Clinics and wards

There are two wards for children having cleft lip and palate treatment at Great Ormond Street Hospital.

Wards

Children under the care of the Cleft lip and palate team are admitted to Puffin Ward for pre-operative care.

Following surgery, they are cared for in Peter Pan Ward. This is usually for one or two nights.

Peter Pan Ward is located on Level 7 of the Southwood Building. Ten of the wards beds are for cleft patients.

Clinics

The service run a special clinic for velocardiofacial syndrome (also known as 22q11 deletion and Di George syndrome).

We also hold clinics at the Royal London Hospital in Whitechapel, and Southend Hospital.

What to expect

This is the plan for the majority of children under the care of the Cleft lip and palate team. It identifies the appointments, tests, assessments and operations your child will need. Treatment is planned on an individual basis taking into account other illnesses and conditions your child may have.

As each child is different, we may need to adjust this plan from time to time but the following is a rough guide for those children with clefts of the lip and palate. Children with clefts of the lip only will need to be seen less frequently.

Your child's age   What to expect
 Birth

Hospital visit to family by one of the clinical nurse specialists for lip and palate or palate only patients.

Outpatient MDT clinic - discuss operation.

 6-8 weeks  Outpatient clinic - hearing test and paediatric appointment if required.
 3 months  Admission to hospital for lip repair
 8-10 months  Admission to hospital for palate repair
 12 months  Outpatient MDT clinic - post op and hearing test
 18 months  Outpatient clinic - speech and language therapy assessment
 2 years  Outpatient MDT clinic - cleft clinic
 3 years  Outpatient clinic - speech and language therapy assessment
 4 years   Outpatient MDT clinic - cleft clinic
 5 years  Outpatient clinic - clinical review
 7.5 years  Outpatient MDT clinic - cleft clinic
 10 years  Outpatient clinic - clinical review
 12.5 years  Outpatient MDT clinic - cleft clinic
 15 years  Outpatient clinic - clinical review
 16 years  Outpatient MDT clinic - cleft clinic
 20 years  Outpatient clinic - clinical review

These are just the planned appointments and we are happy to see you at any time if you have concerns or worries. If individual members of the team need to see your child more regularly, we will arrange these appointments for you. If your child is likely to need several assessments at the same age, we will do our best to arrange them for the same day.

In addition to these appointments, at certain stages of treatment your child may also be seen separately in other departments such as speech and language therapy, audiology, orthodontics or psychology.