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Children’s Physiotherapy Service

The Physiotherapy team is part of the Greenwich Children's Integrated Therapies Service and sits across the 3 Integrated Therapies Service areas of:

1. Early Years Team (under 5s) which focuses on early assessment and intervention of physical needs in the developing child. Community drop in clinics facilitate a ‘no wait’ access to the service and offers onward referral in to the Physiotherapy core service for those children that require further assessment, management co-ordination and specialist intervention to meet their identified physical needs.

2. School Years Team which provides assessment and intervention for children and Young People aged 5-25 who attend mainstream schools. This service area delivers: - quantified physiotherapy provision to CYP have identified Physiotherapy needs on their Education Health Care plans; - urgent and routine clinics to assess and treat musculo-skeletal concerns (5-12 yrs)

- Gait clinic to assess specific problems with walking - a designated Developmental Co-ordination Disorder assessment clinic

3. Special Schools Team which provides assessment and intervention for CYP who have profound and complex needs and attend a Greenwich Special School.

In addition we provide two stand-alone support services that sit between the Early Years and School Years team:

The MOVE team – a designated team to support the needs of CYP in education who are not meeting their expected developmental milestones and require outreach support within their setting to work with the school teams to facilitate integration of movement opportunity in to their daily routine. This programme includes delivery of training within the setting to transfer knowledge of MOVE and how it can be embedded.

Rapid Response team – delivering support to babies born with congenital conditions who require urgent assessment within 10 days of birth. This service also supports complex hospital discharge to help with transition into our core Physiotherapy service and manage the initial level of intervention that is required to facilitate a co-ordinated approach.

Assessment and intervention take place in educational settings, Health Centres, Children’s Centres or the family home, dependent on the presenting needs of the CYP and how they are best managed at the points along their therapy journey.

More information can be found at www.childrensintegratedtherapies.co.uk

Who to contact

Contact Name
Vicky Lambert
Telephone

E-mail
oxl-tr.childrenstherapies@nhs.net
Website
Children’s Physiotherapy Service

Where to go

Name
Children’s Therapy Department
Address
Goldie Leigh
Lodge Hill
Abbey Wood
London
Postcode
SE2 0AY

Other Details

Availability

Referral required
Yes
Referral Details

The Children’s Physiotherapy Service operates an open access policy including self-referral. You can refer to the service directly as a parent, through contacting the service as above, through your child’s school, or through another professional working with your child. Schools can also refer your child to us with your permission.

Local Offer

Description

Eligibility:

Your child can receive support from the Children’s Physiotherapy Service if they are aged between 0-19 years old and are:
• Registered with a Greenwich GP.
• Attending a mainstream school in Greenwich – children attending a Greenwich borough school will receive physiotherapy input if they have a school based therapy need. If your child fits this criteria but lives out of borough, they will receive input in the school environment only.
• Have a condition affecting their movement, posture or development of physical skills.

How to complain about anything related to the service:

The Children’s Physiotherapy Service actively seeks your views and experience of the service. Any concerns should be raised with your child’s therapist or if this is not appropriate you should speak with the Head of Children’s Physiotherapy.
Oxleas NHS Foundation Trust has a formal complaints procedure and the Head of Children’s Physiotherapy can guide you to either the Complaints Department or the Patient Advice and Liaison Service (PALS) as you wish.

Targeted Support:

In mainstream Schools The Children’s Physiotherapy Service
can:

• Provide direct support/training or school/nursery staff to plan the classroom and social environment (playground, lunchtime etc) in order to be sure the needs of your child are planned for in all settings.
• Support your child’s move into secondary school and ensure that information/ strategies developed to support your child are shared between the primary and the secondary school.
• Support your child with other transitions, such as going to primary school, a sixth form college, or preparing for adult life.
• Develop and support the delivery of the MOVE (Movement Opportunities Via Education) programme for your child. This includes the provision of a MOVE
passport and any training and/or resources required to deliver the programme.

In specialist schools The Children’s Physiotherapy Service
can:

In special schools:


Children’s Physiotherapy Service input includes:
• Working in partnership with the schools to contribute to steering groups/school policy.
• Supporting ‘learning walks’ within special schools.
• Open liaison/advice sessions for class staff.
• Whole school training.
• Provision of resources.
• Specific physiotherapy input to school websites.
• Classroom recommendations.

Access and inclusion resources:

Provision of specialist equipment to enable access and inclusion. Regular access to inclusive sports provision and PE. The service provides specific training
to enable your child to be fully included within their P.E lessons.

School based training:

The Children’s Physiotherapy Service can provide targeted training for
those staff directly involved in supporting your child. In special schools, the service are involved with:

• Training (whole school and class
based)
• INSET training

Support for families:

The Children’s Physiotherapy Service
will:

• Be available for support to families Monday to Friday
through contact means that are appropriate for the family e.g. email, language line etc.
• Signpost families to support groups and appropriate community based facilities.
• Signpost families to ‘shop bought’ everyday items that will be beneficial to your child’s overall development.
• Attend your child’s hospital appointments to act as an advocate if required.
• Organising network events to enable you and your child to meet other families/professionals.

Therapeutic Approaches:

Therapeutic Approaches used by the Children’s Physiotherapy Service Include:
• Orthotic Intervention.
• Hydrotherapy.
• Blocks of 1:1 intervention.
• Group intervention.
• Access to the gym group.
• MOVE.
• Gait clinic.
• Therapeutic Handling.
• Hip Screening.
• Postural Management.
• Manual Handling Advice.
• Assistance with Wheelchair
Clinic.

Specialist Services:

All specialist children’s physiotherapy input is available to your child, if needed; regardless of whether he/she has it specified in a Statement of Special Educational Need or EHC (Education. Health, Social Care Plan). Examples of specialist physiotherapy intervention that your child may receive are:

• Assessments.
• Specific intervention packages with outcome measures.
• Blocks of intervention by physiotherapists and technicians.
• Contributing to MDT/Annual Review/TAC meetings in school.
• Therapy programmes specifically tailored to your child’s needs.
• Supporting target setting.
• Provision of teaching and programmes for individual LSA’s.

 Specialist training
• Onward referrals
• Liaising with paediatricians to contribute to your child’s diagnostic process
• Report writing
• Provision of specialist equipment
• Collaborative working with education, health and social care
• Strategies and advice for class
teams (verbal and written).

Physical and emotional well-being:

AS ABOVE.

Physiotherapy outcomes impact positively on your child’s physical and emotional wellbeing

Access and inclusion resources:

The specialist support available from the Children’s Physiotherapy Service is identical to that set out in the ‘Learning/Curriculum Support Section’. All input is available to your child, if needed; regardless of whether he/she has it specified in a Statement of Special Educational Need or EHC (Education. Health, Social Care Plan).

School based training/ Support for families and Therapeutic Approaches:

The specialist support available from the Children’s Physiotherapy Service is identical to that set out in the ‘Learning/Curriculum Support Section’. All input is available to your child, if needed; regardless of whether he/she has it specified in a Statement of Special Educational Need or EHC (Education. Health, Social Care Plan).

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