Services

Children's Speech and Language - Eating, Drinking and Swallowing - NORTH ONLY UPDATED

Introduction

Please refer to the screening criteria and ensure all relevant parts of the referral form are completed or your referral may not be accepted.

Referrals from professionals are required to have appropriate supporting evidence including observation of the baby/child eating, drinking, and swallowing, detail of the presenting difficulties AND evidence of previous advice and targeted support provided and impact of this.

Child's Details

If contact details are incorrectly input where mandatory the referral cannot be processed

                                                                            Optional Attachment
                                                                              Referral

                                                                                    Please provide supporting evidence of recent observation of eating, drinking and swallowing including any risk signs/red flags noted. 

                                                                                    • Risk signs/red flags noted when eating, drinking, and swallowing such as 

                                                                                      • possible signs of aspiration eg frequent coughing when eating, drinking, and swallowing; wet, “ruttly” sounding breath or voice; colour changes to skin/ around mouth, breathlessness; eye watering;

                                                                                      • respiratory changes during eating, drinking, and swallowing

                                                                                      • repeated chest infections (non-viral)

                                                                                      • signs of distress when eating, drinking and swallowing such as grimacing, /rapid blinking/pulling back

                                                                                    • Clear oro-motor feeding difficulties such that child cannot suck/bite/chew at level appropriate for age

                                                                                    • Sensory-aversive behaviours around food/drink in a child under 18 months

                                                                                    Please detail the presenting difficulties and concerns including any appropriate information regarding foods offered/food consistencies/bottle/cup drinking/utensils. 

                                                                                    Please detail any targeted advice and support previously given and impact of this. 

                                                                                      Information Required

                                                                                                  The referral will now be forwarded to the SLT team who will review the information. You will be informed of the outcome of this referral. Thank you.