Referral Process

Multi Disciplinary Team (MDT) referral form to be completed (by whichever health, social or external agency the patient presents to first)

This list is not exhaustive but includes:

• Named GP
• Coventry Refugee & Migrant Centre
• Local Authority
• UHCW services
• CWPT services

The referral form cannot be completed by parents or carers

The child or young person must be registered with a Coventry GP before a referral is completed and these details must be shared on the referral form

Telephone assessment then completed by a trainee Advanced Clinical Practitioner (tACP) or an Advanced Clinical Practitioner (ACP) to make the necessary specific health referrals

The referral form is available here on the GP Gateway for providers able to access this

Alternatively, it is available on the Children’s Physiotherapy website here

Inclusion Criteria

• 0-17 years old (up to 17 years 6 months)
• Requires input from 2 or more physical health services listed see below*
• Moved to Coventry from elsewhere within the last 12 months and are not accessing relevant health services

*Community Paediatrics, Dysphagia, Respiratory Physiotherapy, Physiotherapy, Occupational Therapy, Dietetics, Community Children’s Nursing, Bladder & Bowel and Wheelchair Services

Exclusion Criteria

• 17 years 6 months onwards (please refer to relevant adult services)
• Requires input from one physical health service listed*
• Requires input from a physical health service not listed*
• Already accessing relevant health services
• Already accessing CWPT services or have already been referred
• Lived in Coventry for more than 12 months

*Community Paediatrics, Dysphagia, Respiratory Physiotherapy, Physiotherapy, Occupational Therapy, Dietetics, Community Children’s Nursing, Bladder & Bowel and Wheelchair Services

If other services are required, please follow their individual referral process

If other referrals are made alongside this, please make this clear on the referral form

It is vital that supporting medical information/evidence/letters are included with this referral form to assist the triage and referral process

Please ensure these are requested from the patient/family and included

Please inform the family that on acceptance of the MDT referral form, they will receive a telephone call to complete an assessment for the necessary health referrals to be made

For any queries about the pathway: NTC.ChildrensDirectorate@covwarkpt.nhs.uk