Who is the pathway for?

The pathway is for children and young people where concerns have been raised about their participation in everyday life related to one of the following:

  • Developmental motor co-ordination difficulties
  • Long-term physical disabilities (for example cerebral palsy, spina bifida, neuromuscular conditions)
  • Oncology (cancer)
  • Head injury
  • Emerging developmental concerns in infants (including those with genetic syndromes).  

Who is not eligible?

The pathway is not suitable for: 

  • Children with global learning difficulties
  • Children who are experiencing motor difficulties related to attention and behavioural problems
  • Joint aches and pains as the only reason for referral
  • Juvenile chronic arthritis
  • Chronic fatigue
  • Hypermobility (Erhlos Danlos) syndrome as the main reason for referral
  • Medically unexplained illness
  • Respiratory difficulties
  • Children in need of sensory assessment or mental health assessment
  • Children in need of splints, a special car seat or a wheelchair
  • Children requiring adaptation to the home.  

Other services are available to support children with these needs.

If accepted onto the pathway, children and young people will be offered relevant assessments with clinicians to help identify the appropriate support needed for them, their families or other carer.

Who is the best person to make a referral onto the pathway?

Referrals are accepted from:

  • General practitioners (GPs)
  • Paediatricians
  • School doctors
  • Specialist nurses
  • Health visitors
  • Occupational therapists
  • Physiotherapists
  • Speech therapists
  • SENCOs (for children who have completed “Physical Literacy” and/or “Active Hands are Achieving Hands” only).

Sensory pathway referrals

Parents and carers can refer for the sensory pathway. This must be by phone.

Please ask parents and carers to call 0300 123 4586 option 2 then option 5. 

How to make a referral for the Occupational Therapy and Physiotherapy pathway

Please take the following steps:

  1. Check the child meets the referral criteria and if appropriate has completed the Physical Literacy and/or Active Hands activity programmes.
  2. Print out and give the parent or guardian the service leaflet which explains about the Occupational Therapy and Physiotherapy pathway.
  3. Print out the consent form and the parental/guardian questionnaires and ask the parent or guardian to complete them and return them to the referrer. It is the referrer’s responsibility to ensure that any language/learning barriers are overcome by signposting to appropriate support services.
  4. The school/home educator should complete the School Questionnaire. If the referral is not directly from education, ask the parent or guardian to take the school questionnaire to their school or nursery for them to complete and return to the parent.
  5. Complete the referral form indicating that you would like to refer to Paediatric Physiotherapy or Paediatric Occupational Therapy or both and send electronically to the Children and Young People s Therapy Services with:
  • Parent/guardian questionnaire - embedded in the service referral form, below
  • School questionnaire (Active Hands Are Achieving Hands and/or Physical Literacy supporting evidence sheets if applicable)
  • Neonatal intensive care unit (NICU) report (if applicable)
  • Consent form - embedded in the service referral form, below.

We have summarised the referral process in a referral pathway graphic.

Urgent referrals

Please note that we are not an acute service. Please contact us to discuss our 'urgent' pathway if you think a child is in need of assessment urgently. 

Why are all the questionnaires needed before the referral is made?

Having the best quality information as soon as possible allows us to make an informed decision about the most appropriate professional to see your child.

We will make an exception only if the referral is an emergency or if the questionnaires are not appropriate - for example, if the child is a baby or is home schooled.

What can the parent/guardian do while waiting for an appointment?

Please ask them to read our service leaflet, the information on this website and the SEND Local Offer pages for Derby and Derbyshire.

Children with co-ordination difficulties affecting school skills should have completed the Physical Literacy and the Active Hands programmes. These are available to all schools.

Responsibilities after a referral is made

Referrers and other professionals involved are expected to continue to provide support to families following referral and throughout the pathway. For example, you would be expected to address any changes in risk or changes in priority levels.

Referral forms

Children and Young People's Therapy Service referral form:

Referral form advice

Please ensure you complete all sides of any downloaded forms to avoid delay and assist us in processing a referral. We cannot accept incomplete forms and these will be returned to the referrer. 

Please return completed referrals to St Pauls House (see address below). For any other enquiries please contact the Administration Team based at St Pauls House.

Contact us

Community Paediatric Occupational Therapy and Physiotherapy 

St Pauls House
Enterprise Way
Jubilee Business Park
DE21 4BB

Tel: 0300 123 4586 (Options 2 & 5) 
Email: Dmh-tr.therapyenquiries@nhs.net 

Team availability: 8.30am to 4.30pm, Monday to Friday.