About children and young people's occupational therapy in Enfield

image of PEO model

As Occupational therapists we view occupation as the tasks or activities an individual chooses to do or has to do within their day. It can be everything from getting ready in the morning, managing school activities, to engaging in chosen leisure activities.

When you get referred for Occupational therapy, the OT will work with you and your child to determine which occupations your child is experiencing difficulties with and help by discussing/demonstrating strategies and recommendations to increase independence in these areas. This is done by observing the child’s engagement within the identified Occupation and the Environment. OTs will look at how we can adapt the Occupation and or Environment to support the child to engage whilst considering the child likes, dislikes, strengths, and abilities. We do not seek to change the child but rather to change the Occupation and the environment to support the child’s engagement in order to develop their skills. The better the fit between person, occupation, and environment, the bigger the opportunity for Occupational engagement.

Occuaptions can be divided in to the following three criteria:

Self-Care:

This includes everything from getting dressed and brushing teeth and toileting to using cutlery and engaging in age-appropriate meal prep activities. As children get older this also includes skills of money management, accessing public transport safely and engaging in household chores.

School based skills:

Think of all the skills needed for successful participation in a school day. This includes handwriting, scissor skills, organisational skills, attention to tasks and sequencing of steps.

Play/leisure:                                                                            

Play is the largest occupation for children and can help children develop hobbies and interests. Being able to engage with their hobbies, play sports and develop play skills all fall under this domain. This can also include assessing their development level in terms of their play skills and ways to support their engagement in play. 

 

Children must live within the borough of Enfield or be registered with an Enfield GP. They must be aged between 0-18 years.

Unfortunately we are not commissioned to see children who attend an Enfield school but do not live in the borough nor have an Enfield GP. These children need to be referred to their home borough’s NHS Occupational Therapy service. If your child attends an Enfield Special School please access your school's OT service through the school.

Referrals for home equipment or housing adaptations need to go to Enfield Local Authority Social Services Children's Occupational Therapy Team. Please check the Enfield council website for information on their service. 

Refer a patient

Referrals to children’s Occupational Therapy are accepted from:

  • registered health professionals (paediatricians, GPs, health visitors, school nurses, physiotherapists, speech and language therapists)
  • school SENCOs (Special Educational Needs Coordinators)

Referrers should fill out the Occupational Therapy referral form. Please call the OT admin on 020 4553 7704 or email northmid.enfieldchildrenstherapies@nhs.net to request a referral form.

Following receipt of the referral an acknowledgment letter is sent to the referrer and parents (if you do not get a letter after four weeks, please call the department to confirm the referral was received). 

Other Enfield Services

Please see below for other Enfield Services that provide support to children with additional needs and thier families. 

 

Enfield local offer:

Enfield's local offer provides help and support to children and young people with special educational needs and disabilities (SEND), and their families. They offer a wide range of services for parents and carers, as well as young people who want to live as independently as possible. The SEND spotlight below shows upcoming events and information.Enfield's local offer for SEND | Enfield Council

 

Enfield Council children’s Occupational therapy service:

This service comes under the Adults social care service however they do have a department for children. This service can provide advice and support regarding home adaptions and equipment such as specialist seating, bath aids, ramps etc. You can self-refer to this service via  Visit the website, scroll down and select drop down ‘children’s services (under 18), click ‘make a referral’ and complete the form online. Alternatively upi can call the department on 0208 379 1001/5555

 

Enfield Advisory service for Autism (EASA):

You can access this service if your child is Autistic or on the diagnostic pathway for Autism. You can self-refer via the website www.enfieldasa.org.uk. The website has some great resources that parents can access. You will also find details on other parent supports such as coffee mornings and trainings. They also provide support and trainings to school. They have various professional that sit within the team including an Occupational Therapist.

 

Enfield communication advisory support service (ECASS):

This is a multidisciplinary service for children with speech, language, and communication needs. They have resources available on their website and provide training for both schools and parents. You can book on to training via the website www.ecass.org.uk/parent-training

     

Enfield SENDIAS Service:

The Enfield Special Education Needs and Disability Advice and Support service is available to Enfield resident aged 0 – 25 with special educational needs. This is a service that can provide support with many different things including EHCP applications, support with filling in documents, mediation and supporting in meetings with school, to name a few. To contact email:  sendiassenfield@centre404.org.uk  or call 07494280063.

 

Enfield carers centre:

This is a local charity providing information, advice, training and other support services to people looking after someone who lives in Enfield. This service provides a wide range of supports such as Information & Advice, Care-At-Home Services, Counselling, Support Groups, Training, Carers’ Breaks, Young Carers Evening Hubs and Homework Clubs and a GP or Hospital Liaison service. Visit their website on www.enfieldcarers.org

 

Enfield children and family hub:

Have a look at the Enfield council website to gain more information on other services within Enfield area. This includes information on supports available such as: support for behaviour, early years support services, parenting programmes, child centre support. https://cp.childrensportal.enfield.gov.uk/web/portal/pages/enfieldinfo

 

Enfield children’s centre hub: 

Provides opportunities for families with children under 5, to learn, develop and have fun. It’s a place for families to attend free courses and sessions. The Children’s Centre brings together a wide range of services and support for families with young children. www.ccenfield.org

 

Other General Service

NHS Greater Glasgow and Clyde website: NHSGGC have developed a fantastic website with great resources including resources specific to the 3 main areas of Occupation- self-care, school and play/leisure. www.nhsggc.org.uk/kids/healthcare-professionals/paediatric-occupational-therapy/

 

National autistic society: NAS is a fantastic resource to access to find out more about Autism, support groups, support on common difficulties and training. Visit www.autism.org.uk. There is also a Enfield NAS branch which provides information on events happening within Enfield area enfieldnas.org.uk

 

EI smart: This is a great resource for families with high risk infants. They have support for prents and lovely resources on how to support your infant. Home - Ei SMART

 

ERIC The children’s bowel and bladder charity: ERIC is a national charity that provides support on improving children’s bowel and bladder health. They have some lovely resources on supporting children with various toileting concerns including supporting a child with SEN to toilet train. www.eric.org.uk

 

Bladder and bowel UK: Have resources to support with common bowel and bladder concerns for children such as toilet trainings, bed wetting, toileting for children with Special educational needs. www.bbuk.org.uk

 

Cerebra: This is a service that provides support to children with brain conditions and their families. Services include sleep advice, toy and book library and other supports such as how to access DLA. Visit their website www.cerebra.org.uk