Community Paediatrics


Our service is a secondary service. Community paediatricians are specialist children’s doctors with training and expertise in developmental paediatrics and disability, social paediatrics (child protection), neurodevelopmental work (ADHD and ASD diagnostic assessments) and educational paediatrics (special educational needs). We also have ADHD nurses in our team who crucially support our neurodevelopmental work.

Adoption and Fostering
The community paediatric team complete Initial Health Assessments (medical assessment) for Looked After Children (LAC). We have a Medical Advisors for Adoption who are full members of the Adoption panels in Cheshire East and Cheshire West.

School Health Services
The School Community Paediatricians have allocated schools, covering secondary schools and their catchment primary schools. Children with special needs are referred to the School Community Paediatrician for evaluation and assessment. This includes referrals for screening assessments of Autistic Spectrum Disorders, Attention Deficit Hyperactivity Disorder and other developmental problems.

Services for Pre School Children
Children are referred to our service for assessment of their development where there is a concern regarding the possibility of developmental delay or concerns regarding behaviour. We liaise very closely with agencies such as the Early Years SEND Outreach Service (EYSOS) and the Child Development Service. We work closely with other agencies within a multidisciplinary team.

Neurodevelopmental service
The community paediatric team developed the Integrated Care Pathway for ADHD in 2000. The ADHD pathway then became part of the Neurodevelopmental Pathway for ADHD and ASD in 2009.The community paediatricians who are trained in this area of work carry out diagnostic assessments for Attention Deficit and Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD). The service is supported by ADHD nurses who provide follow up clinics, generic and ADHD specific parenting groups. The nurses will also provide sleep hygiene management advice for the parents of the children on our pathway. 

Diagnostic assessments for ADHD are available for children aged 5-16 Years.
Diagnostic assessments for ASD are available for children aged 0-16 Years

Child Protection
Senior Community Paediatricians provide a rota for medical examination of children suspected of being physically abused. This is one in five days on call 9-5 hours. Examination suites are available in the Children’s Outpatient Department in Leighton Hospital or in various outreach clinics. Referrals for sexual abuse are carried out by SARC in Manchester.

Service Details

Mid Cheshire Hospitals NHS Foundation Trust
Service Type:
Health and Wellbeing
Age Range:
0 -16 (up to 19 if attending special school)
Age Band:
  • Early Years (Under 5)
  • Children (5-18)
  • Young Adults (14-25)
Our services are commissioned by Vale Royal and South Cheshire Clinical Commissioning Groups (CCG). We are a secondary service. No personal cost to the individual if child or young person is registered with GPs in these CCGs.
Accepted referral methods:
  • Via CAMHS (Child and Adolescent Mental Health Services)
  • Via GP or Health Professional
  • Via School
  • Via Children’s Social Care
  • Via Voluntary Agencies
  • Via Youth Offending Team and/or Youth Prevention Team
Additional Referral Information:
Letter outlining reasons for referral with background history will be accepted.
Waiting List:
YES - School Health appointments: 4 months; ADHD diagnostic assessments: 8-12 months; ASD diagnostic assessments: 8-12 months
How is the service provided?:
  • Telephone
  • Post
  • Face to face
Areas covered in Cheshire East:
  • Alsager
  • Crewe
  • Middlewich
  • Nantwich
  • Sandbach
Service operates in the following neighbouring local authorities:
  • Cheshire West and Chester
Eligibility criteria:
The child or young person will need to be registered with GPs in the Vale Royal and South Cheshire CCGs to be able to access diagnostic assessments for ADHD and ASD and preschool services. Diagnostic assessments for ADHD and ASD are available for children up to 16 years of age only.
Communication aids and support available:
  • Hearing Loop
Additional information for assistance with communication:
Interpreter can be arranged if we are given enough notice.
Accessibility aids and support available:
  • Accessible Parking
  • Accessible Toilet/Changing Facilities
  • Fully Wheelchair Accessible
Additional information for assistance with accessibility:
Clinics are mostly held in local health centres
Provides support to:
  • People with an autistic spectrum disorder

Opening Times

Days service available:
  • Weekdays only
Opening Times - Monday:
9.00 - 17.00
Opening Times - Tuesday:
9.00 - 17.00
Opening Times - Wednesday:
9.00 - 17.00
Opening Times - Thursday:
9.00 - 17.00
Opening Times - Friday:
9.00 - 17.00
Opening Times - Saturday:
Opening Times - Sunday:
Additional Opening Times:

This page was last updated on 15 March 2018

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This page was last updated on 15 March 2018


Contact Details

Contact Name:
Dr. Evelyn Loke (Secretary: Kerry Hatton)
01606 542536
Contact Name:
Dr. Francis (Secretary: Tania Wynne)
01270 278291