Make a referral
Make a referral
Professionals working with a child, young person and their families can make a referral into specialist services. Parents and care givers cannot make a referral.
Referrals should be made electronically via SystmOne (GPs and other healthcare professionals) or using the online form here. Referrals are not accepted via email or the post.
How to make a referral for specialist children's services using SystmOne.
CYPRMC Referral Form
PLEASE NOTE: The form should be completed fully and accurately with correct contact details to prevent any delay in processing
ADHD / ASD Referrals
To refer a child to the Children's and Young People's ADHD/ ASD (Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorder) service the parent and school pack forms need to be completed in full, including the consent page at the beginning of the document to ensure the clinical team can review the referral.
These should be completed electronically and sent in with the referral, or as additional information if requested.
Parents pack for ADHD/ASD [docx] 177KB
School pack for ADHD/ASD [docx] 160KB
Professional information: ADHD / ASD Consultation line information [pdf] 383KB
ADHD / ASD referrals
ADHD / ASD referrals
To refer a child to the Children's and Young People's ADHD/ ASD (Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorder) service the parent and school pack forms need to be completed in full, including the consent page at the beginning of the document to ensure the clinical team can review the referral.
These should be completed electronically and sent in with the referral, or as additional information if requested.
Parents pack for ADHD/ASD [docx] 177KB
School pack for ADHD/ASD [docx] 160KB
Professional information: ADHD / ASD Consultation line information [pdf] 383KB
Additional information
Additional information
You might have received a letter asking you to send in additional information in support of a referral.
Complete the form and attach the information.
RMC Additional information FormPLEASE NOTE: The additional information form should not be used for expedite requests or for referrals that have already been accepted by a service. These should be sent to the service directly.
RMC Referral services - Specialist services (children and young people)
RMC Referral services - Specialist services (children and young people)
Professionals can refer children and young people to the following specialist services in Northamptonshire through the Referral Management Centre:
- Attention Deficit and Hyperactivity Disorder - ADHD
- Autism Spectrum Disorder - ASD
- Bereavement Service - NGH
- Children's Clinical Nurse Training
- Children's Community Nursing - NHFT and NGH
- Children's Continence Service - 0-19 continence pathway must have been followed priori to referring
- Community Eating Disorder Service
- Complex Feeding Difficulties Service
- Consultant Community Paediatric - NHFT and NGH
- Community Team for People with Learning Disabilities (CTPLD)
- Dietetics
- Emotional Wellbeing and Mental Health including CAMHS and Youth Counselling
- Healthy Lifestyle Team / Weight Management - if a BMI is above the 98th centile, please refer to Dietetics
- Infant Feeding Consultant / Breastfeeding
- Looked After Children - Mental health only. Not for medicals or health assessments
- Occupational Therapy
- Physiotherapy - NHFT and NGH
- SALT - Communication
- SALT - Feeding
The Local Offer
The Local Offer websites offer for children and young people aged 0-25 with special educational needs and disabilities.
Data Protection and Information Governance
Data Protection and Information Governance
Why do we collect personal data about you?
Information about personal data can be found on our Privacy webpage.
Your rights
You have the right to ask us to stop processing your personal data in relation to service. However, this may stop us delivering a service to you. Where possible, we will do as you ask, but we may need to hold or process personal data to comply with a legal requirement. If you find that the personal data that we hold is no longer accurate, you have the right to have this corrected. Please contact the service holding the personal data or the CYP Referral Management Centre.
Further information
If you would like further information about the personal data we hold or if you have a complaint about how your personal data has been used, please contact The Patient Advice & Liaison Team
Your Consent
The person completing this referral form will record that you have read and understood the above statement. By recording your consent on this form, you are giving consent for your referral to be screened; the most appropriate service(s) to be identified to meet your needs and the referral to be forwarded to that service(s). The service(s) may or may not be provided by Northamptonshire Healthcare NHS Foundation Trust. I agree that, by making this referral, I am accepting the terms of this Privacy Notice and consenting to the collection, use, disclosure and retention of my personal information as described in this Privacy Notice.
