HHL – Paediatrics
HHL Community services - refer via C&B
Respiratory problems
Asthma, recurrent URTIs (Not cystic fibrosis)
Rashes including eczema, vitiligo
Not Acne - see below
GI problems
Abdominal Pain, reflux, constipation, diarrhoea, food
intolerance (e.g. lactose intolerance, not allergy)
Rheumatology
Aches and pains, joint pains
Urinary Symptoms
Under 5  HHL
Over 6 bed-wetting  send to Caryl Thomas
Paediatric Gynaecology
Neurology (not epilepsy)
Including headaches (but not neuro-disability)
Fits, faints and funny turns.
Gait problems
Flat feet, intoeing, etc.
Baby < 1 year problems
Feeding problems, failure to thrive.
Undescended testes, birth marks, head size.
Vitamin D problems
Anxious parents
HHL clinics can see children quickly when there is a
high degree of parental anxiety.
Refer to another community provider
Acne
Refer to HHL Dermatology
Ingrowing toenails
Refer to podiatry via Harrow, Brent and Ealing ICO
Bed wetting ≥ 6yrs
Refer to Child Health, Caryl Thomas
Dietitian
Full list below.
Refer directly to Secondary Care
Paediatric clinicians NPH
(Paper seems more reliable than C&B for NPH)
Cardiology
Murmurs etc. Refer directly to Paediatrics at NPH
Dr Gerald Hanson Paediatric Murmur clinic
Allergy testing
Paediatrics NPH
Dr Warren Hyer and Dr Murtaza Kahn
Community Paediatrics NPH
(Harrow residents only)
Learning disability
Developmental delay
Under 5 behavioural problems
Physiotherapy
Speech therapy referrals
Neuro-disability
Paper referral to single point of referral NPH (SPOR)
Refer to “Child Development Clinic” (paper)
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Orthopaedics
No paediatric orthopaedic surgery at NPH or RNOH
but many problems can be seen by the consultants
with an interest in Rheumatology.
Rheumatology
Dr Caroline Oren
Endocrinology
Diabetes Short stature.
Dr Ahmed Massoud
ENT
Snoring, ear wax, hearing problems, sore throats
etc. Paediatric ENT goes to CMH not NPH
Surgery
< 2yrs  Great Ormond Street
Under 2 yrs send to GOS
Hernias etc.
≥ 2yrs  Mr McDonald NPH
Paper referral
Ingrowing toe-nails – send to podiatry
Plastic surgery
Mount Vernon, Royal Free, Chelsea & Westminster
Ophthalmology
Refer to Moorfields children’s clinic (C&B)
Mental Health
CAMHS
Behavioural problems ≥ 5 yrs
CAMHS
URGENT Problems – refer directly to Secondary Care
Please include in the referral letter:
 Clear statement of the problem, not just cut and paste from EMIS notes.
 What is expected from the referral or the reason for referring.
 Management to date.
The HHL Paediatrics team
Dr Ruby Schwartz
MB BS FRCP(UK) FRPCH
Dr Nathan Hasson
MB ChB MRCP FRCPCH
Dr Benjamin Jacobs
MBBS, MSc, MD, FRCPCH
Consultant NWLHT
Epilepsy, Neurology (headaches), UTIs
Genital and urinary problems
Consultant Paediatrician and Paediatric
Rheumatologist, Ealing and GOS
Consultant NWLHT and RNOH
Respiratory Allergies & Vitamin D deficiency
Dr Jonathon Rudolph
MB BCh ( Johannesburg 1988) MRCGP
DRCOG
GPwSI General Paediatrics
Dr Dalia Bialostocky
MBBS MRCPCH DCH DRCOG DFSRH
MRCGP
Dr Azeem Nizamuddin
MBBS, BSc Hon, DCH, DRCOG, MRCGP
GPwSI General Paediatrics
GPwSI General Paediatrics
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PAEDIATRIC CONDITIONS SUITABLE FOR REFERRAL TO THE
COMMUNITY DIETITIAN
For children over 3 years old
Anaemia (Vitamin B12, folate, iron)
Calcium or other micronutrient deficiency (diet related)
Constipation
Obesity
Poor Eating Habits
Simple Food Intolerances (e.g. lactose)
Underweight
PAEDIATRIC CONDITIONS TO BE REFERRED TO THE
PAEDIATRIC DIETITIAN AT NORTHWICK PARK HOSPITAL
For dietary advice refer to the Paediatric Dietitian by letter or fax: 020 8869 2659
ADHD Autism
All ages
Allergy
All ages
Anaemia
under 3
Constipation
under 3
Dietary assessment
under 3
Failure to Thrive
under 3
Hyperlipidaemia
under 3
Inflammatory bowel disease
All ages
Malnutrition – severe
All ages
Obesity
under 3
Poor eating habits
under 3
Suspected food intolerance
under 3
Coeliac disease
All ages
Cystic Fibrosis
All ages
Type 1 Diabetes – newly diagnosed
All ages
Type 1 Diabetes review
All ages
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