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Multi Agency Complex Needs Panel (MACNP)

MACNP is not a service. It is made up of teams of professionals from Local Authority and Health specialist services for children and young people 0 to 5 years old, with complex or significant needs who live in Wandsworth, and for children up to age 8 years with social communication needs. Appropriate referrals are discussed by the Deputy Head of Early Years and the Specialist Health Visitor for Children with special needs, once a week during term time only, and are forwarded to the most appropriate teams in Early Years and Health.

  • Advisory & Inclusion Team
  • Pre-School Complex Speech and Language Specialist Team including Feeding services
  • Portage Service
  • Early Support
  • Parent & Child Development (PCD)
  • Physiotherapy in St George's Hospital
  • OT and Physiotherapy in Queen Mary's Hospital
  • Developmental Paediatric Team in St George's Hospital

Each appropriate team will make direct contact with the family regarding the referral.

Family contact details from all MACNP referrals will also be shared with the two services below, who can contact the family to inform them of the services they offer:

  • Enhanced Children's Centre at West Hill Primary School (a specialist children's centre for children aged 0-5yrs with a disability, special need or complex medical need)
  • Contact - Wandsworth (information and support for families with a disabled child or young person up to 25 years old)

A practitioner who wants to make a referral should send the required information to Single Point Referral Service (SPRS) based in Child Development Centre (CDC) in St. George’s Hospital, requesting MACNP.

Who to contact

Contact Name
Business Support Team for MACNP
Parent Organisation
Early Years SEND Support Services - Coronavirus

Where to go

Child Development Centre, Ground Floor,
Lanesborough Wing, St George's Hospital
Blackshaw Road
SW17 0QT
Get directions

Time / Date Details

When is it on
Monday - Friday 9am - 5pm


Referral required
Referral Details

MACNP referrals are discussed once a week during the school term only. There are no meetings during school holidays.

Referrals must meet the following criteria:

  • a child lives in Wandsworth borough and/or has a Wandsworth GP
  • a child 0-5 years with significant or complex needs (Level 3 and above on London continuum of needs)
  • a child aged up to 8 years with identified social communication difficulties
  • explicit parental consent to store and share information with MACNP is provided
  • a sufficient description of child’s needs is provided
  • all mandatory information is provided (a check list is available on request from MACNP Referrals Co-ordinator)

A referral should be sent to:

Single Point Referral Service, Child Development Centre, Ground Floor, Lanesborough Wing, St. George’s Hospital, Blackshaw Road London SW17 0QT or faxed 020 8725 0311.

MACNP do not accept referrals sent directly to Early Years Services.

If a child is not known to any services, and is not in a school or other childcare setting, a parent is advised to contact MACNP direct on 020 8871 6892 to discuss the referral process.

Other notes

General enquiries about the referrals can be directed to Single Point Referral Service Co-ordinator, at Child Development Centre all year round. Enquiries regarding specific service should be addressed to the individual services, as listed above. For communicating complaints, concerns or compliments regarding MACNP please contact Susan Reid, the panel Chair and Deputy Head of Early Years on 020 8871 8789 or via email

Local Offer


What is Wandsworth’s Local Offer ?

To use this provision, a professional who already works with a child or knows the child will discuss the child’s needs with a parent and record it on an Early Help (EH) form electronically or on paper. This is known as an Early Help Assessment (EHA). With parent’s/carer's permission the EHA will be stored and shared with relevant services that may provide support. The EHA should give enough information about the child’s needs to enable professionals to make a decision about which services are most suitable to support the child.

A referring professional should also enclose any other relevant documents e.g. medical reports, school observation notes. If the child has already been assessed by a social worker then the social work assessment can be used instead but needs to include information about child’s development. In some circumstances, EH form may not be necessary. Please contact Single Point Referral Service (SPRS) for more information

Professionals working with families in Wandsworth can make a referral using an Early Help Assessment via EHITS.

A practitioner, who wants to make a referral should send the required information to Single Point Referral Service (SPRS) based in Child Development Centre in St. George’s Hospital.

If a referral is appropriate for MACNP, it will be processed and forwarded to MACNP for discussion. With parental consent, information will be shared with services listed above in the process.

Please send any complaints, concerns or compliments regarding MACNP to Susan Reid, the panel Chair and deputy Head of Early Years and Intervention Support Service on 020 8871 8789 or via email

How to complain, compliment or feedback about this service, activity or provider.


Last updated: 09 Jan 2020

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