I am Dr Todd a Consultant Paediatric Neurologist working in the South West of England.
My NHS practice is at Bristol Royal Hospital for Children.
I have served as a Consultant Paediatric Neurologist at the Bristol Royal Hospital for Children since 2021, specialising in complex movement disorders and neurorehabilitation.
My practice is grounded in a holistic, child‑centred approach, recognising that effective neurological care must address not only symptoms but also the wider physical, emotional, and developmental needs of children and young people.
A key part of my work is close multidisciplinary team working. This integrated approach ensures that each child receives comprehensive, coordinated care tailored to their individual needs.
Dr Todd
Areas of Expertise
I provide specialist paediatric neurological assessment and management for children and young people across a wide range of conditions.
Complex Movement Disorders
Integrated assessment and treatment, including joint clinics with a specialist complex‑movement physiotherapist.
Epilepsy
Comprehensive evaluation, diagnosis, and ongoing management.
Cerebral Palsy
Neurological assessment, tone management, and support with rehabilitation planning.
Neurorehabilitation
Holistic, goal‑focused rehabilitation for children with acquired or developmental neurological conditions.
Neuroinflammation
Assessment and management of inflammatory disorders affecting the central nervous system.
Headaches
Diagnosis and management of primary and secondary headache disorders.
PANS / PANDAS
Specialist assessment and management.
Tics and Tourette’s Syndrome
Assessment and management.
Qualifications
-
Bachelor of Medicine and Bachelor of Surgery (MBChB), University of Manchester
- Membership of the Royal College of Paediatrics and Child Health
Professional Memberships
- British Paediatric Neurology Association
- Royal College of Paediatrics and Child Health
- European Paediatric Neurology Association
Recent Publications
Deep brain stimulation in the management of movement disorders in childhood: a UK‑wide cross‑sectional study
Authors: Daniel E. Lumsden, Ramalakshmi Ramiah, Todd Smallbone, Will Singleton, Sam Amin, Sarah Perides, Gina Lumsdon, Reiko Ashida, Jonathan Ellenbogen, Keymoumars Ashkan, Richard Selway, Margaret Kaminska, Harutomo Hasegawa, Jean‑Pierre Lin
Journal: Archives of Disease in Childhood
Year: 2025
Transdermal clonidine patch use in the management of childhood hypertonia: a cross‑sectional UK‑wide service evaluation
Authors: Daniel E. Lumsden, Robert Spaull, Sarah Abernethy, Mayy El Gamal, Katharine Forrest, Louisa Akwaama Lemaire, Jean‑Pierre Lin, Sofia Marques, Valerie Orr, Lucinda Carr, Yasmin De Alwis, Anita Devlin, Emily Harrop, Manju Kurian, Claire Teresa Lundy, Santosh Mordekar, Karen Pysden, Todd Smallbone, Rajib Lodh
Journal: Archives of Disease in Childhood
Year: 2025
.
Nutritional blindness from avoidant‑restrictive food intake disorder – recommendations for the early diagnosis and multidisciplinary management of children at risk from restrictive eating
Authors: Sarah Schimansky, Haneen Jasim, Lucy Pope, Philippa Hinds, Daphin Fernandez, Paraskevi Choleva, Arundhati Dev Borman, Peta M. Sharples, Todd Smallbone, Denize Atan
Journal: Archives of Disease in Childhood
Services
Clinic appointments
Private Consultations at Litfield House Medical Centre
New Patient Appointments
- 60 minutes
- Face‑to‑face consultation
- Comprehensive assessment, review of history, examination, and formulation of a management plan
Follow‑Up Appointments
- 30–60 minutes
- Available face‑to‑face or by telephone
- Review of progress, treatment adjustments, and ongoing support
Specialist Joint Movement Disorder Clinics
- Delivered in collaboration with a specialist physiotherapist
- Integrated assessment and management for complex movement disorders
- Ideal for patients requiring combined neurological and physiotherapy expertise with complex movement disorders
Litfield House Medical Centre
1 Litfield Place
Clifton Down
Bristol BS8 3LS