Who can refer
We accept referrals from medical consultants at Evelina London Children’s Hospital and from other hospitals.
Some GP referrals are accepted if the child does not have a consultant.
Who we see
We see infants and children from birth to 18 years of age.
Infants and children should be referred to their community feeding team in the first instance. Community based health professionals are well placed to provide timely support and management of children with feeding difficulties ranging from typical to more complex problems.
Mild feeding difficulties are typically managed as a matter of routine in the daily practice of many health professionals without the need for input from other professionals. However the management of more complex difficulties may require input from more than one health professional. Indicators for referral will vary depending on the nature of the feeding difficulty, the health professional’s profession and level of experience. Options for further input or referral might include:
- Consultation with a colleague or mentor for opinion on management strategies.
- Request for further opinion or additional assessment with primary ongoing care remaining the responsibility of the referring health professional. For example a Speech and Language Therapy referral for a swallowing assessment where no issues are identified, or a Dietitian referral for a nutritional or growth assessment where the diet and growth are assessed to be appropriate.
- Request for further opinion or additional assessment with ongoing care and input from more than one health professional creating a model of interdisciplinary care. For example when a referral to another health professional identifies issues that require ongoing specialist interventions from that health professional. In this instance it is essential that health professional’s work together to ensure consistent coordinated care.
On some occasions referral for transfer of care may be indicated. This may be indicated if:
- The needs of the patient are identified on initial assessment as being beyond the capacity of the health professional.
- The nature of the feeding difficulties and their impact on the child and or family are increasing, despite appropriate intervention strategies e.g. report of physical reactions to food such as urticaria or gastrointestinal symptoms, or increasing stress and anxiety associated with feeding.
How to refer
To refer a patient, please complete the feeding service referral form (Word 141Kb) and email to gst-tr.ELCHPaedNeuroReferrals@nhs.net.
Alternatively you can post it to:
Evelina London Children’s Hospital
St Thomas’ Hospital
Westminster Bridge Road
London SE1 7EH
Referral forms with insufficient information may be rejected.
We cannot accept urgent referrals. Babies and children with a sudden deterioration in feeding skills may require hospital admission.