Children’s therapies
Welcome to Childrens Therapies
Our teams work with children, young people and their families and carers to maximise their health, function, participation and independence
Please click here for more information about other Therapy services https://www.airedale-trust.nhs.uk/service/therapies/ and our Allied Health Professions.
Who we are
Airedale Children’s Therapies is an integrated team of Speech and Language therapists, Physiotherapists and Occupational therapists
Together with Assistant practitioners, Therapy Assistants and our dedicated administration team, they deliver evidence-based service pathways across our local area for children and young people.
Who we work with
Our service pathways are for children and young people aged 0-18 (19 in some circumstances). We liaise closely with other teams for those with complex needs and with adult neurorehabilitation services and others to enable smooth transition to adult services.
For young people aged 19-25 with SEND where there is no identified adult service, assessment of needs and support is considered and delivered on a case-by-case basis if appropriate.
We work closely with our health, social care colleagues at the Trust and across Bradford and Craven including Allied Health Professionals (AHPs), paediatricians, nursing, dietetics, mobility services, audiology, health visiting and school nursing. We also have links with the private and voluntary sector and children’s hospitals in Leeds, Sheffield and Manchester.
Where we work
Our staff work at several locations including:
- Airedale Child Development Centre (Airedale General Hospital)
- Keighley Health Centre
- Bingley Canalside Healthcare Centre
- Ilkley Coronation Hospital
- Skipton General Hospital.
- Settle Health Centre
Our Therapy team also make community visits to patient homes, nurseries and schools when required , and provide a limited service to inpatients on the neonatal and children’s wards at Airedale General Hospital.
Telephone and virtual (Teams or Zoom) appointments are used for clinical appointments, meetings as well as parent and professional training/intervention groups.
Services are provided Monday to Friday, between 8:30am and 5pm (excluding Bank holidays). Some flexibility can be offered according to individual needs .
How to contact us
We have a central, single point of contact for our Children’s Therapies administration team, service manager and therapy teams:
Location – Building 15, Child Development Centre, Airedale General Hospital, Steeton BD20 6TD
Telephone – 01535 292821
Your Feedback
We welcome your feedback about our services. Please click on the link or scan the QR code to complete our short form
https://forms.office.com/e/kQcrpH1U36

Our teams
Speech and Language therapy (SALT)
Our SALT teams (including our therapy assistants and assistant practitioners) work in partnership with children and young people, their families and other professionals to reduce the impact of speech, language and communication needs (SLCN) using evidence-based pathways that focus on activity, wellbeing and participation as well as the impairment.
Outcomes in these four domains are measured using Therapy Outcome Measures (TOMS).
Our Child Development Centre Team includes:
- Our Early Identification Team for children under 3years with the highest clinical/ social needs including those with safeguarding needs and low engagement with services.
- Our Dysphagia team for children and young people with eating, drinking and swallowing needs.
- Our complex communication needs team for children with long-term significant needs, including those requiring alternative and augmentative communication (AAC) and those with significant communication difficulties relating to: Physical difficulties (e.g. Cerebral Palsy, Cleft Palate, craniofacial abnormalities), Social communication difficulties (including Autism) and Chromosomal and genetic conditions (e.g. Down Syndrome).
Our Community Team includes:
- Our under 6s advice service – a telephone appointment and triage service for parents with concerns about their child’s communication development.
- Our outpatient community clinic service – for further assessment and interventions for children under 6 and assessment and intervention for children and young people age 6 – 18, primarily with Developmental Language Disorder/Speech Disorder/Dysfluency
- Our training programme for professionals and parent/carers.
- Members of this team include those with specialisms/special interests including stammering, hearing impairment, selective mutism and bilingualism.
Physiotherapy (PT)
Our Paediatric Physiotherapy team (including our therapy assistant and assistant practitioner) work in partnership with children and young people aged 0-19, their families and other professionals to maximise movement and function using evidence-based pathways that focus on activity, wellbeing and participation as well as the impairment.
The team see children and young people with difficulties affecting movement, coordination or breathing as outpatients at the Child Development Centre, at home and/or in nursery or educational settings, depending on individual needs. They work closely with the occupational therapy team and colleagues in education and local authority.
Our therapists have expertise in child development, how patterns of movement develop from birth onwards and a range of clinical conditions and specialist equipment required to support, including:
- Moderate to severe developmental delay of gross motor skills
- Chromosomal and genetic conditions e.g Down Syndrome, Cystic Fybrosis
- Congenital conditions such as clubfoot (talipes equinovarus)
- Neurodisabilities such as cerebral palsy (CP)
- Neuromuscular conditions such as Duchenne Muscular Dystrophy, Myopathies
- Coordination difficulties/Developmental coordination Disorder (DCD)
- Abnormal walking or movement patterns
- Poor balance in sitting or standing
- Musculoskeletal; conditions specific to childhood
- Orthopaedic conditions specific to childhood
- Functional Neurological Disorder impacting on gross motor skills
Occupational Therapy
Occupational Therapy focusses on improving the health and wellbeing of children and young people by enabling them to participate in occupations that are important to them.
The child or young person’s ability to perform these necessary activities and tasks (Occupational performance) is a consequence of a complex interaction between personal factors, the activity, and the environment.
The role of the occupational therapy team is to provide assessment and recommendations, to enable children and young people to maximise their occupational performance and participation in activities that are important to them in all aspects of daily life at home, school, and in the community.
Our Paediatric Occupational Therapy team (including our therapy assistant and assistant practitioner) work in partnership with children and young people aged 0-19, their families and other professionals to maximise participation and function in daily activities using evidence-based pathways that focus on activity, wellbeing and participation as well as presenting impairment.
The team see children and young people as outpatients at the Child Development Centre, at home and/or in nursery or educational settings depending on the individual needs. They work closely with both the physiotherapy and speech and language therapy team and colleagues in education.
Our therapists have expertise in child development, how patterns of fine motor movement develop from birth onwards and a range of clinical conditions and the equipment required to support, such as:
- Moderate to severe developmental delay/impairment of fine motor skills impacting on activities of daily living including dressing, eating, ability to record or communicate (handwriting/access keyboard/switches etc), self care (washing, bathing, using toilet) and independence, seating/positioning, sleeping
- Neurological conditions e.g. Muscular dystrophy, Cerebral palsy
- Chromosomal and genetic conditions
- Motor planning and Coordination difficulties/Developmental Coordination Disorder (DCD)
- Perceptual motor difficulties
- Sensory processing difficulties/preferences with identified impact on functional/occupational performance
- Poor balance in sitting or standing
- Musculoskeletal conditions specific to childhood requiring postural management
- Orthopaedic conditions specific to childhood
Neurodevelopmental Assessment team
Our Therapies team, along with Clinical psychology and Consultant Paediatrician colleagues provide the Airedale Neurodevelopmental Assessment team (NDAT) pathway for children aged 2 – 7 years.
This service provides differential diagnostic assessment for Autism, Developmental Language Disorder and other developmental conditions as part of the Bradford and Craven pathway.
We are currently opening assessments for children who have been waiting for “36 months +”.
Please be aware that waiting times are unfortunately increasing.
Contact the team on 01535 292821 for further information
To refer to the team please complete all three forms below and email them to cdc.referrals@nhs.net.
Our service offer
We have uni-disciplinary therapy pathways as well as multidisciplinary pathways with other health colleagues (eg., paediatricians, dietitians, orthotics). There are well-established multidisciplinary clinics for some of our shared patient groups.
The speech and language and occupational therapy teams are an integral component of the neurodevelopmental assessment (0-7 years) pathway, together with paediatricians and psychologists providing differential diagnosis of Autism, DLD and other developmental diagnoses where appropriate).
We work in close partnership with our Health colleagues in Bradford District Care Trust and Bradford Teaching Hospitals Foundation Trust.
We also work closely with nurseries, schools and local authorities (North Yorkshire and Bradford) and are involved at all levels in supporting SEND (Special Educational Needs and disabilities).
We aim to:
- Provide assessment and intervention in the right place, with the right people, at the right time.
- Involve children, young people and their families in decisions about their care and their desired outcomes.
- Be equitable and accessible across the population and geographical area served.
- Comply with statutory frameworks (e.g. SEND, NICE).
- Comply with HCPC and professional body guidance and frameworks.
- Provide quality, evidence-based interventions.
- Work in partnership with stakeholders in all organisations.
- Be progressive, creative and innovative – testing out new ways of working and evaluating.
We work at three levels:
Universal level
- Ensuring families, school staff and other agencies understand the specialist expertise of each of the therapy teams, the service offer and referral criteria/mechanisms.
- Ensuring appropriate information and resources to support families, school staff and other agencies is available.
- Ensuring a traded offer is available to support settings and professionals to identify children and young people of concern and provide appropriate and nurturing environments.
Targeted level
As above plus:
- Ensuring clinical pathways and information include reference and signpost to targeted levels and support setting to deliver activities, know when and how to access/re-access specialist therapy support.
- Ensuring a traded service is available to support and train settings to deliver targeted interventions relating to children and young people’s physical and communication development.
Specialist level
As above plus:
- Ensuring direct and indirect therapy input is delivered as part of evidence-based pathways according to individual needs and desired outcomes.
- Ensuring traded therapy services are available to settings to support interventions above core service offer (this may include educational provision identified in individual children’s Education Health and Care Plans).
Each episodic pathway may include some or all of the following:
- Triage of referral/concern
- Case history
- Assessment (formal and informal)
- Diagnosis (if appropriate)
- Identification and agreement of desired outcomes (jointly with child, young person and family)
- Identification and agreement of short term targets
- Direct or indirect therapy (individual/group)
- Training and support
- Liaising with other professionals/agencies
- Signposting to other sources of support
- Provision and/or recommendation of equipment/resources
- Review of progress against targets and desired outcomes
An episode is closed when advice/support and recommendations are in place and progress is being made/is expected – with clear information regarding other sources of support and criteria/methods of re-access provided.
How to access our services
Current position – over 90% of referrals have an initial appointment within 18 weeks.
Referrals are accepted for children and young people whose home address and GP Practice are within the Airedale NHS Trust catchment.
There is some overlap with our partners at BDCT and BTHFT and an agreement is in place over who should be referred to which organisation and communication between services takes place where appropriate.
There are some children and young people (CYP) with an Airedale GP who reside or go to school out of area. In these cases, a ‘best needs, child-centred decision is used to make the decision of whether to accept a referral. Prioritisation criteria are used for each team to ensure those CYP with the highest clinical needs are seen soonest.
Speech and Language therapy
Referrals are accepted directly from parents or from a range of health and education professionals.
Pathways differ according to age of the child and the type of difficulty (e.g. speech, stammering, receptive language).
Physiotherapy and occupational therapy
These require a GP or consultant to refer or another therapist who already knows the child/young person unless a priority re -access pathway is in place.
Multidisciplinary team
Referrals to the multidisciplinary team (including Community paediatricians) are triaged and decisions are made as to whether uni or multidisciplinary pathways will be most appropriate.
The team aim to offer all accepted new referrals an initial appointment (telephone/virtual/face-to-face) within 18 weeks, with those at highest clinical risk seen earliest. Our responsive pathways are all based on an episodic model with priority re-access for those children and young people with the highest clinical needs.
Referral information and criteria
Speech and Language Therapy
Under 6s advice service
For children under six years of age, we offer a telephone appointment with parents to discuss their concerns about their child’s Speech, language and communication development and to give guidance on whether further Speech and Language Therapy assessment is indicated.
No referral form is required for this service.
Limited face to face appointments are available on request. Please telephone 01535 292821 and speak to our administration team to book an appointment.
Early Identification Service
This service is for children under three years of age with the highest clinical support needs or with safeguarding needs. Referral is via health visiting teams.
Community SALT service
Children under six years old will be seen for further assessment by this team following their telephone appointment.
For children over six years, please complete the referral form below and send to cdc.referrals@nhs.net. Health practitioners are able to refer electronically using SystmOne. Referrals are clinically triaged to ensure they meet the criteria or whether they are best assessed by the CDC team or needs can be met by other services.
Please look at our referral criteria to help you decide whether the child / young persons needs should be met initially by other services . If so please look at the useful links section or go to Talking Bradford Speech and Language Pathway
Referral criteria :
CDC SALT service
Please complete our SALT referral form as above or refer electronically by SystmOne. All referrals are clinically triaged to ensure they meet our CDC team criteria – if not appropriate, the referral is passed on to either Community or EIT SALT teams
Eating Drinking and Swallowing concerns
If there are concerns about a child’s functional ability to eat, drink or swallow, please complete the same form, and also the below checklist:
Physiotherapy and Occupational Therapy
GPs, consultants and therapists are able to refer electronically by SystmOne.
A detailed clinic letter or the MDT referral form describing the difficulties observed and the request can be sent to cdc.referrals@nhs.net.
All referrals are clinically triaged against the service criteria.
Multidisciplinary Team
GPs or consultants can refer using SystmOne to each of the disciplines above, as well as to Community Paediatricians if appropriate.
Please indicate in the description/request that you are making multiple referrals as we do not yet have a single electronic referral and give evidence according to the referral criteria.
Alternatively, please use the form below, clearly indicating which services you feel are required:
Rejected referrals
If a referral does not meet our criteria, we will endeavour to redirect you to another service and signpost to alternative sources of support.
Leaflets and further information
These are just a few of our many advice sheets to support you before a referral or whilst waiting for an appointment.
We have lots more available that our therapists will share once a child/young person has been assessed.
Useful links
Local
- Talking Bradford (new link to come)
- Children’s Speech and Language Therapy – Bradford District Care Foundation Trust
- Children’s Therapy – Bradford Teaching Hospitals NHS Foundation Trust
- SEND Local Offer | North Yorkshire Council
- Bradford Local Offer | SEND Provision in Bradford
- Bradford SENDIASS | Barnardo’s
- SENDIASS North Yorkshire
- AWARE (Airedale and Wharfedale Autism Resource)
- SELFA Children’s Charity Skipton
- The LS29 Group
- B.I.D.S (Bradford Inclusive Disability Service)
- Sleep Tight Bradford District and Craven | Together Trust
National
- Royal College of Speech and Language Therapists
- Speech and Language UK
- Children’s language development and parenting advice – BBC Tiny Happy People;
- Communication Matters
- Afasic – information for families with children and young adults who have Speech Language and Communication Needs
- Royal College of Occupational Therapists
- The Chartered Society of Physiotherapy |
- Association of Paediatric Chartered Physiotherapists
- Contact: the charity for families with disabled children
- National Autistic Society
- Downs Syndrome Association
- Disability charity Scope UK
- Council for Disabled Children
- The Sleep Charity
- https://eric.org.uk/
- Newlife the Charity
- REACT Children’s Charity
- https://cerebra.org.uk/
- https://www.sense.org.uk/
- https://www.familyfund.org.uk/
Social Media
- Airedale Allied Health Professionals – Twitter (@Airedaleahps)
- Airedale Speech and Language Therapy – Facebook
