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Functional symptoms

Functional symptoms are physical symptoms without an obvious cause. They can also be called Medically Unexplained Symptoms, Somatic Symptom Disorder, Somatoform Disorder or Functional Neurological Disorder. This page from Great Ormond Street Hospital (GOSH) explains about functional symptoms in children and young people and how they can be managed.


Adding to a long list of pioneering initiatives and as a result of the success of our frequent flyer programme, the Great Ormond Street Hospital (GOSH) Cystic Fibrosis (CF) Unit has set up an exciting new exercise. What is it and how might it make a difference? 

Augmentative Communication Service

The Augmentative Communication Service provides specialised assessment for complex augmentative and alternative communication (AAC) systems. The service has been identified by NHS England as one of 13 services nationwide offering this service. This will include assessments for devices, provision of equipment and training, maintenance and support.

Obsessive compulsive disorder

Obsessive-compulsive disorder (OCD) is an anxiety disorder characterised by intrusive, distressing, unwanted thoughts (obsessions) and time-consuming, senseless rituals (compulsions). OCD occurs in about one per cent of the population and is therefore fairly common, which means it is helpful for school staff to know about it.

Idiopathic scoliosis and spinal surgery

This page from Great Ormond Street Hospital (GOSH) explains the causes and symptoms of idiopathic scoliosis (curvature of the spine from an unknown cause). Surgery to correct the curvature is the main form of treatment offered at GOSH, so this pack gives details of the assessment process to help decide if spinal surgery is right for your child. It also tells you what to expect when your child comes to GOSH.

Inhalation sedation for dental procedures

Inhalation sedation is a light form of sedation. It is a mixture of nitrous oxide and oxygen breathed through a nosepiece. This helps the child to feel relaxed and accept treatment. Inhalation sedation is also known as ‘happy air’. It is not general anaesthesia. This page from Great Ormond Street Hospital (GOSH) explains about inhalation sedation and what to expect when your child has a dental procedure that requires it.

Immunoglobulin therapy

This booklet has been produced by the PID UK Medical Advisory Panel and Patient Representative Panel in conjunction with Great Ormond Street Hospital and the Great North Children’s Hospital. It provides information on immunoglobulin therapy (Ig therapy) to help answer the questions parents may have about this form of treatment for children and young people affected by primary immunodeficiency (PID).The information should not, however, replace advice from a clinical immunologist.

Congenital hyperinsulinism

This page from Great Ormond Street Hospital (GOSH) explains about congenital hyperinsulinism (CHI), which is present at birth and results in high levels of insulin being produced, which in turn can affect all areas of the body. It explains what causes CHI and how it can be managed.

Gastrostomy care

A gastrostomy is a surgical opening through the skin of the abdomen to the stomach. A feeding device is put into this opening so that feed can be delivered directly into the stomach bypassing the mouth and throat. This page from Great Ormond Street Hospital (GOSH) describes the operation to create a gastrostomy and explains the care it will need afterwards.