General paediatrics presentations out of scope

Public outpatient services in NSW are generally not provided to patients presenting with these conditions.

Paediatric patients (aged 0 to 15 years)

Presenting condition	Out of scope (not routinely provided) criteria
Abdominal pain (general paediatrics)	Abdominal pain with a gynaecological cause Constipation without trial of medical treatment
Growth and nutritional concerns	Iron deficient anaemia in a child aged > 2 years without oral iron supplementation for a minimum of 12 weeks (or if oral iron supplementation has not been tolerated) or suspicion of underlying illness or other cause for concern
Learning, developmental and behavioural difficulties	The following formal diagnostic assessments are not routinely provided: Academic or specific learning difficulties (e.g. dyslexia or reading), including cognitive assessments for intellectual capacity or disability Note: commonly diagnosed by a school counsellor or psychologist Cognitive assessments for intellectual disability and specific learning difficulties (e.g. dyslexia or reading) Note: commonly diagnosed by a school counsellor or psychologist Defiance without developmental concern Note: refer to a local family support service Extended standardised diagnostic assessments for complex neurodevelopmental conditions (e.g. ADOS) Note: these assessments can be performed by allied health professionals (e.g. clinical psychologists, speech pathologists and occupational therapists) independent of referral to a general paediatrician Primary communication delay or disorder Note: commonly managed by a community speech pathologist Primary mental health presentations without medical co-morbidity Note: commonly managed by a general practitioner, child and adolescent mental health service, school counsellor or psychologist Repeat prescriptions for a child stabilised on medication(s) available through their approved General Practitioner without a new concern
Neonatal and infant concerns	Circumcision Positional plagiocephaly (unless neck mass or signs of craniosynostosis, or not responding to physiotherapy input) Tongue tie without medical concern Umbilical hernia Well baby follow-up
Respiratory concerns	Exposure to contacts with confirmed tuberculosis History of asthma without first-line management Recurrent upper respiratory tract viral infections
Seizures	Aged between 6 months and 6 years with uncomplicated febrile convulsion
Urinary tract infections	Aged > 6 months with a single, uncomplicated urinary tract infection (i.e. clean catch culture positive)
Non-condition specific	Irritability with sleep or settling and who have not had engagement with a local health service