REMEDY : BNSSG referral pathways & Joint Formulary

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Developmental impairment

Checked: 05-08-2023 by Vicky Ryan Next Review: 05-08-2025


Sirona care & health accepts referrals for children with developmental impairment. Potential services that may also be involved include:

  • Specialist Community Learning Disability Team
  • Health Visitors
  • School Health Nursing
  • Community Paediatrics
  • Occupational Therapy
  • Physiotherapy
  • Speech and Language Therapy

Who to refer

Any infant or child who is impaired or disordered in one or more areas of development despite intervention from first tier services such as the health visitor.

Children at risk of developmental problems due to their medical history, such as specific genetic disorders or extreme prematurity.

Red Flags

  • Persistence of primitive reflexes at six months.
  • Not walking by 18 months
  • Development of handedness before age two years
  • No smile by eight weeks

Before referral

Please collate information from all known health professionals eg Health Visitor, Children’s Centre, Social Worker to include within referral information.


Referral can be made to the team using the Single Point of Entry form. This should also be available as an EMIS template.

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.