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Sunday 21 April 2019
Derbyshire Healthcare NHS Foundation Trust
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St Pauls House

Paediatric Therapy Service Referrals 

Paediatric Therapy Services are provided in the City of Derby and Southern Derbyshire. 

The service provides specialist, community-based (home, school or clinic) assessment and intervention for children who have physical, sensory, perceptual and/or cognitive difficulties to enable them to reach their optimum level of function in all areas of daily life.

Trust Boundaries

Referral Criteria

Referrals are accepted for children aged 0-18 years (19 if in education)

We accept referrals for children with:

  • Physical disability - e.g. Cerebral Palsy, Spina Bifida, neuromuscular conditions, oncology, head injury and acquired disabilities.


  • Emerging developmental concerns, including a variety of syndromes.


  • Motor co-ordination difficulties.


  • Sensory processing difficulties appropriate for the parental sensory group.


A child should not be referred solely because they have a particular diagnosis, the child needs to present with functional difficulties which can be addressed to help them reach their full potential.

We do not accept referrals for children with:

  • Back pain, joint and muscle aches and pains as the only reason for referral.


  • Juvenile chronic arthritis.


  • Chronic fatigue.


  • Medically unexplained illness.


  • Respiratory difficulties.


  • Splinting


  • Anxiety and separation issues.


  • Sensory integration treatment.


  • Pica, and behavioural eating difficulties.


Any additional information to support the referral for example school reports or Dr's letters can also be included in the referral. 

Referrals received from:

Paediatricians, Hospital Consultants, Community Child Health Doctors, GP's, Specialist Nurses, Specialist Health Visitors, Clinical Psychologists, Educational Psychologists and other Paediatric Therapists. 

Special Educational Needs Co-ordinators (SENCO) can also refer directly if they have been trained in Physical Literacy and the child has undergone two blocks of the programme with no or minimal improvement.

Referral Forms

Children & Young People's Therapy Service Referral Form -

Online Form 

Download PDF

Download in Word Document Format 

Parent/Carer Sensory Group Referral Form -

Online Form

Download in Word Document Format

Community Paediatric Therapy Team - SENCO Referral Form -

Online Form

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 Paul's House (see address below). For any other enquiries please contact the Administration Team based at St Paul's House;

Community Paediatric Occupational Therapy & Physiotherapy

St Paul’s House

Enterprise Way

Jubilee Business Park


DE21 4BB

Tel: 0300 123 4586 (Options 2 & 5)

Email: Dmh-tr.therapyenquiries@nhs.net

8:30am - 4:30pm Monday - Friday