Physical and medical needs

Children and young people with physical and/or medical needs may have difficulty carrying out some day-to-day activities.

A physical and/or medical need can include:

  • cerebral palsy
  • spina bifida
  • neuro-muscular dystrophies

Other medical needs can include Epilepsy and brain injuries.

How physical and/or medical needs might affect your child

Your child may have physical and/or medical needs including:

  • specific physical and medical needs
  • managing tiredness
  • accessing the social and/or academic curriculum
  • moving around school
  • fine motor skills, for example, handwriting
  • gross motor skills, for example, physical education (PE)
  • self-help skills, for example, dressing

If your child has physical and/or medical needs they will probably be referred to:

  • physiotherapy services
  • occupational therapy service
  • physical and medical needs service

These services can give you help and advice, for your child, with:

  • exercises
  • equipment
  • guidance on what would be helpful and what to avoid

The Physical and Medical Needs Service

They Physical and Medical Needs Service works with children and young people:

  • with physical and/or medical needs
  • aged 5 to 25 years
  • in mainstream schools

Their work helps children and young people to succeed, be happy, included and achieve.

Referrals come to the service from:

Advice from the service

The service will offer support and advice about a range of physical and/or medical needs, including:

  • moving schools, for example, transition
  • specialist/adapted equipment
  • making school buildings accessible
  • making sure the curriculum is accessible
  • different technology to support inclusion
  • wellbeing
  • risk assessments
  • school trips
  • tiredness plans
  • adaptive teaching
  • teaching strategies and resources

The service can also:

  • come to your child’s Annual Review (AR) – or write a report for the AR
  • give advice about your child’s short-term targets
  • liaise with you, other professionals and school staff

If you want to contact the service about your child, please speak to:

  • the Special Educational Needs and Coordinator (SENCo) at your child’s school or setting
  • the named SENCo or National Health Service (NHS) Children’s Health Specialist

Useful websites

For more information on physical and/or medical needs, please visit:

Contact: the charity for families with disabled children

pdnet – a network for those supporting learners with physical disability

Occupational Therapy - Lancashire and Morecambe Bay

Children's Occupational Therapy Service

Children's Physiotherapy Service