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Community Paediatrics

Community Paediatrics is a team of children’s doctors in Wiltshire who see children and young people and their families in the community.

We investigate and diagnose children with a range of difficulties including Autism, Attention Deficit Hyperactivity Disorder (ADHD) and delayed development.

Our paediatricians listen to, assess and decide the best way to help children with a developmental impairment, physical and/or learning disability or complex health needs (e.g. Autism or Cerebral Palsy).

We also carry out specialist assessments of school-age children; where there is a concern regarding a neuro-developmental disorder, for example, Attention Deficit Hyperactivity Disorder (ADHD) or Autistic Spectrum Disorders (ASDs).

How can we help?

We help children and young people and families by trying to find a medical cause for their difficulties and work to give a diagnosis where appropriate.

We work with other professionals such as teachers, physiotherapists, occupational therapists and speech therapists to make sure we learn all the necessary information needed to support your child.

Our overriding goal is to achieve the best health outcome for the child.

Who will my child see?

In our team your child might see a consultant paediatrician, a paediatric doctor or a specialist practitioner (a specially trained nurse).

Who they see will depend on their needs and whether they are a new patient or someone we have met before. Who your child sees may also depend on where you live. We try to make sure you see the same person again if needed.

What conditions do we support?

Conditions in scope

  • Investigation and diagnosis of developmental delay
  • Investigation, diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD)
  • Investigation and diagnosis of Autism
  • Management of the medical issues arising from disability (e.g. Cerebral Palsy)
  • The Wiltshire team serves families across Wiltshire that do not already have a paediatrician looking after their needs at the Royal United Hospital, Great Western Hospital or Salisbury District General.

The Wiltshire team serves families across Wiltshire who do not already have a paediatrician looking after their needs at the Royal United Hospital, Great Western Hospital or Salisbury District General.

Exclusion criteria

Although we do provide many services, we are not commissioned to support all children with specific conditions or needs. This means that:

  • We do not provide on-going behavioural support for Autism
  • We do not provide behavioural strategies for ADHD
  • We do not investigate, diagnose or manage attachment disorder
  • We do not investigate, diagnose or manage sleep problems as a lone presenting issue
  • We do not investigate mild learning difficulties or specific learning difficulties such as Dyslexia
  • We do not provide behavioural support for children presenting with challenging behaviour
  • We do not assess pre-school children for ADHD

How do I refer?

Before making a referral, we encourage the family to discuss concerns with the child’s teacher/nursery (if the child is in school) to see if they have similar concerns. Usually children with a diagnosis have some issues in all settings.

For children with possible ADHD or Autism, accessing a parenting course/parenting support is a useful first step. Please see more information on Support in Wiltshire: Autism Parent Programme (SWAPP).

For more information on how to make a referral, please visit our Single Point of Access (SPA) page.

What happens next?

Once a referral has been made and accepted, you and your child will be seen in a clinic room that should be relatively near to your home. The doctor will talk through your concerns and worries. They will ask you questions about you and your child’s medical history, questions about your family and about your child’s development and progress. The doctor may then ask some more specific questions relevant to a particular condition. They may also check your child’s height and weight and examine them.

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