Journal Article

130 Putting the Child First: An Audit of Social Story Use Across A Clinic Supporting Neurodivergent Children at GOSH

Knight, Olivia, Salzke-Spurr Georgina

2026

Overview

BackgroundChildren and young people (CYP) with neurodivergent profiles often experience anxiety when attending unfamiliar clinical settings. Social stories are visual, and narrative tools designed to prepare CYP for new experiences, reduce anxiety, and support understanding. At Great Ormond Street Hospital (GOSH), where the value of ‘putting the child first and always’ is central, we aimed to evaluate whether this principle is upheld using social stories. This audit explored the consistency of social story provision across the Neurodevelopmental Assessment Clinic (NAC) in the Neurodisability Service.MethodsWe conducted a retrospective audit of all new assessments to NAC over three months. Electronic patient records were reviewed to determine whether a social story was sent prior to the initial in-person appointment. Demographic data including age, diagnosis, and communication needs were collected to identify patterns in provision. The audit was carried out by occupational therapists and clinical administrators.ResultsPreliminary findings suggest variability in the use of social stories. Early data indicates that while some CYP consistently received social stories, others did not. We anticipate identifying gaps in provision and potential disparities based on clinic or referral pathway.ConclusionThis audit highlights the importance of preparing neurodivergent CYP before they enter the hospital environment. By improving consistency in social story provision, we can extend care beyond hospital walls and ensure children are supported from the moment their journey begins.

• Publisher: BMJ Publishing Group LTD
• Subject: Audits / Neurodiversity