Child Development (Tumbatin), Sydney Children's Hospital, Randwick

The main role of the diagnosis and assessment service at Tumbatin clinic is to: 

• establish if a disability is present 
• assess the nature and causes of the disorder, including assessment for Autism Spectrum Disorder and medical investigation, including genetics 
• determine the child’s strengths, difficulties and current and future needs 
• make recommendations for ways to help the child achieve their potential through intervention and support. 

Eligibility Criteria:

GP referrals essential criteria:

1. Children living in the northern sector of SESLHD and 
2. Aged 0-8 years of age and 
3. Suspected of a significant developmental delay, intellectual disability or autism spectrum disorder 

Paediatrician referrals essential criteria:

1. Aged 0-8 years of age and 
2. Presents with suspected significant global developmental delay, intellectual disability or autism spectrum disorder requiring multidisciplinary team diagnostic assessment and 
3. Are living in the northern sector of SESLHD or
4. Are currently managed by Sydney Children’s Hospital subspecialist for complex medical conditions or
5. Are living in rural and regional NSW.

The Prader Willi Syndrome clinic provides care and management for children 0-11 years living in NSW with a confirmed diagnosis of Prader-Willi Syndrome. 

Eligibility Criteria:

GP or Paediatrician referrals eligibility criteria:

1. Children 0-11 years living in NSW with a confirmed diagnosis of Prader-Willi Syndrome and 
2. Parental consent for referral completed.

The Learning Difficulties Assessment Clinic at Sydney Children’s Hospital provides multidisciplinary assessment and diagnosis for school aged children with specific learning difficulties. Depending on an individual child’s needs The multidisciplinary team can include neuropsychology, speech pathology and developmental paediatrics.

As we are a tertiary service, we do not provide the initial assessment of children who are having academic difficulties. These children should have these issues addressed at school in the first instance.

The Learning Difficulties Assessment Clinic is a diagnostic service and does not provide remediation or ongoing management. We provide detailed recommendations, consultation and liaison with schools and other agencies and referral to appropriate services as part of our assessment.

 Eligibility Criteria:

1. Patient is between the aged of 5 and 16 years and not making the expected gains at school and 
2. Patient has identified specific learning difficulties and has not responded to high quality and sustained remedial intervention, with a need for further investigation of their difficulties or
3. Patient has known or suspected disorders associated where learning is affected or 
4. Patient is considered at high risk for learning difficulties (e.g. children with genetic conditions or medical disorders that have an association with a risk of specific learning difficulties)
5. Children living in the northern sector of SESLHD must be referred by either a medical or allied health professional
6. Patients of Sydney Children’s Hospital Network must be referred by a hospital medical or allied health professional 
7. Patients residing outside of the northern sector of SESLHD and who are not patients of SCHN must be referred by their paediatrician and require tertiary assessment.

The Paediatric Developmental Disability clinic is an outpatient medical service for children aged (0-16 years) with a diagnosis of significant Developmental Disability who require specialist Developmental Paediatrician input. Consultation is with a paediatrician/paediatric registrar, no allied health professionals attend this clinic.  The clinic does not provide initial diagnostic assessment, where there are concerns about a possible developmental disability children should be referred to their local Diagnostic and Assessment service. 

Eligibility Criteria:

1. Children with an intellectual disability (full scale IQ less than 70) and/or Autism Spectrum Disorder attending a supported educational setting such as a support class in a mainstream school or a school for specific purpose (SSP).
2. GP referral for children living in the northern sector of SESLHD will be followed up until stable and care can be transitioned to another appropriate clinician.
3. Paediatricians statewide requiring specialist consultation – no ongoing follow up.