About this service
Paediatric Physiotherapy and Occupational Therapy Services provide targeted and specialist intervention for babies, children, and young people from birth to 16 years of age (16-19 with an EHCP). The service aims to assist children to achieve their maximum physical and functional potential by working alongside children, their families, and members of the multidisciplinary teams.
Once referred to a therapist the child will be assessed and, if appropriate, an individual goal-orientated treatment programme will be devised. The goals will be reviewed and evaluated at agreed intervals.
Therapists will work, where appropriate, as part of the multidisciplinary team to promote the child's development. Interventions may focus on aspects of function such as: gross motor (mobility), fine motor and daily living skills.
Physiotherapists will assess specific musculoskeletal problems in children up to 10 years of age. This may include provision of a treatment programme and review of progress.
Children will be seen in a location suitable for their needs and the intervention required. This includes input into special schools.
Paediatric Physiotherapy - Information for Parents and Carers
See the Physiotherapy Advice below for information and tips to support your baby/child, such as Early Years Movement, Intoeing Gait and Hypermobility.
Paediatric Occupational Therapy for Functional Skills and Motor Co-ordination
The CCICP Paediatric Occupational Therapy service can support children and young people to develop skills in everyday activities. This may include;
- Washing, dressing and other self-care skills.
- Independence using cutlery.
- Fine motor skills e.g. grasp, hand manipulation skills and strength.
- Gross motor skills e.g. balance, ball skills and riding a bike.
- Motor aspects of handwriting (not related to learning needs).
You can see further details of our Occupational Therapy Service in this leaflet (right click & select 'open in new tab' to keep browsing this page).
Referrals for sensory processing are not accepted within the Paediatric Occupational Therapy for Functional Skills and Motor Co-ordination pathway. For information on the Sensory Processing Occupational Therapy Support Service, please see this leaflet (right click & select 'open in new tab' to keep browsing this page).
We have teams of physiotherapists and occupational therapists in the following locations:
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Therapy Centre, Hebden Green School, Woodford Lane West, Winsford
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Therapy Unit, Springfield School, Crewe Green Road, Crewe
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Weaverham Clinic, Church Lane, Northwich
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The Willows, Ashfields Primary Care Centre, Sandbach
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Eagle Bridge Health & Wellbeing Centre, Dunwoody Way, Crewe
We also operate within special school environments at:
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Hebden Green School, Woodford Lane West, Winsford
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Russett School, Middlehurst Avenue, Weaverham, Northwich
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Springfield School, Crewe Green Road, Crewe
The services we provide are:
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Paediatric Physiotherapy
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Paediatric Occupational Therapy
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Paediatric Orthotics
Paediatric Physiotherapy
Essential criteria for acceptance of referral:
- Referrals are only accepted from health professionals.
- Children and young people who are registered with a GP within the South and Vale Royal clinical commissioning areas are eligible for referral.
- Children/young people aged 0-10 years who have a specific musculoskeletal problem (refer patients over age 10 to adult musculoskeletal service).
- Children/young people aged 0-16 years with neuro developmental difficulties affecting their movement and activities of daily living (16-19 with an EHCP).
If a Physiotherapy referral is appropriate, please complete and submit this referral form (this will automatically download as a Word document when clicked).
All referrals are sent to the Therapy Booking Centre at Infinity House, Crewe. From here they are processed and uploaded ready to be triaged and prioritised.
Please note: You will need to complete and submit both referral forms if you wish to refer the child/young person for Physiotherapy and Occupational Therapy.
Paediatric Occupational Therapy
Essential criteria for acceptance of referral:
- Referrals are only accepted from school SENDCOs and health professionals, including health visitors.
- Children and young people aged 0-16 (end of Year 11), who are registered with a GP within the South and Vale Royal clinical commissioning areas, are eligible for referral.
Our new online referral form is now available using the link detailed below.
All referrals are sent to the Therapy Booking Centre at Infinity House, Crewe. From here they are processed and uploaded ready to be triaged and prioritised.
Please note: You will need to complete and submit both referral forms if you wish to refer the child/young person for Physiotherapy and Occupational Therapy.
Paediatric Occupational Therapy for Functional Skills and Motor Co-ordination
The CCICP Paediatric Occupational Therapy service includes support for functional skill and motor skill difficulties. This aspect of the service is a tiered service consisting of Universal, Targeted and Specialist Tiers.
Universal Tier:
Prior to referral, please access the universal tier (further down this page) for advice and strategies to support the child/young person, such as Washing and Dressing Skills, Sensory Processing, Fine Motor Skills, and Equipment.
Please complete a minimum of 12 weeks strategy implementation of the universal advice and complete this diary sheet (this will automatically download as a Word document when clicked) to provide evidence of the activities and strategies used to address the child’s/young person’s needs.
Targeted Tier:
If the child/young person continues to display difficulties with functional skills and/or motor co-ordination, after a minimum of 12 weeks strategy implementation, a Paediatric Occupational Therapy referral can be made, to access the targeted tier of our service.
Please consider that children/young people should only be referred if they are able to engage in the assessment process. The targeted tier involves a parent/carer telephone appointment.
If an Occupational Therapy referral is appropriate, please complete and submit this online referral form (right click & select 'open in new tab' to keep browsing this page) with full parental/carer consent.
Evidence of 12-week strategy implementation at universal tier level is required for targeted tier referrals to be accepted. On your referral form, please include details on how universal strategies have been used to address the child’s/young person’s needs and email the diary sheet to our Therapy Booking Team – this information will support the referral triage process. Incomplete/insufficient referrals will not be accepted and will be returned to the referrer.
Important:
Before completing a referral, please rate the below 2 questions with parent(s)/carer(s) from 1-8: With 1 being not worried at all/no difficulty to 8 being highly worried/very severe difficulties.
The ratings must be entered on the referral Consent page:
- How worried are you about your child's co-ordination, fine/gross motor difficulties and/or difficulties with activities of daily living?
- How much difficulty do you think your child is having with their co-ordination, fine/gross motor skills, and/or daily living activities?
Supporting information:
- After you have submitted the referral form, the diary sheet should be emailed as supporting information to our Therapy Booking Team.
- You can also email other supporting information, such as clinic letters, EHCPs, hospital therapy discharge care plans, and/or other professional reports (with parental/carer consent).
- Please ensure that the child’s/young person’s full name and date of birth are on each document.
- Email supporting information to ccicp.therapyservices@mcht.nhs.uk
Specialist Tier:
Following completion of the universal and targeted tiers, the Occupational Therapist may offer specialist tier intervention. This is likely to involve a clinic assessment appointment and could include standardised assessments, such as motor skills and handwriting assessments, as clinically indicated.
Further advice:
Further universal advice and discussion is available to parent/carers, health professionals and education professionals via the Paediatric Occupational Therapy Advice Line. This is open from 12pm to 2pm every Wednesday during term time, 07584 386880.
All referrals that meet service criteria will be offered an appointment and should be seen within 18 weeks. Referrals triaged as urgent will be seen within 10 working days from point of triage.
CATCH is an award-winning health app for parents and carers of pre-school children and expectant parents in Cheshire. Free to download, the CATCH app offers tips on how to stay healthy during pregnancy, prevent accidents and illness and treat minor ailments in 0 to 5 year olds. It also offers advice on when to seek medical advice.
The app was developed by the NHS and local government in Cheshire, with health technology studio Damibu Ltd. To download the free app now, scan the QR code or search for ‘Catch app’ in Google Play or the App Store.
