Department of Paediatric Medicine


Location:Level 6C
Telephone Number:
01273 696955 extension 2341
Fax Number:
01273 523120
Consultant Paediatricians:

Prof Somnath Mukhopadhyay
Dr John Trounce
Dr Paul Seddon
Dr Philippa Hildick-Smith
Dr Anne Davidson
Dr Assad Butt
Dr Shankar Kanumakala
Dr Catherine Wynne
Dr Kamal Patel
Dr Oli Rahman
Dr Katy Fidler

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This department treats babies, children and young people with acute illnesses or complex clinical conditions. The acute service is supported by an on-call team led by a consultant. All non-trauma emergency cases are triaged and assessed in Accident & Emergency and the Children's Assessment Unit by a member of the paediatric team.

We also provide general medical care for child outpatients and run specialist paediatric clinics in epilepsy, gastroenterology, diabetes, endocrinology, cystic fibrosis, respiratory medicine, allergy and oncology (cancer).

Multi-disciplinary teams led by consultants work in child gastroenterology and nutrition, shared care oncology and respiratory medicine and diabetes.

In addition, regular joint clinics are held with visiting London hospital specialists in cardiology, immunology, hepatology, endocrinology, late effects oncology, epilepsy, neurology, PKU and renal medicine.

Our specialist services include GI endoscopy, bronchoscopy, and Day Case chemotherapy, including intrathecal chemotherapy.


C1 Esterase Deficiency Clinics

There are twice yearly joint clinics with a visiting consultant from Great Ormond Street Hospital. Additional follow-up is provided at the RACH.
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Cancer Treatment Services


We are one of the first units in the South East to establish a shared care oncology service for child cancer patients. The shared care team includes three chemotherapy trained nurses, a specialist oncology nurse, a Clic-Sargeant funded social worker and community clinical nurse, and a dedicated pharmacist. An arts psychotherapist, play specialist, physiotherapist and dietician can provide further support.

There are usually between 20 and 30 children on active treatment within our NHS Trust catchment area. In addition to inpatient and outpatient care, day case chemotherapy, including intrathecal chemotherapy, can be delivered locally.
Locally based care is supported by the paediatric surgical team, who carry out intravenous central venous line insertion, gastrostomy tube insertions and removals.

There are three late effect clinics each year with specialists from Great Ormond Street hospital. We also have six monthly shared care clinics with a specialist from the Royal Marsden Hospital.

Useful Links
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Diabetes

The paediatric diabetes team provides multi-disciplinary care for more than 150 children up to the age of 18 years.



The team is led by a consultant and supported by specialist nurses and a dietician. The condition of all patients is reviewed every three months, and additional contact is made by the specialist nurse in between as needed. There are annual home visits, and school and nursery visits for newly diagnosed patients.



We run a continuous glucose monitoring system for evaluating children with highly variable sugar profiles and we have an insulin pump service. We have also set up a diabetes database to help us deliver a comprehensive care package.
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Endocrinology

Children with endocrine problems are usually referred to the hospital from GPs, community nurses doing growth monitoring, and paediatric consultants who are already seeing the patients for other conditions. Children are assessed, with day case dynamic endocrine tests carried out at the hospital.
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Epilepsy

There is a weekly epilepsy clinic for outpatients. Ongoing care is also provided by general paediatric clinics for fits faints and funny turns, some of which may be epileptic.

About 140 children require ongoing care from the epilepsy service. Most are on drug treatment . Other children are referred with various non-epileptic conditions.

A paediatric epileptologist from Kings and Evelina Hospitals hold a clinic five time a year, providing access to specialist services such as EEG and surgery. There is also a supportive EEG service at Hurstwood Park Neurosciences Centre in Haywards Heath. This provides elective and emergency MRI scanning.

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Gastroenterology and Nutrition Services

This is a comprehensive multidisciplinary service that has responded and adapted to local needs. New services include medical endoscopy, one stop coeliac specialist clinics, joint hepatology clinics and a multidisciplinary nutrition team for inpatient and ambulatory care.
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Immunology

There are joint clinics with a visiting consultant from Great Ormond Street every three months for children requiring specialist investigation and treatment because of their susceptibility to or inability to handle infection.

Useful Links
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Phenylketonuria

There are twice yearly joint clinics with visiting consultant from the Evelina Children's Hospital and specialist dieticians.

Useful Links
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Respiratory and Allergy Services

The service is led by a consultant paediatrician and a team of dedicated nurse specialists. The unity provides inpatient care to children with acute and complex respiratory problems, and a consulting service for respiratory problems in general paediatric, neonatal and surgical patient. It also offers the following specialist outpatient services:
  • Allergy - In response to growing clinical need, a one-stop allergy clinic offers clinical advice, in association with allergy testing and food challenge where appropriate.
  • Asthma - Two consultant led respiratory clinics a week provide a diagnostic and management advice service for children with asthma and related respiratory conditions. The unit is one of the first in the county to develop a nurse led asthma clinic.
  • Broncho-pulmonary dysplasia - A multidisciplinary clinic provides medical, nursing, speech therapy and dietician input to the treatment of infants with oxygen dependent chronic lung disease, to support the Trevor Mann Baby Unit.
  • Cystic Fibrosis - A service combining medical, specialist nurse, dietician and physiotherapy input. Twice yearly shared care clinics are held with the King's College Hospital regional CF centre.
  • Non-invasive ventilation - Care and support is provided for the growing number of children who require respiratory support at home. A bronchoscopy service receives referrals from across Sussex.

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Infectious Diseases & HIV
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Cardiology

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Rheumatology

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General Paediatrics

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THE ROYAL ALEXANDRA CHILDREN'S HOSPITAL EASTERN ROAD BRIGHTON SUSSEX BN2 5BE

01273 696955

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