If your child has been invited for a face-to-face appointment or procedure, it’s important you still come (even if local COVID-19 restrictions have changed).
To help keep everyone safe, only one parent or carer can attend. No other family or friends can visit.
See all our information about COVID-19, including steps we are taking to keep you safe.

Your appointment with the REACH service

Rehabilitation at Evelina London Children’s Hospital 

Who our service is for

We offer programmes for:

a) Babies and infants (birth to 12 months) who have been diagnosed with cerebral palsy or are at high risk of cerebral palsy.

and

b) Children and young people (6 months to 16 years) with hemiplegia (movement difficulties on one side of the body) where their hand movement impacts what they need or would like to do in their daily life activities. This might be due to cerebral palsy, or an acquired brain injury (such as stroke).

  • You can come to our service for a consultation and advice session only, or for consideration for an intensive programme of rehabilitation.
  • Our programmes are typically 12 weeks long (for baby early intervention) or 6 weeks long (for children having arm/hand focused intervention).
  • The programmes are intense. You and your child need to feel motivated and be able to take part in a programme that can disrupt family routines. At your first appointment, we will discuss the demands of the programme for you, as parents delivering the therapy, and for your child. For a programme concentrating on arm and hand function, children will need to sit at a table for the play-based activities.
  • Ideally, the local occupational therapy or physiotherapy service is able to:

    a) come to a single, joint goal-setting appointment at our hospital (either face-to-face or virtually)

    and

    b) provide weekly sessions in the child’s local area for the duration of the 6 or 12-week programme.

We will decide if an intensive programme is suitable for your child by discussing this with you, your child and local therapy teams. We will complete a detailed assessment of your child.

Types of rehabilitation

Our treatments (shown to be effective in research studies) include:

Early intervention programmes - for babies/infants up to 12 months old:

  • GAME (goals, activity, motor enrichment) intervention. This is delivered within the framework of EI SMART (early intervention: sensorimotor development, attention and regulation, relationships, and therapist support).

Upper limb (hand and arm) focused programme – for children aged 6 months – 16 years:

  • bimanual therapy
  • a hybrid approach (modified constraint-induced movement therapy with bimanual therapy)
  • goal-directed training.

If you are interested to read more about research around the specific interventions we offer, please get in touch with us and we can send you details.

We decide on the frequency of sessions before children start our programmes. All assessments are documented, and findings are shared with you and relevant professionals. Assessments also take place after the programme has ended.

All programmes are a combination of face-to-face appointments at the hospital plus virtual (on screen) appointments to support you at home.

Local therapists, partnering with us, will arrange their appointments directly with you. They are also welcome to attend any sessions we deliver, and we keep in touch throughout the programme.

What happens after an intervention programme

As a specialist service, our aim is to offer support, consultation and advice to supplement your local service, who are responsible for your child’s therapy. Therefore, we do not offer routine ongoing reviews.

Typically your child is reviewed after the programme ends and then discharged.  

Contact us

If you would like more information, please email: 
evelinareach@gstt.nhs.uk

Tel: 07717 680 883

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