Bradford Child Development Service is a team of health professionals working jointly with children and young people with long term development or learning difficulties and their families.

The people you may meet:

  • Doctors (Developmental Paediatricians)
  • Physiotherapy and Occupational therapy
  • Speech and language therapy (for communication or for swallowing)
  • Psychology team
  • Dietitian
  • Specialist nurses (Child Development/Transition Nurse/Surgical/Continence)
  • Nursery nurses and Child development assistants

Child Development Service

The team work collaboratively alongside other agencies striving to provide an excellent service for children, young people, and their families. With the child, young person and parental involvement, the health needs of child or young person are met through assessments and formulations of individualised treatment plans which promote independence and positive self-image for the child, young person and their family. The child, young person and their family are support throughout and signposted to outside agencies and organisations for further support and advice, including social care and voluntary sector.

Some of the appointments or interventions will be during hospital attendances whilst some can be via telephone or video consultations. Home visits can be facilitated on an individual needs basis by specific staff members.

Who is it for?

Children and young people with health and developmental needs including physical disability, learning disability, social communication disorders (autism) and other long term developmental conditions aged up to their 16th birthday, at the time of referral.

Referrals

Referrals are accepted from your GP, other doctors (e.g. hospital doctor), Health Visitor, School Nurse or Speech and Language Therapist.

We can only accept referrals completed by professionals and cannot accept referrals made by parent/carers.

The first appointment is usually with a doctor and referrals to other members of the multidisciplinary team will be made accordingly, specific to the child or young person’s individual identified needs.

CDS Referral Form (docx, 650 KB)

Our mission

We aim to:

  • Assess children and provide comprehensive management and holistic care for children with Neurodisability
  • Be accessible for all who need it
  • To provide timely intervention
  • To provide early intervention
  • To coordinate care
  • To provide care closer to home wherever possible
  • To provide goal orientated care
  • To advocate for lifelong care
  • To engage in collaborative working with other services
  • To develop strong working relationships with other services
  • To be child and family orientated

Meet the team

The medical team consists of:

  • Consultant Paediatricians
  • Speciality Registrars
  • Junior Doctors

Other professionals you may meet:

  • Physiotherapists
  • Dieticians
  • Speech and language therapists
  • Psychologist

The nursing team includes:

  • Matron
  • Senior and Junior Sisters
  • Staff Nurses
  • Nursing Associates
  • Play Specialists
  • Healthcare Assistants

Your appointment

What will happen during your appointment

Hopefully you have navigated public transport or found a parking spot at St Luke’s – please allow plenty of time for this! Find our friendly team in area 4 of the Horton Wing. Let reception know you’ve arrived and take a seat in the waiting area. There are some toys and activities available but the waiting room can be busy so consider bringing noise cancelling headphones if your child struggles in loud environments. If your child is becoming overwhelmed in the waiting room, let the clinic assistants know.

Your child’s name will be called out and we’ll show you which clinic room to go to. Most of our rooms are big with toys and play areas. A doctor will speak to the parent or carer. A child development centre assistant will usually be present; they are very good at engaging children in play and feeding back on their skills. There may be other people in the room, including members of the team like physiotherapists, dieticians, social workers, junior doctors, or students. It is useful to have multiple professionals at the appointment. Students thoroughly benefit from clinics but you can choose whether they stay for your child’s appointment or not.

Children are weighed and measured during appointments. We have all the equipment for this including baby scales, hoists, and length measurement tape. We appreciate parents’ help in undressing children – usually taking off shoes and bulky clothing for children or undressing down to the nappy for babies.

Let your child know that they will usually be examined by the doctor during their appointment, especially if they are anxious about new experiences. The paediatrician (children’s doctor) will then make a plan, including an idea of when how soon they will see you again. If blood tests are advised, you will need to take a seat in the waiting room before being brought in by our specialist team. Sometimes we will refer you to other departments.

A few weeks after your appointment, you will typically receive a clinic letter describing what was discussed. You can contact our team via the secretaries if you have any questions. Your first appointment can take up to an hour but follow up appointments are usually shorter. Most of our patients are followed up for several years. Children are discharged when their needs can be managed in other settings. Before discharge, we would signpost you to relevant local resources.

Who you'll see

Your child has been referred to the child development centre because a healthcare professional thinks your family would benefit from seeing a community paediatrician. Your child’s care will be led by a consultant paediatrician, who will consider diagnosis, investigations and management. Other teams may also be involved, you can read about each role on the “who we are” page.

During your appointment, you will see a paediatrician (children’s doctor). There will usually be a child development centre assistant. They are not only great at making children feel comfortable in a new environment but also give useful feedback about children’s skills. There might be other people in the room, such as physiotherapists or dieticians. You can choose if you are happy for students to stay.

Needle phobia clinics

We now run needle phobia drop-in sessions twice a month. Please check for dates on the notice by the reception desk or telephone 01270 365085 to check dates (updated monthly). These are run by our play leaders. They will provide and use the VR goggles along with fun activities to help children to understand the procedure. They will also help with different ways of coping when having a blood test.

Contact and find us

If you are running late for your appointment, please telephone the children’s outpatient reception on 01274 365423.

For people with hearing and speech difficulties, contact us using the Relay UK app or textphone users please contact 18001 01274 365423.

We are open Monday to Friday, 8am to 6pm.

Help with travel expenses

If you are on low income or receiving benefits, you may be eligible for repayment of your travel costs to and from your hospital appointments. Please note that this includes bus, train and private car only and does not cover transport by taxi. Please ask our reception team for a travel form which needs to be authorised by one of the nursing staff.

You can then take the form, along with your receipts, to the Cashier’s office in the Extension Block at St Luke’s Hospital. They will provide your payment in cash.

Cashier’s Office available at St Luke’s Hospital:
Tuesday 8.30am to 11.30am and Thursday 1.30pm to 4.00pm

At the Bradford Royal Infirmary at other times.
The contact telephone number for the Cashier’s office is
01274 364075 Monday to Friday 9.00am to 4.00pm (not Bank Holidays) if you have any queries.

Otherwise, you can complete the Government’s HC5 travel reimbursement form on-line which will need you to get appropriate authorisation before a cheque can be issued.

Specialist clinics

Autism

Will my child receive a diagnosis of autism in their appointment?

No, the appointment will consist of a history, discussion between you and the paediatrician and an observation/examination of your child. There may be further information that is required from school and other professionals who know your child. The paediatrician will advise if your child will be added to the waiting list for autism assessment following the appointment or if further information is required prior to making this decision.

Why is the waiting list so long?

The waiting list is lengthy due to the number of patients waiting for assessments and this is similar in other Trusts in the district. However, you do not require a formal diagnosis to access support.

How often will my child be seen by a member of the team?

Children with complex medical conditions will be seen at regular intervals. Children with autism will be reviewed after diagnosis and following discussions with family and consideration of medical needs they may be discharged back into the care of their GP.

Where can I get support whilst my child is awaiting a formal diagnosis?

AWARE and BEAT, National Autistic Society, School, Local Family Hubs, Early Help.

Where can I get support if things are unmanageable?
Useful links

Other clinics

Adoption Medicals

If your child is booked for an Adoption Medical, you need to come to the Child Development Service, Horton Wing, St Luke’s Hospital.

The foster carer and social worker will need to attend with the child. Birth parents are also usually invited and can offer useful information about the child and family.

You will see one of the children’s doctors and there may be a child development assistant also in the clinic room.

The appointment takes around one hour. We will ask you some simple questions about past and current medical history and about what the child can do. We will measure weight/height or length/head circumference. We will examine the child and may need them to undress down to vest and pants. We will look in eyes with a light and listen to chest with stethoscope.

We will assess development with special toys and games.

Your child may need a blood test to check for blood borne viruses (hepatitis B, hepatitis C, HIV, syphilis).

After your appointment the doctor will complete a report for the social worker and for the adoption agency.

Results of any blood tests will be sent to GP and social worker.

One of the paediatricians, does the ‘ Initial health needs assessment’ for all children who become a Looked after child (children under social care). This medical assessment is a statutory requirement. A community nursery nurse is present during the consultation. Child attends the appointment with their current carer. On occasions, social worker or a representative from Children’s social care is present. Sometimes birth parents are invited depending upon the circumstances.

It is an opportunity to discuss any concerns about the child/ young person’s health, development or emotional well-being.  It involves talking, checking height and weight, a short physical examination, and check of development. The community nursery nurse will also give the young person (11-16yrs) & their carer a questionnaire to complete. This is called a ‘Strengths and difficulties’ questionnaire. This information is used to make sure access to the right services take place for mental health and wellbeing.

Subsequently, the paediatrician creates a report with a ‘Health plan’ (plan of action with time frame)  for professionals & carer to follow to make sure the child’s physical & emotional needs are met appropriately.

These appointments are managed by the Looked after Children’s team (under BDCT – Bradford district care trust) & social care.

Spina Bifida Clinic

Children with spina bifida are seen in the multidisciplinary spina bifida clinic in the Child Development Centre, Horton Wing, St Luke’s Hospital.

You will be seen by a team including:

  • Consultant paediatrician
  • Continence nurse specialist
  • Children’s surgery nurse specialist
  • Children’s physio
  • Children’s dietitian

There may be a number of people in the room but we work together and are very friendly!

The appointment takes around forty-five minutes and we will work through a checklist to make sure we do not forget anything.

There will be plenty of time for you to ask any questions.

We will need to measure weight, height and head circumference.

We have sitting scales and hoist, and lying down length tape so please don’t worry if your child cannot stand. Please bring along the sling if you use a hoist.

We will examine your child – feet/legs/tummy/back.

We may need a urine sample so please bring along a catheter if your child uses these.

Please bring along any splints or callipers your child uses.

We have two charities attending most clinics – SHINE and ASBAH.

You can speak to them about any worries or concerns related to spina bifida. They can help you to fill in any forms. They will tell you what services and fun activities are going on.

Feedback

We use a Friends and Family Test Questionnaire. It will only take a few moments of your time. This is also anonymous so we will not know who has completed the questionnaire. You can find out more about the Friends and Family Test on nhs.uk/friendsandfamily.