Service Directory Community Provider Unit

SERVICE DIRECTORY

COMMUNITY PROVIDER UNIT

Welcome to the community provider unit service directory. The community provider unit is responsible for providing community services to patients registered with Bromley GPs.

Our principles for maintenance and development of community services are based around prevention, early intervention and close working with other organisations who deliver health and social care to the local population.

We work in partnership with other NHS organisations, Bromley Council, voluntary organisations and other groups – and with you – to achieve this. SERVICE DIRECTORY

Page Services

4 Care Co-ordination Team for Older People 5 Care Home Liaison Team 6 Child and Adolescent Mental Health Service – Tier 2 Psychology and Behaviour Management Service 7 Children’s Short Break Service 8 Chiropody and Podiatry Service 9 Community Heart Failure Service 10 Community Matrons 11 Community Nursing Team – Children 12 Community Paediatricians 13 Community Physiotherapy for Children 14 Community Physiotherapy Service for Adults – Rapid Response 15 Complex Communication Service 16 Continence Service (Bladder and Bowel Management) 17 Contraception and Reproductive Health Service 18 Diabetes Specialist Nursing 19 Dietetic Service (Community) 20 District Nursing 21 EMdoc – GP Out of Hours Service 22 Feeding Team 23 Health Improvement 24 Health Visiting Service 25 Hearing Assessment – Children 26 HIV/AIDS – Clinical Nurse Specialist 27 Hydrotherapy/Aquatots 28 ICES – Home Loan Service 29 Immunisation and Advisory Clinic 30 Intermediate Care Services. Community Assessment and Rehabilitation Teams 31 Occupational Therapy – Adults 32 Occupational Therapy – Children 34 Orthotics 35 Primary Care Mental Health Team 36 Primary Care Refugee Service 37 Safeguarding Children Nurse Team 38 School Nursing Team 39 Special Care Dental Services 40 Speech and Language Therapy – Adults 41 Speech and Language Therapy – Children 42 Tissue Viability Service 43 Wheelchair and Special Seating Assessment Service 44 Community Clinics. Page 3 of 42

Care Co-ordination Team for Older People Description of Service The Care Co-ordination Team is a multi-disciplinary / multi-agency (PCT/Social Services) service providing a pro-active preventative service to older people who have multiple complex health and social care needs. Core activities include:

z Person centred holistic assessment using the Single Assessment Process. Through early intervention prevent ill health or deterioration of health by the mobilisation and co-ordination of appropriate resources from statutory and voluntary agencies,including provision of information and advice to individuals and their carers on all aspects of care. z To act as a resource working collaboratively with statutory and voluntary agencies. z To offer health and social care Needs Assessments for the informal carers of people with dementia, and support in group settings. z To work with Ethnic Minority Elders providing assessment of health and social care needs, as well as health promotion sessions in outreach settings. z To develop evidenced based interventions, in line with national and local requirements that will improve the quality of life for older people and their carers. z To have an in depth knowledge of Adult Protection. Who can refer The Team operates an open referral system (subject to eligibility criteria being met) and the client consenting to the referral, and also welcomes discussion prior to formal referral. How to make a routine referral By completion of a referral form from ~The Care Co-ordination Team for Older People, 55 Chislehurst Road, Orpington BR6 0DF. Tel: 01689 888003. Where to send the referral To the Care Co-ordination Team for Older People. 55 Chislehurst Road Orpington BR6 0DF Tel: 01689 888003 Fax: 01689 874309 How to make an emergency referral, if applicable n/a How to make out of hours contact with the service The Care Co-ordination Team Tel: 01689 888003 (voice mail available) Voice mail is normally picked up between 9 and 5 (weekdays only). Location(s) of service The Old School House, 55 Chislehurst Road, Orpington BR6 0DF Service Lead Micheline Faulkner, Clinical Nurse Specialist Complex Needs. Team Leader Care Co- ordination Team

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Care Home Liaison Team Description of Service The service provides support to the residents and staff of all Bromley borough Care Homes with nursing. The support may be patient specific and involve hands on input or advice or support of a more general nature. All members of the team are involved in supporting the ongoing professional development of nurses working in this area, providing information, advice, informal and formal teaching sessions within the care homes with nursing, as well as facilitating training through the Trust's training department. Who can refer The Nursing Team accepts referrals from any clinician within the Trust as well as from Social Services, Bromley Hospitals Trust and Care Homes with Nursing themselves. How to make a routine referral The Nursing Team, accepts referrals in any format, verbally, by phone, fax or letter. There are no pre-referral requirements other than that the individual should be in, or going into, a Bromley Care Home with Nursing Where to send the referral Willows Clinic, Red Hill, Chislehurst BR7 6DA Tel: 020 8295 2861 (direct line) How to make an emergency referral, if applicable By telephone to 020 8295 2861 or you can leave a message on the team mobile 07770 971084 How to make out of hours contact with the service n/a Location(s) of service Willows Clinic, Red Hill, Chislehurst BR7 6DA Service Lead Clinical Nurse Specialist, Care Home Liaison Team, Willows Clinic, Red Hill Kent BR7 6DA Tel: 020 8295 2861 Community Clinics The Willows Clinic

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Child and Adolescent Mental Health Service - Tier 2 Psychology and Behaviour Management Service Description of Service The Tier 2 service consists of individual specialist workers who help children, adolescents and their families with emotional, behavioural and psychological problems. The service is a multi-agency initiative and was set up as an additional specialist resource in response to the Joint CAMHS Strategy developed in Bromley in 1999. The service provides

z Tier 1 liaison, consultation and training z Evidence based work such as problem-solving skills and cognitive behavioural therapy z Services to vulnerable children z Psychology services for children aged up to 18 years and their families with regard to mental health and behaviour management issues. Who can refer The CAMHS Tier 2 service operates an open referral policy ensuring equal access for all. Referrals can be made to the service direct from parents/carers, paediatricians, health visitors, speech & language therapists, GPs and other health professionals. How to make a routine referral Referrals can be made in writing by completing a CAMHS Tier 2 referral form available from the CAMHS Team at the Pheonix Children's Resource Centre, 40 Masons Hill, Bromley Kent. BR2 9JG Where to send the referral CAMHS Tier 2 Psychology & Behaviour Management Service Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Tel : 020 8466 9988 Fax : 020 8466 8855 How to make an emergency referral, if applicable By telephone to 020 8466 9988 How to make out of hours contact with the service n/a Location(s) of service Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Service Lead Kathleen Morris Consultant Clinical Psychologist Community Clinics Phoenix Children's Resource Centre

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Children's Short Break Service Description of Service Hollybank offers a range of short term break services for children with disabilities aged 0-19. The services offered include a home-based respite service for children aged 0-5, a term-time only creche facility for children aged 2-rising 5 and overnight short term breaks for children aged 5 - 19. Who can refer Referrals can be made by social services, relevant healthcare professionals, voluntary agencies or education via the Disability Resource panel. How to make a routine referral Contact one of the above agencies, who will then make the referral, subject to eligibility criteria. Where to send the referral The Children's Commissioning Department FAO Disability Resource Panel administrator Civic Centre Stockwell Close Bromley BR1 3UH 0208 464 3333 How to make an emergency referral, if applicable Emergency beds are not currently available to children not already known to the service. For children known to the service contact should be made by the social worker to the Hollybank Centre Manager How to make out of hours contact with the service Please contact Hollybank direct on 01689 894420 Location(s) of service Base: Hollybank, 143 Chislehurst Road, Petts Wood, Orpington Kent BR6 0DS Tel: 01689 894420 Fax: 01689 894439 Service Lead Amanda Veryard, Hollybank Centre Manager 01689 894423

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Chiropody and Podiatry Service Description of Service Provides a broad range of foot treatments and advice to those with a podiatric or medical need. Specialist services are offered in the following areas : wound management, diabetic management, podopaediatrics, minor surgery, biomechanics, orthotics. Eligible groups are : school children, people with a learning disability, people with physical/mental disability, diabetics, pregnant and nursing mothers. People over 65 can self refer (all others should be referred by GP or medical professional) Who can refer Over 65s and children can self refer. All others should be referred by GP or medical professional. How to make a routine referral Contact office who will send out application form. GP letter to be attached to form if applicable. Where to send the referral Foot Health Service - Podiatry Department 55 Chislehurst Road, Orpington, Kent, BR6 0DF Tel: 01689 888008/8009 Fax: 01689 874309 How to make an emergency referral, if applicable Direct to Chislehurst Road Clinic in writing (fax) or by phone. How to make out of hours contact with the service n/a Location(s) of service 11 Community Clinics, 2 Day Centres, District Diabetes Centre at Orpington Hospital, Care Homes, Client's Home. Service Lead Karen Peake, Head of Podiatry, Bassetts Centre, Acorn Way, Orpington, BR6 7WF. 01689 853388. Community Clinics Beckenham Clinic Biggin Hill Clinic Bromley North Clinic Chislehurst Road Clinic Eldred Drive Clinic Mottingham Clinic Penge Clinic Princes Plain Clinic St Paul's Cray Clinic The Willows Clinic Addington Road

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Community Heart Failure Service Description of Service This is a home visiting service for patients with confirmed heart failure on echocardiogram. The team monitor and review a client's symptoms, their medication and the care they require including health education and support.

Who can refer Hospital, GP, Practice Nurse, District Nurse, Palliative/ hospice Care. How to make a routine referral By completion of a referral form. Where to send the referral Hawes Down Clinic Hawes Lane West Wickham Kent BR4 9BG How to make an emergency referral, if applicable Phone direct on 020 8776 3867 (voice mail available). Voice mail is normally picked up between 9 and 5 (weekdays only) or call the Clinical Nurse Specialist mobile 07717 828228 How to make out of hours contact with the service No out of hours provision Location(s) of service The Team is based at Hawes Down Clinic Service Lead Clinical Nurse Specialist

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Community Matrons Description of Service Community Matrons provide a pro-active preventative service to predominantly older people who have multiple and complex health and social care needs in their home setting. The Team works collaboratively with all professionals (statutory and voluntary agencies), the patient, carers and relatives to understand all aspects of the patient's physical, emotional and social situation providing information and advice on all aspects of care. The aim is to:

z develop a personalised care plan with the patient, carers, relatives and health and social care professionals, based on a full assessment of medical, nursing and care needs. The plan includes preventative measures and anticipates any future needs the patient may have. z Teach carers and relatives to recognise subtle changes in the patient's condition that could lead to an acute exacerbation or deterioration in their health, and to seek the appropriate help. Who can refer GP’s can refer to the Team subject to the eligibility criteria being met and the client consenting to the referral. The Team welcomes discussion prior to formal referral. How to make a routine referral By completion of a referral form. Where to send the referral By fax to the Community Matrons Team on 020 8776 1287 How to make an emergency referral, if applicable n/a How to make out of hours contact with the service The Community Matrons Team Tel: 020 8776 3878 (voice mail available) Voice mail is normally picked up between 9 and 5 (weekdays only). Location(s) of service The Team is based at Hawes Down Clinic. Telephone: 020 8776 3878. Fax: 020 8776 1287 Service Lead Jan Pasfield, Lead Community Matron, Hawes Down Clinic.

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Community Nursing Team - Children Description of Service Facilitation of nursing care by parents/carers or parents to children who have a Bromley PCT GP. Age range birth - 16 years or birth to 19 for children with learning difficulties. Currently available Monday to Friday 9am to 5pm Who can refer Any health professional worker can complete a referral form for consideration by the Team. Self referrals are also considered How to make a routine referral 48 hours notice is required. Completed forms can be posted, faxed or telephoned through to the team Where to send the referral Children's Community Nursing Team, Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8464 7578 Fax: 020 8466 8855 How to make an emergency referral, if applicable This is not an emergency service. Urgent referrals can be discussed with the Lead Nurse or their Deputy How to make out of hours contact with the service not applicable Location(s) of service Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8464 7578 Fax: 020 8466 8855 Service Lead Lead Nurse, Community Children's Nursing Team, Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8464 7578 Fax: 020 8466 8855 Community Clinics Phoenix Children's Resource Centre

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Community Paediatricians Description of Service Community Paediatricians provide a wide range of specialist medical services in community clinics, schools, nurseries, and the Phoenix Children's Resource Centre. Our aim is to provide a child centred and easily accessible service and to promote the health of children within the context of the family, school and society. We work in close collaboration with health visitors, school nurses, general practitioners, and other members of the child development team, CAMHS and colleagues in hospital paediatric departments. We also work closely with social services in child in need/child protection enquiries and with education with regards to children with special educational needs. Most of the team is based at the Phoenix Children’s Resource Centre. The main aspects of a community paediatrician’s role are: z Providing assessment and care of children where there are neurodevelopmental concerns/disability. z Providing paediatric input into the assessment of children with special educational needs. z Contributing to the assessment and management of "children in need" including children in need of protection as part of a multi-agency process. z Medical Care for Looked after Children and providing medical support to Bromley Adoption Panel. z Working with Child Mental Health Services in providing assessment and care for children with emotional and behavioural difficulties. z Providing a paediatric opinion whenever requested. z Coordinating care within the community setting as a member of the multidisciplinary team. Who can refer GP, Hospital or Community Paediatricians, other Health Professionals e.g. Health Visitors, School Nurses, Allied Health Professionals etc, Social Services, Schools and Pre- schools -local authority and private, the Courts & legal fraternity, etc. How to make a routine referral By Phoenix Children's Resource Centre referral form or letter directly to the community paediatrician. Where to send the referral To the Phoenix Children's Resource Centre Administator. How to make an emergency referral, if applicable By telephone or fax to the Phoenix Children's Resource Centre. How to make out of hours contact with the service n/a Location(s) of service Phoenix Children's Resource Centre and Child Health Clinics throughout the borough. Service Lead Dr Evelin Tseng Consultant Community Paediatrician Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Tel : 020 8466 9988 Fax : 020 8466 8855

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Community Physiotherapy for Children Description of Service A specialist service for those registered with a Bromley GP, aged 0-16 and 0-19 (if attending a special school within Bromley). It provides seamless support from leaving hospital to pre-school, school through to young adulthood.It aims to be responsive to urgency of need and flexible providing an assessment and treatment/advice as required. The aim is to enable, rehabilitate, maintain or support the child and their families/carers to meet his/her need and to assist finally with integration into society as a whole. Areas covered are orthopaedic, neurological, medical, neurodevelopmental, post surgery care, wheelchair and orthotics management. Who can refer The service operates an open referrals policy which includes all Community Health professionals, GPs and hospitals. In the case of self referral GPs will always be notified. How to make a routine referral Written referrals are accepted, parental permission should be obtained. There are generic forms available from the Phoenix CRC.Letters or reports are accepted provided that they contain the approriate information. They should include a medical history,main concerns and full contact details including telephone numbers. It would be useful to know if any other professionals are involved. Details of person referring should also be clear including their title. Where to send the referral All referrals must be sent to the Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Tel : 020 8466 9988 Fax : 020 8466 8855 How to make an emergency referral, if applicable N/A How to make out of hours contact with the service There is no out of hours service Location(s) of service The service is based at the Phoenix centre and is delivered in many locations, special schools, school units, playgroups, children's homes, respite care homes, Phoenix Children's Resource Centre. Service Lead Mrs Helen Farmer, MCSP Head of Children's Physiotherapy Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Tel : 020 8466 9988 Fax : 020 8466 8855

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Community Physiotherapy Service for Adults - Rapid Response Description of Service The Adult Community Physiotherapy service currently offers physiotherapy for adults whose health and circumstances means that they are unable to use hospital services, and whose problems are of mobility and physical management in the home environment, for example, older people who are too ill or too vulnerable to access the hospital out-patient physiotherapy services or those living with long-standing illness, disease or recovering from stroke or surgery. Clients referred to the Physiotherapy Service should meet the following criteria: • Registered with a GP within Bromley • Inability to access hospital services because of disability, illness or frailty • Physical management problems in home environment • Clients 18 years and over who are no longer in statutory education Who can refer GP or other Health Service/Social Service professionals e.g. District Nurse, Care Manager or Health Visitor. How to make a routine referral Written or faxed referral. Telephone referrals must be confirmed in writing. Information needed: Patients name, address and telephone number, date of birth, GP, reason for referral, name, designation and contact number of referrer. Where to send the referral Referrals should be sent to the local Community Physiotherapy Base. The Beckenham Community Physiotherapy Team: 1st Floor, Room 167, Beckenham Beacon, 379 Croydon Road, Beckenham, BR3 3QL.Tel No 01689 866655 Fax: 0208 289 3242 The Orpington Community Physiotherapy Team :St Pauls Cray Clinic, Mickleham Road, St Pauls Cray, BR5 2RJ 0208 300 4226 Fax: 0208 300 1553 How to make an emergency referral, if applicable Urgent referrals may be faxed through to appropriate base. How to make out of hours contact with the service There is no provision for an out of hours service. Location(s) of service The service is provided in the client’s home and in residential and nursing homes. The teams are based in order to respond to the local needs within Bromley. Service Lead Mrs E Benfield, Head of Adult Physiotherapy, Bassetts Centre, Acorn Way, Orpington BR6 7WF Tel : 01689 853388 ext 231

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Complex Communication Service Description of Service Multi-disciplinary service whose aim is to:

z Provide a diagnostic assessment for children with suspected Autistic Spectrum Disorder and its comorbid condition. z To work with families, education, voluntary and social services to provide a co- ordinated care plan to optimise the development of Children in whom there are specific concerns regarding impairment in reciprocal social interaction and social communication. Who can refer Professional from health, education and the Family Services Worker from Bromley Autistic Trust How to make a routine referral Written referral to the Consultant Community Paediatrician Where to send the referral Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 Fax: 020 8466 8855 How to make an emergency referral, if applicable n/a How to make out of hours contact with the service n/a Location(s) of service Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Service Lead Dr Evelin Tseng, Consultant Community Paediatrician, Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 Fax: 020 8466 8855 Community Clinics Phoenix Children's Resource Centre

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Continence Service (Bladder and Bowel Management) Description of Service The Continence Team :

z provides a specialist assessment of bladder and bowel symptoms for children and adults z provides specialist treatment and intervention z educates health professionals in the promotion of continence z supports health professionals in continence management , identifying groups at risk, promoting awareness and prevention. Who can refer clients, carers, relatives, health professionals. How to make a routine referral Referrals from health professionals should be sent by letter including a short medical history, medication and any treatment already undertaken. Clients or carers can refer by telephoning 020 8462 1255. Where to send the referral Continence Service, Addington Road Health Centre, Addington Road, West Wickham, Kent BR4 9BG Tel: 020 8462 1255 Fax: 020 8462 7560 How to make an emergency referral, if applicable By telephone to Addington Road Health Centre. Clients are not normally seen until a four day fluid chart has been completed. How to make out of hours contact with the service An out of hours answerphone is available on 020 8462 1255 with messages picked up the next working day. Patients already known to District Nurses can contact the District Nurse base directly. Location(s) of service Approxiamately 15 clinics a month . These are held at the Phoenix Centre,Princes Plain, Penge, Addington Road, St Paul's Cray and Mottingham Clinics. The Continence Nurse Specialist will also perform a joint home visit with the Health Visitor or District Nurse if requested to give specialist advice. Service Lead Rachel Corney, Continence Nurse Specialist Addington Road Health Centre 0208 462 1255 Community Clinics Phoenix Children's Resource Centre Mottingham Clinic Penge Clinic Princes Plain Clinic St Paul's Cray Clinic Addington Road

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Contraception and Reproductive Health Service Description of Service This service provides contraceptive, cervical cytology and sexual health advice and is available to all regardless of age or gender. The service is provided in clinics across the borough with three clinics dedicated to under 25s. Those under 25 can however be seen in all clinics. There is also a vasectomy service and a psycho-sexual counselling clinic. Who can refer For most services self-referral. A GP referral is required for vasectomy or psycho-sexual counselling. There is a domiciliary family planning service provided for those who are unable or unwilling, for whatever reason, to attend a clinic. How to make a routine referral Where GP referral required preference is for referral by letter. Routine clinics - self referral. Domiciliary service - self, carer or health professional referrals accepted (with consent of client) Where to send the referral Beckenham Beacon, 379, Croydon Road, Beckenham, BR3 3QL. Telephone: 020 8658 7331. Fax: 020 8289 3242. How to make an emergency referral, if applicable All clinics are walk-in. How to make out of hours contact with the service 24 hour family planning information line ( recorded message ) Tel: 020 8658 3490 Location(s) of service Contraception and Reproductive Health Service runs from Beckenham Beacon. Clinics are held at various locations throughout the Borough and also; Orpington Hospital tel: 01689 863000 or Bromley Youth Centre tel: 020 8464 9033 Service Lead Head of Service/Lead Nurse.Yvonne Hooper, Beckenham Beacon. Lead Doctor - Dr Clio Timaeus, Beckenham Beacon, 379, Croydon Road, Beckenham, BR3 3QL. Telephone: 020 8658 7331. Community Clinics Beckenham Beacon Biggin Hill Clinic Eldred Drive Clinic Mottingham Clinic Penge Clinic

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Diabetes Specialist Nursing Description of Service Diabetes Service Orpington Hospital: Provides advice and education and support to people with diabetes and other professionals and carers involved with people with diabetes. The team work as part of the multi disciplinary Diabetes Service at the Diabetes Centre at Orpington Hospital. The Community Diabetic Service consists of a Diabetes Specialist Nurse, Dietitian and Podiatrist who provide advice and support to primary care and see patients at community clinics and in their own homes if necessary. The service provides structured group education for patients newly diagnosed with Type 2 Diabetes.ennedy House. Who can refer GPs, practice nurses, district nurses, Bromley Hospitals staff, Residential and Nursing Homes, patients if already under care of service. How to make a routine referral Normally by letter/referral form, but also by phone if urgent appointment required. Where to send the referral Diabetes Specialist Nursing Diabetes Centre, Orpington Hospital, Sevenoaks Road, Orpington, Kent BR6 9JU Main Number: 01689 865 911 (available Monday - Friday 9-4) Nurses Direct Line: 01689 866 065 (available Monday 10-11am, Tuesday -Friday 9.30- 10.30am) Fax: 01689 865 910 or Diabetes Community Service: 2nd floor, Kennedy House, Murray Road, Orpington, Kent BR5 3QY. Tel: 01689 866209. Monday - Friday 9.00 - 5.00. There is an answer-phone for out of hours messages. How to make an emergency referral, if applicable By telephone Orpington Hospital : 01689 865911 (reception hours 9.00-4.00) By telephone Kennedy House: 01689 866209 (reception hours 9.00 - 5.00) How to make out of hours contact with the service n/a Location(s) of service Diabetes Specialist Nursing Diabetes Centre, Orpington Hospital, Sevenoaks Road, Orpington, Kent BR6 9JU also Community Diabetes Team 2nd Floor Kennedy House Murray Road Orpington BR5 3QY Service Lead Margaret Tipson Community Clinics Beckenham Beacon Kennedy House

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Dietetic Service (Community) Description of Service The Community Dietetic Service provides advice,training and support on nutrition and dietetics for both adults and children, carers, healthcare professionals and other agenciesin the community. The Service aims to: Provide therapeutic advice for adults and children, registered with a Bromley GP, who have specific dietetic needs; Specialist Paediatric Services include - Nutrition support/Enteral Feeding at home, clinics for children with feeding problems, General Paediatric Dietetic Clinics; Work as a resource and as part of a multidisciplinary team providing information, advice and training on nutrition to other health professionals; Provide information on diet and health related issues to other health professionals and other agencies in order to increase awareness and promote good nutrition and health. Who can refer GPs, Hospital Consultants, Community Physicians. Initial referrals can be made by other Health Professionals. The Dietetic Service will seek clarification from the Patient's GP before advising. How to make a routine referral By written referrals signed by a GP, Consultant or other Health Professional . Information required includes: Name, address with postcode, DOB, Gender, carer/social circumstances as necessary Medical Diagnosis and any other relevant details. Where to send the referral 2nd Floor, Kennedy House, Murray Road, Orpington, Kent, BR5 3QY Tel: 01689-866201 Fax: 01689-865307 How to make an emergency referral, if applicable Telephone/Fax to Kennedy House How to make out of hours contact with the service Not applicable Location(s) of service Clinics are held throughout the borough. Patients can be seen at home ,Care Homes, at special schools and in respite care. Service Lead Caroline Quilty, Head of Dietetics, 2nd Floor, Kennedy House, Murray Road, Orpington, Kent, BR5 3QY Tel: 01689-866208 Fax: 01689-865307 Community Clinics Phoenix Children's Resource Centre Penge Clinic St Paul's Cray Clinic The Willows Clinic

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District Nursing Description of Service The aim of the service is to provide total nursing care, support and advice to referred patients, their families and carers, within the community in close liaison with other health care professionals, Social Services and Voluntary Agencies. Patients referred for assessment to the District Nursing Service must be: residing in Bromley; aged 16 and over requiring nursing care in the community; registered with a Bromley GP, either temporarily or permanently. Who can refer The service offers open access and receives referrals from members of the public, GP's, hospitals, other professionals, non-professionals, relatives/carers, Social Services and the voluntary sector. How to make a routine referral Telephone or fax the relevant District Nursing Clinic via the following numbers. The District Nurses are based at: Beckenham Beacon: Tel:020 8658 9681 Fax:020 8289 3242 St Pauls Cray Clinic: Tel:020 8302 6460 Fax:020 8309 7929 Biggin Hill Clinic: Tel:01959 572646 Fax:01959 573457 Willows Clinic: 020 8857 4552 Fax: 020 8467 1748 Princes Plain Clinic: Tel:020 8462 6834 Fax:020 8462 7560 Where to send the referral To the relevant District Nursing Clinic (each GP practice is aligned to a Clinic) for details see above How to make an emergency referral, if applicable As above. How to make out of hours contact with the service Twilight Service between 18.30 and 22.30: Princes Plain: Tel:0208 462 3829 Fax: 020 8462 7560 Night Service between 22.00 and 07.00 Answerphone 01689 860961 Pager Tel: 08700 555500 pager no 810305 Location(s) of service The District Nurses are located at five Trust locations. Service Lead Margaret Mulholland, Head of Long Term Conditions, 14 Ashtree Close, Orpington Kent BR6 7UA Tel 01689 853339 Community Clinics Beckenham Beacon Princes Plain Clinic St Paul's Cray Clinic The Willows Clinic

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EMdoc - GP Out of Hours Service Description of Service EMdoc is the GP Out of Hours Service. It provides telephone triage by a GP, face to face consultations at the EMdoc clinic and home visits where appropriate. It is open from 6.30pm to 8.00am Monday to Thursday and from 6.30pm Friday through to 8.00am Monday. It is also open on all bank holidays including Christmas Day. It is a service for people whose condition worsens and who cannot wait for care until their GP surgery re-opens. Who can refer Self referral by anyone registered with a Bromley GP, anyone visiting the borough and needing immediate treatment, anyone referred from A&E at the Princess Royal University Hospital and anyone in a care home in the borough. How to make a routine referral Not appropriate. Where to send the referral Not appropriate. How to make an emergency referral, if applicable Not appropriate. How to make out of hours contact with the service Telephone: 020 8676 3263 Location(s) of service Fracture Clinic at the Princess Royal University Hospital -telephone triage required before attending. Service Lead Mary Cooke EMdoc Operations Manager Tel: 020 8676 3291

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Feeding Team - Children Description of Service A consultation, advice and training resource for professionals working with children who have eating and drinking difficulties. The team comprises a Consultant Paediatrician, Specialist Speech and Language Therapist, Clinical Psychologist, Special Needs Health Visitor, Health Visitor, Paediatric Dietician and a representative of the Community Children's Nursing Team. Who can refer Open referral system. New referrals are documented at Feeding Team meetings and complex needs are discussed at the team meeting to decide on appropriate management. Referral is acknowledged. How to make a routine referral In writing, by letter or Bromley PCT referral form, to the secretary of the Children's Feeding Team at the Phoenix Children's Resource Centre. Where to send the referral The Children's Feeding Team Administrator Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Tel : 020 8466 9988 Fax : 020 8466 8855 How to make an emergency referral, if applicable n/a How to make out of hours contact with the service n/a Location(s) of service Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Service Lead Contact via the feeding team administrator Helga Vickers at the Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Tel : 020 8466 9988 Fax : 020 8466 8855

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Health Improvement Description of Service The service provides specialist health promotion support to organisations and individuals to improve the health and well-being of local people and to reduce health inequalities.

The service works with health, social care education the voluntary sector and communities to raise awareness promoting positive health and well being based on best practice.

The services focused on are Lifestyles & Inequalities, Obesity, Smoking Cessation, Refugee & Vulnerable Groups, Mental Health & Well – Being, Sexual Health & Teenage Pregnancy.

A substantial part of the work involves training and supporting professionals and volunteers who work in the health and social care field and are in contact with at risk groups. Who can refer The following services are available direct to the public:- z Smoking Cessation – telephone number 0800 587 8821 z Refugee Service – telephone number 020 8402 6998 z Expert Patient Programme – 020 8662 6692 The following services are available to health and social care professionals, voluntary and community groups. z Awareness raising campaigns z Training z Condom distribution scheme Telephone number 020 8662 6692. How to make a routine referral Smoking Cessation – telephone number 0800 587 8821 with answer phone No Butts, Give It Up leaflet – self - referral. Refugee Service - telephone number 020 8402 6998 with answer phone Where to send the referral NA How to make an emergency referral, if applicable NA How to make out of hours contact with the service NA Location(s) of service Beckenham Clinic 14 The Crescent Beckenham BR3 1DU Telephone 020 8662 6692 Fax 020 8658 3398 Service Lead Susan Kostrzewska and Samara Romans Community Clinics Beckenham Clinic

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Health Visiting Service Description of Service The Health Visiting Service provides an holistic approach to health and well being in children and families. The aim is to initiate early intervention to prevent illness and identify problems. Who can refer The Health Visiting Service has an open referral system. All babies born in the Borough of Bromley and families who have children under the age of five moving into the Bromley area are automatically referred to the Health Visiting Service via the PCT's child health department or the family GP. How to make a routine referral GPs and other clinical professionals refer to the service with client consent. Parents can self-refer to the service – contact details can be found through Community Clinics. Where to send the referral A referral should be made to the health visiting team who will allocate a named health visitor. The Personal Child Health Records (PCHR or little red book) will contain the contact details of the health visiting team relevant to the client’s location within the Borough. How to make an emergency referral, if applicable This is not an emergency service but urgent referrals should be made by ringing the clinic base or the duty health visitor telephone line located in Penge clinic, telephone 020 8778 8511, where a member of the Health Visiting team can give advice. How to make out of hours contact with the service n/a Location(s) of service There are five health visiting teams located throughout the Borough and clients can be seen at additional locations, including their own home. Service Lead Fiona Pendleton Head of Health & Wellbeing, Children and Young Peoples Services, 14 Ashtree Close, Orpington Kent BR6 7UA Tel: 01689 853339 Fax: 01689 880728 Community Clinics Beckenham Beacon Biggin Hill Clinic Bromley North Clinic Eldred Drive Clinic Mottingham Clinic Penge Clinic Princes Plain Clinic The Willows Clinic Addington Road

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Hearing Assessment - Children Description of Service Assessment of the hearing of babies and children who may be at risk of having a hearing loss or who have failed a hearing test. The service aims to identify severe hearing loss at the earliest possible age to facilitate the provision of hearing aids if necessary and to refer, as necessary, to speech and language therapy or to teachers for the hearing impaired. An early appointment with an ENT specialist is ensured at a joint clinic for those where surgery may be indicated and other necessary referrals are made as appropriate. Who can refer General Practitioner, Hospital Paediatrician, School Nurses, Community Medical Officers, Health Visitors, Parents, Education Department. How to make a routine referral By using special form available in community clinics or by writing or telephoning the Audiology Department at the Phoenix Centre. Where to send the referral Audiology Administrator Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Tel : 020 8466 9988 How to make an emergency referral, if applicable Urgent referrals by phone or letter. How to make out of hours contact with the service n/a Location(s) of service Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG Tel : 020 8466 9988 Fax : 020 8466 8855 Service Lead Dr Abid Saffaf MD MCPCH Phoenix Children's Resource Centre 40 Masons Hill Bromley Kent BR2 9JG

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HIV/AIDS - Clinical Nurse Specialist Description of Service The Clinical Nurse Specialist works with the primary health care team, Genito-Urinary Medicine Clinic, hospital and voluntary services giving specialist advice to clients and their significant others.The service provides information,advice, treatment and care to those who are infected and affected by HIV. The service provides education and training, both formal and informal, and supports HIV prevention initiatives. Who can refer Clients, GPs, Social Services, Hospitals, Other Community Services, Voluntary Services. How to make a routine referral By phone, fax or in writing to Sarah Barber, Nurse Specialist or Bev White, Associate Nurse (Monday to Friday from 9.00-5.00) Tel: 01689 866647 Fax: 01689 866779 Where to send the referral CNS HIV/AIDS, Beckenham Beacon, 379 Croydon Road, Beckenham BR3 3QL Tel: 01689 866647 Fax: 01689 866779 Mobile: 07769 687767 How to make an emergency referral, if applicable as above. How to make out of hours contact with the service n/a Location(s) of service Based at Beckenham Beacon. Client support takes place in the home, at the clinic or other appropriate venue. Service Lead Sarah Barber, Beckenham Beacon, 379, Croydon Road, Beckenham, BR3 IQL. 01689 866647 Fax: 01689 866779. Mobile: 07769 687767 Community Clinics Beckenham Beacon

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Hydrotherapy/Aquatots Description of Service Hydrotherapy is a Physiotherapy treatment using the medium of water. Hydrotherapy can be useful for children with special needs who would benefit from movement using the physical properties of water -buoyancy, resistance and warmth. This service is available for children who are eligible for childrens Physiotherapy service. Who can refer General Practitioners, Paediatricians, Education staff. Referral should be made for a physiotherapy assessment initially. How to make a routine referral Hydrotherapy will be prescribed by the Physiotherapist following a full assessment. Where to send the referral Childrens Physiotherapy Dept, Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 How to make an emergency referral, if applicable n/a How to make out of hours contact with the service n/a Location(s) of service Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 Service Lead Mrs Helen Farmer, Head of Children's Physiotherapy, Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988

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ICES - Home Loan Service Description of Service The Home Loan Service is jointly commissioned with London Borough of Bromley and aims to provide a range of equipment suitable for the needs of patients requiring nursing care within their own homes and to provide equipment that helps create a safer working environment for staff caring for patients. Who can refer Anyone can refer. How to make a routine referral Steve Giddens, Bromley PCT enquiries: 020 8464 1154 Where to send the referral ICES Dept, Room 4A, Central Depot, The Avenue, Bromley, BR1 2BS. How to make an emergency referral, if applicable There is no out of hours service for delivery of equipment. How to make out of hours contact with the service An on-call service is available for problems with loaned equipment only. Details are attached to the equipment on loan. Location(s) of service Bromley Adult and Community Services-ICES Dept, Room 4A, Central Depot, The Avenue, Bromley, BR1 2BS. Telephone 020 8313 4270. Fax: 020 8461 4978 Service Lead Brian Curle, ICES Manager. Tel: 020 8313 4853.

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Immunisation and Advisory Clinic Description of Service To provide advice to patients and their carers on issues related to immunisation and discuss the best course of action. If a child has a history of severe reaction to a vaccine. In some circumstances, immunisation may be carried out in the clinic. Who can refer Any health care professional or parent/carer. How to make a routine referral By letter Where to send the referral Dr David Osoba, Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG How to make an emergency referral, if applicable By telephone, fax or email. Tel: 020 8466 9988 Fax: 020 8466 8855 Email: [email protected] How to make out of hours contact with the service n/a Location(s) of service Children's Outpatient Clinic at the Princess Royal University Hospital Service Lead Dr. Osoba, Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 Fax: 020 8466 8855

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Intermediate Care Services. Community Assessment and Rehabilitation Teams Description of Service C.A.R.T is a multidisciplinary team, jointly funded with London Borough of Bromley.The team comprises a Doctor, Nurses, Physiotherapists, Occupational Therapists, Rehabilitation Technicians, Care Managers, Nursing Rehabilitation Assistants,and support from Community Psychiatric Nurses, with direct access to a consultant as needed. There are two C.A.R.T's, one based in the East at St Pauls Cray clinic and the other in the West at Yeoman House in Penge. The Teams offer a service to people who would otherwise face unnecessarily prolonged hospital stays or inappropriate admission to acute inpatient care or long term residential care. Provision of the service is based on a comprehensive assessment, resulting in a structured individual care plan that involves active therapy, treatment or opportunity to recover. The service is time limited, normally no longer than 6 weeks but sometimes as little as 1-2 weeks. The service is provided to people over the age of 18 who are resident in the London Borough of Bromley or are registered with a GP within the Borough of Bromley and are medically stable and predicted to remain so. The client must be willing to participate in a rehablitation programme, and able to benefit from multi disciplinary approach. Who can refer From all social services and health care professionals in consultation with GP or Hospital Consultant How to make a routine referral Referrals are accepted 365 days a year. They are initially made in writing and sent by fax. Referals can also be made to our email address [email protected] Where to send the referral 4 Ashtree Close, Orpington BR6 7UA Tel: 01689 858495 (9am to 5pm Monday to Friday) An answer phone is available Fax: 01689 855351. How to make an emergency referral, if applicable For emergencies you can call the pager on 08700 555500 Ask for pager number 810305 (available 24hours a day) How to make out of hours contact with the service Location(s) of service St Pauls Cray Clinic & Yeoman House Service Lead Debbie Bristow. Intermediate Care Services. 4 Ashtree Close, 01689 853339.

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Occupational Therapy - Adults Description of Service This is a multi-disciplinary / multi-agency (PCT/Social Services)service that offers short term intervention for Bromley residents with acute disability which affects their ability to carry out activities of daily living. It also provides a service for adults with chronic conditions who have Occupational Therapy needs and facilitates discharges from out of borough hospitals. Who can refer Out of borough hospital OTs, GPs, Health professionals within the Trust, Multi- disciplinary rehabilitation teams, Social Services Care Manager How to make a routine referral Referrals are accepted by telephone or in writing. If you require a referral form please contact us on 01689 880 283 or 020 8300 1530. Where to send the referral Bromley and Beckenham areas: Primary Care Occupational Therapy Service, 2 Ashtree Close, Broadwater Gardens, Farnborough, BR6 7WG Tel: 01689 880 283 Fax: 01689 880 283/01689 855 832 Orpington area: Primary Care Occupational Therapy Service, St Paul's Cray Clinic, Mickleham Road, St Paul's Cray, BR5 2RJ Tel: 020 8300 1530 Fax : 020 8300 1553 How to make an emergency referral, if applicable Telephone during office hours Monday to Friday on 01689 880 283 or 020 8300 1530. How to make out of hours contact with the service N/A Location(s) of service The service is provided in client's homes. Service Lead Evelyn Benfield, Head of Therapies, Adult Services, Bassetts Centre, Acorn Way, Orpington, BR6 7WF Tel: 01689 853 388 ext 2829 Fax: 01689 861 232

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Occupational Therapy - Children Description of Service The Occupational Therapy (OT) service is provided to children with physical difficulties that impact on their ability to carry out functional activities required of them, such as dressing, handwriting, organising themselves, feeding themselves and playing. The service works in conjunction with education staff, parents/carers and other professionals, providing training and advice to develop an individual child’s skills. Children aged 0 – 18 are seen by the service and children will be seen if: a) They have a Bromley GP or b) They attend a special school in Bromley Borough or: c) If they attend a mainstream school in the Bromley borough and it has been agreed with their local therapist. Children should also meet the following criteria : a) Have a motor co-ordination difficulty where their motor skills are below those expected given the child’s chronological age and other areas of their development. b) The Child has Sensory/Motor problems that severely impact on their ability to perform daily living activities. c) Children with a chronic physical difficulty requiring intervention to develop/maintain their motor skills or the provision of equipment. Assessment is generally carried out initially within a clinic environment and advice and recommendations would be provided to both home and school. This process may also include assessment for specialist equipment and the recommendation of the provision from the most appropriate authority. Once a child’s case has been closed to the service either parents or education staff can re-refer the child for further advice or review via the advice clinic service. Who can refer Doctors, nurses, other Health professionals and education staff such as Special Education Needs Co-ordinators or teachers. The service does not accept initial referrals from parents/carers - and a request should be sought via a health professional such as the child's GP or the child's school. How to make a routine referral Health staff - to complete a Health professional referral form. Education staff should complete the school referral form- this is slightly different for special and mainstream schools. If you do not have a referral form available a detailed report or letter will be accepted with clear reasons for the referral. Where to send the referral Children's Occupational Therapy Service,Phoenix Children's Resource Centre,40 Masons Hill,Bromley BR2 9JG Tel: 020 8466 9988 Fax: 020 8466 8855 How to make an emergency referral, if applicable Urgent referrals can be faxed to the Phoenix centre for the attention of the Children's Occupational Therapy Service. How to make out of hours contact with the service The service operates between 8.30 am and 5pm Monday to Friday excluding bank holidays. Location(s) of service Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 Fax: 020 8466 8855 As well as being seen in the clinic , children are also seen at home, pre-school and school as appropriate. Service Lead Kirsty Richards,Head Paediatric Occupational Therapist 32 http://nww.bromleypct.nhs.uk/servicesop.php 13/10/2008 Page 32 of 42

Phoenix Children's Resource Centre,40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 Fax: 020 8466 8855 Community Clinics Phoenix Children's Resource Centre

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Orthotics Description of Service The orthotics service includes the provision of specialised footwear, splints, spinal jackets and protective headgear to aid and support treatment and management of children with neurological disorders and orthopaedic conditions. A combined orthotics and physiotherapy clinic is held at the Phoenix Children's Resource Centre fortnightly. Who can refer Consultant Paediatrician, Physiotherapist or Consultant Orthopaedic Surgeon How to make a routine referral Assessment by one of the above Where to send the referral Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 How to make an emergency referral, if applicable contact the Phoenix Centre as above How to make out of hours contact with the service n/a Location(s) of service Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 Service Lead Helen Farmer, Head of Children's Physiotherapy Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988

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Primary Care Mental Health Team Description of Service The Primary Care Mental Health Team provides services to people with mental health problems who do not require specialist mental health services provided by Oxleas NHS Trust. The team works with GP practices across the borough.

Primary Care Counsellors provide counselling normally over 6 to 8 sessions. Mental Health Practitioners offer assessment, signposting and short term support. The team is also working with Bromley Mind and Broomleigh Housing Association to provide a range of psycho-educational groups. Who can refer Referrals are accepted from GPs. How to make a routine referral Referral is by letter or completion of the team referral form only. Telephone referrals are not accepted. Where to send the referral All referrals should be sent to the Primary Care Mental Health Team/ Primary Care Counselling Service, Beckenham Beacon, 379 Croydon Road, Beckenham BR3 3QL Referrals to counsellors are addressed to the individual counsellor for that GP practice. Referrals to Practitioners/Advisers are addressed to the Team Coordinator How to make an emergency referral, if applicable NA How to make out of hours contact with the service NA Location(s) of service The administrative base for the service is at the Beckenham Beacon. Services are provided in a number of locations including GP practices. Service Lead Charles Thumiah (Acting) Team Co-ordinator.

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Primary Care Refugee Service Description of Service A nurse led service covering the London Borough of Bromley. Providing initial contact, health screening /assessment, advice and support to refugees/asylum seekers enabling them to access and use primary care services appropriately. Advice, information and support for healthcare professionals and others working with refugees and asylum seekers in Bromley Who can refer Anyone How to make a routine referral Telephone, fax, letter or referral form giving name, address, etc., country of origin, language and problem or care required. Where to send the referral Primary Care Refugee Service, Health Improvement Service,Beckenham Clinic, 14 The Crescent, Beckenham, Kent BR3 1DU. Tel: 020 8402 6998 Fax:020 8658 3398 How to make an emergency referral, if applicable n/a How to make out of hours contact with the service n/a Location(s) of service Office base : Beckenham Clinic, 14 The Cresecent. Visits undertaken at home, local clinic or GP surgery, refugee agency or day centre Service Lead Primary Care Refugee Service, Health Development Unit, Beckenham Clinic, 14 The Crescent, Beckenham, BR3 1DU.Tel: 020 8402 6998/Fax: 020 8658 3398.

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Safeguarding Children Nurse Team Description of Service The Team provides advice and support for professionals within the PCT regarding safeguarding children issues. The Team also acts as a conduit for essential information sharing between other agencies and the PCT in relation to safeguarding issues requiring further action. For further information relating to child protection issues, members of the Public can access http://www.bromley.gov.uk/socialcareandhealth/childrenandfamilies/childprotection/ Who can refer The Team links with professionals from any agency where safeguarding advice is requested. How to make a routine referral The Team does not accept routine referrals but will give advice to professionals on safeguarding children issues Where to send the referral Phoenix Childrens Resource Centre How to make an emergency referral, if applicable n/a How to make out of hours contact with the service n/a Location(s) of service Phoenix Childrens Resource Centre - See below for full address details Service Lead Nicky Brownjohn, Designated Nurse for Safeguarding Children. Phoenix Childrens Resource Centre, 40 Masons Hill, Bromley, Kent BR2 9JG, Telephone: 020 8466 9988.

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School Nursing Service Description of Service The school health service provides health surveillance for children of school age and advice on management of any medical problem which affects a child in school. As part of the core health surveillance programme the school health service aims to promote healthy lifestyles amongst school aged children. The school health service liaises with the local education authority in the provision of health care to those children identified as having a health problem which affects the access to the normal school curriculum. Who can refer General Practitioners, Health Visitors, Education, Parents, Social Services and the Community Children Team. How to make a routine referral There is an open referral system and referrals are accepted by telephone or written in letter format. The Trust pink interagency referral form is submitted by Health Visitors and GPs. Where to send the referral The referral should be addressed to the appropriate school nurses who are based across the PCT. The central location for information is The Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel : 020 8466 9988 Fax : 020 8466 8855; How to make an emergency referral, if applicable As above How to make out of hours contact with the service n/a Location(s) of service Mainstream Schools Special Schools (Riverside and Marjorie McClure,) Beckenham, Eldred Drive, Willows, Biggin Hill, Hawes Down, Penge, Bromley North and Princes Plain Clinics. Service Lead Fiona Pendleton, 14 Ashtree Close (Bassetts House Site) Telephone: 01689 880716 Fax 01689 880728. Community Clinics Phoenix Children's Resource Centre Biggin Hill Clinic Penge Clinic St Paul's Cray Clinic

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Special Care Dental Services Description of Service The service offers a comprehensive treatment service to people who are unable, or would be unlikely,to access dental care from the General Dental Services. It provides specialised services, including dental treatment under general anaesthesia and under sedation using relative anaesthesia. It also offers oral health promotion and oral screening for priority groups. Who can refer General or Hospital Dental Practitioners. Other Health Care Professionals provided that the client is not able to access General Dental Services because of a special need. How to make a routine referral Referral form available from Service address below. By letter stating name, address, date of birth, telephone number, reason for referral, medical history and why client is unable to access general dental care. Referrals for general anaesthesia or sedation must justify the need for these procedures. Where to send the referral Dr Andrew Bottomley, Head of Special Care Dental Services, 3 Ashtree Close, Orpington BR6 7WG Tel: 01689 853339 Fax: 01689 853868 How to make an emergency referral, if applicable By telephone to the above number How to make out of hours contact with the service n/a Location(s) of service Bassetts Centre, Eldred Drive, St Paul's Cray Clinic, Mottingham Clinic, Oakfield Road Penge Clinic, Princes Plain Clinic, Biggin Hill Clinic. Service Lead Dr Andrew Bottomley, Head of Special Care Dental Services, 3 Ashtree Close, Orpington BR6 7WG Tel: 01689 853339 Fax: 01689 853868 Community Clinics Biggin Hill Clinic Eldred Drive Clinic Mottingham Clinic Penge Clinic Princes Plain Clinic St Paul's Cray Clinic

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Speech and Language Therapy - Adults Description of Service Assessment, treatment and advice are offered to in-patients, outpatients or through visits in their own home or care home as appropriate. This service is for patients over 18 years of age who have acquired communication and/or swallowing problems. Patients may have problems as a result of Stroke, Parkinson's disease, Multiple Sclerosis, Motor Neurone disease, cancer or have voice or fluency problems. Who can refer Patients with communication problems can be referred by anybody with the patient's agreement. For patients with dysphagia (swallowing problems) referrals must be accompanied by a doctor's letter. How to make a routine referral By phone or letter to Beckenham Beacon or Orpington Hospital for communication problems. By phone or letter from patient's doctor to the above depts for patients with swallowing problems. Where to send the referral Speech and Language Therapy Beckenham Beacon, 379 Croydon Road, Beckenham BR3 3QL Tel : 01689 866650 or Speech and language therapy, Orpington Hospital, Sevenoaks Road, Orpington BR6 8ND Tel : 01689 865074 (Both have voice mail) How to make an emergency referral, if applicable Telephone 01689 865074 (voice mail available) Voice mail is picked up between 9 and 5 (weekdays only). or Fax 01689 865043 How to make out of hours contact with the service Phone Beckenham Beacon 01689 866650 or Orpington Hospital 01689 865074 both numbers have voice mail facility Location(s) of service Out- patients - Speech & Language Therapy Departments at Beckenham Beacon and Orpington Hospital plus covering patients in Intermediate beds at Orpington Hospital. Inpatients - Princess Royal University Hospital Domicillary visits are also offered. Service Lead Honor Davies, Head of Adult Speech & Language Therapy, Beckenham Beacon, 379 Croydon Road, Beckenham BR3 3QL Tel : 020 8289 6650 Community Clinics Beckenham Beacon

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Speech and Language Therapy - Children Description of Service To develop the communication skills of children aged 0-school leaving age to be in line with their developmental level by providing assessment, advice and/or training to parents and education staff and blocks of therapy where appropriate. Therapy advice also available to children with an eating/swallowing disorder of neuromuscular origin. Who can refer Open referral system. Referrals accepted from parents and other professionals with parental consent. How to make a routine referral Community services referral form, schools referral form, by telephone or letter from parents(include results of recent hearing test) Where to send the referral Children's Speech and Language Therapy Department, Phoenix Children's Resource Centre, 40 Masons Hill, Bromley BR2 9JG Tel: 020 8466 9988 Fax: 020 8466 8855 How to make an emergency referral, if applicable n/a How to make out of hours contact with the service Answerphone available at clinics Location(s) of service 7 community clinics across Bromley borough, 18 schools or units for children with special educational needs, 2 pre-school provisions for SEN Service Lead Mrs Deborah Battista, 14 Ashtree Close, Orpington Kent BR6 7UA Tel: 01689 853339 Fax: 01689 880728 Community Clinics Phoenix Children's Resource Centre Beckenham Beacon Bromley North Clinic Eldred Drive Clinic Mottingham Clinic St Paul's Cray Clinic

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Tissue Viability Service Description of Service Tissue Viability is a specialist service for patients with complex wounds, providing education, support and advice for the treatment and management of all types of wounds for people of all ages that are registered with a Bromley GP. Who can refer All community healthcare professionals How to make a routine referral By referral form or letter by post or fax Where to send the referral The Willows Clinic, Red Hill, Chislehurst BR7 6DA Tel: 020 8467 1631 Fax: 020 8467 1748 How to make an emergency referral, if applicable n/a How to make out of hours contact with the service n/a Location(s) of service The Tissue Viability Team is based at The Willows Clinic. Service Lead Gill Dunwoody, Tissue Viability Specialist Nurse, The Willows Clinic, Red Hill, Chislehurst, BR7 6DA Tel: 020 8467 1631 Fax: 020 9467 1748

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Wheelchair and Special Seating Assessment Service Description of Service Assessment and provision of equipment for people with a long-term mobility problems due to a permanent disability including: * manual wheelchairs for adults and children * buggies for young children * special seating for adults and children requiring postural management * powered wheelchairs for full-time wheelchair users * pressure relief cushions for full-time wheelchair users Who can refer Initial referral from GPs, physiotherapists and occupational therapists. Existing clients can self-refer District Nurses can refer for pressure relief cushions for fulltime wheelchair users How to make a routine referral By fax or post, on an appropriate wheelchair service referral form (available from the wheelchair service) Where to send the referral Wheelchair Service Bassetts House Broadwater Gardens Farnborough Orpington BR6 7UA Tel 01689 851438 Fax 01689 856473 How to make an emergency referral, if applicable No emergency service but priority given to * those patients who are terminally ill or have rapidly deteriorating conditions * facilitate discharge from hospital * maintain a client at home How to make out of hours contact with the service For emergency repairs to NHS wheelchairs Contact the contracted repairers Serco Health Tel 020 8665 9098 Location(s) of service The service is based in Farnborough and can be delivered in various locations. Clinics are held at the wheelchair service, at special needs schools, in day centres or clients may be seen in there own homes Service Lead Jill Craddock Bromley Wheelchair Service Bassetts House Broadwater Gardens Farnborough Orpington BR6 7UA Tel 01689 851438 Fax 01689 856473

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Addington Road Stanley House, 77 Addington Road, West Wickham BR4 9BG T: 020 84629696 Clinics: Chiropody and Podiatry Service | Continence Service (Bladder and Bowel Management) | Health Visiting Service

Beckenham Beacon 379 Croydon Road, Beckenham BR3 3QL T: F: Clinics: District Nursing | HIV/AIDS - Clinical Nurse Specialist | Speech and Language Therapy - Adults | Diabetes Specialist Nursing | Health Visiting Service | Speech and Language Therapy - Children | Contraception and Reproductive Health Service

Beckenham Clinic 14 The Crescent, Beckenham BR3 1DU T:020 8658 3035 F:020 8658 3398 Clinics: Chiropody and Podiatry Service | Health Improvement

Biggin Hill Clinic Recreation Ground, Biggin Hill TN16 3JR T:01959 575277 F:01959 573457 Clinics: Chiropody and Podiatry Service | Special Care Dental Services | Health Visiting Service | School Nursing Service | Contraception and Reproductive Health Service

Bromley North Clinic Station Road, Bromley BR1 3LP T:020 8460 1825 F:020 8460 8121 Clinics: Chiropody and Podiatry Service | Health Visiting Service | Speech and Language Therapy - Children

Chislehurst Road Clinic 55 Chislehurst Road, Orpington BR6 0DF T:01689 878442 F:01689 874309 Clinics: Chiropody and Podiatry Service

Eldred Drive Clinic Eldred Drive, Orpington BR5 4PE T:01689 837005 F:01689 834180 Clinics: Chiropody and Podiatry Service | Special Care Dental Services | Health Visiting Service | Speech and Language Therapy - Children | Contraception and Reproductive Health Service

Kennedy House Kennedy House, Murray Road, Orpington BR5 3QY T: 01689 866202 Clinics: Diabetes Specialist Nursing

Mottingham Clinic Kimmeridge Road, Mottingham SE9 4EB T:020 8857 6028 F:020 8851 0469 Clinics: Chiropody and Podiatry Service | Continence Service (Bladder and Bowel Management) | Special Care Dental Services | Health Visiting Service | Speech and Language Therapy - Children | Contraception and Reproductive Health Service

Penge Clinic 17/19 Oakfield Road, Penge SE20 8QA T:020 8778 8511 F:020 8776 6582 Clinics: Chiropody and Podiatry Service | Continence Service (Bladder and Bowel Management) | Special Care Dental Services | Dietetic Service (Community) | Health Visiting Service | School Nursing Service | Contraception and Reproductive Health Service

Phoenix Children's Resource Centre 40 Mason's Hill Road, Bromley BR2 9JG T:020 8466 9988 F: Clinics: Continence Service (Bladder and Bowel Management) | Child and Adolescent Mental Health Service - Tier 2 Psychology and Behaviour Management Service | Community Nursing Team - Children | Complex Communication Service | Dietetic Service (Community) | Occupational Therapy - Children | School Nursing Service | Speech and Language Therapy - Children

Princes Plain Clinic Princes Plain, Bromley BR2 8LD T:020 8462 1524 F:020 8462 7560 Clinics: Chiropody and Podiatry Service | Continence Service (Bladder and Bowel Management) | Special Care Dental Services | District Nursing | Health Visiting Service

St Paul's Cray Clinic Mickleham Road, St Paul's Cray Orpington T:020 8302 8322 F:020 8309 7929 Clinics: Chiropody and Podiatry Service | Continence Service (Bladder and Bowel Management) | Special Care Dental Services | District Nursing | Dietetic Service (Community) | School Nursing Service | Speech and Language Therapy - Children

The Willows Clinic Red Hill, Chislehurst BR7 6DA T:020 8467 1631 F:020 8467 1748 Clinics: Chiropody and Podiatry Service | District Nursing | Care Home Liaison Team | Dietetic Service (Community) | Health Visiting Service