Email us to book our private services- See below for more information on Tongue tie services
(Combinations of services or repeat visits may be offered at discounted prices)
Having been trained by an industry leader in tongue function and holistic assessment, we will take the time to assess your baby holistically, looking at symptoms regarding feeding, sleep, behaviour and oral function as well as just tongue appearance.
Everyone has a frenulum, which is composed of oral mucosa and sometimes also floor of the mouth fascia or genioglossus muscles (Mills et al 2021). Presence of a frenulum alone cannot diagnose a tongue tie, and the frenulum must be restricting the tongues mobility to be a genuine tie
Diagnosis of tongue tie (ankyloglossia) is a functional diagnosis, which means that no specific one tool exists as the sole means of confirming a tongue tie. Such a decision can only be made in conjunction with a skilled clinical functional assessment (Schlatter et al.)
We have been trained to use the Hazel Baker ATLFF tool, the only tool proven to give valid inter-rater reliability between practitioners when interpreting tongue function. However, we will also use clinical judgement based on experience as well as time to listen to any concerns regarding the symptoms and observation of the effectiveness of conservative management.
We incorporate soft tissue release/myofunctional therapy into our practice to ensure the eight surrounding tongue muscles are treated along side any potential tie. Compensatory mechanisms often mean that when oral dysfunction is present tension can then spread to baby's surrounding anatomy. Sometimes soft tissue release can be enough to treat an oral restriction without the need for a division. It can also prepare baby to improve their tongue function to ensure they are ready to receive a division if one is necessary and therefore improve healing.
Scar tissue - Scar tissue contracture can impede tongue function more than the original tie. Soft tissue release can improve the formation and elasticity of scar tissue while the tongue heals (this is not disruptive wound massage). If your baby has previously had a tongue tie division which has not improved their symptoms fully (or even worsened them) soft tissue release on surrounding muscles and scar tissue remodelling can help improve function and enable better assessment of the wound.
Both of us are able to assess tongue tie and perform soft tissue release. Jenn is a Tongue Tie Practitioner and therefore competent do perform the frenulotomy procedure.
Initial consultations can take place in your own home. At present, if a division is needed we will then invite you into the Tongue Tie Centre in Balham to have the procedure done for a smaller follow up fee. We have found the procedure safer with two practitioners (which can often be facilitated in the clinic) and that parents tend to feel more comfortable having a surgical procedure done in a clinical environment.
Although this may seem an unnecessary delay we will ensure the situation is sustainable, have a plan for its continued improvement in the meanwhile and agree with you when is most comfortable to return for the procedure. We often see a vast improvement alone from continued soft tissue release done by parents prior to being seen again in clinic.
Click the image below for the Tongue Tie Centre's details:
After a long and difficult labour, I struggled to get baby to latch. Two days later and we were still having issues and feeding was painful and stressful. Jenn came to our house and taught me how to get baby to latch properly and it made a huge difference. She was very understanding and I felt completely comfortable.
The midwives at our hospital were good but they were very pushed for time and we found them reluctant to touch me and help guide baby onto the breast properly. We really benefitted from a couple of hours of one-on-one time with someone in the comfort of our own home. Jenn also taught me how to hand express, settle baby, and give baby her first bath. We ended up breastfeeding for 14 months thanks to the help we received.
I used Peas in a Pod Breastfeeding because I was recommended them by a friend, and I am SO glad for the recommendation! Without their guidance & support I would not still be breast feeding now 6 weeks in.
I had a really difficult start to breastfeeding with a small baby suffering from jaundice, which lead to her not feeding much and my breasts becoming engorged. By the time Rachel visited me I was in a complete state, but her calm and supportive manor reassured me, and she showed me how to address the issues and get my baby to latch. Then during my stay in hospital I was able to text Rachel if I hit further stumbling blocks. I know if I have any issues going forward Peas will be able to help me overcome them!
I have already recommended them to a few friends & would highly recommend to anyone needing breastfeeding support!
Expecting our first child in a pandemic has meant that we have needed even more support. I knew I wanted to breastfeed but also knew it would be impossible to attend classes as normal. However, I needn't have worried. The Peas ran a workshop for me and my partner which was full of clear, practical advice. We came away feeling as though we had just spent the afternoon in breastfeeding school!
The workshop provided us with loads of great tips to help my partner support me and feel involved with feeding, whilst also explaining the biology which meant we both understood the importance of getting feeding right and feeling confident that we could do it! I am so pleased we took part and it has got our breastfeeding journey off to a great start!
As our services are dynamic and flexible, please email us to discuss which services are best for you.
We are based in South London and cover London and surrounding areas.
Typically same day reply!
The decision to meet face to face is an individual and joint decision between us and families. By booking a home visit with peas you are agreeing to the fact that there is a risk of exposure to covid-19 or other illness
We offer video calls for up to 1 hr for advice if you prefer to not have hands on help at this time (£45). We can also give an antenatal breastfeeding class virtually and will post the information leaflet to you. This antenatal class virtually will not include first aid (£100).
We will have the following measures in place:
If anyone in your home has symptoms of Covid-19 please let us know as soon as possible and we will ensure that we come up with a plan to keep us and yourselves safe.
The benefits of breastfeeding outweigh any potential risks of transmission of the virus through breast milk or by being in close contact (PHE, March 2020)
Patient Privacy Policy
How PEAS IN A POD BREASTFEEDING TONGUE TIE LTD uses your information to provide you with healthcare.
This practice keeps medical records confidential and complies with the General Data Protection Regulation (GDPR) and Data Protection Act 2018.
We hold your medical record so that we can provide you with safe care and treatment.
We will also use your information so that this practice can check and review the quality of the care we provide. This helps us to improve our services to you.
The confidentiality of your information is very important to us and we comply with date protection legislations and medical confidentiality guidelines of our professional bodies (namely the NMC).
Other important information about how your information is used to provide you with healthcare at
PEAS IN A POD BREASTFEEDING TONGUE TIE LTD
Registering for care at PEAS IN A POD BREASTFEEDING TONGUE TIE LTD
• All patients who receive care are registered on our computer system and/or in a locked manual filing system
• This database holds your name, address, date of birth, telephone number, email address, confirmation that ID has been checked and your regular (NHS) GP recorded – you will be asked to indicate if you consent to PEAS IN A POD BREASTFEEDING TONGUE TIE LTD sharing clinical information with your regular GP (please note you may change this decision at anytime). This database does not hold information about the care you receive. The information is only accessible to authorised practice members
· The database is held by PEAS IN A POD BREASTFEEDING TONGUE TIE LTD –. Personal data about you is held in the practice’s computer system and/or in a locked manual filing system. The information is only accessible to authorised practice members. Our computer system has secure audit trails and we back up information routinely. The practice has a confidentiality policy that all staff adhere to.
· Data is stored via a computer software system called Cliniko.
· Data is encrypted, stored in state-of-the-art facilities, access is restricted to those who have a need to know, and we regularly review our technology to maintain security.
· In the event that there is a breach and your Personal Information that we have collected directly is at risk, you will be notified within 72 hours of discovering the breach. You will be informed of what information is at risk, steps that we have taken to ensure your safety, and what action we are taking or have taken to rectify the breach. To the extent permissible at law, in the event that there is a breach and indirectly collected information is at risk, we will follow the same protocol, however the affected Customers (rather than the individuals) will be notified instead. More about security can be found at https://www.cliniko.com/security.
* Please note: Whilst Peas in a Pod Breastfeeding Ltd. take steps to ensure your information is secure, communications by text, email, messenger, social media, and/or WhatsApp may not be secure so keep this in mind when using these methods *
What personal data do we hold apart from that collected when registering at PEAS IN A POD
As a medical practice we will hold medical records and information about you in order to treat you appropriately and in a timely manner.
To provide patients with a high standard of medical care, we need to hold personal information. This personal data can include:
• Past and current medical conditions; personal details such as age, address, telephone number, email, next of kin, NHS GP (as outlined above in the ‘Registering for care’ section
• Xrays and clinical photographs
• Information about your treatment that we have provided or propose and its cost
• Notes of conversations or incidents that might occur for which a record needs to be kept
• Records of consent to treatment
• Any correspondence relating to you from yourself or other health care professionals
Why do we hold information about you?
We need to keep comprehensive and accurate personal data about patients to provide you with safe and appropriate medical care. We will ask you yearly to update your medical history and contact details
Identifying patients who might be at risk of certain diseases
• Your medical records will be searched by a computer programme so that we can identify patients who might be at risk from certain diseases or conditions such as diabetes or hypertension.
• This means we can offer patients additional care or support as early as possible.
• Information which identifies you will only be seen by this practice.
• This information will also be anonymised for audit purposes to monitor and measure the quality of the care we deliver.
• More information please speak to the practice manager
Safeguarding
• Sometimes we need to share information so that other people, including healthcare staff, children or others with safeguarding needs, are protected from risk of harm.
• These circumstances are rare.
• We do not need your consent or agreement to do this.
• Please see our safeguarding policies for more information:
We are required by law to provide you with the following information about how we handle your information.
Data Controller contact details
PEAS IN A POD BREASTFEEDING TONGUE TIE LTD, 45 Prospect Avenue, Sevenoaks, TN13 3UA
Purpose of the processing
• To give direct health to individual patients.
• For example, when a patient agrees to a referral for direct care, such as to a hospital, relevant information about the patient will be shared with the other healthcare staff to enable them to give appropriate advice, investigations, treatments and/or care.
• To check and review the quality of care. (This is called audit and clinical governance).
• To advise patients of changes to services or new services
Lawful basis for processing
These purposes are supported under the following sections of the GDPR:
Article 6(1)(e) ‘…necessary for the performance of a task carried out in the public interest or in the exercise of official authority…’; and
Article 9(2)(h) ‘necessary for the purposes of preventative or occupational medicine for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services...”
• Healthcare staff will also respect and comply with their obligations under the common law duty of confidence.
Recipient or categories of recipients of the processed data
Disclosure of information
To provide proper and safe medical care we may need to disclose personal information about you including to:
• Healthcare professionals and staff in this practice
• Hospitals (if required, e.g. referral or emergency transfer)
• Out of hours services
• Diagnostic and treatment centres;
• Other organisations involved in the provision of direct care to individual patients
• Regulatory bodies eg Care Quality Commission
Information would only be shared with your consent and you would be copied into all correspondence if you wished.
Disclosure will take place on a ‘need-to-know’ basis. Only those individuals or organisations who need to know to provide care for you will be given the information.
In very limited circumstances or when required by law or a court order, personal data may have to be disclosed to a third party not connected with your health care. The practice would take legal advice before disclosing data in these very limited circumstances and where possible you will be informed of these requests for disclosure
Requesting your consent under GDPR
We will continue to obtain consent from you as a patient be it implied, verbal or written for the treatment or procedures undertaken. This will be inline with the General Medical Council’s guidelines and will be recorded appropriately in your medical records.
In addition to this
We require your consent under GDPR to communicate with you by phone or email or post. We will
• Ask you to opt-in to any marketing or other communications
• Offer choices as to how to communicate with you should you so wish
• Offer you the option to withdraw consent to that communication at any time
Collection of personal information when visiting our website
You can access most of the pages on our website without giving us your personal information although you may choose to do so, for example when you submit an enquiry. Users are requested not to send confidential details or debit/credit card numbers by email unless specifically asked by us to do so.
When you submit personal information, you consent to our use of the information as set above under ‘Requesting your consent under GDPR’.
Use of personal information
We will use personal information given to us in accordance with these terms and conditions, and with any additional statements appearing on forms used for submitting personal information. We will not disclose personal information to any third parties without obtaining your prior consent, unless we are required by law to do so.
If you submit an enquiry, we will use your personal information to administer and respond to your enquiry. We will store securely the information you supply and our response. We may produce reports on enquiries to enable us to monitor and develop our service but reports will be based on anonymous data; we will not identify individuals in our reports.
If you comment or complain about our services, we may use your details to investigate your comments.
Rights to object
• You have the right to object to information being shared between those who are providing you with direct care.
• This may affect the care you receive – please speak to the practice.
• You are not able to object when information is legitimately shared for safeguarding reasons.
• In appropriate circumstances it is a legal and professional requirement to share information for safeguarding reasons. This is to protect people from harm.
• The information will be shared with the local safeguarding service in your Borough
Right to access and correct
• You have the right to access your medical record and have any errors or mistakes corrected. Please speak to a member of staff.
Corrections and deletions
• We are not aware of any circumstances in which you will have the right to delete correct information from your medical record; although you are free to obtain your own legal advice if you believe there is no lawful purpose for which we hold the information and contact us if you hold a different view.
Data we get from other organisations
We may receive information about your health from other organisations who are involved in providing you with health following a referral from PEAS IN A POD BREASTFEEDING TONGUE TIE LTD. For example, if you go to hospital for treatment or an operation the hospital will send us a letter to let us know what happens. This means your medical record at this practice is kept up-to date when you receive care from other parts of the health service.
Note: Although obliged to share patient information with your NHS GP (with your consent) currently independent doctors do not have access to care and treatment records you receive elsewhere (NHS or private).
Retention period
GP medical records will be kept in line with the law and national guidance. The practice manager will advise you as to how long hard copy medical records are legally be required to be kept by us, digital medical records will be stored indefinitely until government regulations change.
Access to your medical records
You have the right of access to the data that we hold about you and to receive a copy. Parents may access their child’s records if this is in the child’s best interests and not contrary to a competent child’s wishes. Formal applications for access must be in writing to the practice manager
Use of personal information
We will use personal information given to us in accordance with these terms and conditions, and with any additional statements appearing on forms used for submitting personal information. We will not disclose personal information to any third parties without obtaining your prior consent, unless we are required by law to do so.
If you submit an enquiry, we will use your personal information to administer and respond to your enquiry. We will store securely the information you supply and our response. We may produce reports on enquiries to enable us to monitor and develop our service but reports will be based on anonymous data; we will not identify individuals in our reports.
If you comment or complain about our services, we may use your details to investigate your comments.
If you do not agree
If you do not wish personal data that we hold about you to be disclosed or used in the way that is described in this Code of Practice, please discuss the matter with your doctor. You have the right to object; however, this may affect our ability to provide you with medical care.
You have a right to withdraw your consent at any time, however this will not be retrospective.
Cookies and Internet Protocol
(IP) logging
When you visit our website, our server may record your computer's IP address (the unique address given to every computer connected to the Internet) and the time and duration of your visit.
This website may use cookies, a piece of data that may be stored on your computer when you visit a website; these cookies store the anonymised IP address (the last digit group of the IP is removed before storage).
Cookies and your IP address may be used to track the pages you visit on our website. We may use this information to analyse the way our site is used, and to administer and improve the accessibility of our site. We will not use it for any other purpose. You may disable the use of cookies in your Internet browser without affecting your use of our website.
Links
From time to time our website may contain links to other sites. We are not responsible for the content or privacy practices of third parties that run other websites.
Right to complain
You have the right to complain to the Information Commissioner’s Office
For further details about your rights under the Data Protection Act, please
Visit the Information Commissioners Office website www.ico.org.uk
Telephone: 0303 123 1113
Email online form: https://ico.org.uk/global/contact-us/email/ Write: Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF, England, UK.