The NHS provides services that everyone in the population can access. Due to the varying and often complex needs of children and young people with special needs and disabilities, it is possible that a range of health professionals will be involved with you and your child.
If you have concerns or questions about your child’s health, talk to your doctor, health visitor or school nurse. They can help with a wide range of health issues and any concerns you might have about your child’s development. They can also refer you to specialist health services depending on your child’s needs. This includes for example physiotherapy, occupational therapy, speech and language therapy, child and adolescent mental health services, wheelchair services and children’s community nursing.
On the local offer directory you can search for information on health services locally; it includes information on who the service is for, how to access the service and who to contact for more information.
Health professionals who may be involved in your / your child’s healthcare include:
- Community paediatricians: A team of doctors who provide assessments for children where there are concerns about their development.
- Community children’s nurses: A team of nurses who have experience of working with children with complex health needs. They often work with children at home or in school.
- Occupational Therapists: Work with children and young people to help them do things like writing, playing, sitting or dressing themselves.
- Physiotherapists: Work with children and young people to help them with things like sitting, moving and walking.
- Speech and Language Therapists: Provide support with communication difficulties, language impairment and speech disorders.
- Children and Adolescents Mental Health services (CAMHS): Provides mental health assessment and treatment for children, young people (aged 0-18) and their families.
Health professionals in Hammersmith and Fulham coordinate their approach to supporting a young person with complex health needs through talking to one another, sharing information and jointly planning how to achieve the best outcomes. If your child is supported by a number of professionals from health, education and social care they will work together in a multi-agency team to make sure support is coordinated and appropriate.
Get Your Rights (www.getyourrights.org) is a new interactive website which helps to explain to children and young people their rights when using the NHS.
In order to access any health services, you (or your child/young person) will need to be registered with a GP. Within the local offer, some services will also have specific entry criteria based on the level of health need. Information about entry criteria is provided on the information page for each of the services.
Health services in Hammersmith and Fulham are bought or ‘commissioned’ on behalf of residents by the Clinical Commissioning Group, an NHS organisation led by GPs and its role is to plan and buy (commission) health services on behalf of the residents of Hammersmith and Fulham. This is usually done through contracts with hospitals and community health providers. In some cases, services can be commissioned through a Personal Health Budget (PHB).
A PHB is an amount of money to support your identified health and wellbeing needs, planned and agreed between you and your local NHS team. The aim of a personal health budget is to give people with long term conditions and disabilities greater choice and control over the healthcare and support they receive. Currently, children and young people who are eligible for Children’s Continuing Care have the right to a personal health budget. The NHS is extending the scope of personal health budgets and more details about this will be made available in due course.
Hammersmith and Fulham London CCG
NHS Hammersmith and Fulham Clinical Commissioning Group
15 Marylebone Road
Telephone: 0207 150 8000
Hammersmith and Fulham CCG is made up of your local GP practices and other health professionals, and is responsible for "commissioning" - planning, designing and paying for your NHS services. This includes planned and emergency hospital care, rehabilitation, most community services and mental health and learning disability services.
NHS Hammersmith and Fulham CCG is co-terminous with the the London Borough of Hammersmith and Fulham (LBHF). The map below illustrates the geographical spread of the CCG.
Public Health England
London integrated region and PHE Centre
2-6 Salisbury Square,
Telephone: 020 7811 7000 / 020 7811 7001
Public Health England (PHE) was established on 1 April 2013, to bring together public health specialists from more than 70 organisations into a single expert national public health agency.
Public Health are responsible commissioners for the following services:
- sexual health services
- sexual reproductive health
- chlamydia screening
- risky behaviours
- 5 to 19 School nursing services
- tobacco control / stop smoking
- parenting / breastfeeding
Further details regarding Public Health in Local Government commissioning responsibilities can be found on GOV.UK
PO Box 16738,
NHS England is an executive non-departmental public body of the Department of Health. NHS England oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the NHS in England as set out in the Health and Social Care Act 2012. It holds the contracts for GPs and NHS dentists.
NHS England commission the contracts for GPs, pharmacists, and dentists and they support local health services that are led by groups of GPs called Clinical Commissioning Groups (CCGs).
NHS England tends to commission highly specialised services provided in relatively few hospitals, accessed by comparatively small numbers of patients but with catchment populations of usually more than one million, for example Great Ormond Street Hospital (GOSH).