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There are a range of services that are available to everybody, without the need for any assessment or referral (although you will probably need to register with them), to help manage their health.  These are often called ‘Universal’ services and they include GPs, Dentists, Pharmacists, Opticians and Walk-in centres. You can find the details of these services here – http://www.nhs.uk/service-search.  Emergency and urgent care is available to everyone in the normal way of going to a local A&E or calling 999 as necessary.

 There are services that support and treat people with certain conditions and normally you will have to be referred to the services by certain professionals or agencies e.g. GPs, schools, etc.  These are called ‘Targeted’ services.  Children and young people with a disability, medical condition and/or a special educational need will probably be supported by one or more of these services through their life.

 With very complex medical or health needs it may be necessary for individuals to get some very specialised treatment, medication or therapy which is provided locally.  These would be called ‘specialist’ services and access to these will be via the clinical consultant that is managing the care and treatment of that individual.  It is not possible to list all these specialised services, but information should be provided directly to the patient and their family when the treatment etc. is being discussed/arranged.

The services have all been flagged as either universal need or additional need.  All NHS services are universally available to all children and young people.  Additional Services are those that require assistance under Continuing Health Care, this is where a  child requires something in addition to all of the NHS services.

The SEND Code of Practice requires the appointment of a medical/clinical practitioner to support the Clinical Commissioning Group (CCG) to meet its statutory responsibilities for children and young people with SEN disabilities between the ages of 0 and 25.  This post is called the Dedicated Clinical Offer (DCO). In Liverpool the Dedicated Clinical Officer is the Chief Nurse of Liverpool CCG.  In addition, Liverpool CCG has also commissioned Merseycare NHS Foundation Trust to provide the support required to co-ordinate and oversee the production of health information and advice into Education Health and Care Plans (EHCPs). 

The DCO for Liverpool CCG can be contacted at: DCO.Liverpool@NHS.net