Dr. Sethu Wariyar

Dr Sethu Wariyar is a consultant in Paediatric Neurodisability, who has run services for children with a neurodisability – with a special interest in neurodevelopmental problems particularly ADHD, ASD, Communication disorders, Development Co-ordination Disorders and Tic Disorders for over 10 years.

Dr Wariyar’s philosophy:

‘Every child has the right to be happy and achieve his/her best potential. I continually strive to provide the best advice by facilitating a process of consolidating strengths and circumventing around difficulties that may come in the path. I believe that empowering parents with available information, knowledge and skills to support the child in this journey forms a major part in my practice.’

Summary

Dr Wariyar has been a consultant for 12 years. His career as a substantive consultant began in The Great Ormond Street Hospital, London, followed by The Great North Children’s Hospital, Newcastle as a Consultant in Paediatric Neurodisability. Currently he is employed as a Consultant in Paediatric Neurodisability in Mid Sussex Child Development Centre and Chailey Heritage Clinical Services following three and half years as a Consultant Neurodevelopmental Paediatrician in St Peter’s Hospital, Chertsey.

Dr Wariyar underwent 8 years of postgraduate paediatric training in India before coming to the UK in 1998 seeking training in Neurodisability. He became the first trainee in UK to attain GMC accreditation in the same. He has also completed all 3 levels of Epilepsy training (PETS) conducted by the British Paediatric Neurology Association.

Dr Wariyar continues to assess children with various Neurodisability including Intellectual Impairment, Motor Disorders, Sensory Disorders with a special interest in Neurodevelopmental problems like Autism Spectrum Conditions, Attention Deficit Hyperactivity Disorder, Tourette’s Spectrum Disorder as well as Development Co-ordination Disorder.

Dr Wariyar has actively participated within Multi-Disciplinary teams while assessing, diagnosing and managing various disorders. During these assessments, he has employed standardised tools, which with time have evolved into his own independent methods and formats to simplify the process. Dr Wariyar has also created formats for assessment of various conditions and their electronic reporting. In addition, he has helped design websites to support parents and patients in understanding conditions and developing self-help skills. Dr Wariyar produces medical reports for children with complex difficulties having been a part of a SEN advisory team in the Local Education Authority for Newcastle borough, being the lead for the same and also for Paediatric Neurodisability for several years in the area.

Dr Wariyar has maintained an interest in teaching and training and continues with this in his current roles as a Senior Royal College of Paediatrics and Child Health (RCPCH) Examiner for MRCPCH theory and MRCPCH clinical examinations and also as a Training Programme Director for post graduate Paediatric School both in the North East and currently in the Kent Surrey Sussex area.

Dr Wariyar has presented results of studies, several times in the RCPCH National conference (topics being fallacies in the nomenclature of Spastic Diplegia & Ataxic Cerebral Palsy and use of Buccal Midazolam in schools) and also in the NECCPS national conference (Spastic Diplegia, Ataxic Cerebral Palsy, Sensory Impairment in CP and visual impairment in Cerebral Palsy), having later chaired sessions in the latter conference as well. He is often invited to deliver lectures on the topic of
Neurodevelopmental Disorders including ADSD, ADHD, DCD and Tourette’s at various venues in the UK and abroad, having attained a status of an opinion maker in this field.

Dr Wariyar is of the opinion that changes of significance in clinical life comes only from working as a cohesive group together towards a common goal with a clear vision, clarity in communication and mutual respect to hold it together.

Dr Wariyar is committed to achieving excellence in delivering first class clinical care and contributing to service development, teaching and research, alongside the ultimate goal of supporting parents, children and young people with a disability.

Qualifications

  • FRCPCH, Fellow of Royal College of Paediatric & Child Health, London
  • 3DI Trained administrator
  • Autism Diagnostic Interview (ADI-R) Administrator
  • Conferred Fellowship by RCPCH 2008: FRCPCH
  • Certificate, Senior Educational Leadership Programme, National Leadership Academy Certificate, Mentoring Doctors, Northern Deanery
  • Certificate, Paediatrics Educators Programme  Diploma, RCPCH
  • Certificate of Completion of Specialist Training (CCST) in Paediatric Neurodisability & General Paediatrics (Dual Accreditation),  GMC and Academy of Medical Sciences, UK
  • Autism Diagnostic Observation Schedule (ADOS) Administrator
  • Diploma in Paediatric Neurodisability, Dip PND ,Hallam University, Sheffield & BACD)
  • MRCPCH, Membership of the Royal College of Paediatrics and Child Health, London
  • MRCP (Paeds), Royal College of Medicine, Edinburgh
  • DNB, Diplomate of National Board, Government of India
  • MD (Paediatrics), Manipal Academy of Medical Sciences, India
  • DCH, Diploma in Child Health, Institute of maternal & Child Health, Calicut University
  • MBBS, Bachelor of Medicine, Bachelor of Surgery , Calicut University

Experience

Dr Wariyar been working as a Paediatrician for more than 25 years- with 20 years exclusively within the NHS. He has expertise in assessing and treating a wide range of Paediatric Neurodevelopmental conditions in children including ADHD, Autism, DCD and Tourette’s.

Dr Wariyar also offers diagnosis and treatment of general paediatric conditions as well.

Diagnosis and treatment of the following conditions:

  • Attention Deficit Hyperactivity Disorder
  • Attention Deficit Disorder
  • Autism Spectrum Condition
  • Learning Difficulties
  • Tic disorders

Autism Assessments for Children and Young People

Please click HERE for full information on this multidisciplinary service.  Dr Wariyar’s approach includes a two- hour assessment, adhering to the ADI-R questionnaire. This addresses the child’s early and current development with the parents. These are then scored up and written as a report. The cost of this element is £650.

This element, coupled with the ADOS assessment provided by an HoD specialist Speech and Language Therapist or Clinical Psychologist constitutes the autism diagnostic process.

After these two elements are completed, Dr Wariyar would pull the information together including the ASCs, ADOS report, ADI-R report and school report to write a summary report outlining how/why we came to our conclusions and giving the final diagnosis. (If there is any disagreement between reports, Dr Wariyar would consult with the practitioner(s) carrying out the ADOS assessment to make a final decision). For this final element Dr Wariyar’s fee is £300.

If a post-diagnosis meeting is requested by the family, this can be provided. Such a meeting normally lasts around an hour and includes recommendations, advice and discussion as required. If requested, this is costed at a further £100.

Total medical costs are therefore from £950 (i.e. £650 + £300) to £1050 (i.e. £650 + £300 +£100).

Please remember to take the Speech and Language/ Clinical Psychology costs into account when making your decision on whether to proceed.

Note: This process may involve two to three visits to the Clinic.

It may be that after the assessment the outcome does not evidence that the child/young person meets the criteria for ASD (as is often the case).

Attention Deficit Assessment (ADD and ADHD) for Children and Young People
Step 2 – Diagnosis Appointment

If the Step 1 preliminary screening assessment and report has already been done and indicate that an Attention Deficit State may well be present, Dr Wariyar will offer families a “Diagnosis Appointment” which will review the screening data, outcomes and report from a medical perspective.

This will include ruling out other medical causes for the presentation, and will take one and a half hours.

During the meeting the doctor would explain the diagnosis, give Psychoeducation on ADHD, explain the medication and non-medication treatment options and write the initial prescription if requested.

The cost of this “Step 2” element, (i.e. when Step 1 has already been carried out) is £450 and includes the first prescription, where applicable.

Additional controlled drug prescriptions are chargeable at £15 per prescription.

Professional Accreditation and Affiliation

  • General Medical Council (GMC)
  • Fellow of the Royal College of Paediatrics & Child Health
  • Member, British Academy of Childhood Disability
  • Member, British Paediatric Neurology Association
  • Continuing Professional Development with the Royal College of Paediatrics & Child Health
  • MDS &

Appointments & Fees

  • Initial assessment fee including: assessment, diagnosis, care plan, clinical report – £395 for a 90 minute assessment.
  • Follow-up consultation fee – £300 for 60 minutes or £160 for 30 minutes.
  • Virtual consultations are available  and are charged at  – £160 for 60 minutes

Other useful information:

On requesting an appointment via email, Dr Wariyar may well call you to confirm details before you meet. This initial telephone discussion lasts approximately 10 minutes and is free of charge. The telephone discussion is designed to confirm that it is indeed appropriate to proceed to a full assessment consultation and is not designed to replace a consultation.

The initial assessment appointment with Dr Wariyar will last approximately 90 minutes. Prior to your appointment you may receive questionnaires to complete which should be returned prior to the appointment. The initial assessment involves gathering information to reach a shared understanding of the difficulties, education about the diagnosis and agreement on a treatment plan. A clinical report will be sent to the child and parents/guardians following the initial assessment appointment.

Follow-up consultations can last either 30 minutes or 60 minutes and can be completed in clinic or virtually. A clinical letter will be sent to the child and parents/guardian after the follow up consultation. The number of follow up appointments required per year can be discussed with Dr Wariyar as part of the treatment plan. Requests for specialist assessments for example, court reports will incur a separate fee schedule which can be provided upon request.

Dr Wariyar will accept self-funding patients. Self-funding payments should be made before the day of the appointmentby  cash or direct bank transfer. Payment details will be provided on request.

Dr Wariyar is not able to accept patients insured through BUPA nor AXA-PPP .

If a prescription is issued within an appointment then there is no additional fee. Additional prescriptions will incur an administration fee of £15.

Requests to reschedule appointments will be accommodated wherever possible, but cancellation at short notice will mean incurring loss for the practitioner, and hence a part of booking fee will be retained.

Dr Wariyar works closely with GPs and would encourage parents to keep the child’s GP informed following consultations however, this is not an obligation. For repeat prescriptions a shared care agreement with the GP can be requested.

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