Stepping Stones Children's Therapy Unit, Haslingden Health Centre

Community Neurodevelopmental Paediatrics comes under the Directorate of Family Care and as such our service is provided by East Lancs Hospitals Trust. There are two Child Development Centres (CDC’s), Rainbow Centre which covers the catchment areas of Burnley and Pendle & Holly House which covers the catchment areas of Hyndburn and Ribble Valley. Stepping Stones Developmental Therapy Unit covers the catchment area for families living within the area of Rossendale. Each CDC and therapy Unit provides an integrated, co-ordinated service for pre-school children who have developmental difficulties

Children are usually referred when parents or professionals have concerns about their development. Each centre has a multi-disciplinary team with professionals looking at every aspect of a child’s development in order that any difficulties may be identified.

We believe in the uniqueness and individuality of each child, we strive to foster reciprocal relationships to support, nurture and enable families and we will encourage families to be active participants throughout their child’s time whilst under the CDC “umbrella”

Stepping Stones Therapy Unit

Stepping Stones Developmental Therapy Unit provides specialist assessments, diagnosis (if appropriate), advice and on-going intervention for pre-school children with complex neurodevelopmental problems. We run specialist nursery groups for the children and provide support for their families in a friendly and nurturing environment. Therapy services such as physiotherapy, occupational therapy, speech therapy, are integrated into the specialist nursery groups where the needs of the child can be met through a play orientated, integrated approach.

We provide an outreach service for therapy and play, if indicated, into the family homes and nurseries working alongside and providing information to families and other agencies to ensure that every aspect of the child’s development needs are being met consistently by all involved.

Home visits are made by the Specialist Health Visitors who act as a first point of contact for families, discuss what will happen in the multidisciplinary assessment, answer any questions and look at what is important to the family at this time. The Health Visitor will be able to offer advice and general support and will also discuss issues such as benefits, and housing needs where required.

The Lead Community Paediatrician will co-ordinate care as part of the multi-disciplinary team. Assessments of hearing and vision will be arranged as necessary. 

The Assessments are carried out by the full range of professionals (as appropriate) including  the early years and inclusion disability support service (IDSS) which may include specialist teachers, Portage workers, the Special Educational Needs Co-ordinators (SENCO’s) at your child’s local nursery. We like to gather a detailed history about your child, observe and interact with them and we may visit them in other settings. At the end of the assessment process we will talk to you as parents about what we have found and what our concerns are. With your involvement a plan will be identified to meet your child’s needs.

We understand that it can be difficult for families following the assessment as it can be a lot of information to take on board so we offer a post assessment visit either in the home or at the unit, whichever is more comfortable for the family, to answer any questions.

We also run specialist courses for parents including Cygnet (for parents of children with a diagnosis of an Autism Spectrum Disorder)

Early Years Inclusion is offered by the Education service and we hold regular multidisciplinary review meetings which incorporate educational planning through into the school years.


Referrals to the service are organised via the child’s GP, Health Visitor, School Nurse, Paediatric or Neonatology Consultants or Clinical Psychologist, to the Lead Community Paediatrician for Stepping Stones (Dr Malakar c/o secretary @ ELCAS administration offices Area 3 Level 3 Burnley General Hospital)


The unit is open Monday to Friday from 8.00 am to 4.00 pm. 

The unit contact number is 01706 235440

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