Paediatric Medical Services

Paediatric Medical Services

Community Paediatric Medical Service

We are a team of specialist children’s doctors (paediatricians), and other support staff.

We work together combining our assessments to form a whole picture of your child.  We also work closely with other professionals and agencies which include

  • Therapists – speech and language therapists, occupational therapists and physiotherapists;
  • Community nurses, health visitors, school nurses;
  • Child and Adolescent Mental Health Services (CAMHS);
  • Hospital based doctors;
  • Social workers;
  • Schools;
  • Children’s charities.

Norfolk Community Health and Care (NCHC) directly delivers other children’s services.  These include Occupational Therapy, Children Community Nursing and the Paediatric Continence service; please refer to the separate website pages for additional information for these services.

Who is the Service for?

The Community Paediatric Medical Service is a pathway for children:

  • Up to the age of 6 years with developmental, social communication and emotional and behavioural problems. Pre-school age children will be seen by Health Visitors and Speech and Language Therapists before they are assessed by a Consultant Paediatrician.  The information gathered by other professionals is very valuable in contributing to the assessment by the Paediatrician.
  • For children and young people (0 to 18 years) with complex needs, including conditions such as neuro-disability, motor delay, chromosomal, metabolic or genetic, developmental or acquired disorders resulting in long term complex needs or disability.

Who do we work with?

The Paediatricians in this pathway work very closely with staff in the NeuroDevelopmental Service (NDS) The neurodevelopmental pathway (NDS)  is a psychology,  nursing and therapy team with family support workers.   Neurodevelopmental concerns are sometimes described as differences in growth and development of the brain, usually becoming apparent in a child’s early years.

Some children in the NDS pathway may also see a paediatrician.

Concerns about possible Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD) and Developmental Coordination Disorder known as Dyspraxia (assessed for children aged 4 to 8 years of age by the Occupational Therapist) are included within the neurodevelopmental category.  Children may have one or all of these diagnoses as they often occur together.

Your child may also need input from the Starfish Team or the Child and Adolescent Mental Health Service (CAMHS) depending on their main area of need.

How to refer to our Community Paediatric Medical Service

Our services are open to families who live in Norfolk and are registered with a GP within Norwich, South Norfolk (excluding Thetford), North Norfolk and West Norfolk.

You can access our service through the GP, health visitor Speech and Language therapist, or school nurse.  They will complete a referral form and supporting information may need to be obtained from other providers or agencies, for example school.

The referrals are sent to our Children’s Single Point of Referral team, this is a single point of entry to all of NCHC’s children’s services.  All referrals are triaged weekly by our clinical team which includes a paediatrician and clinical psychologist.

For children aged 12 years and above, these referrals will be clinically assessed together with CAMHS in order to assess how best to meet the needs of your child.

If the referral is accepted you will receive an acceptance letter, and then an appointment letter with date and time.  It is important to notify the bookings team as soon as possible if they cannot attend.

What to expect at your appointment

Your child will be seen by one of our specialist staff.  The length of the appointment will vary and is usually an hour.  You are expected to attend the appointment with your child.

  • During the assessment we will talk about your concerns and how your child is managing at home, nursery or school.
  • We will discuss any concerns about behaviour and emotions.
  • We will ask for information about your child’s health and development, for example, your child’s birth and family situation.
  • The initial assessment may also include a physical examination.
  • We will gain a clearer understanding of your child’s strengths and needs

Following the initial appointment

  • During the appointment you may be offered some advice and strategies to help your child and no further appointment will be needed OR
  • We may need to see your child and/or you again for further assessment OR
  • We may need to refer your child to another professional for further assessment, for example a speech and language therapist, physiotherapist or occupational therapist or to another team of professionals.
  • You or your child may be offered support in the form of workshops for parents, group interventions for children or individual work.

We will write to you following your appointment summarising the assessment, our understanding of the difficulties and will include a plan of what will happen next.


Our Single Point of Referral is located at

The Children’s Centre – Block 15,
Norwich Community Hospital, Bowthorpe Road,
Norwich NR2 3TU