Cleft Lip and Palate
Cleft Lip and Palate Services
One in every 600 to 700 children is born with a cleft lip and/or
palate. Services for these children are provided through the
North West, Isle of Man and North Wales Cleft Lip and Palate
Network. Across the Network, approximately 150 children each
year are born with a cleft lip and/or palate and, at any given
point in time, ongoing treatment is provided for around 3000
children and adults. The Network also sees patients without a
cleft but with similar speech difficulties. These referrals
are often made by Speech and Language Therapists working in the
The aim of the Network is to provide multidisciplinary
specialised management for at least the first 20 years of life to
produce the best outcomes for patients in terms of optimal physical
function, psychological adjustment and aesthetics.
The Network ensures that parents are provided with good
antenatal and postnatal care and effective surgical treatment where
a cleft lip and/or palate has been diagnosed. Surgery to
repair the cleft is undertaken at two centres across the Network -
Royal Manchester Childrens Hospital and Alder Hey Children's
Hospital, Liverpool. Surgeons are supported by a highly
specialised team of Clinical Nurse Specialists, Speech and Language
Therapists, Clinical Psychologists Geneticists and Audiologists as
well as clinicians from Orthodontics, ENT, Restorative and
Ongoing out-patient treatment is provided as close to the
patient's home as possible and the Network provides a range of
services, not just at the two surgical centres, but also at
Preston, Glan Clwyd, Wrexham and Bangor Hospitals where local
clinicians work closely with specialist staff from the centres.
What is a Cleft Lip?
A cleft lip is a gap in the upper lip on either one side
(unilateral) or both sides (bilateral). It can vary from a slight
notch (an incomplete cleft lip) to a longer gap extending up
towards and into the nostril (a complete cleft lip). Behind the
cleft lip there may be a groove or gap in the upper gum.
What is a Cleft Palate?
The palate forms the roof of the mouth and normally separates
the mouth from the nose. A cleft palate is a gap in the roof of the
mouth. This gap may involve the soft palate at the back of the
mouth or extend further forward into the bony, hard palate.
Miss Victoria Beale
Mr David Whitby
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Ad mission to the service is by referral
ante-natally or at birth by the appropriate Scanning/Maternity Unit
or via your General Practitioner.
Royal Manchester Children's
The Departments can be contacted between 9.00 am to 5.00 pm,
Monday to Friday through the Cleft Unit Co-ordinators (see
Cleft Unit Co-ordinator - Claire Richardson - 0161 701
Click here for directions to the Hospital
Nurse Consultant - Helen Robson - 0161 701 9082
Speech and Language Therapy - 0161 701 9080
Clinical Psychology - 0161 701 5683