Speech, Physiotherapy & Occupational Therapy (SPOT) Service

Speech, Physiotherapy & Occupational Therapy (SPOT) Service

In this section you can find information about our SPOT service for children in Sefton community.

What is SPOT?

SPOT is a multi-professional therapy team consisting of Speech and Language Therapist, Physiotherapist(s) and Occupational Therapist. The service is for pre-school children aged 0-3 years with 2 or more therapy assessment requirements.

SPOT is an ‘opt-in’ service.  Parents /carers need to opt into the service, once they have been informed that a referral has been received and accepted.

A complex needs clinic is held monthly. This is a joint clinic held with the SPOT team and a community paediatrician.  These clinics are specifically for children with complex needs or in need of a diagnosis.  

Once a month, sessions are held in community settings in North and South Sefton.  These take place at ‘Jakes Sensory World’ in Netherton Activity Centre and ‘Little Seedlings Soft Play’ at Dobbies in Southport.  These free sessions are a great opportunity to meet other families in an informal setting alongside the therapists. For further information please contact your child’s Occupational Therapist.

SPOT assessments provide a coordinated developmental assessment of the children referred in a clinic setting, which allows assessment of all areas of the child’s development. Depending on the need of the child these assessments may be through observation, discussion, or completion of a standardised assessment such as the Bayley Neurodevelopmental Screening Test (if appropriate).

Where will my first appointment be held?

An initial appointment will be held in a clinic setting.  This will be at one of two locations in Sefton (see below).  Your home address will determine the location of your appointment.

North Sefton (Areas covered L37, PR8, PR9)

Southport Centre for Health and Well-being
44-46 Hoghton St

South Sefton (Areas covered L20, L21, L22, L23, L30,L31, L38, Sefton parts of L10)

Sefton Carers Centre
27-37 South Road
L22 5PE

Who can bring the child to the first clinic appointment?

At the first appointment, we will need to gain written consent to assessment and treatment (if indicated).  So it is essential that a person with parental responsibility attends the appointment.  If this is not possible, please contact the Occupational Therapy team before the appointment.

What should I expect?

The first appointment is a good opportunity to meet the team of therapists who might be involved in your child’s care.

At the first appointment, the SPOT team will listen to your concerns and discuss with you the reason for referral. 

Depending upon the age of your child and their needs, the therapists will complete a series of informal or standardised assessments to establish how best to support your child.

The SPOT team are aware that for some parents this can be a difficult and stressful time, especially dealing with the implications of your child’s difficulties.  We understand there may also be medical complications that require regular visits to or stays in hospital, which can make coordinating SPOT appointments overwhelming.  Therefore, SPOT appointments try to be as informal as possible in relaxed and welcoming environment for both you and your child.  

How long will the appointment be?

Initial appointments are given at least 60 minutes per child.

What if I cannot attend my appointment?

If you need to cancel or change an appointment, please give as much notice as possible.

Contact:           North Sefton OT Team on 01704 395 895

                         South Sefton OT Team on 0151 252 5836

We do appreciate that at times this is not always possible in the case of an emergency.

Please note: cancellations on more than one occasion may result in discharge and a re-referral being required into the service.


If you do not bring your child to an initial appointment and fail to let us know, your child will be discharged and a re-referral required. 

What do I need to bring to the appointment?

Your child needs to attend the appointment with you for a first assessment.

You will also need to bring your completed parent questionnaire with you. This will have been sent out with your appointment letter. This helps us to gain more information about your concerns.

If your child uses any additional aids such as glasses, hearing aids or splints please make sure that these are brought with them.

After the appointment – what happens next?

After the appointment, a report will be completed with any further actions that the therapists recommend.

The SPOT team will discuss these actions with you.  These may include:

  • Plans for therapy
  • Further advice
  • Referral to other services
  • Provision of equipment
  • Review
  • Discharge
  • To download a copy of our SPOT information leaflet please click here.
  • To download a copy of our SPOT referral form please click here.
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