Feeding (dysphagia) services at Sydney Children's Hospital, Randwick

Contact details

Appointments ph (02) 9382 1021 

Fax: (02) 9382 1200

Location: Outpatients Department - Sydney Children's Hospital, Randwick

Children with feeding difficulties may be seen through a range of outpatient feeding (dysphagia) services at Sydney Children’s Hospital, Randwick depending on their level of need. These services include:

  • Feeding Clinic
  • Speech Pathology Department feeding services

Clinic

FEEDING CLINIC

The Feeding Clinic provides assessment and treatment for infants, toddlers and children who present with complex feeding problems and require specialised assessment, advice or interventions from a multi-disciplinary team. To qualify for the Feeding Clinic children must have concerns in the areas of feeding skills and growth/ nutrition.

The clinic and ongoing service offers:

  • Consultation and in-clinic assessment of feeding and nutrition
  • Multidisciplinary approach –Speech Pathologist and Dietitian, with Clinical Psychologist and Paediatrician as required
  • Diagnostic investigation eg Modified Barium Swallow study
  • Ongoing management  with referral back to local services as appropriate
  • Tube weaning - inpatient or outpatient – offering admission to hospital, depending on support and required supervision. 

Feeding outcomes:

Establishment of healthy nutritional status and safe oral feeding. 

Indications for referral may include:

  • Poor or limited oral intake with or without medical complications
  • Medical conditions that place the child at risk of developing significant feeding issues
  • Enteral feeds
  • Food refusal
  • Failure to thrive
  • Choking or coughing during feeding
  • Oral motor and sensory problems
  • Swallowing in-coordination
  • Excessive feeding times and any issues related to feeding problems
  • Behavioural or interaction issues surrounding eating/food refusal including autism

Referral process:

Written referral from the patient’s Medical Officer or regular doctor is required using the Feeding Clinic Referral Form. Referrals from community health nurses must be accompanied with a referral or recent consult letter from the child’s managing medical practitioner. Please return this form to the

  • Feeding Clinic Intake Officer via the Allied Health Administrative Assistant
  • Phone: (02) 9382 1021
  • Fax: (02) 9382 1200

Clinic Frequency:

  • Every Thursday morning

Speech Pathology Department

The Speech Pathology department provides a service to children whose nutritional status is stable but present with feeding difficulties arising mainly from oral motor and sensory difficulties in addition to other mealtime management issues.

Service offered:

  • Assessment
  • Therapy
  • Review
  • Ongoing management  with referral back to local services as appropriate
  • Modified Barium Swallow investigations as appropriate

Indications for referral include:

  • Oral motor and sensory feeding difficulties
  • Swallowing in-coordination
  • Aspiration concerns
  • Behavioural or interaction issues surrounding eating and/or food refusal including autism.

Feeding outcomes:

Establishment of safe feeding practices and normalization of mealtime patterns

Referral process:

To attend this clinic, written referral from the patient’s Medical Officer or regular doctor is using the Speech Pathology Department Feeding Referral Form, please return this form to;

  • Feeding Team, Speech Pathology Department
  • Phone: (02) 9382 1021
  • Fax: (02) 9382 1200