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Paediatric Occupational Therapy Service

Occupational therapists are the only profession where activity (task, performance and/or process focused) is the main method of intervention. Occupational therapists work holistically and are outcome focused. They have multi-dimensional training that addresses the physical, psychosocial, sensory processing, developmental levels and needs of children and young people. Assessments take into account gross motor, fine motor, visual perceptual, cognitive, psychosocial skills, and the environment. Interventions are focused on occupational performance areas of age appropriate personal activities of daily living (washing, dressing, feeding, toileting, personal grooming, and mobility, seating); Social relationships and community living skills (e.g. road awareness, shopping, meal preparation, use of public transport); Environment through the provision of equipment and /or adaptations.

The philosophy of the Children’s Occupational Therapy is to facilitate and enable children, young people and their families/carers. Therefore, all interventions are designed to be implemented in the home and/or school and executed by clients, parents and/or school staff following discussion and training, to ensure competence.

Where is the service located?

Children are seen in their own homes, day nurseries, special and main stream schools as well as in the Outpatient Clinics. Working and liaising with family/carers, schools and other healthcare professionals is pivotal to effective service provision. There is a large element of facilitating and educating others abilities to enable them to undertake programmes of care/self-management with children.

Who does the service provide for?

The Children’s (Paediatric) Occupational Therapy Service is a community based service for children between 0 - 16 years, up to 19 years if still in full-time education. The service provides for people who have a physical disability or significant physical impairment to enable them to manage activities which are essential to daily living.

How can I start using this service?

The Children’s Occupational Therapy service currently accepts referrals (including re-referrals) via our referral form from GPs, Paediatricians, other health or social care professionals, Special Educational Needs Co-ordinators (SENCOs) and parents/carers.

How are decisions made about who can use your service?

All referrals are reviewed and prioritised on a weekly basis by the Clinical Team Leader. Parents/carers will receive a letter to acknowledge receipt of the referral and to inform them that their child is on the waiting list and will be offered an appointed as soon as possible. Parents/carers are also sent information about completion of a consent form to be returned via post to the service. A copy of the acknowledgement letter is also sent to the referrer for their information.

The Children’s Occupational Therapy service is currently only able to accept referrals for children and young people who have a physical disability or significant physical impairment.

Parents/carers of children for whom referrals cannot be accepted are sent a letter which explains the current referral criteria for the service, and the reason why the referral has been declined. The letter also provides information regarding an online directory provided by the College of Occupational Therapists Specialist Section for Independent Practice: www.cotss-ip.org.uk. A copy of the letter explaining the reason why the referral has been declined is also sent to the referrer for their information.

How does the service communicate with parents/carers and children and seek feedback?

Paediatric Occupational Therapists work closely with children and their parents/carers at all stages of the occupational therapy process and fully involve children and their parents/carers in the assessment, decision making, planning and implementation of occupational therapy intervention and recommendations. We welcome and seek feedback from children, parents/carers, and others working with the child.

Children and parents/carers attending Outpatient Clinics at the Child Health Therapy Services, Occupational Therapy and Wheelchair Department, St Mary’s Hospital are invited to tell us about their experiences by completing the 'Getting It Right Outpatient Satisfaction Survey'.

Team photo

Is the service fully accessible?

The Child Health Therapy Services, Occupational Therapy, St Mary’s Hospital is fully wheelchair accessible. There is access to a disabled toilet with a baby changing facility. There are two clinic rooms (small and large) with height adjustable tables and a range of chairs. There is access to a hoist in the large clinic room.

Are staff trained to work with children with additional needs?

Paediatric Occupational Therapists within the NHS are registered with the Health Professions Council and have specialist knowledge and experience of child development and paediatric conditions/disabilities. Paediatric Occupational Therapists attend post-graduate specialist training courses in working with children to promote their development and independence in the occupations of childhood including everyday activities across the areas of self care, play/leisure and education.

Paediatric Occupational Therapists work closely with parents, teachers, teaching assistants, physiotherapists, speech and language therapists, the early support team, and paediatricians.

Who can I contact for further information - e.g. If I want to discuss something about my child or young person?

The Children’s Occupational Therapy Service can be contacted by telephone on Tel: 01983 534520 option 1. Callers are asked to leave their, name, the name of the child they are calling about, the name of the person they wish to speak to and their contact number. Calls are returned as soon as possible.

For more information contact The Children's Occupational Therapy Service:

Child Health Therapy Service, Occupational Therapy, South Block, St Mary’s Hospital, Newport, Isle of Wight PO30 5TG
Phone number: 01983 534520  and then press option 1

Website address: www.iow.nhs.uk

If parents/carers have any concerns regarding their child or the service they have received, they are encouraged to talk to the professional that is providing the care or treatment and share their concerns with them directly. They may also wish to speak to the Clinical Team Leader.

The Patient Experience Officers (PEO) may also be able to facilitate discussion between parties as they are available for advice, support and assistance. You can contact the Quality Team to be put in touch with a Patient Experience Officer. For more information and contact details please click here.


Fine motor skills


Sensory processing

Visual perceptual skills





ASD strategies



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