Welcome to the Children's Occupational Therapy Service for North Derbyshire.
Our team work with children who are aged 0-19 and have physical difficulties resulting in a functional difficulty.
We work with the child, family and relevant professionals from health, education and social care settings to maximise a child's participation, performance and enjoyment in everyday life. This may be in areas such as self-care (i.e. washing, dressing, using cutlery, using the toilet) , productivity (i.e. learning, handwriting and activities in the classroom or home), and leisure (i.e. play, sports and hobbies). We pay particular attention to fine motor skills required to perform functional tasks.
We endeavour to support the family and the wider team of carers understand the child's physical difficulties and how to enable them to achieve their best. We aim to empower the child and their carers to feel equipped to build skills that promote independence. We also aim to enhance the quality of life for children with long–term conditions.
Occupational therapists consider :
- A child's interests, motivation, physical and cognitive skills
- The activity itself and what skills are required to do it
- The environment and context that the child is doing the activity in (i.e. home, school, nursery, outdoors, social, cultural, equipment)
If these three things do not work well together it can be hard for children to do the things they need to do to develop, learn and be healthy.
Children on a community caseload are those with a defined physical disability or developmental delay who will require longer term input to support skill development, postural and equipment needs. Most commonly these are children with a diagnosis of cerebral palsy. While children with very complex needs will remain on a community caseload for the duration of their childhood, most children will have episodic occupational therapy input. This may include targeted programmes tailored to the child's needs. These might be implemented at home and nursery or school. Once therapy goals are met, they may be discharged but can be re-referred at a later date.
Children on an outpatient caseload have less complex needs. Most commonly these children have fine motor difficulties such as handwriting, tying shoelaces or using cutlery.
After the referral is triaged, an initial telephone call consultation may take place with parents to clarify the child's difficulties and agree what matters the most to both child and parent. In the clinic appointment, the occupational therapist will assess the child's difficulties. After the appointment, the occupational therapist will write up an individualised report with advice and recommendations which is sent to the family, referrer and school. Depending on the child's needs, they may be discharged, or referred for practical skills, 2-3 therapy sessions, or a follow-up appointment.
Developmental Coordination Disorder (DCD) clinic
DCD clinic is part of a diagnostic pathway for children who may meet the criteria for a diagnosis for developmental coordination disorder (gross and fine motor difficulties). This requires involvement from a medical doctor and therapist. In the therapy assessment, children receive a thorough two hour standardised assessment of both fine and gross motor skills. This assessment is undertaken by both an occupational therapist and a physiotherapist.
Following assessment and a written report, families and school are invited to a feedback session to discuss the therapy recommendations. The report is shared with the medical referrer and the child is discharged from our therapy services.
We offer regular online training workshops for parents and education staff. These include workshops on practical strategies to manage sensory processing difficulties in daily life and handwriting for schools.
Children referred to Occupational Therapy must be:
- Aged 0-18 (For young people in the transition process. We will discuss and agree the most appropriate arrangements for service provision.)
- Registered with a North Derbyshire GP
- Have consent for referral from person with parental responsibility, and/or from young person where appropriate.
We accept referrals for:
- Assessment of and advice for fine motor difficulties affecting age-appropriate participation or independence in daily living activities (e.g. buttons and fastenings), school activities (e.g. mark making and handwriting, tool use) and play.
- Assessment, advice and provision of specialist equipment for children with postural needs (i.e. specialist seating).
- Assessment, advice and provision of adapted equipment (if relevant) for daily living tasks (e.g. bathing, toileting, dressing, using cutlery).
- Early support and positioning advice for young children and babies presenting with delayed development.
Depending on the complexity of a child’s diagnosis or presentation they will be supported through different pathways. This will affect the setting where a child is seen and the length of time they are kept on a caseload (see services offered above).
Please email completed referral forms to: firstname.lastname@example.org.
*Please take the time to read the relevant referral criteria below before making a referral. If you have any queries about whether the referral you want to make is appropriate, please ring us to discuss prior to making the referral.
Referrals we cannot accept:
Referrals will not be accepted for children whose:
- Self-care skill level, fine motor or functional skills are in line with their overall developmental level or their chronological age
- Difficulties arise primarily from behavioural or sensory issues (i.e. request for sensory assessments or behaviour management strategies)
Referrals for wheelchairs should be made directly to AJM Healthcare who are the providers for Derbyshire Wheelchair Services. Please visit their website for more information: https://derbyshire.wheelchair.services/.
Referrals for structural adaptations in the home environment are provided by Occupational Therapists working in social care (i.e. for provision of level access shower, stair lift, downstairs bedroom). If you have any queries you will need to self-refer to Social Care OT via Starting Point: https://www.derbyshire.gov.uk/social-health/children-and-families/support-for-families/starting-point-referral-form/starting-point-contact-and-referral-service.aspx
Referrals from Health and Medical Professionals
Referrals will be accepted from Consultants, GPs, Other medical staff, Allied Health Professionals, School Health
Please read information for Health and Medical Professionals before making a referral: Supporting Information
*For DCD referrals, please see below
Referrals to Developmental Coordination Disorder (DCD) Clinic :
Referral from medical doctor only (e.g. paediatrician, GP or school doctor).
DCD can be regarded as an umbrella term which covers motor coordination difficulties (gross and fine motor) and can include dyspraxia (difficulties with planning, organizing and carrying out functional activities).
The DCD clinic is a joint physiotherapy and occupational therapy assessment which is part of diagnostic pathway. Only medical doctors can refer to the DCD service. Following standardised assessment, they will be provided with a report and information which should be used as evidence to aid or eliminate a diagnosis of DCD.
Referrals will only be accepted if children meet the criteria for assessment in the DCD service (see information pack below) and the correct process and paperwork is used (see below DCD referral form and parent and school questionnaires).
Please read DCD supporting information prior to making a referral: information pack.
For a referral to be accepted, all three forms below need to be completed and enclosed:
DCD clinic is a one-off assessment as part of a diagnostic process. A referral can be made to children’s occupational therapy using the blue form after a minimum of 6-9 months for new functional challenges at home or school. for more information regarding referral to DCD.
Referrals from Education (SENCos)*
*We are trialling SENCO referrals for functional difficulties between September 2022- April 2023.
Reasons for SENCos can refer to Occupational Therapy:
SENCo’s can now refer directly to Children’s Occupational Therapy in relation to difficulties observed within the school setting, which impact a child’s ability to develop and participate in daily school activities e.g.
- Difficulty with mark–making, drawing, or handwriting.
- Difficulty using tools in the classroom, e.g. scissors, food technology, design and technology.
- Dressing difficulties at school (as appropriate for age), e.g. when changing for PE, toileting or playtime).
- Difficulty managing equipment and using cutlery at dinner time (as appropriate for age).
- Difficulty managing self-care tasks at school, e.g. washing hands, bottom wiping.
We cannot accept referrals from SENCOs for specialist postural equipment.
Please read further information about SENCo referrals before making a referral:
Re-Referrals from Parents*
Many Children that have previously received input from Occupational Therapy for extended periods of time on a community caseload, can now be re-referred to occupational therapy by parents.
Parents of children who have accessed services as an outpatient are welcome to seek a re-referral for their child via any relevant health professional but cannot make a self-referral for their child at this time.
*Parents of eligible children will have been notified on their child’s discharge report.
Parents can self-refer after a minimum of 6 months since discharge from the previous episode of care, to give time to consolidate any intervention and advice given, unless there has been a significant change in circumstances such as: transition to new school setting, moving home or new functional challenges.
Reasons parents may wish to re-refer to Occupational Therapy:
- Difficulty with drawing, mark-making or handwriting
- Difficulties with dressing, as appropriate for age
- Difficulty managing equipment and using cutlery at dinner time (as appropriate for age)
- Difficulty making a snack
- Difficulty managing self-care tasks (e.g. bottom wiping, washing hair and body)
- Minor equipment to improve transfers and access bathing and toileting facilities
- Changes in seating/postural needs at school or home
Please read further information about parent re-referrals before making a referral: Supporting Information
Telephone: 01246 514 553
Children's Occupational Therapy Department
Chesterfield Royal Hospital NHS Foundation Trust
*Please note that our school training is for schools in the North Derbyshire area. Our services cover North Derbyshire (including High Peak, Buxton, Chesterfield, Bolsover, Alfreton, Clay Cross, Matlock, Dronfield and Shirebrook).
Pre-Writing Training (online)
Aiming to support school staff by considering what foundation skills are important and explore activities that can be used to support development of physical pre-writing skills.
Tuesday 17th October 2023 3.45-5pm
Primary Writers Training (online)
Aiming to support school staff by considering different types of handwriting difficulties that may be seen in a primary classroom and explore practical strategies that can be used to support and improve physical writing skills.
Tuesday 21st November 2023 3.45-5pm
DCD (Developmental Coordination Disorder) and Dyspraxia in Schools
Face-to-face training aimed at staff working in mainstream school settings. The training will outline what DCD and dyspraxia mean and the kind of difficulties they might have at school. It will explore strategies for school staff supporting children with DCD or dyspraxia to learn and take part in physical and practical subjects.
There is one training session for Primary School Staff and one for Secondary School staff. Please click on the relevant link below to sign up:
Primary Schools- further dates TBC
Secondary Schools- Tuesday 13th June 3.45-5.15pm @ Outwood Academy, Newbold, Chesterfield
Sensory Processing Training
'Introduction to Sensory Processing'
Please watch our pre-recorded video 'Introduction to Sensory Processing'
This video gives an introduction to children's different senses and considers how they use these to function in daily life. The video gives a basic understanding of sensory processing and suggests general strategies to help support a child's sensory processing needs.
'Understanding and Managing Sensory Processing Needs in activities at Home' online workshop*
*Please note that our online workshops is for parents of children registered at a GP in the North Derbyshire area. Our services cover North Derbyshire (including High Peak, Buxton, Chesterfield, Bolsover, Alfreton, Clay Cross, Matlock, Dronfield and Shirebrook).
We are offering two interactive online workshops for parents and carers after they have watched our introduction to sensory processing video. These workshops are led by occupational therapists and aim to share practical strategies to support children with sensory processing needs to participate and perform in daily activities at home.
Workshop 1: Independence (dressing and cutlery skills) Monday 3rd July 2023 9.30-12.30 Click here to sign up
Workshop 2: Self-Care (bottom wiping, teeth-brushing and hair care) Monday 17th July 9.30-12.30 Click here to sign up
Please note, this service does not assess individual children’s sensory processing needs.
There is a Derbyshire Local Area Approach to meeting children and young people's sensory processing needs (SPN). All professionals who work with children and young people in Derbyshire can access training and resources to help identify and address SPN in their setting. This video is a presentation that gives further information about this, in particular the Sensory Processing Needs Toolkit.
Sensory Processing Needs Toolkit
Advice for Parents and Professionals