HNY Policy and Pathway Repository - Humber

The Children's Occupational Therapy Service provides assessment, advice and treatment (if required) to children (0-18 years) who have significant physical difficulties where the condition is causing a significant impact to functional ability across a range of environments (Home/Nursery/School/College). Referrals can be made from GP’s, Paediatricians, Hospital in-patient teams, Allied Health Professionals and Social Services Occupational Therapists.

No red flags listed

No Guidelines on Management listed

Do not refer for:

Protective Helmets - Please refer to Orthotics,

Wheelchairs and Specialist Buggies - Please refer to Wheelchair Services via  https://www.ajmhealthcare.com/local-service-centres/hull-and-east-riding/referrals-assessments/

Carseats - Please refer to Regional Driving Assessment centre RDAC (Hull)via https://rdac.co.uk/professionals/

Mobility and Gross Motor Skills - Please refer to Children's Physiotherapy Service by email:  hnf-tr.childrensphysio@nhs.net

Hand Splints - Please refer to Hand Therapy Service. Email: paedphysio.hri@nhs.net

Safety in  the home (Behaviour) and Housing Adaptations - Please refer to Children's Disabilities Team via https://childrensportallive.hullcc.gov.uk/web/portal/pages/home

Sensory Assessments - please refer to Humber Sensory Processing Hub- https://connect.humber.nhs.uk/service/humber-sensory-processing-hub/home/.

Referrals

The service will receive referrals for children with who live in Hull or East Riding or have a Hull or an East Riding GP. There will be 2 separate waiting lists in operation due to different commissioning arrangements in Hull and East Riding. The service will see all children for an initial assessment within 18 weeks.

• Any professional seeking to make a referral will see the child or young person together with their families/carers and obtain their consent for a referral to take place.
• Referrals will be received into the department from the relevant medical agency in email, letter /referral form and Telephone call for urgent referrals (with written follow up).
• Referrals will be triaged within 5 working days.
• SystmOne will be used for recording all referrals, contacts, and outcome information.
• The referral will be triaged electronically or on paper by the principal and/or advanced occupational therapists to ensure it meets with the service criteria.
• Triage will be completed from the referral information provided. If the referral information is insufficient then the referrer is contacted by letter, email or telephone requesting further information.
• A referral will not be accepted until relevant information is received. e.g. the functional difficulties that the child is experiencing at home or at school, including relevant medical or developmental information.
• A follow up letter or email will be sent to referrers if there is no response following the initial request for information.
• If a referral does not meet the service criteria the referrer will be informed by letter with the reasons for non-acceptance.
• All referrals will be prioritised depending on level of need and urgency and banded according to the service criteria.
• Accepted referrals will be placed on the appropriate Hull or East Riding waiting list
• Direct contact will be made with the family/carer through Letter or an alternative form of contact if needed. Contact will also be made with the referrer and the GP informing them that the referral has been accepted and placed on the waiting list. The communication will also instruct families how to contact the service during the waiting period.
• Enquiries during the waiting period will be dealt with by the principal occupational therapist or senior clinicians.
• Waiting list information will be monitored weekly, and a monthly report produced.
• The allocation of cases will be done by the principal occupational therapist and/or advanced practitioner in liaison with clinicians and in response to the level of clinical need and risk.

• The aim will be to allocate priority referrals as soon as possible to manage and mitigate risk.  However, at times of high demand it may not always be possible to allocate immediately.

  Wherever possible the designated clinician will take on the caseload holder role for the duration of the episode of care.  However, where a referral is urgent the designated clinician may not go on to be the care co-ordinator.

Pocklington/ Vale of York

Home address/G P and School – Patients must have 2 out 3 of these criteria