Feeding and dysphagia, Sydney Children's Hospital, Randwick

Contact

Phone: (02) 9382 1021 

Email: SCHN-SCHFeedingClinic@health.nsw.gov.au

Location: Outpatients department, Sydney Children's Hospital, Randwick

About our service

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.

Referral process for clinicians

Our department is using Consultmed to manage referrals. The Consultmed platform allows health professionals to send e-referrals to us securely.   

Consultmed questions and technical support: helpdesk@consultmed.co

Referral and appointment process for parents and carers

Request a referral

To make an appointment at our clinic, you will need a referral from your medical officer, paediatrician or specialist. 

They will assess your child, discuss your concerns, and make a referral to the appropriate service.  

Track your referral

Our department uses Consultmed to manage referrals. Your referring clinician sends the e-referral to us using the secure Consultmed platform.  

Once we receive the referral, we will send you an email with your tracking information. We will update you as we process the referral and book your appointment. 

To receive these updates, please ask your referring clinician to include your email on the referral.  

If your clinician has questions about Consultmed or require technical support, they can contact helpdesk@consultmed.co.  

Need support?

If you need help or have questions about the referral and appointment process, please contact us.  

General feeding and nutrition clinics: (02) 9382 1021

Feeding Team, Speech Pathology Department: (02) 9382 1021

Clinic information

General Feeding clinic

Clinic details

  • Every Thursday morning
  • Outpatients clinic, High Street entrance
  • 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.

Services offered

  • 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

  • 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

General Nutrition clinic

Clinic details

  • Selected Tuesdays and Thursdays
  • Hours are 7:30am-10:30am, 10:30am-13:30pm and 14:00pm-17:4 pm
  • Outpatients department, High Street entrance
  • The clinic caters for children requiring nutrition assessment and dietary education

Indications for referral

  • Growth faltering - poor growth as shown on recent heights and weights plotted on a growth chart
  • Vitamin or mineral deficiency - as confirmed by a recent blood test
  • Above the 85th percentile for BMI and requiring an interpreter
  • Above the 85th percentile for BMI and less than 4 years of age
  • Enterally fed children

Speech Pathology service

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.

Services

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

Indications for referral

  • 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
Last updated Monday 20th May 2024

Patient and family support

A smiling Aboriginal family.
Our Aboriginal Hospital Liaison and Education officers play an important role in the care and welfare of and advocacy for Aboriginal patients and families, helping ensure a responsive and respectful patient journey.
A young girl sits on her mother's lap on a hostpital bed.
We can arrange a free interpreter for you. Interpreters are available for over 50 languages. Tell us which language you speak when your child is admitted, or let your nurse know.
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