Feeding and Swallowing Services

The London Children’s Practice is proud to add a comprehensive Feeding and Swallowing service to our practice.  This service is headed by Annie Hamilton, a Highly Specialist Speech and Language Therapist with expertise treating infants and children with feeding and swallowing and early communication disorders, including providing videofluoroscopic swallow studies, and tracheostomy management.  Annie currently works for the NHS as a Principal Speech and Language Therapist leading a team of feeding therapists.

The London Children’s Practice Feeding and Swallowing Service uses a range of treatment approaches including feeding and dysphagia management from Dr. Maggie-Lee Huckabee and Dr. Joan Arvedson, with TalkTools® in the Sensory-Motor Approach to Feeding, and with Dr. Kay Toomey and Dr. Erin Ross in the S.O.S. Approach to Feeding.

 

The feeding and swallowing service provides assessment and therapy to infants and children throughout their feeding development, and provides therapy in managing difficulties with breastfeeding and bottle feeding, tongue and lip ties, reflux, commencing solids and texture progression, chewing skill development, drooling, overstuffing and pocketing food, oromotor concerns, coughing and choking during feeding and mealtimes, fussy and picky eaters, challenging mealtime behaviours, and implementing mealtime structures and routines.  Individualised parent and caregiver training is provided in all of these areas.

 

Service List

 

Infants

0-12 months

  • Support with bottlefeeding challenges
  • Breastfeeding support and linkage with local networks
  • Tongue and lip tie assessment
  • Support and advice on nipple confusion and reflux concerns
  • Commencement of solids support and advice
  • Texture progression and chewing skill development

 

Children

12 months +

  • Fussy and picky eaters using principles of the S.O.S Approach to Feeding
  • Managing challenging mealtime behaviours
  • Establishing mealtime structures and routines

 

Oromotor

  • Drooling, food overstuffing/pocketting concerns
  • Tongue, lip and jaw movement concerns using Lori Overland TalkTools® Sensory-Motor Approach to Feeding
  • General difficulties with eating and drinking
  • Coughing and choking during mealtimes

 

Second Opinions

  • Second opinions on feeding and swallowing difficulties/delays

 

Training

  • Training of parents and caregivers in individualised feeding and early communication stimulation techniques