The Royal College of Nursing has announced that industrial action will take place on Monday 6 and Tuesday 7 February. We'll contact you if your care or your child's care is affected. Ambulance workers are planning strike action on Friday 10 February. Learn more.

A number of transport strikes are due to take place this February. If you or your child has an appointment at one of our hospitals or community centres, please plan ahead and do all you can to attend. If you need to cancel your appointment, please contact your clinical team.

Tics and neuro-developmental movements (TANDeM) referrals

Who can refer


We accept referrals for tic assessment and management from local paediatricians, neurologists and CAMHS professionals. As we are a tertiary service, we unfortunately do not accept referrals from GPs for tics. If you are a GP, please refer to local paediatrics, neurology or CAMHS in the first instance for initial assessment and advice.

For referrals relating to complex motor stereotypies, we welcome GPs contacting us for an initial discussion.

Why are children referred to us?

We are a neurodevelopmental movements service and offer specialist assessment, intervention and support with the management of neurodevelopmental movement disorders.

Please refer to us if tics and/or stereotypies are the primary concern and you are referring for assessment and management advice in relation to these. If the primary concern is a co-morbidity relating to the movement disorder (e.g. anxiety, ADHD), please refer to the relevant local service (e.g. CAMHS). We accept referrals for children up to the age of 16 years.

How to make a referral

Please send your referral in writing by email or post using the details in the referral contacts box on this page.

Why are children referred to us?

Children are referred for specialist assessment, intervention and support with the management of neurodevelopmental movement disorders.

We offer second opinion assessments and/or support for children presenting with particularly complex symptoms. This may include difficulties commonly associated with movement disorders, such as:

  • anxiety
  • hyperactivity
  • concentration
  • behavioural problems.

Referral contacts

2nd floor Becket House
Evelina London Children's Hospital
St Thomas' Hospital
Westminster Bridge Road
London SE1 7EH