When to Ask for a Paediatric Referral

By Dr. Leo Bennett, Child Development Advisor | Expert Advice Column | Childcare Standards Council

As parents and carers, we all want the best for our children’s health and development. Occasionally, there may be concerns that prompt us to seek specialist advice beyond routine health checks and GP appointments. Knowing when to ask for a paediatric referral can be daunting, but understanding the process and signs can empower you to act confidently and ensure your child receives the support they need.

In this article, I will provide a clear, science backed guide to help parents and carers recognise when a referral to a paediatrician is appropriate. I will also explain what to expect from the referral process and how to work effectively with healthcare professionals to support your child’s wellbeing.

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What Is a Paediatric Referral?

A paediatric referral is a formal request from your GP or health visitor for your child to be assessed by a paediatrician a medical doctor specialising in child health and development. Paediatricians diagnose and manage a wide range of health issues, from physical conditions to developmental and behavioural concerns.

Referrals can be made for a variety of reasons, including suspected developmental delays, ongoing medical conditions, or complex behavioural issues requiring specialist assessment.

When Should You Consider Asking for a Referral?

Most children have minor health hiccups that resolve with routine care or advice from health visitors and GPs. However, there are times when a paediatric assessment is beneficial or even necessary. Some common indicators include:

1. Concerns About Developmental Milestones

Every child develops at their own pace, but there are typical age ranges for skills like sitting, walking, talking, and social interaction. If your child:

• Has significant delays in speech or language

• Struggles with coordination or motor skills

• Has difficulties with social interaction or play

• Shows signs of sensory processing issues

  
  

it’s worth discussing a referral to a paediatrician or a specialist such as a speech and language therapist.

2. Chronic or Unexplained Health Issues

Persistent symptoms that do not resolve with standard treatment, such as:

• Frequent infections or respiratory problems

• Unexplained pain or discomfort

• Recurrent seizures or neurological symptoms

• Growth concerns (too slow or rapid)

  
  

may require further investigation by a paediatric specialist.

3. Behavioural or Emotional Concerns

If your child displays behaviours that interfere with daily life such as extreme aggression, anxiety, withdrawal, or attention difficulties a paediatric assessment can help identify underlying medical or developmental conditions, including ADHD, autism spectrum disorders, or anxiety disorders.

4. Complex or Multiple Health Conditions

Children with multiple ongoing health issues or rare conditions often need coordinated care involving paediatric specialists to optimise their treatment and support.

How to Approach Your GP About a Referral

If you have concerns about your child’s health or development, it’s important to communicate them clearly during your appointment. Here are some tips:

• Prepare ahead: Note specific examples of behaviours or symptoms and how they affect your child’s daily life.

• Be honest and direct: Express your concerns and why you feel a specialist’s input might be helpful.

• Ask questions: Inquire about what the referral process involves and expected waiting times.

• Request a second opinion: If you feel your concerns are not being addressed, you have the right to ask for a second opinion or consult a different healthcare professional.

  
  

What Happens After a Referral?

Once your child is referred:

• You will be contacted by the paediatric clinic to schedule an appointment. Waiting times vary depending on urgency and local resources.

• The paediatrician will conduct a thorough assessment, including medical history, developmental screening, and physical examination.

• Additional tests or referrals to other specialists may be recommended.

• You will receive a diagnosis if possible, along with a tailored management or treatment plan.

• Follow up appointments may be arranged to monitor progress and adjust care.

  
  

How to Support Your Child Through the Referral Process

Navigating medical assessments can be stressful for families. To ease this process:

• Maintain open communication with your child about what to expect, using age appropriate language.

• Bring notes or observations to appointments to provide detailed information.

• Keep a symptom diary if relevant, tracking changes or patterns.

• Involve other carers or educators who may offer useful insights.

• Ask for support from family, friends, or professional counsellors if needed.

  
  

When to Seek Urgent Care Instead

A paediatric referral is generally for non urgent concerns. However, you should seek immediate medical attention if your child experiences:

• Severe breathing difficulties

• Unconsciousness or unresponsiveness

• High fever unresponsive to medication

• Seizures lasting longer than five minutes

• Sudden, severe pain or injury

  
  

In these cases, visit your local emergency department or call NHS 111 without delay.

Understanding Your Rights and Resources

In the UK, children’s healthcare is designed to be accessible and family centred. You have the right to:

• Be involved in decisions about your child’s care

• Access information about services and waiting times

• Request referrals and second opinions

• Receive care in a timely, respectful manner

  
  

Several organisations provide support and information, including NHS Choices, Contact, and The Child Development Centre networks.

Final Thoughts

Knowing when to ask for a paediatric referral can be challenging, but recognising signs early can make a meaningful difference in your child’s health and development. Trust your instincts as a parent or carer, gather clear observations, and communicate openly with your GP.

Paediatricians play a crucial role in diagnosing and managing complex childhood conditions, and timely referral ensures your child receives expert care tailored to their needs.

Remember, you are your child’s best advocate don’t hesitate to seek help when you feel it’s needed.