Medical

Eye screening from birth, referral protocols, common conditions (squints, nystagmus, keratoconus, CVI), bifocal research and benefits, visual impairment support, and classroom modifications

50%+ prevalence of hearing loss, regular assessment schedule from 8 months, bone conduction hearing aids (BAHA/ADHEAR), grommets for glue ear, and specialist support services

School nursing team contacts for mainstream and special schools, weight management pathways, bedwetting service for ages 5-18, and referral criteria with duty line support

Early dental assessment from age 1, specialist paediatric dentistry referrals, prevention advice on fluid thickeners and medication timing, oral health guidelines, and accessible resources for positive dental experiences

Renal and urinary tract abnormalities, UTI investigation protocols, undescended testes monitoring, and screening guidance for children with Down Syndrome

Early-onset Alzheimer's risk, biological factors, biomarkers for detection, emerging treatments including anti-amyloid therapies, and holistic care strategies

Sudden loss of skills typically between ages 10-30, symptom checklists, diagnostic challenges, treatment options including ECT and immunotherapy, and the importance of early intervention

Common emergency presentations including atypical infections, aspiration, leukaemia signs, cardiac complications, seizures, atlanto-axial instability, coeliac disease, thyroid emergencies, and regression disorders

Increased Type 1 diabetes risk with earlier onset, Type 2 diabetes emergence, symptom recognition challenges, self-management with insulin, and lifestyle interventions

Red flag symptoms (neck pain, abnormal posture, reduced movement, gait deterioration), screening tests for high-risk sports, rare but important cervical spine dislocation risk, and guidance on informed sports participation

Annual thyroid screening from 6 months (T4, TSH, antibodies), management of mildly raised TSH, neonatal screening protocols, and interpretation flowcharts for blood test results

Best practice guidance for neonatal care of babies with Down Syndrome from the Down Syndrome Medical Interest Group

Monthly Palivizumab injections during RSV season (October-February) for babies with significant heart abnormalities or chronic lung disease, criteria updated annually, and emerging evidence for universal DS recommendation

Rare seizure disorder (West syndrome) in infants under 1 year, subtle symptoms requiring urgent EEG diagnosis, critical early treatment with ACTH or vigabatrin to prevent developmental delays

Age-related melatonin dosing protocol for sleep EEG testing, administered 30 minutes before appointment, with specific procedures for awake and asleep recording

20-36% constipation prevalence with NICE treatment protocols, routine coeliac TTG screening every 3 years, HLA typing to identify genetic susceptibility, and management of GORD and other GI complications

Home oximetry screening from infancy to age 3-5, OSA management with adenotonsillectomy and hypoglossal nerve stimulation, melatonin protocols, and specialist referrals

30% increased sepsis risk, prophylactic antibiotics for recurrent infections, immunology testing criteria, additional vaccines including annual flu from 6 months and PPV23 from age 2, VZV considerations for immunocompromise

20% polycythaemia, 50% thrombocytopaenia, 5-30% TAM requiring GATA1 testing and GOSH review, 20-23% TAM progression to ML-DS, immunology referrals for lymphopenia/hypogammaglobulinaemia

Information about triaging and treating children with Down Syndrome

Community Children's Nursing (CCN) referral contacts across North Central London including Barnet, Camden, Islington, Haringey, Enfield, Watford and Harrow teams with operating hours and postcode-based service allocation

Suggested ages for health checks, annual GP health checks for adults from age 18-19, RCGP and DSA resources, based on AAP Committee on Genetics guidelines

Information about Learning Disabilities Directed Enhanced Services