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Integrated Neurodevelopmental Team (INDT) - ASD Service

The team undertake diagnostic assessments for children and young people presenting with social communication and interaction difficulties where there are concerns about possible Autism Spectrum Disorder (ASD).

The team is multi-disciplinary and made up of Community Paediatricians, Speech and Language Therapists, Clinical Psychologists and a Consultant Psychiatrist. 

Following a referral the team review information gathered from the referrer and school (if a child is in school) and decide if further assessment is needed. The team will decide what type of an assessment is required and what professionals should be involved depending on the child or young persons needs.

Diagnostic assessments follow the NICE guidelines for ASD assessments (Overview | Autism spectrum disorder in under 19s: recognition, referral and diagnosis | Guidance | NICE).

An assessment typically involves completing a detailed diagnostic interview with parents / carers and completing an observational assessment with the child or young person. Assessments might be completed remotely or face to face depending on the child or young persons needs.

When the assessment is complete a clinician will discuss the outcome with the family. Families will be signposted to relevant services and onward referrals will be made to other health or social care services if a need for this is identified.

Take a look at the video below about the diagnosis process in Greenwich.

          What is ASD and how is it diagnosed?

Who to contact

Contact Name
Single point of access (SPA)
Contact Position
Administration
Telephone
E-mail
Oxl-tr.childrenstherapies@nhs.net
Website
Integrated Therapies
Notes

Your child will be seen if there are concerns in at least two environmental settings regarding the following:

  •  Qualitative difficulties in their social communication skills
  •  Qualitative difficulties in their social interaction skills
  •  Repetitive and rigid behaviour
  •  Atypical development of play

Where to go

Name
Highpoint House
Address
Shooters Hill
London
SE18 3RZ

Other Details

Costs

Details
None

Availability

Referral required
Yes
Referral Details

Referrals are internal only. All children would need to be seen by either a Community Paediatrician or SALT in the first instance. A GP or school can refer to the Community Paediatric or SALT team. If a child is already known to CAMHS or the ADHD service then these teams can also refer for an ASD assessment.

In order for a referral to be accepted there needs to be evidence that a child or young person displays behaviours consistent with possible ASD in more than one setting. Information is gathered from school and parents / carers before the team decide if there is sufficient evidence to warrant further assessment.

Children and young people are discharged when the assessment is completed.

Other notes

Oxleas Patient Experience survey

The Oxleas Patient Experience survey gives you the opportunity to feedback on the care and treatment you have received. We also encourage your friends, family and carers to also provide feedback. Hearing your views gives us a better understanding of the needs of our patients, families and carers which helps us to make sure that we are providing a good standard of care.

The short survey only takes a few minutes to complete and you can provide a written comment explaining what you think is working well and what is not. The Patient Experience team will collect the results of the surveys and these are shared with the relevant departments and management teams. This helps us to shape our services to continually improve the quality of the care and treatment we provide.

Survey (external link)

How to complain about anything related to the service you receive for your child:

Patient advice and liaison service (PALS) oxl-tr.pals@nhs.net

0800 917 7159 or for formal complaints please contact oxl-tr.complaints@nhs.net

Local Offer

Description

Eligibility Criteria:

The team see children aged 0-18 who have a Greenwich GP.

Initial concerns may have been expressed by parents/carers or professionals from the wider multidisciplinary team. 

Your child will be seen if there are concerns in at least two environmental settings regarding the following:
• Qualitative difficulties in their social communication skills.
• Qualitative difficulties in their social interaction skills.
• Repetitive and rigid behaviour.
• Atypical development of play.

Specialist Services:

There is no universal or targeted support offered by this service. This is a specialist service available to children referred with the difficulties described above.

Access and inclusion resources:

This is a specialist assessment and diagnostic service with acceptance criteria as described above. We have information leaflets that are given to parents when children are referred to this service. Once the assessment has taken place you would be offered further information about Autism (if your child receives a diagnosis). You would also be given information about other services that can support you and your child.

Your child will usually continue to receive the same level of support from the speech and language therapy service as before their assessment and/or diagnosis. Speech and language therapists work with children based on the impact the child’s communication difficulties are having on their daily life. This is likely to remain the same with or without a new diagnosis.

Further opportunities to discuss the new diagnosis may be appropriate as part of this input.

Support for families:

After the assessment you would be provided with further information about various support services you can access including websites and leaflets/booklets that may be of benefit to your child or your family. 

In the event it is felt that the assessment could not be concluded, the professionals will make a clear plan and communicate this to you. If they conclude a further assessment is required they may refer your child to a tertiary service for an assessment.

SEN Provision Type
Specialist

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