Emergency Health Crisis Situations

Emergency Crisis Situations

Medical emergencies (e.g. self-harm or suicide attempt) call 999 or go to a hospital Accident & Emergency

For non-medical emergencies, contact Halton Assessment/Home Treatment Team first to see if we can deal with the emergency

Halton Assessment/Home Treatment Team – Manager is Matthew Oultram

  • Assessment Team is available 24 hours a day, 7 days a week and see all new referrals for people not already being supported by mental health services based in a hospital or clinic rather than in the community.
    • The team completes a telephone triage and, if appropriate, face to face assessments to signpost to the appropriate service
    • We aim to assess, plan and care for the person within 12 weeks, if we offer intervention in our service (such as Medic input, brief interventions, extended assessments, etc. this can go up to 16 weeks)
    • We cover all of Halton for emergencies from 8pm to 8am
    • Referrals for Assessment Team will be accepted primarily from GPs, however if the service user was in a crisis/emergency then self-referrals can be made, we will also accept referrals from any professional but again we would primarily ask that they start at the beginning of the treatment pathway with their GP first
    • Contact Details: Assessment Team – 0151 422 6804
  • Home Treatment Service is available from 8am to 8pm, 7 days a week
    • The team is considered an alternative to hospital admission and will only take cases requiring intensive support, have significantly high risks and need a lot of care to ensure they remain out of hospital (i.e. potentially visiting 1-4 times every day).
    • From 8pm emergency cases will be dealt with by the Assessment Team night practitioner as mentioned above
    • Referrals can only come from a hospital or clinic mental health services (this includes Assessment Team), they will not take referrals from GP’s or self-referrals (unless under a hospital or clinic mental health service and it is out of hours)
    • Contact Details: Home Treatment Team – 01928 753981

Halton Recovery Team – Managed by Martyn Veevers

  • The Recovery Team is available from 9am to 5pm, Monday-Friday
    • The team will take cases needing care co-ordination and longer-term support, those with a diagnosis of a severe and enduring mental illness (i.e. Schizophrenia, Bi-Polar, Severe/Recurrent Depression, etc.)
    • We hold a caseload of people under shared-care service for people who are prescribed certain medications that the GP cannot prescribe alone and therefore require a Psychiatrist review every 6-12 months but do not require any other support from mental health services
    • We will also take referrals for people who require more intensive psychological therapy, (classed as Step 4 therapy), these people usually have complex symptoms and higher risks
    • People who have less complex symptoms and considered as high risk that require psychological therapy will go to Halton IAPT (Improving Access to Psychological Therapies) for Step 2 and Step 3 therapy e.g. depression, anxiety, Obsessive Compulsive Disorder (OCD) or Post-Traumatic Stress Disorder (PTSD)
    • Referrals can only be made by other a hospital or clinic mental health service – GPs, professionals or Self-referrals need to go through the Assessment Team first
    • Contact Details: Recovery Team – 01928 753968

Health & Wellbeing

Local Services
Books on Prescription from your local library for information and advice for young people, their families and people worried about symptoms or wanting to find out more about conditions and situations affecting young people

Community Alcohol Partnership – to tackle underage drinking

Family Futures offer a fun way to learn about healthier lifestyles for children and parents

Genito Urinary Medicine (GUM) clinic at Halton General Hospital provides a free, confidential service for anyone with worries about sexual health including tests and treatment

Health Engagement Officers – bridge the gap between health services and community support to help families, children or young people receive the right support at the right time

Health Improvement Team can help you improve your health and wellbeing, including support to quit smoking, lose weight and get fit and healthy.

Live Life Well provides helpful support and services

NHS Choices Healthy Eating information, advice and guidance on healthy eating for the whole family

Physiotherapy for children and young people aged 0-16 (up to 19 if already in the service)

Wellbeing Enterprises – resources, local information/support, self-help guides, plus much more

Health Checks


Easy Read Guides

Questions to Ask the hospital or doctor – Easy Read Guide

Halton Clinical Commissioning Group (CCG) – Easy Read Guide

Annual Health Checks

What are Annual Health Checks?

Health Checks Explained

Families with 0-5 years and School-age Children

Concerns about your child’s behaviour or want to learn new parenting skills

Triple P: Positive Parenting Programme  may be able to help NOTE: Must be referred by a professional – Self-referrals not accepted.

Healthy Child Programme

  • School Nurses deliver the Healthy Child Programme for school-aged children and young people 5-19 years of age and work with their families around health needs to promote health and wellbeing with a focus on early help and support
  • School Nursing Facebook page

Midwifery and Health Visitor Services

Breastfeeding Service/Support Groups and Parenting in the Community Service

Midwifery Service based at Widnes Health Care Resource Centre and from GP surgeries on Runcorn. Women can self refer, be referred from other services or be referred by their GP

Health Visiting Service offers health assessments, advice support and interventions to children and families as required in their first years of life

Relationships Advice-Support

Relationships Advice, sex and sexual health, STI’s, pregnancy, advice on how to talk to others about sex and local sexual health services in Runcorn and Widnes

Sleep Disorder Support

Scope Sleep Solutions Support for families of disabled children and/or additional needs, aged 2-19 with severe sleep problems. Providing workshops, clinics, home visits (where appropriate), phone and email support. Further details, Sleep Coordinator 07435 964605

Helping your child sleep advice and tips – For details of local support contact your Health Visitor or School Nurse

Young Mums and Teenage Pregnancy (Family Nurse Partnership)

Teenage Pregnancy – Family Nurse Partnership is a programme to support first time mothers under the age of 20 – Facebook

Disabled Living Newsletter

Local Data (JSNA), Reports and Case Reviews

Halton Children’s Joint Strategic Needs Assessment (JSNA)
The Halton Children’s Joint Strategic Needs Assessment (JSNA) identifies ‘the big picture’ in terms of the health and wellbeing needs and inequalities of the local population. It is based on the analysis of current and predicted health and well-being outcomes and sets out what people want from their services.

The JSNA is underpinned by partnership working, community engagement and evidence of effectiveness.

Healthwatch Halton
Learning from Case Reviews – Children with Disabilities and/or who are Deaf
SEND Briefing – provides important information around key findings and key messages for staff from case reviews

Medical Conditions

How can I find out more about a medical condition?
Local Support

Other Useful Contacts/Support

ADHD Foundation for advice/support

Autism/Sensory Processing Difficulties
Autism – What’s your Normal Toolkit

The Isabella Trust aims to help improve the quality of life of children with Autistic Spectrum Disorder and Sensory Processing Difficulties by supporting their Families and Carers

Cheshire Autism Practical Support CHAPS support families with Autism Spectrum Condition or Aspergers Syndrome (diagnosed or not) Contact support@cheshireautism.org.uk   or if you require details of current activities contact Ruth Bradford on 0844 850 8607

Halton Autistic Family Support (HAFS) Group  – Overview  & Flyer

Behaviour which challenges

The Positive Behaviour Support Service (PBSS) is a specialist service that works to support behaviour which challenges and improve quality of life for people with autism and/or learning disabilities who engage in challenging behaviour.

Cerebral Palsy
Cerebra provide health and social care information for the parents and carers of children aged 0-16 years with neurological conditions

Stick ‘n’ Step offer FREE weekly or twice-weekly conductive education sessions to children and young people with cerebral palsy. A new centre is opening soon at Tudor Hall, York Street, Runcorn – parents can self-refer using the Family Enquiry Form. Eligibility for support by the service is by an assessment. Contacts are Sarah Smithson and Kelly Marks Tel: 01928 573777/0151 638 0888. Case Studies will be added shortly

  •  Diabetes information to help people with diabetes

Sugar Smart App to help parents see how much sugar there is in everyday food and drink for their children, 4-10 year olds often  consume over 5,500 sugar cubes a year which is about 22kg, the average weight of a 5-year-old.  Too much sugar can lead to painful tooth decay, weight gain, obesity and it can also affect children’s wellbeing as they are more likely to be bullied, have low self-esteem and miss school

Type 2 Diabetes – Group Education/Information Sessions provides a variety of half day, patient education sessions that provide encouragement, support and information to help manage the condition.

Diabetes Video

Dentist – Community Dental Service Bridgewater provide dental treatment for children and adults with disabilities who need specialised care. Local clinic is based at: Dental Dept, Room 6, Lister Rd, Astmoor Industrial Estate, Runcorn WA7 1TW Tel: 01928 593001.  Dental charges are as follows:
  • Band 1=£19.70
  • Band 2 =£53.90
  • Band 3 -£233.40

Dental – Oral healthEarly years settings supervised toothbrushing programmes.  SEND Schools Supervised toothbrushing.  Supporting early years structured sessions.  Resource boxes for settings and schools.  Training for health and community professionals.

Sugar Smart App can help parents see the amount of sugar in everyday food and drinks – too much sugar can lead to painful tooth decay, weight gain, obesity and affect children’s wellbeing as they are more likely to be bullied, have low self-esteem and miss school

British Dyslexia Association offer help and advice for people with dyslexia including a helpline for support and Frequently Ask Questions
Eating Disorder Services
From April 2017 – 5Borougths Partnership will be delivering a new community-based assessment, treatment and support service for children and young people to provide one-to-one support, family therapy and support from a qualified dietician

More information from 5Boroughs Partnership or contact Sophie Ellis Tel: 01925 664 889

Support/Helplines available through B-eat (Beating Eating Disorders)



For support, advice and information for anyone concerned that they or someone they know may have an eating disorder

  • Beat’s Youthline Tel: 0345 634 7650 (for children or young people aged 18 and under)
  • Beat’s helpline Tel: 0345 634 1414
Visit https://www.epilepsy.org.uk/ for more information

Flu jab Video & Seasonal Advice
Hearing and Vision


Audiology – Hearing for Children for children and young people aged 0-18 and their family to help them aims to communicate, learn and interact with others to the best of their ability

Hearing Tests for Children – hearing tests explained

Hearing Impairment Service – support for children, young people, their family, educational settings and colleges

Hearing Screening Unit offer a Newborn Hearing Screen and a school service to all children attending a mainstream school in Halton in the school entry year.  Any baby or child failing the screen will be referred on to Audiology for further tests

Information for Parent/Carers and Schools

The Buzz: 8-11 years old – deaf children’s website

The Buzz: 12-18 years old – deaf young people’s website

Training e.g. Basic Lip Reading, Hearing Aid Awareness, British Sign Language (BSL)

Hearing – Video Guides


Children’s Eyes – advice on children’s vision

Community Orthoptics – for children who are not progressing at school and have difficulties with reading, writing and spelling can access our specialist team of Orthoptists

Eye Tests for children/young people with learning disabilities) – Easy Read

Guide Dogs Information

Information for Parent/Carers and Schools

Opticians – Cheshire and Merseyside offering people with a Learning Disability sight tests

Visually Impaired Service for visually impaired children and young people

Vision Support Resource Centre based at the Independent Living Centre in Collier Street, Runcorn

Mental Health
Lots of support, advice and services for Mental Health
Palliative Care (End of Life Care) for Children
Difficult Conversations with Young People-Adults

Palliative Care (End of Life Care) provide complex pain and symptom control, psychological support and emotional support

Education Resource

Respite Health Care for Children
For children up to age 5
  • Zoë’s Place Baby Hospice offers specialist palliative, respite and end of life care for children up to the age of 5 years with life-limiting or life- threatening conditions

For children and young people from birth to 18

Tired Out/Family Fund - Sleep Support/Tips

Services & Support

Learning Disabilities - Going into Hospital
Information to help prepare and plan for going into Hospital
Going to see your GP or attend a Hospital Appointment?

Search for a GP, Densist, Chemist

Search for your local Doctor-GP Practice, Dentists, Opticians, Hospital

Toolkit/Form to complete before attending medical appointments

This can help you to explain to doctors/medical staff about things that are worrying you/your family.  It was developed with disabled young people, parents/carers and other experts. It can help you think about:

  • Is going well
  • Might help to make it easier to join in everyday activities and make life more enjoyable – there is space for concerns or questions
  • You’ll also find a list of medical conditions, areas of function and other things that might be important

Choose the traffic light colour most appropriate:

  • Green – if no concerns
  • Amber – if some concerns
  • Red – if serious concerns

Take this Toolkit-Form to the appointment to help you discuss things

Easy Read Guide – Questions to ask your GP or at a Hospital Appointment

Easy Read Guide

Carers Centre Information Book & Hospital Liaison Service

Care at the Chemist (NHS Minor Ailments Scheme)

The Minor Ailments Scheme (or Care at the Chemist) is available to those exempt from paying prescription charges – because they’re under 16, over 60 or have a prescription prepayment certificate (PPC) – you don’t have to pay for the certain medicine.  Information from Boots the Chemist about the scheme

Common ailments that may be treated under the scheme include:

Children in Care Health Services
Children in Care Health Services for those in the care of a local authority
Caring for a disabled child
NHS Choices – Caring for a disabled child – Tips for parents/carers
Continence Service
This is a community based team of experienced specialist nurses and nursery nurses providing support, advice and treatment to children and young people with bowel and/or bladder problems
Continuing Care - Children and Young People
What is Continuing Care for Children and Young People?

It’s a tailor made package of support needed over an extended period of time for children and young people aged 0-18 years with complex health needs due to a disability, accident or illness.  Despite accessing all available support from health services a tailor made package of support is still required to meet their health care needs.

National Framework for Children and Young People’s Continuing Care (Department of Health, 2015)

The ‘Framework’ describes the process, led by CCGs, which organisations should go through in assessing needs and putting in place bespoke packages of continuing care for children and young people.

The assessment process is not a set process and may be adapted to meet the needs of the child/young person and their family. In particular, where a child has a special educational need or disability (SEND), which will often be the case, then CCGs and local authorities should endeavour to coordinate the assessment and agreement of the package of continuing care, as part of the process to develop the child’s Education, Health and Care plan.

What’s the difference between Continuing Care and NHS Continuing Healthcare (CHC)?

NHS CHC is for adults who have very severe or complex health needs focusing mainly on health and care needs

Continuing Care for a child or young person should also consider their physical, emotional and intellectual development as they move towards adulthood. The framework offers guidance about Transitional planning and arrangements for young people as they move into adulthood and adult services.

Holistic Care Package

The NHS and Local Authority work together to provide a holistic care package to meet the assessed health, social care and educational needs to provide the best outcomes for both child/young person and their family.  Assessments are carried out at a place of the parent/child’s choice usually in the family home.

NHS Halton CCG Continuing Care – Operating Procedure Oct ’16

Continuing Care Personal Health Budgets - Children and Young People

Introduction to Personal Health Budgets in NHS Continuing Healthcare

The national team has published a short animated film showing how personal health budgets can offer more choice for people as part of NHS Continuing Healthcare. Since October 2014, people in receipt of NHS Continuing Healthcare have had a legal right to have a personal health budget, enabling them to receive care and support that best suits them. The film goes through six steps involved in providing people with a personal health budget, and is a great resource for all Continuing Healthcare teams and professionals.

Halton CCG
Halton CCG Explained – Easy Read Guide

Halton CCG plan NHS services to ensure they meet the needs of local people

Individual Funding Requests to fund healthcare

 Easy Read Guide to Commissioning

Halton Community Specialist Learning Disabilities Team

Who are we?

We are Occupational Therapists, Physiotherapists, Speech & Language Therapists and Therapy Assistants. There are Clinical and Assistant Psychologists, Consultant Psychiatrist, Community Matron (Bridgewater NHS Foundation Trust. We also have office staff who answer the telephone, send out appointments and letters and help us run our service. All staff are DBS checked.

Halton Community Specialist Learning Disabilities Team Easy Read Leaflet

Where are we based?

At the Bridges Learning Centre in Widnes, on Crow Wood Health Park, Crow Wood Lane. The Bridges Learning Centre has a ramp outside to the front door and there is a system to help if you have a hearing problem. There is a toilet with facilities for people with physical disabilities.  There are disabled parking spaces in our car park, which are near to the building

We work with people living in the Halton area – Runcorn and Widnes. We work with people in many settings; at home, at college, at our office or at your day service or other community places you attend.

Who we provide a service for?

We work with people:

  • from the age of 18 upwards, if young people have complex needs Children’s Services may ask that we get involved at a younger age, so that you know us when you reach age 18. Children’s Services will still take the lead on your care though.
  • who have a diagnosed learning disability, this may be written down in your SEN Statement, EHC Plan or in an assessment about your understanding and knowledge.

We do not provide services for people who do not have a learning disability. This includes people with physical disabilities, mental health issues, brain injuries during adult life or autism without a learning disability.

What does are service do?

Our team supports people who have difficulties accessing mainstream services because of their learning disability. We support people who have difficulties with all aspects of their life including day to day tasks, health and lifestyles. We also offer training for families, carers and other professionals.

How can I start using the service?

You can make a referral yourself or ask someone to do it for you. Anyone making a referral on your behalf needs to ask you if you agree to this – Referral Form

We are a small service and sometimes have a waiting list. If we feel another service can give you better help we will tell you who they are.  As part of the NHS we do not charge you for our services. Sometimes you may need to buy equipment for yourself, if other services don’t provide it and we cannot find a service to pay for it.

How are decisions made about who can use our service?

When people are referred to our service we check what information is available to show they have a learning disability. If more information is needed we may contact you, your carers or the person who made the referral.

If we are still insure if you have a learning disability we may visit you to carry out an assessment to find out more about you. We can help you understand our decision in different ways. We may talk with you and your carers and can also present information in a report with words and pictures.

How do we communicate with people with learning disabilities and how are they involved in making decisions and planning?

We will talk to you during our sessions and let you and your carers know how you are doing. When we have finished our work with you we send you a report and let your GP know what we have been doing together.  We sometimes ask you to tell us what you think about our service.

Who do I contact for further information?

Please ring 0151 495 5302 and ask to speak to a member of our team.

Learning Disability Nursing Team

Team Contact Details

Provide support to access health care services for children and young people with a diagnosed learning disability, complex physical/mental health needs or behaviour that causes a barrier to receiving care or treatment from health care services

Lisa Birtles-Smith Clinical Lead Learning Disability Nurse 0151 511 7765
Jane Morris Senior Learning Disability Nurse 0151 511 8986
Elizabeth Hall Senior Learning Disability Nurse 0151 511 6966
Julie Hutchinson Learning Disability Nurse 0151 511 8987
James Binder Learning Disability Nurse 0151 511 6544
Kate McCarter Learning Disability Nurse 0151 511 6068
Lisa Fell Community Care Worker 0151 511 8055
Mark Cowell Community Care Worker 0151 511 7823
Learning Disability or Complex Health Needs - Adults Community Matrons and Young People
Adults Continence Service
Continence Service for those aged over 19 years with a bladder or bowel issue

Occupational Therapy for Assistive Technology for information about equipment to support independent living for people with disabilities, their carers, professionals and other organisations

Foot Care service to assess, diagnose and treat lower leg needs for people with a clinical or medical need

Primary Care Psychological Therapies Service available to people 16 years and above

Stop Smoking Service offers free advice and support to help you stop smoking

Occupational Therapy - Assistive Technology Equipment Service
Assistive Technology to support independent living for people with disabilities, their carers, professionals and other organisations
Foot Care Service
Foot Care – assess, diagnose and treat lower leg needs for people with a clinical or medical need
Psychological Therapy Service
Psychological Therapy Service for those aged 16 years and above
Stop Smoking
Stop Smoking Service – advice and support to help you stop smoking
The Transforming Care Approach

Transforming care is a national programme led by NHS England which is all about improving health and care services so that more people with learning disabilities and/or autism can live in the community, with the right support, close to home and have the same opportunities as anyone else. More information can be found here


Your Rights to Healthcare and the NHS
Information and websites that explain what your rights are, how to use the NHS and where to go for further support

Housing & Equipment

Equipment & Support in the Home, in the Community and for Education
In this section you’ll find information about the
  • Childrens Social Care Equipment Criteria, Referral Pathway, Assessment Process and Impartial Websites, Parents’ Forum & Helpline
  • Education – Equipment & Support Policy and Useful Information
  • Halton Borough Council & Independent Living Centre
  • Woodview (Child Development Centre)
  • Halton Integrated Community Equipment Service (HICES)
  • Wheelchairs
Housing and Adaptations
In this section you’ll find information on:
  • Minor Adaptations
  • Major Adaptations
  • Re-housing and Accessible Housing
  • Disabled Facilities Grant (DFG) and Halton Home Improvement Agency
  • Dropped Kerbs and Vehicle Cross-overs
  • Disabled Parking Bays
  • Driveways
  • Housing Associations

Catch – Common Approach To Children’s Health

Catchapp has local NHS-approved information for parents to ease information overload, particularly regarding pregnancy and help find about your child’s health