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  • V9 August 2018

    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.

  • 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 co morbid developmental or

    psychiatric disorders

    • Concerns about lack of progress or failure to respond to specific therapuetic 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:

  • The Complex Neurodevelopmental Disorders Service (CNDS) provides:

    • 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

    • 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 (ADOS2) 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.

  • Northumberland, Tyne and Wear NHS Foundation Trust


    Vicki Grahame, Clinical Lead, Consultant Clinical Psychologist and Honorary Clinical Senior Lecturer at Newcastle University

    • Chief Investigator on a New Parent Group to manage repetative

    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.

    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 studied, 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.

    • International experience training community staff in ASD early

    intervention work.

    • First author of a treatment manual to help parents of young

    children with ASD.

  • Northumberland, Tyne and Wear NHS Foundation Trust

    Deborah Garland, ASD Parent Support Advisor

    • North East Regional Resource Manager for National Autistic

    Society (NAS).

    • 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


    • Occupational Therapist

    • Speech and Language Therapist

    • Nurse Specialists in ASD

    • Specialist ASD Teacher

    • ASD Parent Support Advisor

    • Administrative staff

  • Northumberland, Tyne and Wear NHS Foundation Trust

    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 refarral form.

    • Telephone enquiries welcomed before referral.

    Referral criteria

    • Clinical uncertainty regarding an ASD dianosis following an initial multidisciplinary ASD

    diagnostic assessment or specific clinical question about management in context of an

    established ASD diagnosis.

    • Referrals 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 the duration of

    assessment / consultation.

    To discuss a referral, to be sent a copy of the referral form or for further information please


    Complex Neurodevelopmental Disorders Service (CNDS) Walkergate Park

    Benfield Road

    Newcastle upon Tyne

    NE6 4QD

    Tel: 0191 287 5260 Enquiries email:

    Fax: 0191 287 5261 Referral email:

  • Northumberland, Tyne and Wear NHS Foundation Trust

    Service location

    The Complex Neurodevelopmental Disorders Service (CNDS) is located at Walkergate Park on Benfield Road in Newcastle.

    How to get there

    By Car - CNDS is easily accessible from both the A19 and A1. Follow the A193 and take the signs signposted to Walkergate Park Hospitals.

    Car Parking - There is a car parking available on site. Please note car parking is chargable.

    Satellite navigation - use postcode NE6 4QD when using a satellite navigation system.

    By Bus - The service is easily accessed by bus see. for further information and timetables.

    By Train - Newcastle Central Station is located in the centre of Newcastle and easily accessed from other areas. The CNDS service is a short taxi or bus journey from the station.

    By Metro - The nearest metro station is located at Walketgate. Walkergate Park is approximately a 5 minute walk.

  • Northumberland, Tyne and Wear NHS Foundation Trust

    Newcastle upon Tyne


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    Complex Neurodevelopmental Disorders Service (CNDS) Walkergate Park

    Benfield Road

    Newcastle upon Tyne

    NE6 4QD

    Tel: 0191 287 5260 Enquiries email:

    Fax: 0191 287 5261 Referral email:

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