From 3 August 2026, Central and North West London NHS Foundation Trust (CNWL) introduced a new referral pathway for children and young people who require an autism and/or ADHD assessment.
Diagnostic assessment services currently provided by Community Paediatrics and Child and Adolescent Mental Health Services (CAMHS) have been brought together into a single integrated service called SHINE (Specialist Hub for Integrated Neurodevelopmental Evaluation).
SHINE is supported by a new Single Point of Access (SPA) and a digital referral process.
Any referrals submitted through the previous pathway before 2nd August 2026 will be transferred to the new pathway. Any time already spent on waiting lists will be recognised and carried forward.
Who can make a referral?
Referrals can be made by:
- GPs
- Health professionals, including health visitors and speech and language therapists
- Community and hospital paediatricians
- CAMHS clinicians
- Nursery and school SENCos
- Social workers
Parental consent is required before a referral is made.
Information for schools
This change affects all schools in Milton Keynes.
Only Special Educational Needs Coordinators (SENCos) can submit referrals. However, teaching staff may be asked to complete questionnaires during the information-gathering stage of the process.
Age criteria
The age range for referrals remains unchanged:
- Children and young people aged 2 to 17 years
New referral process
Step 1: Referral request
Professionals must submit an online referral request through the SHINE professionals webpage.
Information required includes:
- Child or young person's details
- Reason for referral
- Parent or carer contact details
- Nursery or school details
- GP details
- Any interpreter requirements
Professional referral form:
https://www.cnwl.nhs.uk/shine/professional-certification
Step 2: Information gathering and triage
The SPA Hub will send digital information packs to:
- GPs
- Parents and carers
- Young people aged 12 and over (where appropriate)
- Education settings
All information must be returned within two weeks.
Once the information has been received, clinicians will review the referral and determine the next steps. Families and GPs will be informed of the outcome.
What makes a good referral?
Providing clear and detailed information helps clinicians make informed decisions. Useful information includes:
- Clear examples of developmental concerns
- Relevant developmental, medical, family and social history
- Nursery, school and specialist reports
- Details of support already in place
Find out more
For further information about SHINE:
The SHINE webpage will be available from 3 August 2026.