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The Community Paediatric Team at the Royal Devon University Healthcare NHS Trust provide specialist assessment, diagnosis, and support for children with neurodevelopmental disorders including ADHD.
Provision of support for a child or young person should be according to need, not diagnosis, and can be accessed through the local offer as part of the Graduated Response, and Early Help.
In Devon other services contributing to understanding and supporting a child’s needs include: Public Health Nursing (Health Visitors and School Nurses), Children and Family Health Devon, Vranch House, Special Educational Needs and Disability (SEND) and Social Care.
It is often appropriate for a family to first access support from one these services prior to a referral to specialist paediatrics.
Age: 6-17 years old
(ADHD is not considered in young people under the age of 6 because the behaviours noted to diagnose ADHD are developmentally appropriate at that age)
Conditions in scope:
If there are concerns about associated significant mental health issues alongside ADHD, then the referral should be sent to CFHD CAMHS Single Point of Access (SPA).
Please see further information on referral criteria for CAMHS, and details of conditions in scope / significant mental health issues also found at: Children and Family Health Devon
Examples of mental health conditions that Specialist CAMHS will consider are:
Pre-referral
Referral
Assessment
Management
Transition
Please see below additional supporting information regarding referral for ADHD assessment:
At present, it is not possible for education settings to refer directly to this service. This is something that may be possible in the future. In the interim, primary care are required to make these referrals – this is in line with NICE guidance and provides primary care with the opportunity to share additional information when relevant. The specialty teams and the LMC have worked together to make the system as efficient as possible, keeping primary care involvement to a minimum.
Mandated requirements for referral:
1) Primary Care Clinical Summary
This should include a list of read-coded medical problems and an up-to-date medical history
If primary care has any additional knowledge of any wider issues relevant to assessment that is not included in the patient’s clinical summary, please could this be shared in a short covering letter e.g., safeguarding history, family history, developmental trauma.
2) A completed copy of the ‘Parent / Carer Information Gathering Form’
This form can be found on MyHealth-Devon here
3) A completed copy of the ‘Education Setting Supporting Information Form’
GPs should ask parents to request the form be completed by the most appropriate person i.e., this can be completed by a tutor or a parent if they are responsible for providing the only educational element to the young person.
This form can be found on MyHealth-Devon here
TO AVOID REFERRALS NEEDING TO BE RETURNED, PLEASE ENSURE THAT BOTH FORMS ARE FULLY COMPLETED (or comments are added e.g., N/A, unknown)
GPs to refer:
1) RDUH Eastern to Community Paediatric Team:
a) Via Advice & Guidance (A&G):
Referring via the A&G route allows the service an efficient way to communicate with the referrer (without having to cancel the original referral):
Referrals via A&G on e-RS will only be returned to the referrer if:
i. the referrer has specifically asked for advice
ii. additional information is required/missing forms.
All A&G requests will be triaged within 5 working days.
OR
b) Routine referral to Community Paediatrics on e-RS
2) RDUH Northern to Community Paediatric Team:
a) Routine referral to Community Paediatrics on e-RS
eRS Service: ND Paediatric - ADHD - NDDH - RH8
Specialty: Children’s & Adolescent Services
Clinic Type: Other Medical
Location: North Devon District Hospital (RH880)
Due to the amount of referral information that is required for ADHD referrals, referrers are asked to ensure the referral information is added in separate files on e-RS as follows:
Please do not load as multiple single page attachments.
If the supporting information and NAP forms are too large to add on e-RS please email the files to rduh.cmcopdbookings@nhs.net with the patients details and referring UBRN number. The referral and UBRN must still be created on e-RS.
Forms must be fully completed before a referral is accepted. Incomplete forms can cause significant issues and delays.
This guidance has been agreed by….. and based on ‘Attention deficit hyperactivity disorder: diagnosis and management’, NICE guideline [NG87]Published: 14 March 2018 Last updated: 13 September 2019.
This guideline has been signed off on behalf of NHS Devon.
Publication date: October 2023