About us

The General Paediatric Team provides general paediatric medical input to patients across the hospital to support and improve holistic care for children and young people in Great Ormond Street Hospital (GOSH). 

Inpatient Care

  • Our team welcomes referrals from all specialty teams within the hospital that require general paediatric input for their patients.
  • If teams are unsure whether a problem requires general paediatric input or sub-specialty input, the General Paediatric Team is happy to discuss the management of these patients, review them if appropriate and/or give advice on referral to other specialties as needed.
  • The General Paediatric Team consults on a range of issues including acute illness, nutrition, neonatal care, growth and development, as well as specific issues around safeguarding. Many of our referrals come from surgical and mental health specialties. However, we are available to provide general paediatric input into the holistic care of all patients across the Trust irrespective of which specialty they are under.
  • A Consultant member of our team conducts a ward round for all spinal surgery inpatients daily. We provide pre- and post-operative medical input (including HDU) into the care of children undergoing spinal surgery within the Trust. We also conduct twice weekly ward rounds on Koala ward, to provide general paediatric input into the management of neurosurgical patients and support the education and training of paediatric SHOs working with the neurosurgical teams.
  • Every Wednesday afternoon, a member of the team reviews neonates admitted under the care of general surgery and urology. We ensure that all neonates have a full newborn examination, appropriate screening performed and address any other medical issues that they may have.  
  • At the request of teams, we consult on patients across the hospital. We continue to follow up these patients during the course of their inpatient stay or until general paediatric input is no longer required.
  • We are also available for involvement in Multi-Disciplinary Team meetings for children and young adults with complex problems, to contribute general paediatric input and support liaison with local services.
  • Members of the General Paediatric Team are also responsible for overseeing the medical treatment of patients admitted to the International Private Patients. General Paediatric cover is provided by the attending General Paediatric Consultant on weekday evenings and Saturday mornings. The team also attends the IPP weekly grand rounds and supports the educational supervision of IPP fellows.
  • Our team supports and provides training for medical, nursing and other health professionals within the hospital. We also provide safeguarding support and are involved with quality improvement work across the trust. A consultant member of the general paediatric team attends morning and evening handover to support safe handover and provide teaching and training.

Outpatient Care

Our team runs a number of different outpatient clinics. 

Complex Care clinic 

The General Paediatric team runs twice monthly complex care clinics for children and young people who have multiple health problems requiring specialist input from multiple teams both here at GOSH and locally. The purpose of the clinic is to provide a comprehensive family centered overview of the child’s or young person’s needs, assist with the co-ordination of their care  and liaise with all specialists involved in the child's or young person's care to help optimize their care and limit the number of hospital visits required.

Referral Criteria

  • Internal referrals of patients under at least one surgical specialty with additional medical problems (under >1 medical consultant at GOSH)
  • External referrals of patients who fit the above criteria will be considered individually
  • New patients (likely to be under one year of age) on a surgical ward who are identified as having additional medical problems and require a one off appointment to ensure that referrals to appropriate specialist services at GOSH and a local paediatrician are being made

General Paediatric Consultants

Andrew Long, Imke Meyer-Parsonson, Jane Valente, Michelle Mary McEvoy

How to refer

Please see our referral information.

22q11 Deletion Syndrome Clinic 

The 22q11 Deletion Syndrome Clinic is a multidisciplinary clinic led by the General Paediatric Team.  Members of the team include Consultant General Paediatricians, Consultant Paediatric Immunologist, Specialist Speech and Language therapists, Consultant Psychiatrists and Psychologists. The clinic is designed to ensure every child and young person with 22q11 Deletion syndrome receives appropriate care and long term follow up. We aim to see children at diagnosis and then at important milestones in their childhood, including transitioning to adult health care. This is important because the needs of children and young people with 22q11 Deletion syndrome can change over time. 

Referral Criteria

  • Children and young adults with 22q11 Deletion syndrome (please include genetic results in referral letter) 

General Paediatric Consultants

Michelle Mary McEvoy, Imke Meyer-Parsonson 

How to refer

Please see our referral information.

General Paediatric Cleft Clinic 

The General Paediatric Cleft Clinic provides general paediatric care for children with cleft lip and/or palate under the care of the Cleft Team at GOSH. Clinics are held twice weekly on a Monday and Friday. 

Referral Criteria

  • Children with cleft lip and/or palate under the care of the Cleft Team at GOSH 

General Paediatric Consultant 

Dr Michelle Mary McEvoy

How to refer

Please see our referral information.                                    

Musculoskeletal Pain Clinic

This is a weekly non-inflammatory multidisciplinary clinic for children aged five to 14 years with musculoskeletal pain. Patients should already be under the care of a local paediatrician. 

Referral Criteria

  • Ongoing non-inflammatory musculoskeletal pain
  • Under the care of a paediatrician

General Paediatric Consultant

Dr Nick Lessoff

How to refer

Please see our referral information.                                           

Psychological Medicine General Paediatric Clinic 

The Psychological Medicine General Paediatric Clinic provides medical support to patients with existing or suspected mental health conditions. Children and young people with feeding and eating disorders, autistic spectrum disorder and learning difficulties are examples of patients seen in the clinic. In addition, referrals for assessment of children and young people with possible medically unexplained presentations are accepted.

Referral Criteria

Referrals are accepted from both paediatric and mental health teams within and outside GOSH. These can include: 

  • Children and young people with existing or suspected mental health diagnoses needing general medical input into their care
  • Children and young people who have an overlap between possible medical or psychological problems, with unclear (perplexing or medically unexplained presentations)
  • In particular children and young people with feeding and eating disorders who have physical complications needing further assessment and possible intervention around issues such as growth, pubertal development and bone mineral density.
  • Dr Hudson welcomes informal discussions from referrers about cases and suitability for referral, via the usual referral pathway.
  • Advice can also be provided to health professionals about the acute management of severely underweight children and young people with eating disorders who are either inpatient or outpatient.

General Paediatric Consultant        

Dr Lee Hudson

How to refer

Please see our referral information.

Chronic Fatigue Syndrome (CFS) Clinic 

For more information see our Adolescent medicine section.