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FAQs - Health Care Services

Child in thought
In this section of the website you will find frequently asked questions about particular issues or situations that affect children and young people and their parents. It is hoped that the answers to these questions will offer people useful information and advice, including links to other websites where appropriate.
Does my child have the right to refuse medical treatment?
If a child is deemed competent and has the ability to understand fully what is involved in the potential medical treatment, then they are considered able to give their permission.

However, a person with parental responsibility for a child can override their child's decision if they were to decline treatment. This decision would be taken and based in the best interests of a child.


Can I give aspirin to my 12 year old child?
No. Do not give aspirin to children under the age of 16 years. Always read the instructions given with any medicine very carefully. Keep all medicines out of the reach of children.


I am disabled and find it difficult to use public transport. Is there help available with this?
Yes. If you are a resident of the Borough you may be able to register for the door-to-door transport service that operates 7 days a week. There is an annual fee for the use of this service. Check out the services in this section for more information.


What are Eating Disorders?
Warning signs of an eating disorder are missing meals or eating very little;weight loss or unusual weight change;becoming preoccupied with food;excessively exercising;going to bathroom immediately after meals;believing they are fat when underweight;food disappearing from cupboards;using laxatives and vomiting to control weight - all could indicate an eating disorder.
If you are concerned that your child may have an eating disorder, talk to them about your concerns. Visit your GP who will be able to advise you about specialist help and arrange a referral if necessary.

For further information please see the Safe Parenting Handbook by visiting http://www.redcar-cleveland.gov.uk/childprotection

For further advice you could contact the following helplines and websites.

Beating Eating Disorders 0845 634 1414 or visit http://www.b-eat.co.uk
Young Minds 0800 018 2138 http://www.youngminds.org.uk
NHS Direct 0845 4647 http://www.nhsdirect.nhs.uk


Why is it dangerous to my health if I have an Eating Disorder?
Food and eating is very important because it is essential to your health, growth and development. There are many aspects of your health and fitness that can be affected by an eating disorder (either under or over-eating). If your body is getting the wrong balance of nutrients, vitamins, fats etc then this can have serious and even dangerous consequences for your health.


My child is going into hospital. Can I stay there?
You can stay with your child in hospital and it is usually better for them if you do. It can be a difficult experience for a child in hospital, and even a bit scary for them when they are not familiar with the surroundings. Make sure you speak with staff at the hospital so they can make the necessary arrangements for you to stay.


How do I register with a GP?
You can register with a GP by looking up your local GP surgery and giving them your medical card details. If you don't have a medical card you should fill in form GMS1, which should be available at the surgery. Once you've been accepted as a patient, your medical records will be transferred to the new surgery and you'll be sent a new medical card.

There are a number of reasons why you may not be able to register with your chosen GP. For example, the practice may be full or you may live too far away. If this is the case, simply choose another GP in your local area.

To find you local GP go to: www.nhsdirect.nhs.uk/find/results/index.aspx


How can I reduce the risk of cot death?
Cot death or Sudden Infant Death Syndrome (SIDS) is becoming more and more rare. The majority of deaths occur in babies under six months old. There are no clear warning signs so preventation is crucial.
For information and advice please refer to the Safe Parenting Handbook by visiting www.redcar-cleveland.gov.uk/childprotection
You can also contact the following:-

For advice from your local Health Visiting team please contact:-

Health Visiting and School Nursing - West (covers Eston, Grangetown, Normanby,South Bank, Nunthorpe, Teesville, Ormesby and Overfields)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

Health Visiting and School Nursing - East (This service covers Boosbeck, Brotton, Carlin How, Charltons, Guisborough, Lingdale, Loftus,
Saltburn, Skelton and Skinningrove) http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=469A9195AB94DD9C80257375003C58F2

Health Visiting and School Nursing - Central (This service covers Marske, New Marske,Redcar and Saltburn)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

NHS Direct 0845 4647
Child Death Helpline 0800 282986



When are vaccinations given?
Most vaccinations are given during childhood. Some are given more than once to make sure the protection continues this top-up is called a booster. Childhood vaccinations usually follow this timetable:

The recommended timetable for childhood vaccinations is

At 2 months old:
  • Diptheria, tetanus, pertussis (whooping cough), polio and Hib (DTaP/IPV/Hib)
  • Pneumococcal conjugate vaccine (PCV)
At 3 months old:
  • Diptheria, tetanus, pertussis (whooping cough), polio and Hib (DTaP/IPV/Hib)
  • Meningitis C
At 4 months old:
  • Diptheria, tetanus, pertussis (whooping cough), polio and Hib (DTaP/IPV/Hib)
  • Meningitis C
  • Pneumococcal conjugate vaccine (PCV)
At 12 months old:
  • Hib
  • Meningitis C
At around 13 months old:
  • Measles, Mumps and Rubella (MMR)
  • Pneumococcal conjugate vaccine (PCV)
3 years 4 months to 5 years old (pre-school):
  • Diphtheria, tetanus, pertussis (whooping cough) and polio (DTaP/IPV)
  • Measles, Mumps and Rubella (MMR)
13 to 18 years old:
  • Diphtheria, tetanus and polio (Td/IPV)
For further information, contact your Health Visitor.


How can I find an NHS dentist?
Many people have difficulty in finding a dentist who provides NHS treatment.

If you want NHS dental treatment, you will first need to find out which dentists in your area provide NHS treatment, and then find one who is prepared to accept you for a course of treatment as an NHS patient.
Some dentists do not provide NHS treatment, or only provide treatment to certain groups of people, for example children, or people getting benefits or tax credits.

Not all dentists who provide NHS treatment have to take you on as an NHS patient. If they are unable to take you on, they should tell you that you can go to another dentist.

You don't have to register with a dentist in order to get NHS treatment, but your dentist may keep a list of regular patients and provide ongoing treatment and care.

Under certain circumstances, your dentist may discontinue a course of treatment. This could happen, for example, if you don't cooperate with treatment or if you fail to turn up for lots of appointments. Where violence, or the threat of violence occurs, your dentist could discontinue treatment straight away, without any advance warning.

To find a list of dentists who do NHS work in your area:
in England, phone NHS Direct on: 0845 4647, or look on their website at: www.nhsdirect.nhs.uk


What is Postnatal Depression?
The birth of a baby is an emotional experience and, for many new mothers, feeling tearful and depressed is also common.
However, sometimes longer periods of depression known as postnatal depression can occur during the first few weeks and months of the baby's life.

For more information visit www.nhsdirect.nhs.uk
For support visit www.apni.org (Association for Post-Natal Illness)
For helpline call Mama Postnatal Depression helpline on 08451 203746 Mon - Fri 7.00pm - 10.00pm


What can I do if my child is overweight?
You could help your child by getting them to eat more healthily at home, develop an active family lifestyle and limit low energy activities.
The following websites may also be useful www.nhs.uk/change4life.co.uk or fruits&veggiematter.gov.uk.
If you are worried about a pre-school or a school aged child you can contact your local health visiting and school nurse team who will be able to offer help and advice.
For advice from your local Health Visiting and School Nursing services in Redcar and Cleveland please visit links below

Health Visiting and School Nursing - West (covers Eston, Grangetown, Normanby,South Bank, Nunthorpe, Teesville, Ormesby and Overfields)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

Health Visiting and School Nursing - East (This service covers Boosbeck, Brotton, Carlin How, Charltons, Guisborough, Lingdale, Loftus,
Saltburn, Skelton and Skinningrove) http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=469A9195AB94DD9C80257375003C58F2

Health Visiting and School Nursing - Central (This service covers Marske, New Marske,Redcar and Saltburn)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A






What temperature is a 'fever' in children?
Your child may have a fever if they are flushed or feel hot and sweaty and if their temperature is over 38C or 100.4F
Visit your child's Doctor or contact the NHSDirect Helpline which is 0845 4647.


Where can I get help and advice about teenage pregnancy?



My baby constantly cries, what can I do?
You baby could be crying for many different reasons:
  • feeling too hot or cold
  • colic or wind
  • needing a nappy change
  • feeling bored and wanting company
  • being upset and wanting a cuddle
  • getting overstimulated
  • wanting to be held
  • feeling pain
Seek advice from your health visitor or GP if your baby's crying seems unusual, or if it goes on and on and you're unable to comfort him.

For contact details of your local Health Visitor please see the following website links for Health Visiting and School Nursing services in Redcar and Cleveland:-

Health Visiting and School Nursing - West (covers Eston, Grangetown, Normanby,South Bank, Nunthorpe, Teesville, Ormesby and Overfields)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

Health Visiting and School Nursing - East (This service covers Boosbeck, Brotton, Carlin How, Charltons, Guisborough, Lingdale, Loftus,
Saltburn, Skelton and Skinningrove) http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=469A9195AB94DD9C80257375003C58F2

Health Visiting and School Nursing - Central (This service covers Marske, New Marske,Redcar and Saltburn)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A





My child suffers with eczema, what is the best treatment?
Emollients are oily treatments in creams or added to bath water, which help keep the skin soft. Steroid creams may be used to calm inflammation and reduce itchiness, although care must be taken with long term use.
Other medications such as antihistamines, are sometimes used. Measures to reduce irritation such as cool baths, cotton clothing and mittens to cut down scratching can reduce risk of infections.
For help and advice visit www.eczema.org
For more information contact www.nhsdirect.nhs.uk


What is thrush?
Thrush is a yeast infection. Although its more common amongst girls, boys can also get the infection.
For girls thrush usually causes itching, irritation, discharge, redness and swelling around the vagina.
For boys symptoms included red, sore itchy penis.
Thrush is not a sexually transmitted disease, however, it can be passed through sex if you don't use a condom for protection.
If you think you have thrush you can visit your local Doctor or click onto NHS website www.nhsdirect.nhs.uk or call the NHS Direct Helpline on 0845 4647
To treat thrush you can visit your local pharmacy for over the counter creams and tablets.
For details of Sexual Health Clinics in your area please visit http://www.nhs.uk/conditions/sexual-health-clinics/Pages/Definition.aspx
Thrush can also be common in healthy babies under two years old, for futher information please visit the NHS direct website or alternatively you can seek help and advice from your local Health Visitor for contact details please visit website links below:-

Health Visiting and School Nursing - West (covers Eston, Grangetown, Normanby,South Bank, Nunthorpe, Teesville, Ormesby and Overfields)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

Health Visiting and School Nursing - East (This service covers Boosbeck, Brotton, Carlin How, Charltons, Guisborough, Lingdale, Loftus,
Saltburn, Skelton and Skinningrove) http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=469A9195AB94DD9C80257375003C58F2

Health Visiting and School Nursing - Central (This service covers Marske, New Marske,Redcar and Saltburn)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A


What is asthma and what are its symptoms?
Asthma is a breathing disorder. It has an affect on the small airways that carry air in and out of your lungs, by making them swollen or constricted. This can cause coughing and wheezing, sufferers can experience tight feelings in their chest during an asthma attack.

The main symptoms of asthma are wheezing, coughing, shortness of breath and a tight feeling in the chest usually only occur during an attack.
If left untreated an asthma attack can be extremely serious.
For more information and advice visit www.asthma.org.uk or www.nhsdirect.nhs.uk


How can I see my Doctor without my parents knowing?
You can make appointment at your GP surgery or go to a NHS walk-in centre without an appointment. Alternatively, if you'd like to talk to a nurse for advice right now, you can call the NHS Direct Helpline 0845 4647.


Where is my nearest hospital?
For details of your nearest hospital visit http://www.nhsdirect.nhs.uk


According to the Doctor my child needs to lose weight. How can I stop my child gaining weight? I am worried he/she is becoming obese and unhealthy.
Some really helpful information can be found on the Parents section of the www.direct.gov website and includes a link to a calculator which will help you work out if your child's weight is a health risk. It also includes a link to a leaflet specially designed for parents on the importance of a healthy weight for children and steps parents can take to help their child lead a healthy lifestyle. There are some 'top tips for top mums' on the www.5aday.nhs.uk website which give really simple practical advice on ways you can get your child to eat more fruit and vegetables.
If you are really concerned, you should also make an appointment to talk your GP, and, if your child is at school, the school nurse will also be able to help.
If you are worried about a pre-school or a school aged child you can contact your local health visiting and School Nurser team who will be able to offer help and advice. The following websites may also be useful www.nhs.uk/Change4life or www.fruits&veggiematter.gov
Alternatively try the NHS Direct Helpline 0845 4647.

For advice from your local Health Visiting and School Nursing services in Redcar and Cleveland please visit links below

Health Visiting and School Nursing - West (covers Eston, Grangetown, Normanby,South Bank, Nunthorpe, Teesville, Ormesby and Overfields)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

Health Visiting and School Nursing - East (This service covers Boosbeck, Brotton, Carlin How, Charltons, Guisborough, Lingdale, Loftus,
Saltburn, Skelton and Skinningrove) http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=469A9195AB94DD9C80257375003C58F2

Health Visiting and School Nursing - Central (This service covers Marske, New Marske,Redcar and Saltburn)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A





What are Healthy Start Vouchers?
Families on certain benefits can get free milk, fruit and vegetables.
With Healthy Start you can get free vouchers every week which you swap for milk, fresh fruit, fresh vegetables and infant formula milk. You can also get free vitamins
The value of the weekly vouchers is £3.00. To find out if you qualify or to apply. Please visit website for more information
www.healthystart.nhs.uk


What is Disability Living Allowance (DLA)?
Disability Living Allowance - sometimes referred to as DLA is a tax free benefit for children and adults who need help with personal care or have walking difficulties because they are physically or mentally disabled. For more information call the helpline: Disability Living Allowance/Attendance Allowance Helpline Telephone 08457 123 456 (Lo-call Rate) Textphone: 08457 224 433 (Lo-call Rate) or visit www.direct.gov.uk


What is NHS LifeCheck?
NHS LifeCheck is an online health service that will help people assess and manage their own health through the major life stages and beyond. It will inform, empower and support people, to help them change their lives so that they can be healthier, and live longer.

NHS LifeCheck is for everyone, particularly those from the most deprived communities. It provides information and practical advice, supporting people in making small changes that make a big difference to future health and well-being. For more information visit: www.nhs.uk/lifecheck & www.nhs.uk/teenlifecheck


Where did NHS LifeCheck come from?



How does the NHS LifeCheck work?
Each NHS LifeCheck takes the user through a four-step process:

1. a straightforward and confidential lifestyle assessment questionnaire that covers topics such as emotional well-being, smoking, diet and exercise. 2. clear results are produced and specific feedback given about how identified health risks may affect the persons health and longevity. 3. NHS LifeCheck then encourages users to think about modifying their day-to-day behaviour and assists them in planning for change by setting realistic and motivating personal goals, with the option of personal reminders.

4. a save and return facility gives users the freedom to return and review their results at their leisure, with the option of planning for change in a different lifestyle area.



For more information please visit: www.nhs.uk/lifecheck & www.nhs.uk/teenlifecheck



How does NHS LifeCheck help to reduce health inequalities?
NHS LifeCheck has been developed to help reduce health inequalities through targeted use in areas of deprivation. A £5.8 million frontline resourcing package has been deployed through the Communities for Health programme to 83 of the most deprived local authority and Spearhead areas in England. In these areas, NHS LifeCheck can be used to encourage people at highest risk of ill-health, caused by lifestyle choices, to do a personal LifeCheck and act on the results.

NHS LifeCheck will support wider health improvement by directing a person to local services or recommending they seek advice from a health care professional. For example, information on services such as smoking cessation groups and health improvement opportunities in the local community will be provided. Users will also be able to print their results and goals and take them to their GP or health professional to use as the basis for a consultation.

Each NHS LifeCheck focuses on risk factors specific to three key stages of life: early years, adolescence and mid-life. These risk factors are things that people can control and modify to improve their overall health and well-being.

Risk factors that have been identified as key priorities for health improvement are:
  • Smoking
  • Healthy eating
  • Physical activity
  • Alcohol use
  • Sexual health
  • Mental health and emotional well-being
For more information visit: www.nhs.uk/lifecheck & www.nhs.uk/teenlifecheck


When will NHS LifeCheck be available?
To ensure maximum penetration in hard to reach areas, both the NHS Early Years and Teen LifeChecks are being promoted initially in 83 Communities for Health areas from late 2008. Following a high-profile marketing campaign, both tools will then be promoted across the rest of England from early 2009. The NHS Mid-life LifeCheck is expected to go to open pilot in early 2009, with national roll-out later in the year.
For more information visit: www.nhs.uk/lifecheck & www.nhs.uk/teenlifecheck


Where can people access NHS LifeCheck?
NHS LifeCheck is initially being developed as an internet-based tool, which can be accessed by the public via the NHS Choices website at www.nhs.uk/lifecheck

It is intended that people will be able to access NHS LifeCheck in a variety of settings including local surgeries, pharmacies, voluntary organisations, leisure and community centres, childrens centres, sheltered housing and schools.

NHS LifeCheck can be done alone or facilitated by a healthcare professional, friend or family member. All you need is a computer that is connected to the internet


Where can I get more information about NHS LifeCheck?
For more information about NHS LifeCheck please visit www.dh.gov.uk/lifecheck or email your questions to lifecheck@dh.gsi.gov.uk


I am eligible for the Health in Pregnancy grant?
If your expected date of delivery is on or after 6th April 2009, and you are at least 25 weeks pregnant, then YES you can make a claim.

From April 2009, you can claim a one-off, tax-free payment from H M Revenue & Customs (HMRC) if you're a mum-to-be who's at least 25 weeks pregnant. The payment is called 'Health in Pregnancy Grant' and is to help you prepare for the birth of your baby.

Your due date needs to be on or after 6 April 2009 for you to make a claim.

Who can get Health in Pregnancy Grant?

You can get the grant if all of the following apply:

  • you are 25 weeks pregnant or more
  • your expected date of delivery is on or after 6 April 2009
  • you have been given health advice from a midwife or doctor
you may not get the grant if:
  • you are subject to immigration control or
  • you are not present, ordinarily resident or have a right to reside in the UK
How much do you get?

The grant will be a one-off payment of £190 for each pregnancy. It will not affect your tax credits or any other benefits. Everyone will get the same amount you will not be asked about your income.

How do you claim?

Get a claim form from your midwife or doctor any time from 1 January 2009 onwards - as long as you're at least 25 weeks pregnant and your expected delivery date is on or after 6 April 2009. Your midwife or doctor must fill in their part of the form and sign it before giving it to you.

You will need to get your claim form to HMRC within 31 days of your midwife or doctor signing the form - otherwise you may miss out on the grant.

You can get a free text message or email reminder to help you remember to claim if you are not 25 weeks pregnant yet.




I wish I knew where I could breastfeed my baby when I'm out and about?
Breastfeeding is completely natural and 85% of people do not find breastfeeding in public offensive. However, if you are still worried about this, there are a number of breastfeeding friendly venues that you can visit. These are all shown in the attachment below. For further advice about breastfeeding contact: Lisa Bell, Health Trainer - Breastfeeding and Infant Nutrition, Telephone 01642 838003 or your local Midwife or Health Visitor.

4584 breastfeed booklet.pdf
Useful websites for further information http://www.breastfeeding.nhs.uk
Useful helplines National Breastfeeding Helpline 0300 100 0212, La Leche League 0845 1202918, NCT Breastfeeding line 0870 4448708

For further details on the Health Visiting and School Nursing services in Redcar and Cleveland please visit links below

Health Visiting and School Nursing - West (covers Eston, Grangetown, Normanby,South Bank, Nunthorpe, Teesville, Ormesby and Overfields)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

Health Visiting and School Nursing - East (This service covers Boosbeck, Brotton, Carlin How, Charltons, Guisborough, Lingdale, Loftus,
Saltburn, Skelton and Skinningrove) http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=469A9195AB94DD9C80257375003C58F2

Health Visiting and School Nursing - Central (This service covers Marske, New Marske,Redcar and Saltburn)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A



Does your home need warming up? Do you suffer from a disability or long term illness made worse by living in a cold house?Do you need help or guidance with your utility bills?
Warm and Well in Redcar and Cleveland could help you by offering the following:

Benefit Check - This can help to maximise your income , and receipt of certain benefits qualifies you for an energy efficiency grant - especially if you are on a low income with dependent children or are elderly, have a disability or long-term illness.

Home Energy Efficiency Assessment - this determines the energy efficiency measures your home requires to make it warmer and healthier to live in. It's a simple survey that does not take too long.

Grant for Energy Efficiency Measures - if you receive benefits, you may be eligible for free insulation and measures under the Government's grant schemes. We will assist in the application process and make sure things run smoothly.

Able to pay Schemes - if you do not qualify for a grant we can help you find an affordable option for you to achieve the energy efficiency measures you need for a warmer, healthier home.

Utility Bill Advice - We can provide bill explanations, give advice on tariffs/payment methods and help you choose the right supplier for your needs.

To apply or for further information please contact Warm and Well in Redcar and Cleveland on 01642 777976.


What is Aspergers Syndrome?
Hans Asperger first described what is now called Asperger syndrome. It is a form of autism and is used to describe people at the higher functioning end of the autistic spectrum. It is a life-long condition and is more commonly diagnosed in males than females. See the attached PDF for more information:

Asperger Syndrome[1].pdf


Are the records of people with a learning disability confidential?
People with a learning disability have the right to confidentiality. People with a learning disability should be involved or consulted in decisions which have the effect of disclosing or passing on confidential information about them. There is no single law of privacy in the UK. There are several overlapping laws, which provide protection overaspects of confidentiality. The three areas of law that deal with confidentiality are: Common Law, Human Rights, Act Data Protection Act.

CAANWFDY..pdf


What is cerebral palsy?
Cerebral palsy is a physical condition that affects movement of the body. It can affect the ability to move at all, or to control or stop movement. The severity of movement can vary from being very mild so that it can hardly be seen, to being so severe that a person has virtually no control over their movement, or can be somewhere on a scale in between. Cerebral palsy is not a learning disability in itself, although a number of people with cerebral palsy may also have a learning or behavioural disability as well as another condition, syndrome or disability. Cerebral Palsy itself is a lifelong condition that can not be cured. However the effects of Cerebral Palsy on the body and muscles can improve with the input of therapy e.g. physiotherapy, or may deteriorate with ageing.

Cerebral Palsy[1].pdf


What problems can people with a learning disability have with their diet?
People with a learning disability have a greater incidence of health problems. It is well established that they are nutritionally vulnerable.1 Studies investigating weight status in people with a learning disability have found that there are greater proportions of both overweight and underweight people with a learning disability than in people who do not have a learning disability2. Historically many people with a learning disability lived in long stay hospitals and many nutritional problems have been found in these people. These problems can include the following: Underweight. This leads to less resistance to infections and less resistance to pressure sores. Overweight Constipation Dehydration SpecificDehydration Specific nutrient deficiencies.3 Many people who used to live in these institutions have now moved to the community. A move to the community can bring nutritional improvements if care staff are trained in nutrition and understand their clients special needs.

Diet and people with a learning disability[1].pdf


What is the Disabled facilities Grant?
Disabled Facilities Grants are paid to cover the costs of adapting a property to allow a person with a disability to continue living there. They are paid by your local council, which must approve the work before any grant is awarded. An occupational therapist, Home Improvement Agency (HIA), local Environmental or Housing Departments can also advise on what adaptations may be appropriate. You must find out what work is required and how much it will cost before applying. Some councils keep a list of approved builders and architects.

Disabled Facilities Grant[1].pdf


What is Autism?
Autism is a lifelong developmental disability that affects the way a person communicates and relates to people around them. People with autism have difficulties with everyday interaction. You can see more information from The National Autistic Society on the following website:

www.nas.org.uk


What is Attention Deficit Hyperactivity Disorder - ADHD?

Attention deficit hyperactivity disorder (ADHD) is defined by two broad groups of behavioural problems: inattentiveness, and a combination of hyperactivity and impulsiveness. Common symptoms within these groups include a short attention span, restlessness, being easily distracted, and constant fidgeting.There is no cure for ADHD, but it can be managed using medication. There are several medical treatments for ADHD, all of which should be accompanied by psychological, educational and social therapies.

For more information visit:

www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder




Do Children grow out of ADHD?
The more help a child gets, right from the start, the more likely they are to go on to lead positive and successful lives. The longer hyperactivity or behavioural problems go on, the greater the chance of both school and family reacting against the child, and the child reacting against them. School and family environment have an enormous influence on the way a child grows up. People who were hyperactive as children do sometimes go on to have problems in adult life. These tend to be around self-organisation, organising their thoughts and sustaining focus.

Although it's hard to generalise, because of all the different kinds of behaviours included under ADHD, it's clear that many children do grow out of their problems. There's no reason to assume that your child won't.

For more details Visit: www.mind.org.uk




Can children get arthritis?
The answer is yes and the name for it is Juvenile Idiopathic Arthritis. It is defined as inflammation of one or more joints for at least three months in a child under the age of 16 years in whom other known causes of arthritis have been excluded. These other causes of arthritis include septic arthritis, where there is direct infection of the joint; reactive arthritis, where an infection elsewhere in the body results in inflammation of joints; and connective tissue diseases, such as Systemic Lupus Erythematosis (SLE or Lupus).

More information can be found at: www.ccaa.org.uk


My child is a fussy eater and it is difficult to get him/her to eat, what can I do?
For help and advice please call your local health team consisting of Health Visitors, Community Nursery Nurses, School Nurses and School Nurse Assistants.

For further details on the Health Visiting and School Nursing services in Redcar and Cleveland please visit links below

Health Visiting and School Nursing - West (covers Eston, Grangetown, Normanby,South Bank, Nunthorpe, Teesville, Ormesby and Overfields)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

Health Visiting and School Nursing - East (This service covers Boosbeck, Brotton, Carlin How, Charltons, Guisborough, Lingdale, Loftus,
Saltburn, Skelton and Skinningrove) http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=469A9195AB94DD9C80257375003C58F2

Health Visiting and School Nursing - Central (This service covers Marske, New Marske,Redcar and Saltburn)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

The following website may be useful www.useful.gov.uk


I am concerned about my childs eyesight that he/she may have a squint, what should I do?
Eyesight problems can be passed down in families so it is worth detecting problems early so they can be monitored and corrected.
For children under the age of 5 see your GP for a referral to the hospital optician.
The School Nurses perform a check on children at school entry at 5 years old.
For further details on the Health Visiting and School Nursing services in Redcar and Cleveland please visit links below

Health Visiting and School Nursing - West (covers Eston, Grangetown, Normanby,South Bank, Nunthorpe, Teesville, Ormesby and Overfields)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A

Health Visiting and School Nursing - East (This service covers Boosbeck, Brotton, Carlin How, Charltons, Guisborough, Lingdale, Loftus,
Saltburn, Skelton and Skinningrove) http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=469A9195AB94DD9C80257375003C58F2

Health Visiting and School Nursing - Central (This service covers Marske, New Marske,Redcar and Saltburn)
http://www.redcar-cleveland.gov.uk/family.nsf/Service?readform&id=D76898B136668C4580257377002EEE4A





Does it matter whether you get a diagnosis of disability for your child or not?
Not having a diagnosis may matter very much to you as a parent and it may matter to your child as they get older, so they can understand why they can't walk or see or have an impairment. However, for many practical purposes, it doesn't make any difference whether you have a diagnosis or not. This is because:
  • Treatment, therapy or teaching should be tailored to your child's needs, not to the name of their condition.
  • You're entitled to have a social services assessment of your child's needs and of your needs as a parent or carer, whether your child has a named diagnosis or not.
  • You're entitled to receive benefits such as Disability Living Allowance on the basis of the difficulties that your child has and the support they need. Entitlement does not dependon being able to name the disorder your child has.
  • Your child is entitled to have an extra or different support to help them at school, if they need it. This does not depend on knowing the cause of their learning difficulties.

For more information visit: www.earlysupport.org.uk


Where can I get support if I don't know why my child needs help?
Many areas in the UK have a local parents' support group where families' of children with all kinds of disabilities come together for mutual support and contact. It might be helpful to find out if there's one near you. Even if you had a diagnosis, it's unlikely that another child in the group would have the same condition. However, a lot of issues you face on a day-to-day basis will be familiar to other parents and they often have practical advice to share. Local groups have the advantage of meeting regularly and locally, which can be important in providing a support network, if you need one. Another advantage is that other members can pass on information about support and services that are available in your area and that they have already used.

For more information please visit: www.earlysupport.org.uk


Why Is It So Hard to Get a Diagnosis for Disabilities?
There are many things that can cause disability in a child. Difficulties during pregnancy, prematurity, genetic conditions or trauma during birth itself can all be relevant. In some cases it's impossible to single out a specific cause - especially where children have a range of health problems that do not fit easily into any known syndrome. A syndrome is a characteristic pattern, or group of symptoms, which often appear in combination with one another.

Some children have a rare disorder, which may only affect a handful of other children across the country or perhaps none at all. It's harder for doctors to diagnose a condition they've never seen before, and where there are very few studies which would make it possible to compare the features of your child's difficulties with other cases. Many conditions have quite similar features and symptoms, which can also make it hard to be specific about your child's particular condition.

Soem features may not appear until your child id older, when it will become more obvious that they are affected by a particular syndrome or disorder. More and more syndromes are being discovered each year, so it may be that a diagnosis will be achieved for your child in the future, even if it does not seem to be possible now.

If you feel strongly that all avenues to getting a diagnosis have not been explored, you should certainly discuss this with your child's doctor and request a second opinion. But sometimes everything that can be done has been done and you are still left with no diagnosis.

For more information please visit: www.earlysupport.org.uk


Who do I contact for advice as I think my child may have a hearing problem?
The Hearing Impaired Service is an educational service based in Middlesbrough, which provides support for children and families who live in Redcar & Cleveland and other Tees Valley local authorities. The service is staffed by Teachers of the Deaf who are specially trained in working with children who have an educationally significant hearing loss or auditory processing disorder. It supports children and young people up to the age of 19 years old. The service accepts referrals from Ear Nose and Throat consultants, paediatric audiologists and GPs. Parents should contact their GP in the first instance. Further details are available by following this link:
http://www.mgrid.org.uk/ccm/navigation/parents-carers/hearing-impaired-service/


Where can I get further support with breastfeeding?