Our paediatric physiotherapists see patients from birth to 16 years old. They are specialists in the assessment, treatment and rehabilitation of children. This covers a wide variety of areas, including musculoskeletal injuries, neurological insults or respiratory dysfunction. 

At The Royal London, our paediatric physiotherapy service is provided until 10pm Monday to Friday and until 8pm Saturday and Sunday for all children with respiratory problems whom it is felt would deteriorate over-night and for those orthopaedic patients requiring discharge. An on-call service is available over-night.

At Whipps Cross and Newham the service is provided from 8:30am to 4:30pm and an overnight on-call service is available. 

Within The Royal London, physiotherapy covers all inpatient areas, including: 

  • 6C (Paediatric Intensive Care Unit)
  • 6A/B (Day surgery)
  • 5 Paediatric wards (7D, 7E gastro, 7E respiratory, 7F, PASSU)
  • 8D (NICU) 
  • Maternity wards

At Newham and Whipps Cross there is an outpatient musculoskeletal service and cover to the general inpatient paediatric ward as required.  

Orthopaedic, Rehabilitation and Musculoskeletal Physiotherapy Services


  • The orthopaedic physiotherapy team provides inpatient treatment and rehabilitation for patients with acute neurological, orthopaedic and traumatic injuries.  These patients may have a decrease in their functional mobility from a variety of causes. 
  • Discharge planning is started pre admission for complex elective cases, and safe discharge planning is carried out for all patients to ensure appropriate follow up and on-going care.  


  • Specialist clinics are run for patients who require serial casting, or Ponseti treatment for congential talipes equinovarus, vertical talus. 
  • The Children’s physiotherapy musculoskeletal clinic runs daily and accepts referral for children up to 16 years of age living in Tower Hamlets from consultants or GP’s.  Assessment and treatment is provided for:
  • Normal developmental variants 
  • Orthopaedic injuries sustained from birth i.e Obstetrical Brachial Plexus Palsy (OBPP)/ Torticollis 
  • Plagiocephaly
  • Sports injuries
  • Musculoskeletal pain 
  • Chronic pain
  • Rheumatology 
  • Post trauma or orthopaedic surgery rehabilitation
  • A Physiotherapist is part of the multi disciplinary team in the neurology/orthopaedic clinics. Their role is to liaise with local community services as to any changes and inject children with Botulinum Toxin.

Respiratory Physiotherapy Services

Acute Respiratory

  • Patients are seen with a variety of acute and chronic respiratory conditions, such as bronchiectasis and respiratory failure requiring ventilation.  
  • Referrals are accepted for any patients in which physiotherapy is felt to be beneficial and is provided 24 hours a day, seven days a week.

Cystic Fibrosis (CF)

  • As a tertiary centre for CF care, patients are seen as inpatients, outpatients, home visits and MDT clinics.  Chronic and acute respiratory management and advice is provided to keep children as well as possible, for as long as possible.
  • All CF patients under the care of the RLH receive physiotherapy in line with national service standards.  This is provided seven days a week for inpatients. 

Community Children’s Respiratory Physiotherapy Service (CCRPS)

  • This service is a rapid response service for patients with chronic respiratory conditions living only within Tower Hamlets.  The aims of this service are to provide long term respiratory management and timely intervention during acute illness to prevent hospital admission and to facilitate early discharge.  
  • This service works closely with the respiratory medical and nursing teams, and the GPs in Tower Hamlets. 

Information for children and young people

Physiotherapists will help you get better from an accident or illness, or help you to manage a problem you may have had for a long time. They may give you exercises to do to make you feel better, or may come to see you when you are in hospital. Physiotherapists can help with moving and walking difficulties, or problems with your breathing.  

Our physiotherapists are very friendly and will always explain to you what they want to do and will be very happy to answer any questions you may have.

Information for parents/carers

Paediatric physiotherapists are specialists in the assessment, treatment,  rehabilitation and advice of children.  This covers a wide variety of areas, including joint and muscle pain and injuries, acute and chronic breathing problems and problems with movement as a result of a brain injury, surgery or an accident.  

Your child will be referred into the paediatric physiotherapy service by either their GP, or by a hospital doctor if they are seen on our wards or in clinic. They can be seen while they are in hospital, or as an outpatient, depending on what their problem is.  Outpatient physiotherapy is provided on weekdays between 8:30am and 4:30pm.  In hospital, most treatments are carried out during the day, however we do work into the evenings for patients who require later physiotherapy sessions for breathing problems or to be able to be discharged home. 

Information for professionals

Patients aged 0-16 years can be referred for outpatient musculoskeletal physiotherapy by GP’s within Tower Hamlets.

A written referral including full details of the current problem and any relevant past medical history or investigations should be sent to the paediatric physiotherapy department at: 

Paediatric Physiotherapy Department
Clinic 3, 7th Floor,
The Royal London Hospital
E1 1BB
0203 5941521

We endeavour to see patients within 30 working days of referral, or within 10 days for specific urgent referrals such as post-operative patients or those who are unable to attend school.