their education.
• Support through our school nursing service to self-manage long term conditions.
• Psychological assessments where a young
person is known to Consultant Paediatricians at University Hospital, Leicester.
Parents or guardians have primary responsibility for their child’s health and should provide schools with information about their child’s medical condition.
Where there are health concerns for a young person in your school we would recommend the family approach their local GP in the first instance.
Community Paediatrics team
The Community Paediatric team is a specialist team involved in the assessment, diagnosis and management of children with a broad range of medical conditions. For example:
• Assessment of children with significant speech delay, motor delay or learning difficulties to exclude important underlying medical conditions.
• Diagnosis and on-going management of children
with complex developmental disorders or disability.
• Assessment, diagnosis and management of children with constipation, encopresis and enuresis.
• Assessment, diagnosis and management of children with other common medical problems e.g. headache, asthma, growth delay.
Supporting Young People with
Long Term Health
17 Children and young people are assessed and
monitored through local paediatric clinics with follow up and liaison with schools where appropriate.
Diana Children’s Nurses
Our Specialist Children’s Nurses deliver acute direct nursing care including delivering intravenous medication and changing dressings within the school setting to limit the disruption to a child’s education.
School Nursing
The School Nursing teams can offer advice and support on self-managing health issues to children and young people with on-going or specific
health needs. This may include children with complex health needs or a learning and/or physical disability. Activities could include promotion of self-care, supporting parents and carers, training school staff, referral to other specialists and co-ordination of a range of services.
Paediatric Psychology
Our aim is to improve quality of life, as well as adherence with treatment regimens and acceptance of long term physical limitations due to disease and disability. We see children in both inpatient and outpatient settings.
We provide:
• Psychological assessments for young people who
are and accepted by our service.
• Individualised care plans and interventions following assessment.
• Group work for young people with psychological
issues.
• Consultation with other services working with the child on the management of problems.
Core Training
We offer a comprehensive range of free training to support a child within their school.
Where a child has ongoing long term nursing needs that can be delivered by trained workers within the child’s setting, we provide free training and competency assessments to enable named workers to develop the additional skills to
be able to support the child during the school day: • Enteral feeding.
• Gastrostomy.
• Medicine management.
• Epilepsy.
• Emergency medications e.g. Epipen. • Asthma.
• Diabetes.
• Administering medication (area special schools only).
Additional Services
We are happy to discuss bespoke services for your school including dedicated school nursing time or liaison nurses.
We are considering offering support and supervision through our paediatric psychology team around the psychological impact of long term conditions. If you would be interested in developing a support package for your staff working with children in your school please contact us to discuss further.
Additional Training
If you do not find what you are looking for in our core training, please contact us as we may be able to offer bespoke training packages.
Our Psychology services can support the setting up of:
• Reflective and supervision groups for staff. • Training in psychological wellbeing.
Contact us
Please refer to page 6 for details on how to contact us.
Core Services
Speech and Language Therapists work with young people who have significant and complex speech, language and communication difficulties to enable them to reach their potential.
This may involve advising on the communication environment as well as working with individual young people and their families.
Speech and language therapy programmes may be carried out by bilingual co-workers, where appropriate, as well as health care support workers.
Speech and Language Therapists
Following acceptance of a referral our therapists will complete a:
• Full assessment of a child’s speech and language therapy needs (with multiagency team where appropriate).
• They may also complete one or more of the
following dependent on outcome of the assessment:
• Delivery of defined therapy packages of intervention according to a child’s need. • Provision of individual sessions of therapy
which may be offered within schools or within a clinic setting depending on identified need.
• Provision of group therapy for children with specific speech, language and communication needs.
• Liaise with SENCO’s, class teachers and support staff in the implementation of communication strategies to support a child during the school day.
• Provide support and advice regarding personal target setting around communication targets.
Community Paediatrics
The Community Paediatric team is a specialist team including Consultant Paediatricians and Associate
Paediatricians involved in the assessment, diagnosis and management of children with a broad range of medical conditions, including speech and
language concerns where the following conditions apply:
• Assessment of primary school age children for Autistic Spectrum Disorders and Attention Deficit Hyperactivity Disorder as per the local multi-agency pathways.
• Assessment of children with significant speech delay, motor delay or learning difficulties to exclude important underlying medical conditions. • Diagnosis and on-going management of children
with complex developmental disorders or disability.
Children and young people are assessed and monitored through local paediatric clinics with follow up and liaison with schools where appropriate.
Core Training
Our training around a child’s specific speech and language communication needs is considered essential as part of our core provision. We offer a range of training opportunities to enable staff to develop skills around supporting individuals who have speech, language, and communication needs within the classroom. These can be delivered within a school/a group of schools or externally in alternative venues.
Additional Services
We are able to discuss with you additional
packages to support our core offer, please contact us to discuss your requirements. These may be to:
• Increase capacity within the school resource to support the delivery of school based programmes with individual children.
• Support the development of skills for teachers to enable identification of children with poor language skills and run small group interventions and track progress.
• Contribute to school parent workshops.
• Provide collaborative support for the
development of school communication policies.
Supporting Young People with their
Speech, Language and
Communication
19
Additional Training
We are continually developing our range of training packages that can be purchased from us as additional training opportunities. The Speech and Language Therapy Service provides training for school staff and other professionals on a wide range of topics. Here are some examples:
• Developing social communication skills. • Using signs and symbols in the classroom.
• Communicating with signs and symbols.
• Creating an effective communication environment.
• Communication before speech.
• Working with language groups.
• What is AAC? An introduction to Alternative and Augmentative Communication.
• An introduction to PECS, the Picture Exchange Communication System.
• Working with children with speech, language and communication needs – the early years. • Working with children with speech, language
and communication needs – key stage 1 and 2. • Supporting children with speech sound
difficulties.
These courses are available to all education staff in Leicester, Leicestershire and Rutland. Please contact us to discuss your individual requirements. If you do not find what you are looking for in our core training, please contact us as we may be able to offer bespoke training packages.
Example:
Individual or groups of schools have purchased additional sessions of Speech and Language Therapy input to promote early identification of children with speech language and
communication needs and develop quality first teaching and whole school language friendly environments.
Example:
We have jointly developed both inset and central courses with Leicester City Local
Authority partners. These are jointly delivered by teachers and Speech and Language Therapists to give both an education perspective and insight into speech and language difficulties e.g.
• Meeting the speech and language and communication needs in the classroom. • How to run language group intervention
within the school.
Example:
Accredited training for support staff is also offered:
• Apt awards (formally OCNSW)
• Elklan: Speech and Language Support for 5-11s: From Theory into Practice.
• Elklan: Speech and Language Support for Under 5s: From Theory into Practice.
Contact us
Please refer to page 6 for details on how to contact us.
Core Services
We have a range of services which provide statutory mental health services for young people and their families including Consultant Psychiatrists, Community Psychiatric Nurses, Psychologists, Occupational Therapists, Youth Workers, Community Paediatricians, Advanced Practioner Nurses and Paediatric Psychologists who work with individual young people who are having difficulties with anxiety, depression and self-harming and other serious mental health problems such as psychosis.
We take a multiagency approach to promote the emotional health and well-being of young people and families and to intervene early to provide support before a crisis. We can help support you to meet the mental health needs of children within your school on a case by case basis, provide support to build the skills of your workforce or develop whole school strategies.
We provide:
• A professional advisory helpline to anyone working with a young person or family with mental health difficulties, Tel: 0116 295 5048. • Mental health assessments for young people
following acceptance of a referral.
• Individualized care plans and interventions following assessment.
• Group therapeutic interventions/sessions. • Outpatient clinic appointments.
• Contribution to statutory personal education plan reviews.
• School observations where necessary to support diagnosis.
• Liaison with schools on a case by case basis where advice needs to be shared or implemented.
• Advisory support and training sessions around prevention of bullying within school.
• Advice, support and training to develop whole school approach to emotional support following a crisis event or manage complex needs in the community, linking with educational psychology.
• An Annual education and training programme
available to all frontline staff on Child and Adolescent Mental Health.
• Assessment of children for contribution to Statement of Special Educational Needs.
• Support to annual review process where children are known to the service.
• Diagnosis and management and support of
children with complex developmental disorders or disability and their families.
• Assessment, diagnosis and management of
children with constipation, encopresis and enuresis.
• Assessment, diagnosis and management of
children with other common medical problems e.g. headache, asthma, growth delay all of which may have mental health component.
The Primary Mental Health team
Our Primary Mental Health team is the first point of contact and offers an advisory serviceSupporting Young People With Mental
Health Needs - Emotional
Wellbeing
21 supporting professionals who work with young
people with mental health difficulties. We offer support through:
• The professional advisory helpline and/or
coordinating the transfer of care to our specialist services.
• Offering assessment of mental health needs and intervention and/or facilitating the transfer of care to our specialist services or partner agencies in the community.
• Individual sessions with young people and their families.
• Whole school approaches.
• An annual training programme.
Outpatient Services Leicester City and
County East and West
Our specialist outpatient team comprises of a range of professionals who provide assessment and intervention following acceptance of a referral for an individual young person having difficulties with their mental health.
We work in clinic settings and will liaise with schools to enable you to support the young person during the school day.
We can complete school observations to provide additional information to support a diagnosis where requested from consultants.
Young People’s team
Our Young People’s team is a specialist service which specifically supports young people who are in foster care, adopted or who are in the youth justice system (known young offenders).
We have formal links with looked after children’s team, raising academic achievement teams in school, and offer training as part of core service to these agencies.
We will work with young people who are not attending school and education services due to their mental health problems aiming to help support their ability to achieve academic success.
Community Paediatric team
The Community Paediatric team are involved in the assessment, diagnosis and management
of children with a broad range of medical conditions. Young
people who have mental health difficulties may also have one or more medical condition requiring support from our Paediatric team.
Children and young people are assessed and monitored through local paediatric clinics with follow up and liaison with schools where appropriate.
Paediatric Psychology
Our aim is to improve quality of life, as well as adherence with treatment regimens and acceptance of long term physical limitations due to disease and disability. We see children in both inpatient and outpatient settings.
We provide:
• Psychological assessments for young people who are and accepted by our service.
• Individualised care plans and interventions following assessment.
• Group work for young people with psychological
issues.
• Liaison and consultation with other services working with the child on the management of problems.
PIER team (Psychosis Intervention and
Early Recovery)
The PIER team is a specialised service providing assessment, support and treatment to young people, aged 14-35 years who are experiencing psychosis for the first time.
The service aims to assist individuals and their families in coping with the experience of psychosis. Emphasis is placed upon maintaining and
developing everyday activities such as education, employment and social contacts. The service aims to generate optimism and promote recovery in order to achieve positive outcomes for service users and their families. Education regarding psychosis and relapse prevention is an important part of the teams role.
Core Training
Our mental health services offer a tiered model of training. The Greenwood Institute of Child Health manages the multi-agency training in Child and Adolescent Mental Health (CAMHS). The aim of this training is to build capacity in frontline staff within Leicester, Leicestershire and Rutland. Ongoing training courses are available that focus on the promotion of child mental health and early prevention of child mental health problems/ disorder.
The training objectives are consistent with broader service objectives, as set by the Joint Child Mental Health Strategy Group, to:
• Improve awareness and knowledge.
• Enhance Tier One capacity.
• Facilitate consistency of responses across agencies.
• Result in effective use of resources.
Two Day Event
Working Together in Child Mental Health and Promoting Positive Mental Health.
The objectives of this two-day programme are to: • Promote positive mental health in children and
young people.
• Improve awareness, knowledge and skills of frontline (Tier One) professionals in relation to child mental health.
• Enable tier one professionals to respond appropriately to children’s and young people’s mental health issues.
• Encourage consistency of response across agencies.
• Increase awareness of specialist CAMHS. • Improve the appropriateness of referrals and
access to specialist CAMHS.
In addition to the 2 day courses, more specialised one-day events on different types of child
mental health problems/disorders are organised, incorporating a multi-agency approach similar to the 2 day courses.
Topics include: • Attachment • Anger • Anxiety • Self-Harm • Depression
• Attention Deficit-Hyperactivity Disorder • Eating Problems
• Autism
• Low self-esteem
• Introduction to Cognitive Behaviour Therapy This training is free to all non-profit making organisations (Voluntary and Statutory) in Leicester, Leicestershire and Rutland and private organisations (including academies). Applicants outside of Leicester, Leicestershire and Rutland are charged £50 per day.
We are also able to provide targeted and commissioned training upon request.
Details can be found at: http://childtraining.co.uk/
In addition to the training above the Primary Mental Health team also run shorter regular forums on promoting children’s mental health and mental health problems, which enable participants to reflect on their practice.
These include:
• Supporting children whose parents have mental ill health (Whole Family Approach).
• Helping children affected by domestic violence. • The angry child/young person.
• Nurturing family bonds (Attachment). • Impact of Abuse and Trauma.
• Risk taking behavior.
Our in-house training is usually provided within our centres at Westcotes House, Westcotes Drive, Leicester LE3 0QU or Valentine Centre, Anstey Lane, Leicester LE7 7GX. Training can be arranged
Supporting Young People With Mental
Health Needs - Emotional
Additional Training
If you do not find what you are looking for in our core training, please contact us as we may be able to offer bespoke training packages.
23 at a venue to suit you; however this will incur an
additional cost.
We also provide training to Raising Academic Achievement teams as part of our core service.
Additional Services
We are able to discuss with you additional
packages to support our core offer, please contact us to discuss your requirements.
We are considering offering support and supervision through our Paediatric Psychology team around the psychological impact of long term conditions. If you would be interested in developing a support package for your staff working with children in your school please contact us to discuss further.
• Packages of primary mental health support pre-referral or following training to help support implementation of training.
Contact us
Please refer to page 6 for details on how to contact us.
Core Services
We have a range of services that support young people with learning disabilities including Learning Disability Nurses, Community Psychiatric Nurses and Specialist Health Visitors, Occupational
Therapists, Physiotherapists, Speech and Language Therapists, Consultant and Associate Paediatric Advanced Nurse Practioners.
We help support young people who attend area special schools, some of our services are able to support young people who attend mainstream schools.
We work with schools to provide support to enable staff to care for young people during the school day and provide continuity of interventions between home and school.
Our nursing and community paediatric teams focus on supporting young people between home and school around:
• Behavioral difficulties. • Sleep difficulties. • Continence difficulties. We provide:
• Prescriptions and medication review clinics within school setting to reduce the disruption to a child’s education or where behavioral difficulties prevent outside clinic visits.
• Links with area special schools for advice and signposting to other services.
• Links between area special schools and generic CAMHS where children are known to both services.
• Support through attendance/development of
school groups for families e.g. coffee mornings, parent evenings.
• An annual continence review of children
registered with our service combined with their annual review where appropriate.
• Individual appointments to discuss identified young people where concerns over continence or behaviour have been raised.
• Continence assessment and advice.
• Assessment, advice and programmes on
behaviour management.
• Support for the planning of transition between nurseries and school or mainstream and special schools.
• Support for school nurses working with young people with disabilities.
• Assessment of children for Contribution to Statement of Special Educational Needs
• Support to annual review process where children are known to the service
• Direct Paediatrician/advanced nurse liaison with teachers about a child’s health need when required.
Our therapy services focus on:
• Developing effective communication skills for individuals with speech, language and communication difficulties.
• Developing effective communication
environments to support individuals with speech, language and communication needs arising from learning disabilities.
• Development of activities of daily living skills. • Participation in school activities.
• Maintaining body posture and movement.
We provide:
• Assessment and intervention within the school setting where appropriate to facilitate access to the curriculum.
• Multidisciplinary assessment/advice and programmes in conjunction with a member of staff that best knows the child in order to support a young person with their eating, drinking and swallowing difficulties.
• Delivery of defined therapy packages according to a child’s need. To support the work on specific identified goals with parents/school staff.
• Assessment and recommendation for equipment
to help support a child’s access to school
environment or maintain posture during the day. • Support for school based initiatives such as
language groups, communication mentors and teaching assistants.
Supporting Young People with
Learning Disabilities
25
CAMHS Learning Disabilities team
Our team work with a family in the home and support liaison between home and area special schools. We support young people with moderate to severe learning disabilities with medication reviews in clinics, and individual support around behavioral, sleep and continence difficulties.
Specialist Health Visitors (Disability)
We currently work in area special schools and our team offer support to the wider health visiting and school nursing colleagues in mainstream school settings. Our role supports continuity between home and school particularly focusing on continence, behavior management support and transition between nurseries and school, mainstream and special schools and school leaving.Children’s Therapy team
Our Occupational Therapists and Physiotherapists can help support young people in special schools up to age of 19, or 16 where a young person is attending mainstream school, further education or 6th Form colleges.
Our Children’s Therapy team includes
Physiotherapists, Occupational Therapists and Therapy Support Workers. We work with young people who have physical and/or learning disability and are having difficulties maintaining their
abilities or participating in everyday activities with their peers.
Our Occupational Therapists focus on facilitating a young person’s participation in everyday and school activities, aiming to minimise the effect of a young person’s disability.
Following acceptance of a referral we will:
• Assess and provide advice/intervention regarding a child’s participation in school taking into
account their disabilities.
• Assess and demonstrate equipment to named
carers where this is required by a young person to participate fully in the curriculum or mealtimes. Activities of daily living and differentiated advice to support development during the school day e.g. dressing for PE, handwriting and other school tasks.
• Access all environments within schools if the young person is using a wheelchair or using other mobility aids.
• Assess safe transfers using hoists or safe handling techniques to facilitate
participation in activities.
Our Physiotherapists focus on maintaining a child’s optimum body posture and development and/or maintenance of movement ability.
Following acceptance of a referral we will: • Assess and demonstrate specific therapy
equipment to named carers where this is required by a young person to be used during the school day as part of their 24 hour postural management programme, e.g. standing frames, specialist seating, lower limb orthosis.
• Demonstrate handling skills to named carers to enable participation in all aspects of school life and maintain comfort and safety (additional sessions for change of named carers may be purchased).
• Provide training to named carers to support a child’s respiratory function during the school day where specific respiratory management programme is associated with a neuro disability. • Specific moving and handling advice to carers
around individual child’s use of therapeutic equipment and therapeutic activities as recommended by the physiotherapist.
• Deliver defined therapy packages according to a child’s need to work on specific goals identified with parents/school staff.
Speech and Language Therapists
Our Speech and Language Therapists work with young people with learning disabilities who are in area special schools up to the age of 19 (or mainstream schools up to the age of 16 years) to support the development of speech, language and communication skills and where appropriate, to develop swallowing skills to ensure safe and effective eating and drinking.
Community Paediatrics team
The Community Paediatric team is a specialist team involved in the assessment, diagnosis and management of children with a broad range of medical conditions. For example:
• Assessment of children with significant speech delay, motor delay or learning difficulties to exclude important underlying medical conditions.
• Diagnosis and on-going management of children
with complex developmental disorders or disability.
• Assessment, diagnosis and management of
children with constipation, encopresis and enuresis.
• Assessment, diagnosis and management of
children with other common medical problems e.g. headache, asthma, growth delay.
Children and young people are assessed and monitored through local paediatric clinics with follow up and liaison with schools where appropriate.
Paediatric Psychology
Our aim is to improve quality of life, as well as adherence with treatment regimens and acceptance of long term physical limitations due to disease and disability. We see children in both inpatient and outpatient settings.
We provide:
• Psychological assessments for young people who
are and accepted by our service.
• Individualised care plans and interventions following assessment.
• Group work for young people with psychological issues.
• Liaison and consultation with other services working with the child on the management of problems.
Core Training
We offer training to support a child with learning disabilities within their school. Where a child has ongoing needs that can be delivered by trained workers within the child’s setting, we provide free training to enable named workers to develop the additional skills to be able to support the child during the school day. This is usually on an individual basis with the named carers.
Our Children’s Therapy team offer specific training packages on the topics below:
• Dysphagia training (supporting young people with eating, drinking and swallowing difficulties during the school day). This training is delivered to schools to support staff in carrying out duties at mealtimes with young people with specific difficulties. One free session per year.
• Sensory awareness and strategy education sessions for parents. This is offered as part of our core service to families following a referral to our occupational therapists. Parents may liaise with their child’s school regarding implementing some strategies during the school day too. We are able to offer similar training to schools as part of our additional services.
Additional Services
Our CAMHS learning disability team at present is not commissioned for children who only display difficulties within the school setting or have mild learning difficulties. We work closely with parents and aim to support a child having overall difficulties within the home and school. We would be happy to discuss how we could extend our services to help support you by commissioning additional services.
Supporting Young People with
Learning Disabilities
27 We would also consider additional service
contracting for:
• Supervision groups for front line staff through our paediatric psychologists.
• Contributing to establish training packages bringing in the psychological impact of having a physical illness or condition.
• Developing additional training on psychological aspects of health and wellbeing (paediatric psychology).
• Setting up a sensory friendly school.
• Sensory Integration therapy.
Additional Training
The CAMHS Learning Disability Team offer training courses to support those working with children with behavioural difficulties, learning disabilities and/or other underlying contributing conditions within city based short break provisions through our Behavioural Inclusion Service. These may be delivered at our base at Rothesay, London Road, Leicester or alternative venues sought via The Access Point (TAP)/the providers themselves. Non-city based short break provisions and other services, including schools, can purchase bespoke training packages to deliver to staff groups. These are costed according to need and additional costs including travel and mileage may be incurred for other venues.
Topics include:
• Understanding learning disabilities.
• ADHD.
• ASD.
• Mental health and learning disabilities.
• Behavior management.
• Sleep.
Our Children’s Therapy team can provide training packages on:
• General Postural Management – benefits and risks.
• Water based activities.
• General training on respiratory programmes. • Inclusive physical Education.
• Setting up a sensory friendly school. • Using orthotics within school.
Our Speech & Language Therapy team can provide training packages on:
• Communicating with signs and symbols.
• Creating an effective communication environment.
• Communication before speech.
• Working with language groups.
• What is AAC? An introduction to Alternative and Augmentative Communication.
• An introduction to PECS, the Picture Exchange Communication System.
• Working with children with speech, language and communication needs – the early years. • Working with children with speech, language
and communication needs – key stage 1 and 2. • Supporting children with speech sound
difficulties.
The Service can also provide bespoke training to meet the needs of your organisation. If you do not find what you are looking for in our core training, please contact us as we may be able to offer bespoke training packages.
Example:
We have arranged a contract with an area special school to work with identified children who have mild-moderate learning difficulties who are not accepted under our core service provision. This arrangement allows for one qualified Community Nurse to provide a link for advice for two half days per week.
Example:
An area special school has purchased occupational therapy training on practical strategies to enhance pupils’ sensory processing abilities within the classroom for two 3-hour sessions.
Contact us
Please refer to page 6 for details on how to contact us.
