
Search our services
We support people at every stage of life, from health visiting, school nursing and specialist dental or speech services to community nursing rehabilitation and palliative care.
We support people at every stage of life, from health visiting, school nursing and specialist dental or speech services to community nursing rehabilitation and palliative care.
Our services for children are divided into two branches: Universal services and Specialist services.
Unversal services are delivered countywide and include Public Health Nursing (health visiting and school nursing), school-aged immunisation service and Child Health information services.
Hertfordshire and East Anglia Community School Age Immunisation Service
Specialist services include some Children and Adolescent Mental Health Services (CAMHS) and an integrated therapies services, both of which are delivered across the county. We also deliver some specialist services in the west of the county which include Community Paediatrics, Children’s Community Nursing, Community Dental, an Integrated Asthma and Wheeze Service, the children’s eye service and the children’s hearing services.
Referral information can be found under each relevant service under 'Making a referral'
Our services for adults are split into two groups: Adult Specialist Services and Adult Urgent and Emergency Care.
Referral information can be found under each relevant service under the 'Making a referral'
HCT and West Hertfordshire Hospitals NHS Trust run an integrated asthma and wheeze nurse-led service that aims to improve outcomes and to support children, their families and local services with the long-term management of asthma/wheeze to prevent attacks. The nurses provide a collaborative approach as a community and hospital integrated team with children being seen in clinics according to clinical need.
Full details are available on this information flyer for patients
Address: Peace Children’s Centre, Watford – Marlows Health and Wellbeing Centre – St Albans Health and Wellbeing Centre (Civic Centre)–, WD17 3EW
The children’s occupational therapy service offers a child and family-centred approach to support children and young people with their independence in all aspects of daily living, such as self-feeding, dressing and participating in play and school activities. The service is available to children and families across Hertfordshire.
We work in partnership with parents/carers and other colleagues to promote positive outcomes for children by using a range of approaches that are individually tailored to each child and family. This may include the provision of an activity plan, specialist equipment, treatment sessions or training to parents, carers and school staff. This is achieved through individual assessments, treatment, advice and multi-agency working.
The children’s occupational therapy service in Hertfordshire is integrated across health and social care, which means in addition to the support above the service can also provide assessment and advice on adaptations to your home or child’s school environments to meet their specific needs.
Please use the links on this site to find out more about us and how to contact the Children’s Occupational Therapy Service.
More detailed information about the children and young People’s therapies service, including how the service is delivered, referrals and how we work with children and their families click here or please click here to view an accessible version of the document
Children's occupational therapy service leaflet or please click here to view an accessible version of the document
Training for Parents:
Parents will need to attend both the Sensory Preferences and the Sensory Self-Regulation Training.
Autumn Term 2023
Motor Skills Development Training
Training for Schools:
School staff can attend either 1 or both of the sensory sessions.
Sensory Training Autumn Term 2023
Moving and Handling Training For Education Settings
(Please can attendees book their own place. They are required to complete a workbook prior to attending the training and will need to follow a link that will be e-mailed to them individually.)
Smart Moves Training for Education Settings for Autumn 2023 - January 2024
Telephone – 01923 470680 option 3, option 2
Email – hct.cyptherapies1@nhs.net
Twitter - twitter.com/Herts_CYPT
Advice Line – 01923 470680 option 3, option 1
This is a dedicated telephone number which parents, carers and professionals can call to speak to a therapist about a new referral or a child’s development. Please leave a message on our advice line and a therapist will contact you. Calls are responded to by a therapist on weekdays.
For information on service delivery during COVID-19, please see our CYP Therapies Service webpage.
Please remember to also look on the Website pages under Useful Information for further advice and support.
Address: ,
Our service offers a child and family centred approach to children and young people from 0-18 years of age who are registered with a GP in Hertfordshire and who have a physical disability or condition that impacts on their development and their functional daily activities at home or in school.
Children’s physiotherapy is a specialist team providing services to children and young people to promote health and preserve and improve the best possible functional level of the child or young person.
Children’s physiotherapists have an understanding of:
The Children’s physiotherapy service is staffed by qualified physiotherapists who are supported by assistants and administrative and clerical workers.
All physiotherapists are registered with the national regulatory body, Health Care Professions Council (HCPC) which maintains an online register of all physiotherapists meeting the required standards. www.hpc-uk.org
For more information on how we work, please see our children and young people’s therapy page.
TRAINING:
Online smart moves training for education settings for Autumn 2023 & January 2024
Click here for dates and information on how to book or please click here to view an accessible version of the document
Telephone – 01923 470680 option 3, option 2
Email – hct.cyptherapies1@nhs.net
Twitter - twitter.com/Herts_CYPT
Advice line – 01923 470680 option 3, option 1
This is a dedicated telephone number which parents, carers and professionals can call to speak to a therapist about a new referral or a child’s development. Please leave a message on our Advice Line and a therapist will contact you. Calls are responded to by a therapist on weekdays.
For information on our service delivery during COVID-19, please see our children and young people's therapy service page.
Please remember to also look on the Website pages under Useful Information for further advice and support.
Address: ,
The children and young people’s (CYP) speech and language therapy service offers a child- and family-centred approach to support CYP with speech, language, communication needs (SLCN) and those with eating and drinking difficulties in Hertfordshire.
We work in partnership with parents, carers, health and education professionals to promote positive outcomes for CYP. Our service model aims to reduce the gap and inequalities amongst CYP in Hertfordshire who have SLCN.
Our service offer is underpinned by the following aims:
An overview about the CYP speech and language therapy service has been put together into a handy leaflet for parents.
More detailed information about the CYP therapies service, including how the service is delivered, referrals and how we work with children and their families is available here.
Autumn term training overview flyer
New dates and details are added regularly so please come back and check again if you are interested in any of our sessions.
As part of our new service training offer, we are now able to offer the following trainings (free of charge) to teaching staff working in early years settings and primary and secondary schools across Hertfordshire:
We are now able to offer Virtual Speech and Language Support Elklan Courses for 3-5s, 5-11s and SLD.
We are now able to offer Virtual Makaton Levels 1 and 2 courses.
Telephone: 01923 470680 option 3, option 2
Email: hct.cyptherapies1@nhs.net
Twitter: twitter.com/Herts_CYPT
Advice line: 01923 470680 option 3, option 1
This is a dedicated telephone number which parents, carers and professionals can call to speak to a therapist about a new referral or a child’s development. Please leave a message on our advice line and a therapist will contact you. Calls are responded to by a therapist on weekdays.
For information about our virtual screening clinics please see the ‘Making A Referral’ section below.
For information on our service delivery during COVID-19, please see our CYP therapies service page.
Please remember to also look on the website page under 'Useful information' for further advice and support.
Address: ,
The Children’s Wellbeing Practitioner Service provides early intervention emotional wellbeing and mental health support to children and young people aged 5-19 who would benefit from early intervention, low intensity support. Support is provided through 1-1 and group interventions. To access an intervention a referral needs to be completed. Details about how to make a referral are located at the bottom of this webpage in the ‘Making a referral’ section. Please read the referral criteria before making a referral.
The Children’s Wellbeing Practitioners (CWPs) also provide one off support through workshops. A referral is not required to access a workshop. You can book onto a workshop via Eventbrite: https://www.eventbrite.co.uk/o/hct-childrens-wellbeing-practitioners-33494371787
Children’s Wellbeing Practitioners (CWPs) are trained to deliver low intensity manualised guided self-help support for anxiety, low mood and behaviours that challenge. Manualised guided self-help involves the CWP working through a booklet or handouts alongside the parent/carer and/or young person. As they work through the booklet the CWP will ask questions, introduce strategies, provide advice and support to help the parent/carer or young person achieve the goals set for support. At times the CWP may make use of additional resources to provide support.
All children and young people have an initial assessment before it is decided whether a CWP intervention would be appropriate or whether other types of support would be more appropriate for the child/young person’s needs. It is important we understand the child/young person’s needs and that there is a clear goal for support as this helps the CWP to ensure the most appropriate support is offered. All decisions are made collaboratively with families.
There are four manualised guided self-help interventions available:
Please note, as highlighted above, child interventions for children aged 5-11 are completed with the parent(s)/carer(s) according to the manual and evidence base for those interventions.
CWPs are unable to work with children/young people who are currently actively self-harming or who are currently actively suicidal (having thoughts with intent and/or a plan). Please see the “making a referral” section below for more information on the criteria.
The CWPs deliver several emotional wellbeing workshops throughout the year targeted at parents/carers and young people. These workshops are currently being delivered virtually via Microsoft Teams and a referral into the service is not required to access workshops.
The following workshops are available:
You can book a place onto a workshop via Eventbrite .
It has been noted that a significant number of children and young people are struggling to attend school or avoiding attending school due to emotional factors like anxiety. The CWPs have recorded a webinar focused on school based anxiety which includes: anxiety psychoeducation and strategies and tips to support children who are currently struggling with attending school due to anxiety.
The webinar is split into Part 1 (Theory and Psychoeducation) and Part 2 (Strategies and Tips). There are handouts which can be used alongside this webinar. We would also advise you have some paper to hand whilst working through this webinar.
Take your time and watch the webinar as many times as needed. Feel free to pause when needed and at the times indicated.
Please click here to access Part 1 and here to access Part 2.
Please make use of the following handouts:
This service is available to children/young people aged 5-19 with a GP in Hertfordshire or who attends a school in Hertfordshire. This includes children attending private, independent and special provision schools as well as children and young people who are being home schooled or currently out of education. Referrals are accepted from professionals, parents and adolescents. Referrals need to meet the service criteria to be accepted.
We are not an emergency service and cannot hold high levels of risk therefore if you need urgent help, there are concerns around self-harm or suicidal ideation please contact Single Point of Access (SPA) on: 0800 6444 101 or NHS 111
If the child/young person is seriously unwell or injured, dial 999 for the emergency services or go to your nearest A&E department.
Operating hours: The service operates Monday to Friday, 9am and 5pm (excluding bank holidays).
Address: ,
The Team consists of 2 Specialist Nurses and has Psychology and Administrative support.
The main role of the service is to provide a culturally sensitive service that promotes quality of life and optimal health of all children with Sickle Cell Disease and Thalassaemia. This is delivered through education, compassion, and support.
Our aim is to:
Please contact the service if you would like some information or to discuss your child or young person by either:
Telephone: 01923 470680 opt 1, opt 3
Email: hct.sicklenurse.herts@nhs.net
Please note any child or young person must be registered with a Hertfordshire GP to access this service.
Children's community nursing service offer
Address: St Alban's Health & Wellbeing Centre, Civic Centre, St Albans, AL1 3JE, St Albans, AL1 3JE
During the coronavirus outbreak all musculoskeletal (MSK) services are still fully functioning.
We are accepting all referrals and processing as usual and referrals received are triaged within 24-48 hours. Where possible remote support is being offered via telephone or video consultation and this means that many of our initial contacts will be via either telephone or video. In line with national guidance face to face appointments will be arranged for those patients who have been assessed as needing to be seen in person. All patients attending face to face will be COVID-19 screened and asked to attend on their own where possible.
If you have any concerns about attending you face to face appointment please contact us on the number on the top of your appointment letter. For further information please see "Arrangements for attending your appointment" and "More information about appointments during COVID".
The chronic fatigue syndrome and chronic pain self-management service is comprised of a specialist, multidisciplinary team of clinicians, highly experienced in working with patients who have chronic fatigue syndrome and/or chronic pain.
Address: ,
Community paediatrics
Community paediatricians are specialised children’s doctors who provide high quality specialist care in the assessment of range of developmental conditions. The community paediatrics service also provides statutory health assessments of looked after children and input for children with complex health care needs. We also take leadership responsibility for Special Educational Needs and Disabilities (SEND), Safeguarding and Looked After Children.
This website is designed to give you an insight into the care that the team provides and what you should expect from this service.
Whether you’re visiting us for diagnosis and/or treatment, our team of specialists are here to support you. Please use the links on this site to find out more about what we do and how to access our services.
Community Paediatricians
Community paediatricians are doctors who have specific expertise in assessing children with neurodevelopmental difficulties such as Delayed Development, Cerebral Palsy, Autism, Dyspraxia, Down and various other syndromes and other conditions.
We work as part of a wider child development team which includes occupational therapists, physiotherapists, speech therapists, and have close links with preschool educational advisers. We also work closely with heath visitors, school nurses, community children’s nurses, audiology, social care, nurseries and schools, hospital paediatricians, and children’s emotional wellbeing and mental health services.
Referral to Community Paediatrician
We are able to accept children and young people who are registered with a Hertfordshire GP
Our services are for children between 0-16 years. It extends for young people with a severe learning disability until 18 years, if they are at a special school.
We need a referral with all relevant details about your child’s needs for us to accept.
We only accept referrals from NHS professionals.
Professionals’ referrals to community paediatrics are through Electronic Referral System (eRS) or internally through SystmOne as usual.
Advice and guidance is available through the eRS.
We expect that your child’s referrer will have discussed the reasons for referral with you before sending through documentation to us. If you are unsure why your child has been referred, please contact the person who made the referral for clarification.
We do not accept referrals without informed parental consent.
Conditions assessed by Community Paediatrician
Children with complex health needs and disability
This includes diagnoses such as
The diagnosis may have already been made by another doctor before we see your child but often our team is involved in the identification of the cause of underlying difficulties.
Children with these diagnoses typically need specialist input in more than one area of their development and general health.
Community paediatricians provide medical input and work in partnership with parents in holistic planning for your child’s needs.
Children with neurodevelopmental disorders
This includes diagnoses such as autistic spectrum disorder, developmental coordination disorder, learning difficulty, and many others. Children with these diagnoses are typically physically healthy but have difficulty in gaining skills in a range of developmental areas. These areas include language skills (speaking, listening and reading), physical skills (writing, riding a bicycle), social skills (friendships, family relationships), academic achievement.
Community paediatricians provide a medical perspective and explanation to families and staff from other organisations. We aim to foster understanding of an individual child’s strengths and areas of need. We may advise on strategies that may help, that have scientific evidence to support their use. We may make referrals to other health professionals.
Medical advice on child protection and safeguarding children
Community paediatricians have broad and specific knowledge and experience of child protection and safeguarding. We are sometimes asked to give our opinion on a child’s health and wellbeing, and some of our team carry out ‘safeguarding medicals’ on request by social services. Safeguarding and promoting the welfare of children depends on effective joint working between professionals that have different roles and expertise.
The child development teams are based at one of the three Children’s Centres:
Car Parking available
There are several public car parks that are available close to the centre, including High Street, Water Gardens (HP1 1EF), Gadebrige Lane and Queensway car parks.
If you are using a sat nav system, use the postcode AL1 3JE to find Charter Close for Civic Centre car park.
Contact the Service:
Referral Hub: 01923 470680 Option 2
Initial appointments – email: hct.cypspecialistservices@nhs.net
Follow up appointments – email: wh.compaeds@nhs.net
For autism assessments only if your child is already on our autism waiting list, you can contact the ASD Administration team by emailing hct.autism@nhs.net.
Where possible we will contact you ahead of time by letter, text message with the date and time of the appointment but sometimes the paediatrician may call without prior notice.
Initial appointment
The structure of the initial appointment depends on why we have been asked to see your child.
Most of our referrals are for neurodevelopmental disorders or complex health needs. For these conditions, at the initial appointment we meet with your child and parents/ carers.
This initial assessment can take between 60 to 90 minutes. We will talk with you about your concerns, ask about your child’s medical and social history and your family history; do a physical examination and where appropriate developmental assessment. Depending on the likely diagnosis, further specific assessments and in some cases a more formal questionnaire may be used.
Where appropriate, especially if your child has complex health needs or disability a joint assessment with other members of the child development centre team will take place. This is to provide you with a range of expertise and opinions without unnecessary duplication of your time.
For some children we will request further tests, including blood tests, x-rays and brain scans. We may also refer to other therapists and professionals for further diagnosis or treatment. We may arrange for a more detailed developmental check to be done.
At the end of the initial appointment, we will summarise our findings and if possible, give a diagnosis. Sometimes we need to see you and the child again and or arrange for further observations or tests. Sometimes even with all this information it is not possible to give a definitive diagnosis. The neurodevelopmental disorders like autism, developmental coordination disorder, ADHD and learning difficulties all have a range of severity or spectrum and often overlap each other.
Further Information for long waiting times
Please note there are waiting times involved for more specific assessments like autism.
Autism Assessments:
We are currently offering a hybrid service of virtual and face-to-face appointments depending on the needs of your child. Most of our ASD assessments are face-to-face with some being undertaken as virtual video-based assessments with the multi-disciplinary team. This means you and your child or young person can be seen at home via video link.
A clinician will contact you in advance of an appointment to discuss the process and how the assessment will be carried out on the day. This model of working is helping the team ensure that children, young people and their families can receive support based on their individual needs.
When your child or young person is nearing the top of the waiting list, we would be grateful if you and/or the school setting where appropriate could complete and return all the forms which we will send. The forms will typically be sent by email by us. For more information on the Autism Service and making a referral please see this page: Service details | Hertfordshire Community NHS Trust
At present ADHD assessments are being provided by CAMHS services via Step2
For more information on the ADHD Service and making a referral please click here.
How long will your child be under a Community Paediatrician
The length of time a community paediatrician will continue to see your child depends on the needs of your child identified after the initial assessment. We may need to see you and your child again and gather extra information to complete the assessment process.
Once this is complete we will discharge your child if we feel that there is no further role for the community paediatrician. Some children may have needs that are best met by other NHS services or school. This includes school age children with learning difficulties or autism without continuing medical problems. If we have prescribed medication for your child, we will offer regular reviews.
We will discharge or arrange a transfer to another service for your child when they reach the age of 16 years.
We will discharge your child if you do not attend, or you cancel without good reason with less than 24 hours’ notice for two appointments in a row. If your child is on medication that we are monitoring, we will contact you about this. Once your child is discharged you will need a new referral to receive further input from the service.
If your child’s needs have changed and you no longer require an assessment appointment, please let us know as soon as possible so that we can offer the appointment to another family. You can email us on hct.cypspecialistservices@nhs.net
For Autism assessments only if your child is on our autism assessment waiting list, you can contact the ASD Administration team by emailing hct.autism@nhs.net.
In case of emergency or in a crisis, if you do not feel that you are able to keep your child or family safe, please contact your GP, the emergency services via Accident and Emergency or by calling 999. If your child is under 5, you can also contact your Health Visitor for support and guidance.
Whilst you are waiting for an assessment appointment, we suggest you review the information available from the Hertfordshire County Council Local Offer
Local Offer
The Local Offer includes a range of materials, bookable courses and workshops which can provide invaluable guidance on supporting your child or young person, both before and after their assessment. The Local Offer website is www.hertfordshire.gov.uk/localoffer.
The Neurodiversity Support Hub
For those children and young people with suspected Autism/ADHD, we understand that waiting for your appointment can be a challenging time, and we want to make sure you feel supported. The Neurodiversity Support Hub is here for you, offering a friendly and understanding ear for any questions or concerns you might have. Your child does not need to have a diagnosis for you to access this support.
You can contact the hub by phone or WhatsApp at 01727 833 963, or by emailing supporthub@add-vance.org. They are available from: 9 am to 1 pm on Monday, Wednesday, and Friday, 9 am to 3 pm on Tuesday and Thursday and 7 pm to 9 pm on Wednesdays by appointment
During school holidays, the opening hours are 9 am to 1 pm. Please reach out for guidance and support whenever you need it.
The Toolbox offers a great way for children and young people to receive real-time support and guidance. Additional information and booking links for upcoming courses can be found on Hertfordshire - Workshops | The Toolbox (mindler.co.uk)
Further Support
DSPL Leaflet: Support in the local area can also be accessed through the ‘Delivering Special Provision Locally’ (DSPL) partnership. DSPL provides a range of support across the county for children and young people with special educational needs and disabilities.
Parenting courses
SENDIASS leaflets
Family Lives
Autistic Spectrum Disorder
Special Educational Needs and Disabilities
Supporting sensory challenges in the classroom
More information can be found on the National Autistic Society website:
Address: Peace Children’s Centre, Watford WD17 3EW, Watford, WD17 3EW
The Trust manages a home-based (domiciliary) phlebotomy (blood test) service in Upper Lea Valley, Lower Lea Valley and Stort Valley and Villages. The service aims to provide a high quality phlebotomy service to patients in these areas who are housebound or shielding.
Address: Cheshunt Community Hospital King Arthur Ct, Cheshunt, Waltham Cross EN8 8XN, Waltham Cross, EN8 8XN
East and North Hertfordshire NHS Trust and Hertfordshire Community NHS Trust jointly run two consultant-led multi-disciplinary falls clinics every week.
The purpose of the clinics is to provide multi-disciplinary (MDT) assessments of a patient’s risk of falling (falls risk), in line with local and national guidelines. Referrals can be made from the clinics for further medical investigations with follow up and provision of any home based therapy prevention measures, resource/equipment provision and rehabilitation.
There are two clinics running based at:
Address: Lister Hospital, Coreys Mill Ln, Stevenage SG1 4AB, Stevenage, SG1 4AB
Hertfordshire Community NHS Trust’s Danesbury House neurological centre has 18 neurological rehabilitation beds. We have specialist physiotherapists, occupational therapists, speech and language therapists, dieticians, psychologists, nurses. The maximum length of stay is 42 days.
Danesbury House is run by HCT’s Hertfordshire neurological service which offers adults with long-term conditions inpatient, outpatient and community health services across East and North Hertfordshire. All services are provided by teams of highly skilled healthcare professionals who work alongside their neurological alliance partners to link the patient experience and develop person centred care.
Danesbury House also has 14 Intermediate care rehabilitation beds. nursing staff, physiotherapists and occupational Therapists will help you recover from your illness and adapt to the effects of your condition. If further support is required on discharge then the team will put this in place for your prior to discharge. Expected length of stay is 14 days.
Tel: 01438 841841
Ward: 01438 841866
School Lane
Welwyn
AL6 9PW
Address: Danesbury House neurological centre inpatient unit School Lane, Welwyn, AL6 9PW
There are two diabetes services within Hertfordshire — for information about the diabetes services in West Hertfordshire, click here.
We strive to deliver high-quality specialist diabetes care in the community and closer to the homes of patients within Hertfordshire.
The service focuses on patients with Type 1 and Type 2 diabetes in primary and community settings by the optimal use of resources and innovative models of care, which include:
The main focus of our service aims to strengthen the overall management of diabetes, significantly improve health and reduce health equalities and most importantly to deliver high-quality care which is easily accessible.
For information about the podiatry service in East and North Hertfordshire, click here.
Address: ,