Complex Neurodevelopmental Disorders Service (CNDS) for Children and Young People The Complex Neurodevelopmental Disorders Service (CNDS) is a specialist tertiary second opinion Autism Spectrum Disorder (ASD) service for children and young people. Nationally commissioned by NHS England CNDS works in collaboration with locality teams. In addition to ASD diagnostic assessments the team also provides consultation and management advice to locality teams for complex cases with established ASD diagnoses. V5 July 17
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Complex Neurodevelopmental Disorders Service (CNDS) for Children and Young People
The Complex Neurodevelopmental Disorders Service (CNDS) is a specialist tertiary second
opinion Autism Spectrum Disorder (ASD) service for children and young people.
Nationally commissioned by NHS England CNDS works in collaboration with locality
teams. In addition to ASD diagnostic assessments the team also provides consultation
and management advice to locality teams for complex cases with established ASD
diagnoses.
V5 July 17
www.ntw.nhs.uk Northumberland, Tyne and Wear NHS Foundation Trust
•Uncertainty about an ASD diagnosis following first line assessment
•Uncertainty about the management of ASD and/or any comorbid developmental or
psychiatric disorders
• Concerns about lack of progress or failure to respond to specific therapeutic
interventions (pharmacological and non-pharmacological)
CNDS provides multidisciplinary assessment and specialist intervention for children
and young people upto the age of 18 years where there is:
• Treatment and Interventions
» Advice on the use of pharmacological Interventions
» Advice on the use of modification of psychological Interventions
» Advice about educational placements
» Intensive parenting work
• Consultation advice to support locality teams
• Training
» Autism Diagnostic Observation Schedule (ADOS 2) training courses
» Other bespoke training considered on request
The CNDS team is based at Walkergate Park, Newcastle upon Tyne and provides day patient, outpatient and outreach services.
•Detailed and expert assessment of children and young people to inform a skills and
needs based intervention plan
•Diagnostic Assessment may include:
» Autism Diagnostic Interview - revised (ADI-R)
» Autism Diagnostic Observation Schedule (ADOS 2)
» Neuropsychological (cognitive) assessment
» Speech and language assessment
» Occupational therapy assessment
» Psychiatric assessment
» Early Years Intensive Group
» Specialist advice and information for families from ASD Parent Support Advisor
The Complex Neurodevelopmental Disorders Service (CNDS) provides:
Vicki Grahame, Clinical Lead, Consultant Clinical Psychologist and
Honorary Clinical Senior Lecturer at Newcastle University
• Chief Investigator on a New Parent Group to manage repetitive
behaviours in young children with ASD.
• Co-author of a treatment manual helping children with ASD and
learning difficulties to understand and manage their emotions.
•Has specialist training in Neuropsychological Assessments in children
and young people.
Biographies
Jeremy Parr, Consultant in Paediatric Neurodisability and
Senior Lecturer at Newcastle University
• Experienced in assessing and advising on the management of
children with a range of complex neurodevelopmental disorders and
neurodisability.
•Works with the regional neurodisability service.
• Research interests include intervention/treatment studies, ASD
research databases and autism genetics.
Eleanor Smith, Consultant Child and Adolescent Psychiatrist
• Experienced in assessing ASD, with a particular interest in the
assessment, monitoring and management of comorbid psychiatric
disorders in children and young people with ASD.
Linda Dixon, Specialist Teacher, Newcastle Bridges School
• Experience of working with children with ASD within specialist and
mainstream settings.
•Has international experience training community based staff in ASD
early intervention work.
• First author of a treatment manual to help parents of young children
with ASD.
Deborah Garland, ASD Parent Support Advisor
•North East Regional Resource Manager for National Autistic Society.
• Expert in supporting parents and facilitating local networks.
•Member of the database for children living in the North East (Daslne)
and regional ASD research studies steering groups.
The CNDS multidisciplinary team includes:
• Consultant Clinical Psychologist
• Consultant Child and Adolescent Psychiatrist
• Consultant Neurodisability Paediatrician
• Trainees in Child and Adolescent Psychiatry and
Paediatrics
• Clinical Psychologists and Assistant Psychologists
•Occupational Therapist
• Speech and Language Therapist
•Nurse Specialists in ASD
• Specialist ASD Teacher
•ASD Parent Support Advisor
•Administrative staff
Who can refer
• Referrals accepted from locality Child and Adolescent Mental Health Services and
Child Health/Paediatric Services.
• CNDS cannot accept referrals from primary care.
How to refer
• Referrals are accepted by post, fax or secure email using electronic CNDS referral form.
• Telephone enquiries welcomed before referral.
Referral criteria
• Clinical uncertainty regarding an ASD diagnosis following an initial multidisciplinary
ASD diagnostic assessment OR specific clinical question about management in context
of an established ASD diagnosis
• Referral must include:
» Completed CNDS referral form
» Clinical question to be addressed
» Summary of current diagnoses/formulation
» Copies of report from initial ASD assessment and any other diagnostic report
• The child or young person must be under 18 years old at the time of referral
• The child or young person must be open to a Child and Adolescent Mental Health
Service or Child Health/Paediatric Service who will retain clinical responsibility for
duration of assessment/consultation.
To discuss a referral, to be sent a copy of the referral form or for further information please contact:
Complex Neurodevelopmental Disorders Service (CNDS) Walkergate Park Benfield Road Newcastle upon Tyne NE6 4QD
