Health (Local Offer)

If you have concerns or questions about your child’s health the first person you talk to is your GP, health visitor, school nurse for medical services or your dentist for dental services.

These are our universal health services that anyone can access and you do not need a referral.

Building a relationship with the universal health services is important from the moment your child is born and throughout their development.

They can help with a wide range of health issues and any concerns you might have about your child’s development. They can also refer you to specialist health services depending on your child’s needs.

Specialist services include physiotherapy, occupational therapy, speech and language therapy, child and adolescent mental health services, wheelchair services, children’s community nursing and the special dental service. 

If your child is supported by a number of professionals from health, education and social care they will work together to make sure support is co-ordinated and appropriate. 

You can find information about your local doctor, hospital and dentist on the NHS website. 

Health Visitors and school nurses

The Cambridgeshire and Peterborough Health Visiting and School Nursing Services are part of the 0-19 Healthy Child Programme. If you need help call 0300 029 50 50 or text 07520 649 887.

Find out more on the Healthy Child Programme website.

Therapy Services for children

Children's Speech and Language Therapists (SALT) provide speech and language therapy to children and young people who have speech, language and communication needs and feeding difficulties.  

Children's Physiotherapy Service is a community based service.  They work with children 0-19 years old who have general developmental delay, movement disorders and complex physical disabilities.

The NHS Childrens Occupational Therapists works with children 0-19 years old in the community and school who have a range of mild to complex disabilities and difficulties, including developmental delay, motor disorders and/or complex physical disability. Professionals wishing to make a referral can find the referral form on this page.

Social Care Occupational Therapists 

If you are a parent or guardian of a child or young person with a physical or learning disability, then occupational therapy in the community can help you.  You can find out more about the services offered by Social Care Occiupational Therapists on the Social Care and Early Help page.

Childrens Community Specialist Nursing Service

Children's Community Specialist Nurses provide nursing to children with complex needs at home.

They provide care for children and young people from 0 up to their 18th birthday who:

• need acute short-term interventions to enable them to be cared for at home
• have complex healthcare needs/long-term conditions requiring nursing support/intervention
• require palliative and end-of-life care

Community Paediatricians

Community Paediatricians provide a wide range of medical advice, assessment, diagnosis, treatment, and support services in the following areas: ·

• Children with developmental concerns including potential Autistic Spectrum Condition (ASC) and Attention Deficit Hyperactivity Disorder (ADHD) diagnoses
• Children in special schools requiring medication or other treatments during the day
• Medical advice for Education Health Care Plans
• Safeguarding Children, child protection and children in need

The service accepts referrals for Children and young people who are registered with a GP within the Cambridgeshire and Peterborough CCG area. This includes, but is not exclusive to:

• Physical disability including sensory impairment
• Developmental delay/learning disability
• Social communication difficulties including autism
• Looked after Children for Statutory Health Assessments

The service is accessed through referral from Early Support Pathway and Early Help Pathway. 

Psychology Children's Service (Peterborough)

The Psychology Children's Service in Peterborough is a community-based service within Cambridgeshire and Peterborough NHS Foundation Trust (CPFT).

They work as part of a multi-professional team including specialist speech and language therapist’s who assesses a child's abilities (up to the age of 5) across a range of areas to determine how best their additional needs can be described and supported.

Psychologists look at a child's cognitive (thinking) skills and their ability to adapt to social situations as well as looking at how the child reacts at home and in other settings.

Referrals to the Psychology Children's Service are via the Early Help Team and Child Development Centre, Community Paediatricians.

The local hospital in Peterborough is Peterborough City Hospital, which is part of North West Anglia NHS Foundation Trust.

There are other hospitals, some offering universal services and other with specialist services and known as being leaders in certain medical fields, like heart surgery or children’s plastic surgery. 

When you are referred to services that are in a hospital you will be sent to right clinic in the right hospital for your child’s needs.  This may be your nearest hospital, but it can sometimes mean you need to travel further to the hospital offering what is needed.  

Other hospitals in the area are:

Stamford and Rutland Hospital in Stamford

Addenbrookes in Cambridge

Hinchingbrooke in Huntingdon 

Your child may be referred to a hospital with a specialist hospital or unit such as Great Ormond Street  which is one of 30+ children’s hospitals in the UK. 

If you need help and advice about your treatment in hospital, contact the Patient Advice and Liaison Service (PALS) for the individual hospital.

Autism

The CAMH Neurodevelopmental Service can provide assessments for Autistic Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD).  We work with school aged youngsters, their families and professionals where there is already a diagnosis of Autism, ADHD and/or learning disability.

More information about autism can be found on the Autism page and Neurodevelopmental Disorders page. 

Sensory Impairment

Children and young people with sensory impairments may have visual/sight impairment or hearing impairment. Some children and young people have multi-sensory impairment (MSI) of both sight and hearing. Many children also face other challenges, such as medical conditions or physical disabilities.

Your child's eyes may be checked a number of times throughout the first hours, weeks and years of their life.  Find out more here.

The North West Anglia NHS Foundation Trust, Paediatric Audiology Service provides hearing assessment and advice for children for whom there is concern about hearing. They assess children aged 9 months old to 16 years old and will require a referral from your child’s GP, Health Visitor, School, Paediatrician or Speech Therapist. For those who are 16 years or older, the GP can assess and refer to services as needed.

Health services for children with sensory impairment are provided at the Child Development Centre by a team of Community Paediatricians, Speech and Language Therapists, Occupational Therapists and Physiotherapists. This health service works closely with the eye (Ophthalmology) and hearing (Audiology) services in the hospital as well as the Sensory Impairment Service provided by the Local Authority as part of the SENI (Special Educational Needs and Inclusion) team. 

More detailed information can be found on our sensory impairment page.

Child and Adolescent Mental Health Services

CAMHS stands for Child and Adolescent Mental Health Services. CAMHS are the NHS services that assess and treat young people with mental health disorders.

CAMHS support covers depression, eating disorders, self-harm where there is a mental health disorder, anxiety disorders and other diagnosed mental health disorders.

Peterborough CAMHS service includes nurses, therapists, pyschologists, psychiatrists and support workers. This service is provided by Cambridgeshire and Peterborough NHS Foundation Trust.  Referrals can come from the school or the GP.

Find out more on the Local Offer Mental Health page.

Eating problems

Some children may have difficulties with feeding from birth.  It is common for children to present with a ranging feeding, eating, and drinking activities and Health Visitors can support you with infant feeding and weaning. 

You can also find lots of useful advice on the Infant Feeding page of the Cambridgeshire and Peterborough Healthy Child Programme website.

If you have concerns then talk with your child’s GP, health visitor or paediatrician.  Young people can seek their own referrals over the age of 17 or 18 through their GP. Those who need specialist services may be referred to Dietetics, Nutrition, and to services for specialist equipment and other related support.   

If your child's eating and drinking suddenly stops, or becomes very restricted, please seek medical advice from NHS 111 or your GP to ensure they are safe and well. 

Eating Disorders 

Eating disorders are mental health conditions where food is often used to cope with feelings and situations. Eating behaviours can be unhealthy and may include eating too much or not enough and being overly concerned about weight and body image.

Eating disorders can affect anyone at any age, but are most common in teenagers between 13 and 17.  

The most common types of eating disorder are Anorexia Nervosa (AN), Bulimia and Binge Eating Disorder (BED). 

Other eating disorders are other specified feeding or eating disorder (OSFED) and avoidant/restrictive food intake disorder (ARFID) which can be experienced by some children/young people with Autism.  Below are links to some useful websites.

www.beateatingdisorders.org.uk

www.pedsupport.co.uk

CPFT CAMH Eating Disorder Service

The Sun Network

The SUN network produce 2 useful leaflets.

Are you caring for a loved one with an eating disorder? is useful for parent/carers to help care for someone with eating challenges. 

Warm words and support for those with eating challenges has been put together by those who have experienced different eating challenges and recovered.  They want you to know you are not alone and support is available.

Support for drink and drug problems

Support is available for anyone with a drink or drug problem.

If you need help your GP is a good place to start. They can discuss your problems with you and get you into treatment. You can call your GP practice as usual for an appointment. 

Help from the NHS

The NHS website has lots of information that can help. 

Telephone helplines

Help is available through telephone helplines from the organisations below.   

• Drinkline provides free advice and support, on 0300 123 1110 

• FRANK provides free information and advice on drugs, and information on where to get help, on 0300 123 6600 

• the National Society for the Prevention of Cruelty to Children (NSPCC) helpline, if there are worries about a child or young person, on 0808 800 5000 

• The National Association for Children of Alcoholics (Nacoa), on 0800 358 3456 

• Childline provides advice for anyone under 19, on 0800 1111 

Useful websites

Websites that have useful information are listed below.

• One You Drink Less, which offers advice on cutting back on alcohol 

• FRANK, which offers information and advice on drugs and where to get help 

• Down Your Drink, which provides interactive web-based support to help people to drink more safely 

• Nacoa, which provides information, advice and support for anyone affected by a parent’s drinking 

• Childline online access to mutual support including: 

• SMART Recovery 

• Alcoholics Anonymous (AA) 

• Narcotics Anonymous (NA) 

• Cocaine Anonymous (CA) 

Is puberty different for young people with special needs?

Although many young people with special needs experience delays in achieving developmental milestones, puberty usually occurs at the same age and involves the same changes as typically developing children.

Common concerns of parents and carers of children with special needs

It is normal for all parents to feel anxious about this stage of their child’s development.

Parents may worry about hygiene, period management, emotional meltdowns, emerging sexuality, masturbation and inappropriate touching of others. They may also have fears about the increased risk of sexual abuse and the possibility of casual sexual relationships, pregnancy and STIs.

Parents may also be concerned about how their child will cope emotionally with puberty changes and their emerging sexuality, now and in the future.

Parents and young people can request support from their local GP or the local NHS icash service. 

There is no set age for when to stop using nappies, but children usually show signs they are ready to use a toilet or a potty between 18 months and 3 years.

What you can do to help

Talk to your child. Communicate and educate, notice the signs of needing the toilet, keeping dry day and night.

You can find more details on these subjects on the Cambridgeshire and Peterborough Healthy Child programme website 

Who can help?

If you’re worried about your child, a health professional in the the Cambridgeshire and Peterborough Health Visiting and School Nursing Services team will be able to offer advice and support.

You can telephone 0300 029 50 50 or text  07520 649887 to start a conversation.

Genetic testing

Genetic testing – sometimes called genomic testing – finds changes in genes that can cause health problems. It's mainly used to diagnose rare and inherited health conditions and some cancers. 

You may be offered a genetic test because: 

• your doctor thinks you might have a health condition caused by a change to 1 or more of your genes 

• someone in your family has a health condition that's caused by changes to genes 

• some of your close relatives have had a particular type of cancer that could be inherited 

• you or your partner have a health condition that could be passed on to your children 

If you have any questions, talk to your doctor about having a genetic test. 

Cambridge Rare Disease Network

Cambridge Rare Disease Network is a platform for change. It is the infrastructure that unites patients, advocates, experts and leaders to address the challenges faced by people affected by rare diseases. By sharing knowledge and experience, the journey towards better diagnosis, treatment and support for patients and their families is smoother and more certain. 

You may find the Resources page on their website particularly interesting

The Down's Syndrome Association.

Children and adults with Down’s syndrome are all unique individuals with their own personalities, family backgrounds and preferences that make them who they are.

On their website you will find answers to questions that we are often asked about Down’s syndrome. This information will help you to separate the facts from some common misconceptions. If you do not find what you are looking for ring our helpline and speak to one of our specialist advisors.

Local support groups.  

The Down's Syndrome Association have affiliated local support groups right across England, Wales and Northern Ireland. they also have the information details for a wide range of independent support groups, all of whom can provide support and knowledge relevant to each region. local support group. View the East of England support group which included Peterborough

If your child is experiencing discomfort or uncertainty about their gender identity, and it's causing distress, it's important they talk to an adult you can trust. 

Options include parents, who may be much more supportive than you expect. Schools and colleges are now much more aware of trans and gender identity issues, are keen to support young people and have a duty to do so. 

If your child doesn’t feel able to talk to someone they already know, there are several charities and local gender support groups they can talk to. Many have trained counsellors they can speak to in confidence. You can find a list of charities and support groups here. 

There is NHS help available for teenagers who need support around gender. 

If you have strong and continuing feelings of identifying as a gender that is not the one you were assigned at birth, and are distressed about this, there are various options available. These include talking therapy and hormone treatment and, after 18 years of age, surgery if appropriate. 

Your GP, other health professional, school, or a gender support group may refer you to the Gender Identity Development Service (GIDS) at the Tavistock and Portman NHS Foundation Trust. 

This NHS service specialises in helping young people up to the age of 18 with gender identity issues. It takes referrals from anywhere in England. Its principal clinics are in London and Leeds. 

You can also find more information on our Local Offer Equality and Diversity page

If you have been told that you or your child may not get better, you might also have heard about palliative care. Palliative care is for people living with a terminal illness where a cure is no longer possible. It's not just for people diagnosed with terminal cancer, but any terminal condition. It’s also for people who have a complex illness and need their symptoms controlled. Although these people usually have an advanced, progressive condition, this isn’t always the case.

Palliative care aims to treat or manage pain and other physical symptoms. It will also help with any psychological, social or spiritual needs. Treatment will involve medicines, therapies, and any other support that specialist teams believe will help their patients. It includes caring for people who are nearing the end of life. This is called end of life care.

The goal is to help you and everyone affected by your diagnosis to achieve the best quality of life. You might receive palliative care alongside particular treatments, therapies and medicines, such as chemotherapy or radiotherapy.

Marie Curie have a suite of Easy Read booklets about palliative care.

Palliative Care Hub

The Palliative Care Hub is a free telephone service in Cambridgeshire and Peterborough for people to call if they require support living with a life limiting illness. 

The service is for patients, families, carers, and healthcare professionals who might require palliative or end of life care advice for themselves or patients in the community. 

It is part of the NHS 111 service that will initially be available from 5pm to 9:30am Monday to Friday and 24 hours during weekends and bank holidays.

Just call 111 and select option 3 to speak to a specialist palliative care nurse who is available for advice, support and signposting to local services.

What do I do if I can’t get through on the phone immediately?

If you can't get through on your first attempt, please leave  a voice message with your name, number and reason for calling and they will aim to call back within 60 minutes. If you do not hear from them within this time, please call us back via 111 option 3.

Do I have to be known to a Hospice or Palliative Care team?

No you don't. Anyone that has been diagnosed with a life limiting illness can access our service.

East Anglia’s Children’s Hospices (EACH)

East Anglia’s Children’s Hospices (EACH) supports families and cares for children and young people, 0-18 years, with life-threatening conditions across Cambridgeshire, Norfolk, Suffolk, and North, Mid and West Essex. Their family centred approach includes specialist nursing care, symptom management support, short breaks, wellbeing activities, therapies and counselling; all meeting the individual needs of the child, young person and whole family. 

Their hospices aren’t just about end-of-life care; they’re often very happy and fun places, where young people can live life to their full potential. They are places where families feel safe, at home and where they can spend quality time together, enabling parents to be parents not caregivers. When time is short, they help families make the most of their precious time together. 

EACH offers care to families with children and young people who: 

• live in North, Mid and West Essex, Norfolk, Suffolk, Peterborough and Cambridgeshire 

• have a condition with no reasonable hope of cure and from which they may/will die in childhood or early adulthood 

• have a condition (or are diagnosed with a condition in the antenatal period) for which curative treatment may be feasible but can fail, such as children and young people with cancer and for babies born where intensive care has been deemed inappropriate and those with post-natal conditions which result in the baby experiencing unbearable suffering in the course of their illness or treatment. 

Families can self-refer, or be referred by a health professional, by contacting the hospices by:

Telephone (-1223 815100)

Email ipswichadmin@each.org.uk 

Using their website. 

The NHS will provide any clinically necessary treatment needed to keep your mouth, teeth and gums healthy and free of pain. You can find your local dentist here.  

You're entitled to free dental care if you are: 

• aged under 18, or under 19 and in qualifying full-time education 

• pregnant or have had a baby in the previous 12 months 

• staying in an NHS hospital and your treatment is carried out by the hospital dentist 

• an NHS hospital dental service outpatient – but you may have to pay for your dentures or bridges 

You're also entitled if you or your partner – including civil partner – receive, or you're under the age of 20 and the dependant of someone receiving: 

• Income Support 
• Income-related Employment and Support Allowance 
• Income-based Jobseeker's Allowance
• Pension Credit Guarantee Credit
• Universal Credit and meet the criteria 

If you're entitled to or named on: 

• a valid NHS tax credit exemption certificate – if you do not have a certificate, you can show your award notice; you qualify if you get Child Tax Credits, Working Tax Credits with a disability element (or both), and have an income for tax credit purposes of £15,276 or less
• a valid HC2 certificate 

People named on an NHS certificate for partial help with health costs (HC3) may also get help. 

Some children and young people’s health needs mean that they struggle to access ordinary dental services.  The special care dental service. provides a comprehensive range of activities to improve the oral health of children and adults who have a physical, sensory, intellectual mental, medical, emotional or social impairment or disability, which makes routine care in general dental practice unsuitable or impractical for their needs. 

Patients are only accepted by our special care dental service on referral from General Dental Practitioners.  Referrals are subject to eligibility criteria, which can be found here. If you have any queries, please call us on 0300 555 6667 and press option 2. 

All children will get their eyesight checked as part of the free NHS checks at different ages including when they start school. - these are intended to ensure children don't slip through with unnoticed sight issues. But you don't need to wait for those - if you are worried you can get a free check done.

Getting a professional (optician/ optometrist/ophthalmologist) to look at your child's sight and check what they can and can't see is easy and free. And the professionals can do sight tests even on children who can't yet read or don't know their alphabet - they get a different test which works for their age. And it even works if they have difficulties talking, following instructions or concentrating.

Book an appointment with your high street optician. For children with exceptional needs, Local opticians will usually have specially trained staff who can advise whether they can do a test given your child's needs - they should be able to meet the needs of most children and babies. If they cannot meet your child's needs, request a referral from your GP or the optician to a specialist service at the hospital.

Prescriptions will be free until a young person becomes 16 (or 18 if they are in full time education). If you receive Universal Credit, this is extended to 20. They will continue to receive free prescriptions as an adult if they have the following medical conditions: 

• A permanent fistula (for example, a caecostomy, colostomy, laryngostomy or ileostomy) requiring continuous surgical dressing or requiring an appliance 

• a form of hypoadrenalism (for example, Addison's disease) for which specific substitution therapy is essential 

• diabetes insipidus or other forms of hypopituitarism ▹ diabetes mellitus, except where treatment is by diet alone 

• Hypoparathyroidism

• Myasthenia gravis

• Myxoedema (hypothyroidism requiring thyroid hormone replacement)

• Epilepsy requiring continuous anticonvulsive therapy

• A continuing physical disability that means the person can't go out without the help of another person

• Undergoing treatment for cancer, including the effects of cancer/treatments

You can find lots of useful health information for young people preparing for adulthood on our Preparing for Adulthood - Good Health page.

If your child’s heath needs mean that your home needs to be adapted, then there is help available. 

There are practical steps you can take to help you remain in control and a lot of different equipment and daily living aids that you can purchase yourself without needing to have an assessment.

Find out more on our Equipment, Adaptations and Occupational Therapy page or download, complete and return the Children's Occupational Therapy Referral Form to the address provided on the application form for an occupational therapy assessment of your child's needs.

The wheelchair service is for residents currently registered with a GP in the Cambridgeshire and Peterborough NHS CCG areas, and who meet the NHS Eligibility criteria for the provision of wheelchairs.

AJM Healthcare is the appointed NHS Wheelchair Service Provider. The service will provide you with all NHS wheelchair services, including: 

• clinical assessments

• specialist seating

• delivery

• repairs and maintenance

• collection when the wheelchair is no longer required 

A wheelchair assessment establishes your clinical needs, and a prescription is made for the right wheelchair for you. Your assessment will take place at our wheelchair clinic in Huntingdon, or at home or another appropriate location, i.e., school or health care setting. 

If you are  using this service you may get help towards additional costs and be eligible for welfare benefits including:

• Disability Living Allowance 

grants such as

• Family Fund,  
• Motability Scheme 
• Blue Badge scheme

The NHS provides services that everyone in the population can access.  Some children and young people’s health needs means that their needs can be met from the services available to everyone – we call these ‘primary’ or ‘universal’ services, and this might include GPs and Accident and Emergency departments.  Some children and young people will have more complex needs and may need more specialist services – ‘secondary services.  A small number of children will need highly specialised ‘tertiary’ services.  Whatever your child’s needs there will be a service that can meet them. 

Some children will be born with complex health needs and those services will have been part of the support offered from birth – some examples might be sight loss, physical disabilities, genetic conditions or heart problems, for example. 

Some children will have a sudden change of health and then specialist services will kick in to meet those needs – a life changing accident or a life limiting illness for example.  Most children may have needs that come and go or emerge with time.  These children will often start with primary services like the GP and then, if necessary, will be referred on to see specialists. 

Sometime the care becomes part of a lifelong health need and somethings with treatment it is no longer a need.  Whatever your child’s needs there is help and support.

Cambridgeshire and Peterborough Clinical Commissioning Group (CCG) 

Cambridgeshire and Peterborough Clinical Commissioning Group (CCG) is responsible for planning, organising and buying NHS funded healthcare for people living in the Cambridgeshire and Peterborough area who are registered with a GP practice. 

Primary Care Networks, or PCNs for short, are groups of general practices working together with a range of local providers.  PCNs were introduced as part of the NHS’ Long Term Plan which was published in 2019, and came into being in July 2019. They were created to provide patients with proactive, coordinated care, with a strong focus on prevention and personalised care. Each Primary Care Network is led by a Clinical Director. 

Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) provide universal services, such as health visitors, child health services and school nursing, targeted services such as Children’s Physiotherapy, Occupational Therapy, Speech and Language Therapy through to specialist care in hospitals and in the community for children and young people with the most complex needs. Services are offered to children from birth up to 19 years of age. 

Everything you need to get the most out of the NHS

Get Your Rights is a new interactive website which helps to explain to children and young people their rights when using the NHS.  

The Citizen’s Advice Bureau also provide wide-ranging advice and support.

If you have concerns or complaints about health services you can contact the PALS team.   

For hospital-based services you will need to contact the PALS Team at North West Anglia NHS Foundation Trust.  You can email them Nwangliaft.pals@nhs.net or call 01733 673 405. Here is a link to their website. 

For community-based services you will need to contact the PALS Team at Cambridgeshire and Peterborough NHS Foundation Trust. You can email them on PALS@cpft.nhs.uk or call on 0800 376 0775.  Here is a link to their website 

You can find out more on the Clinical Commissioning Group's Patient Experience page.

Find out more on the Local Offer Appeals, Mediation and Complaints page.

Commissioning

The responsibility for organising local health services is quite complex.

Cambridgeshire and Peterborough Clinical Commissioning Group (CCG) is the local NHS organisation responsible for commissioning many local health services for residents registered with a GP. 

Peterborough City Council and Cambridgeshire County Council also manage some local services such as Health Visiting and School Nursing and some specialist services such as children's head injury rehabilitation are organised locally and nationally by NHS England.  

We know it is very confusing, so if you have a child with a disability or special educational needs and you are unsure of who to contact or how to be referred for a particular service, you can discuss this with your GP.

Decision making

The Designated Clinical Officer supports Cambridgeshire and Peterborough Clinical Commissioning Group to meet its statutory responsibilities for children and young people with special educational needs and disabilities, and agrees the health services within an Education, Health and Care plan.

The Designated Clinical Officer in Cambridgeshire and Peterborough is a qualified and experienced nurse, who has extensive experience and expertise in working with children and young people with a range of disabilities and health needs.

The Designated Clinical Officer:

• is a point of contact for local partners, when notifying parents and the local authority about children and young people they believe have or may have SEN or a disability
• offers advice on SEN or disabilities
• provides health advice to local authorities, schools and colleges regarding children and young people with SEN or Disabilities
• provides a contact for CCGs or health providers so that appropriate notification can be given to the local authority of children under 5 years who they think may have SEN or a disability
• agrees the health services within an Education, Health and Care (EHC) plan

If you have any questions, please contact the Designated Clinical Officer for SEND, Siobhan Weaver, on 01733 847 326 or email capccg.send@nhs.net 

You can also look at our Decision Making webpage for more information

Continuing Care

The Clinical Commissioning Group fund health care for children and young people through Continuing Care.These exceptional and individual funding requests are usually for medications or treatments which are not routinely provided through other health services that they or NHS England organises.

Continuing care requests need to be supported by clinical reports and recommendations from professionals involved with your child. However, your GP should be able to help you with this.

Do you ever feel lost at the volume of acronyms in the NHS? The NHS confederation has a useful acronym buster for NHS terms here.