Autism Spectrum Disorder (ASD) Referral Guidance ... · Web view2020/11/23  · Autism Spectrum Disorder (ASD) Referral Guidance & Updated Referral forms: This guidance outlines the

AUTISM SPECTRUM DISORDER (ASD) REFERRAL GUIDANCE & UPDATED REFERRAL FORMS:

This guidance outlines the ASD referral pathway to the Community Paediatric Teams in West Hertfordshire (Herts Valley CCG) & East and North Hertfordshire CCG for children & young people displaying signs of ASD between the ages of 15 months to 15 year 11 months.

Prior to considering a referral to the Community Paediatric Team for ASD, please ensure all parents/carers are offered support and advised to contact local support groups to access further information, parent training and an educational programme. Information regarding this can be located on the Local Offer website:

https://www.hertfordshire.gov.uk/microsites/local-offer/about-the-local-offer.aspx

REFERRAL

Referrals are accepted from GPs but rely on information supplied by parent and school*. For all referrals to ASD Pathway, there will be a Pre assessment information requirement. A

referral from a GP will not be accepted and processed without the accompanying Pre-assessment Information as explained in the document.

The referral process depends on whether or not child is in school/ educational setting

* where applicable

CHILDREN IN SCHOOL SETTING

The referral should be initiated by school/educational setting for those children on roll in an educational setting

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SENCO

Gain parental consentComplete school referral formSupport parent to complete the referral form

Parents

ConsentComplete the parent referral formBook appointment with GP

GP

Completes the GP referral formRefer using electronic referral form

SCHOOL/SENCO GUIDANCE: REFERRALS FOR CHILDREN AND YOUNG PEOPLE IN SCHOOL:

1. Before considering a referral for ASD assessment, the SENCO should discuss concerns with the parent/carer and gain consent to initiate the referral. We are unable to accept a referral without parental consent.

2. Complete the ASD School Questionnaire/Report (Appendix 1)

3. Support the Parent/Carer to complete the Parent/Carer Pre Assessment Information Form (Appendix 2)

4. Request that the parent/carer make an appointment with their family GP and take both forms and any supporting documents to the GP for completion of the referral process – ideally the forms should be completed electronically and shared electronically for ease of forwarding.

CHILDREN NOT IN A SCHOOL SETTING

Where a CYP is not in a school setting, then the GP will need to ask the Parent to complete the Parent/Carer Pre Assessment Information Form (Appendix 2*) during the appointment or before they attend the GP appointment: individual practices will need to identify a process that works for their families.

GP GUIDANCE:

Parents/carers of CYP in school will ideally come to a booked appointment with a completed ASD School Questionnaire/Report and a completed Parent/Carer Pre Assessment Information Form. (See Appendix 1 & Appendix 2*). If they do not, the GP will need to direct family back to school to obtain a school report/questionnaire.

GP’s will then complete the referral form and submit to the ASD pathway

COMPLETION OF REFERRAL FORM BY GP

1. Having reviewed the information in the Parent/Carer Pre Assessment Information Form and/or the School Questionnaire (for CYP in school setting), the GP must complete the medical history and add any additional family information if available to the ASD referral form (Appendix 3*)

a. *Appendix 2 and Appendix 3 will be accessible for GPs on DXS and Ardens as well as on Trust Internet pages.

SUBMITTING THE REFERRAL FORM BY GP

2. Submitting the ASD Referral form:

o Referral Forms can be submitted by GPs via DXS/Ardens with additional forms being emailed to the address on the referral forms, or all documents can be submitted by email.

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o Referrals for ASD assessment for CYP in school will only be accepted for Triage with a completed ASD referral form, completed Parent/Carer Pre-assessment Information Form & ASD School Questionnaire/report

o Referrals for ASD assessment for CYP not in school will only be accepted for Triage with a completed ASD referral form, & completed Parent/Carer Pre-assessment Information Form

INCLUSION & EXCLUSION CRITERIA FOR ASD REFERRAL PATHWAY:

Locality: East & North Herts CCG Locality Herts Valley CCG

INCLUSION CRITERIA

•Those registered with a GP in East & North Herts CCG locality

•Children and Young People up to 15 years and 11months

•Those registered with a GP in Herts Valley CCG locality

•Children and Young People up 15 years and 11months

EXCLUSION CRITERIA

• CYP aged 16 years +

For those CYP aged 16years + ASD Investigations are currently conducted by tertiary centres such as the Tavistock & Portman NHS Trust and GPs should follow their local arrangements.

• CYP aged 16 years +

For those CYP aged 16years + ASD Investigations are currently conducted by tertiary centres such as the Tavistock & Portman NHS Trust and GPs should follow their local arrangements.

Appendix 1- School Questionnaire

Appendix 2 – Parent/carer Pre-assessment Information

Appendix 3

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