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Health Services

For children and young people with SEND and their families, the City of York Council and NHS provides healthcare to meet their specific individual health needs.  The offer includes GP support, though therapy services, to specialist healthcare, mental health support and equipment. These services are provided free at the point of delivery, and reflect core NHS principles of meeting clinical need, collaboration between healthcare professionals and families, and working with other agencies such as education and social care.

In the vast majority of cases, healthcare support is provided though the broad range of services routinely commissioned through the NHS, such as physiotherapy, or paediatric care.  For the small number of children and young people, with most complex needs, the NHS may also provide direct funding to meet needs, through continuing care, continuing healthcare or personal health budgets. There are eligibility criteria for these services.

York's Healthy Child Service (HCS) delivers information, advice and support for children and parents of children aged 0 - 19 years old. The Healthy Child Service incorporates York's Health Visiting Service and School Nurse Service. We work with families, young people and children to help them achieve the best possible start in life and reach their full potential.

Contact 01904 555475

These pages outline the support the NHS can offer within the City of York.  Queries about health provision should always be taken up with your GP, therapist, specialist or other healthcare professional.

If your child or young person needs to go into hospital, you will have the advice and support of your specialist and the hospital team working with them.  Please follow the link to York Hospital website for further information. 

Many children and young people need care at an outpatients clinic for a wide range of conditions, for example for diabetes, or cystic fibrosis.  Your GP will have referred you to the clinic and you will be under the care of one or more of the paediatricians and support staff.  Please refer to the York Hospital website.

The Children’s Therapy team at York Hospital work with children, young people and their families across a broad range of needs for physiotherapy, speech language and communication needs, occupational health and dietetics.  Please follow the link to the Therapy Services webpages for information about their work, and how to refer.  

PALS offers impartial advice and assistance to patients, their relatives, friends and carers.  We can listen to feedback (positive or negative), help you get answers to your questions and liaise on your behalf to help resolve any concerns about our Trust services.

The team provide a range of specialist advice, support and interventions to people with learning disabilities across York, Selby Easingwold and Tadcaster. They can provide support with housing and the support you may need to live in your home, your health, your mental health, equipment, being independent, communication and carers. The team are made up of physiotherapist, care managers, occupational therapists, psychologists, community nurses, psychiatrists and speech and language therapists.

To see the Community Team's Leaflet, click here.

  • Assistant Designated Medical Officer and Designated Clinical Officer

Each Clinical Commissioning Group should provide a Designated Medical Officer (DMO) or Designated Clinical Officer (DCO) for SEND. The DCO/DMO plays a key role in implementing and embedding the SEND reforms and in supporting joined up working between health services, local authorities and other SEND partners.

Vale of York CCG have opted for a hybrid model of Associate DCO (ADCO) and a DMO for special educational needs and disability (SEND). Louise Wootton is the ADCO and Dr Sally Smith, who is a consultant paediatrician at York Hospital, is the DMO. The purpose of these roles is to support health colleagues across the Clinical Commissioning Group (CCG) and the local health providers to ensure children and young people 0-25 with SEND have the right health support to achieve the best outcomes they possibly can. The DCO role is a key element in supporting the Health Service in its implementation of the Children’s and Families Act 2014.

The DCO/DMO role is varied and includes:
•    Oversight from a health perspective of education, health and care panels to discuss which children go forward for assessments and then if required have a formal plan (EHCP)
•    Supporting health professionals to contribute to the Education, Health and Care Plan process
•    Working with others in the local area to improve the quality of Education, Health and Care Plans.
•    Supporting the SEND team at the local authority with questions and queries
•    Promoting links between the SEND team, education professionals, social care and health services
•    Supporting the commissioners and senior leadership team with regards to meeting and assuring the SEND health requirements
•    Working alongside commissioners and stakeholders across health , education and social care  and in joint partnership with children and young people, parents and carers to identify , contribute and deliver on  strategic work programmes that improve our local systems  
•    Ensuring we can evidence a good local offer of health services and clear health journeys for those age 0-25 with SEND
If you would like more information, please email



For more information on other health services in York, follow the links below:

- Keeping Healthy

- Wheelchair and Equipment

- General Practitioners

- Specialist Nursing

- Complex Needs

- Travel Costs to NHS Services