Paediatric Liaison Service: St Thomas’ Hospital
Location: St Thomas’ Hospital
St Thomas’ Hospital
2nd floor Gassiot House
Westminster Bridge Road
Tel: 020 7188 9125
Mode: Outpatient, inpatient liaison
Referrals are accepted from: All NHS professionals, from both community and hospital settings, children’s services, education providers
The National and Specialist Paediatric Liaison Service is a multidisciplinary team focussing on patients suffering from medical and psychological conditions. The team can receive referrals from across the United Kingdom and internationally for patients with the conditions listed below.
The team also provide assessment and treatment of inpatients at the Evelina Children’s Hospital and St Thomas’ Hospital. The service is made up of four consultant psychiatrists, clinical nurse specialist, family therapist, counselling psychologist and specialist training doctors.
Main conditions which we manage
Patients with complex and medically unexplained symptoms:
The team provides assessment and treatment for patients with a number of complex symptom conditions including; functional neurological disorder, non-epileptic seizures, functional gastrointestinal disorder, chronic pain syndromes, dissociative conditions, somatoform disorder, bodily distress syndrome, persistent somatic symptom disorder. We also work with the psychological and psychiatric components of migraine, irritable bowel syndrome, Ehlers Danlos syndrome, postural tachycardia syndrome, chronic pelvic pain
Patients with comorbid physical and mental health disorders:
We work with young people who may have diabetes, asthma, Crohn’s disease and epilepsy who may concurrently suffer from anxiety or depression and require an integrated care plan covering both physical and mental health.
Patients with neurological disease with psychological or psychiatric symptoms:
We provide assessment and treatment of patients with Encephalitis, epilepsy, oncological diagnoses, cerebral palsy, neurodegenerative conditions, dystonia.
The other roles of the service include
- Addressing quality-of-life issues and negative psychological impact of living with a long-term or chronic physical illness
- Addressing family and psycho-social factors that affect the course and management of physical illness in children, including compliance issues with medication regime
- Emergency psychiatric provision for assessment and management of young people who present with self-harm, and other psychiatric emergencies such as psychosis.
- Providing support for neuropsychiatric emergencies on the paediatric wards or PICU, such as agitated young people or those with delirium in the context of a range of medical and neurological conditions
- Providing mental health and neuropsychiatric support to the complex neurodevelopmental disability service (covering autism and other developmental conditions), Tics / Tourettes and neurodevelopmental movement disorders service (TANDeM) and national sleep medicine service at Evelina London Children’s Hospital
- Supporting, teaching and training paediatric staff– on mental health issues in young people as well specific issues arising during delivery of care in medical settings
Quotes from young people and their families
“The staff have always been helpful and friendly and have always done the best for me. They have helped me through some hard times and helped to make them easier.” - young person
“Being treated as an individual in a supportive caring way has us move forward” -
“This service is fantastic - there is nothing that I can say is not great - the support for both my daughter and me and her dad has been life changing - we have learnt how to manage and that is brilliant” -
parentA young person describing her experience with our service in contrast to her previous experiences with other professionals and adults who have been dismissive of her mental health problems:
“Acceptance of mental health issues is vital, it’s like saying to somebody with a broken limb ‘get on with it without any help. Feedback from National Children’s Hospital Peer Review of Paediatric Acute Care Services for Children and Young People: Evelina London Children’s Hospital:
“The panel was of the view that the CAMHS provision at Evelina London was of the highest quality and could act as an exemplar for other areas.
"It was noted how closely Evelina London works with South London and Maudsley NHS Foundation Trust. The onsite provision is led by a consultant child psychiatrist. A CAMHS clinical nurse specialist available on-site Monday to Friday to provide clinical support and training. Members of the panel were advised that the general paediatrics’ staff regard themselves extremely lucky to have such support.”