SEND: Health and social care
Find out about health and social care services that provide support for children and young people in North East Lincolnshire with special educational needs.
Pregnancy to 5 years
During pregnancy, health support will be given by Maternity services, your General Practitioner (GP) and acute hospital services at the Diana Princess of Wales Hospital, Grimsby. Your health visitor will meet you prior to the birth of your child. All services will be in line with the national healthy child programme.
What health support is available?
- Health and social care assessment of needs, risks and choices by 12 weeks of pregnancy by your midwife;
- Notification to health visitor, GP or acute hospital services of prospective parents needing additional early intervention;
- Routine antenatal care and screening for maternal infections such as rubella susceptibility, health and lifestyle choices – this may include advice around maternal weight, diet, smoking or substance or alcohol use;
- Benefits of breastfeeding will be discussed;
- Inclusion of fathers;
- Introduction to resources such as Children Centre’s and family information service; Dietary guidance;
- Advice to increase physical activity;
- Support to stop smoking;
- Support to reduce substances and alcohol with a plan to support baby post-delivery in the neonatal unit;
- Breastfeeding information.
Birth to 5 years
From around 2 weeks of age to up to 5 years the healthy child programme is provided by the Health Visiting Service and their teams to support a healthy start for all children, Getting it Right for Children and Families (PDF, 954KB) .
Health visitors support all families with pre-school children, from pregnancy to starting school. Health visitors are based at Children Centre’s in the borough and can enable and support parent/carers to provide sensitive and effective parenting during the first months and years of life. Health Visitors can also signpost families to a range of community resources found in Children Centre’s. All parents should have a red book and know the name and contact details of their Health Visitor.
What health support is available?
- Antenatal visit.
- New birth visit within 10 – 16 days of birth to include a New born hearing screen;
- Assessment at 6- 8 weeks by GP;
- 6 – 12 week review to include discussion with mother regarding maternal emotional health and wellbeing;
- Review of health and development before one year;
- Review of health and development at two and half years including looking at speech and language.
For feedback on the Health Visiting Service including complaints/compliments, the Health Visiting Service Manager can be contacted on 01472 255212. Alternatively you can contact either: The Patient Advice and Liaison Service (PALS) 01472 625222 or 01472 326426 (NELC).
5 to 14 years
The School Nursing team help school-aged children and their parents find the support and services they need throughout their school lives. Their responsibilities include assessing health needs and agreeing individual and school health care plans. This involves a range of activities including screening for early recognition of anything that may cause difficulties in school such as vision, hearing or emotional problems. The team promotes good health practices with individual children, young people, families and within school, and delivers health education sessions in the classroom to support this where necessary.
Core offer for children:
- National Child Measurement Programme – height and weight of all children in Reception and Year 6;
- Hearing and vision screening for all children in Reception;
- Delivering the childhood vaccination schedule which includes: Human Papilloma Virus (HPV) in Year 8, Diphtheria, Tetanus and Polio (DTP) and Meningitis C (Men C) in Year 9;
- Drop-in service for pupils in Secondary Schools;
- Support in school for pupils with complex health needs that may require a care plan or advice on a range of health issues including continence, behaviour, emotional support;
- Home visits;
- Health education and promotion in school, i.e. hand-washing, puberty, healthy eating;
- Referrals to sexual health clinics, enuresis clinics, hospital consultants, speech therapy, dental services and many more agencies.
For more information contact the school nursing team at: William Molson Centre, Kent Street, Grimsby, DN32 7DJ. Tel: 01472 325295.
From the age of around 14 – depending upon the individual young person, plans will commence to move them onwards towards adulthood and independence. Working with careers services, education and social care where appropriate, health teams will commence planning with young people and colleagues in adult provision to ensure they move smoothly into adulthood.
There will be no need to change your GP or dentist, but any specialists seen in children’s health provision, notably the hospital, will refer you to adult specialists for continued follow up.
St. Andrew’s Children’s Hospice
St. Andrew’s Children’s Hospice offers 24 hour care and support for children, young people and their families who have progressive life-limiting or life-threatening conditions.
It provides palliative care in a friendly home-from-home environment for children and young people from birth to 25 years of age who live in the Lincolnshire and Hull & East Riding areas.
Anyone can refer to our service, parents, family members, friends or experts such as doctors, nurses and other professionals. A referral can be made in writing, by telephone or by visiting the hospice. All that we ask is that the hospice is discussed with the child/young person and family prior to a referral taking place offer for children.
Family Action Support Team (FAST)
FAST is a targeted specialist health service, promoting mental health and wellbeing in families with children and young people aged 0 to 11 years with on-going attention and behaviour difficulties including Attachment Difficulties, Autism Spectrum Conditions (ASC), Attention Deficit Hyperactivity Disorder (ADHD), Dyspraxia, Developmental Delay and other complex needs and associated parenting difficulties. Packages of care are agreed with the referred child and their family.
FAST provide training to multi-agency professionals to increase the knowledge and skills to enable them to understand and support children and families more effectively.
At present (subject to review) to access the FAST service please speak to a professional working with your family/child (for example. Health Visitor, School Nurse, School/ Children’s Centre Staff) to request completion of a CAF (Common Assessment Framework). It is expected that you will have first worked with other professionals and that this work has been reviewed and suggests further specialist work is required prior to applying to FAST. When making a referral it is helpful to include as much information as possible including: any work that has already been carried out; the main concerns that you are seeking support for.
Health and wellbeing
For further detailed information regarding Health and Well-being visit the Saying It All website.
The health and well-being site does exactly what it says; it is about keeping you fit and happy. In this accessible website you will find lots of information for people with learning disabilities and their carers on all things to do with health and general wellbeing from what to do and expect whilst you are in hospital right through to fun things you can do to keep fit, healthy and active.
Please find some useful links to information about Social Care in North East Lincolnshire:
- Report a concern about a child
- Short break and residential support services
- Family Information Service
- Local Safeguarding Children Board
- Safeguarding Adults Board
- Young Carers
- Alcohol and drugs
- Drugs and alcohol
- Youth Offending Service
- Preparing for and transitioning to adult life
- Carers strategy
If you have any queries then please contact the Family Information Service by email at firstname.lastname@example.org or by telephone on 01472 326292, option one.
Serious health problems and end of life care
Children’s community nursing team
The team provides care to children with acute, complex and palliative care needs in their own home or alternative setting.
The team assess, plan and evaluate care following diagnosis of condition. Undertake nursing care /procedures such as intravenous drug or immunoglobulin administration, taking blood and providing education, training support and advice to families, allowing them to manage their child clinically well and achieve their best. The team does not form part of the core health offer.
Referral is by a clinician and the child must have an acute clinical need, long term condition or palliative need.
Children’s Complex Health/Continuing Health Care
NHS continuing health care for children is health support provided for a child or young person less than 18 years of age who needs a package of care because of their disability, an accident or illness.
Government guidance recommends that wherever possible, continuing care for a child or young person should be provided in their own home. It can also take place in a residential placement or hospice. If you think your child should be assessed for NHS continuing care, talk to a health or social care professional who works with them. Professionals will offer an assessment if it seems your child may have continuing health needs.
The process for continuing care has three phases;
- Decision making
- Arrangement of provision
Once the assessment has been completed you should get a decision within 28 days. If eligible the Head of Service for Complex Heath will then meet with you and the professional who assessed your child and discuss and agree options for supporting your child.
The Children’s Nurse Educator
An Advanced Registered Children’s Nurse Practitioner will support identified carers in ensuring that they receive appropriate training, supervision and are competent to care for your child; carers will have to undertake updates and refresher training to ensure they remain competent. Once in place care packages will be reviewed at 3 months and then further review as agreed.
The Starlight Unit at Cromwell House can also provide residential respite for children and young people who meet the criteria for complex health care. Staff are highly trained and competent to undertake a range of clinical skills in a young person focused environment.
A referral is made by the child’s Social Worker to the Disability Allocation Group (DRAG). DRAG is made up of a number of professionals who will discuss the case and decide whether Starlight Unit is an appropriate resource for the individual and their family. Children who have a Continuing Health Care Assessment may also be referred.
NHS continuing care for children and young people stops when a child reaches 18 – adult continuing care may then provide support. Adult continuing care is organised differently and there is a different assessment process, which will be discussed with you at transition.
Stroke Association Childhood Stroke Support Service
The Stroke Association offers a Childhood Stroke Support Service – providing information, advice, support and networking events to families affected by stroke in childhood.
The service is UK wide and freely accessible, and information about it can be found at Stroke Association – Children . They offer a range of free resources, including:
There are also a range of awareness raising posters, relevant to all professionals working with children and young people.
To contact the service please email email@example.com or telephone 07715 065925.
Social, emotional and mental health
Young Minds Matter
Young Minds Matter is an emotional wellbeing and mental health service for children and young people in North East Lincolnshire. The service focusses on prevention, early intervention and building a resilient community.
Based at Freshney Green the multi-disciplinary team can help with a range of mental health and emotional wellbeing problems.
What we do
We provide emotional wellbeing advice and specialist mental health services for children and young people up to the age of 19 (25 if receiving support for special educational needs and disability – SEND). These services are designed to help with a wide range of emotional wellbeing and mental health needs including:
- Mood related disorders such as depression and bipolar
- Eating disorders
- Self harm
- Mental health difficulties associated with a physical health problem
We have some pathways where we accept referrals via a multiagency panel, not from our usual sources of referrals. These are:
- Children in public care
- Young people displaying harmful sexual behaviour
- Assessment for autistic spectrum condition and Asperger’s syndrome
- Assessment and if necessary medication management for Attention Deficit Hyperactivity Disorder (ADHD)
More information is available at NEL – Young Minds Matter .
Children’s Speech and Language Therapy
This service monitors all children’s speech and language during early childhood. The Speech & Language Therapists work in a range of settings including clinics, special and mainstream schools, nurseries, homes and hospitals as appropriate.
For those children who have on-going difficulties with speech and language, the therapists can continue to work with young people up until the age of 19 years (for children with special needs) or 16 years for children in mainstream schooling. The frequency and level of support may vary, as the child’s needs change.
We see children aged 3-17 years for assessment and therapy. We see children at the following location: Child Development Centre, community setting, hospital clinics and see babies and children with eating and drinking difficulties from Birth. The children might be seen in their Home, on the ward or at the Child Development Centre.
Speech and Language Therapy (SLT) helps children and young people with:
- Listening to and making different speech sounds
- understanding spoken language
- putting words together and/or making sentences
- voice (such as persistent hoarseness)
- social communication skills
- eating and drinking difficulties
- a mix of any of these
Children with all speech and language problems can be referred by parents, health visitors, schools, GP, and pediatricians.
Please see our website: www.nlg.nhs.uk or contact our Department (01472 302591) for a copy of the referral form.
Occupational Therapy and Physiotherapy within North East Lincolnshire helps children and young people to participate as fully as possible in daily activities.
Occupational Therapists help children and young people to carry out the things they need or want to do in areas of self-care, school, work and play. They work with children and young people between the ages of 0 and 19 years who have difficulties or a disability, which affect their ability to carry out everyday tasks.
Children’s Physiotherapists are responsible for the assessment and physical rehabilitation of children needing treatment due to disability, accident, injury or disease. Children’s physiotherapists have generic skills as physiotherapists and also additional knowledge and experience of child development and of childhood conditions.
Treatment is based upon an assessment of the child’s needs and the formation of individual treatment programmes. The physiotherapists use a range of approaches that are individually tailored to each child’s needs. This may include exercise programmes, postural management, mobility aids and other specialist equipment.
Children’s physiotherapy covers a wide range of clinical practice and conditions, which affect physical skills, function and development:
- Neurological conditions, e.g. Cerebral Palsy, Head Injury
- Neuromuscular disorders, e.g. Muscular Dystrophy
- Developmental delay
- Rheumatological conditions, e.g. Juvenile Idiopathic Arthritis
- Congenital disorders, e.g. Spina Bifida, Talipes, Torticollis, Plagiocephaly
- Orthopaedic conditions, e.g. Fractures and injuries
- Congenital syndromes and metabolic diseases
- Conditions where mobility and function may be effected, e.g. Oncology
- Post-operative rehabilitation
- General musculoskeletal complaints such as joint hypermobility
A Health visitor, School Nurse, GP or Pediatrician, can refer children with Physiotherapy or Occupational Therapy needs. Please visit: NHS – Northern Lincolnshire and Goole for further details, or Fiona Clawson and Sarah Howard, Diana, Princess of Wales Hospital Tel: 01472 302591
Enuresis (Bedwetting) Clinic
The School Nursing Service offers an Enuresis Clinic for all children aged 7 years and above. There are four clinics spread across North East Lincolnshire and they run once a month from 9 to 5 pm, depending on the clinic.
The support, assessment and treatment offered is tailored to the circumstances and needs of the child or young person with the aim of helping them to stop wetting the bed at night.
The clinic offers:
- Appropriate advice is given on the first appointment with a detailed history and assessment undertaken;
- Basic background work, such as fluid correction and the identification of underlying problems can be identified from the assessment. The level of motivation and environmental problems are identified early;
- Leaflets are given to assist families understand why enuresis occurs and the treatment options;
- Dependent on the assessment, the family will be given information on medication, alarms and bladder training to try and assist the child to become dry at night;
You can refer your child by GP, Practice Nurse or Pediatrician, Health Visitor or School Nurse, Children’s Centre or school, or parents can refer themselves by contacting the service directly.
Families First Information Service, Civic Offices, Knoll Street, Cleethorpes, North East Lincolnshire, DN35 8LN
Telephone: 01472 326292 option 1
Opening times: Monday to Friday 8:30am to 4:30pm, except bank holidays