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Care Coordination Service

This is an NHS service for babies and children who present with complex therapy needs which is impacting on or has the potential to significantly impact upon their long-term development.

Children can be referred to the service by their parents, a GP, health visitor, or any other health, social care or educational professionals.

The team is made up of Specialist Nurse Advisors (SNA) and Care Co-ordinators working within the Kent Children’s Therapies team.

An appointment will be offered with a Specialist Nurse Advisor and a plan will be agreed. The support offered by the team may include;

  • coordination of care with other professionals and organisations.
  • information on local groups and other agencies
  • support with transition into nursery and/or school
  • team around the child meetings to share information with other professionals involved in the child’s care and put together a family plan
  • referrals onto other agencies /services.
Childrens Therapies Care Coordination

Access criteria

Children up to the age of 4 years who have complex therapy needs and require long term intervention from the Children’s Therapies Service.

Children up to the age of 12 years who have previously been open to Care Coordination.

Children up to the age of 12 years with complex therapy needs who have moved into the area.

Children up to the age of 12 years who have developed a significant long term condition, for example, an acquired brain injury or cancer that has resulted in complex therapy needs.

Children up to the age of 12 years with a progressive life limiting condition resulting in complex therapy needs.

Referral

Children can be referred to the service by their parents/carers, a GP, health visitor, or any other health, social care or educational professionals.

Children who may be eligible for this service will be discussed within the Children’s Therapies triage process.

If a child appears appropriate for assessment, then the specialist nurse advisor may call the parents/carers to offer the service.

Children who have been accepted will be contacted within the 12-week referral to assessment target.

Children will have an agreed support plan in place within two weeks of assessment.

For children living in Ashford, Dover, Deal or Shepway please complete the Children’s Therapies Care Coordination Service referral form.

For children living in Ashford, Dover, Deal, Shepway, Thanet and Canterbury who require a referral to a Community Paediatrician please see Community Child Health on EKHUFT website.