my personal child health record - health for all · pdf filethis is your child's personal...

My personal child health record

My name ........................................................................................

My NHS number...............................................

My date of birth ...............................................

If this book is found please return to:

My photo

Somewhere HealthcareNHS Trust

IndexChild, family and birth details / local and information sources1 Child’s details2 Local information3 Birth details5 Important health problems6 Family history7 Information sources

Immunisation13 Your child will be offered the following immunisations14 Primary course of immunisations15 MMR immunisation – first dose and second year boosters16 MMR immunisation – second dose and pre-school booster

Screening and routine reviews17 Screening and routine reviews18 Can your baby see?19 Can your baby hear?21 Newborn hearing screening programme22 Dislocation of the hip23 New baby review25 6-8 week review27 1 year review29 2-21/2 year review31 Health review33 School health service34 School entry review in reception class

Your child’s firsts and growth charts35 Your child’s developmental firsts40 Dental health

Notes41 Weight conversion chart42 Height conversion chart

Growth charts

All rights reserved. No part of this publication may be reproduced in any form,stored in a retrieval system of any nature, or transmitted in any form or by anymeans including electronic, mechanical, photocopying, recording, scanning orotherwise without the prior written permission of the copyright owners except inaccordance with the Copyright, Designs and Patents Act 1988. Applications forthe copyright owner’s written permission to reproduce any part of this publicationshould be addressed to the publisher.

The doing of an unauthorised act in relation to a copyright work may result inboth a civil claim for damages and criminal prosecution.

© Harlow Printing Limited (2009) (typographical arrangement, design and layout)© Royal College of Paediatrics & Child Health (2009)

Copyright material owned by the Royal College of Paediatrics is reproduced withthe permission of the Royal College of Paediatrics.

Whilst we have tried to ensure the accuracy of this publication, the publisherscannot accept responsibility for any errors, omissions, mis-statements or mistakes.

For supplies contact Harlow Printing Limited:Tel 0191 455 4286, Fax 0191 427 0195For further information visit www.harlowprinting.co.ukand www.healthforallchildren.co.uk

Harlow Healthcare 79534dtp

Personal Child Health RecordThis is your child's personal child health record. It is the main record of your child's health, growth anddevelopment. It is for you – and the other people who care for your child – to be able to see and to write in, sowe ask you to keep it in a safe place.

Bring this book with you whenever you visit:

� your midwife

� the children’s centre

� the child health clinic

� your health visitor

� your family doctor

� a hospital emergency or outpatients department

� if your child is admitted to hospital

� a therapist (eg speech and language therapist)

� the dentist

� the school nurse

� any other health appointment

You may like to show it to other carers of your child such as

� childminder

� playgroup leader

� nursery school teacher

� primary school teacher

� anyone else who helps you care for your child.

Sections with this symbol are to be filled in by yourself as a parent, or by your midwife, healthvisitor and doctor.

The Healthy Child ProgrammeHealth advice, immunisations, screening and routine health reviews are all important parts of the healthy childprogramme. They are carried out by health professionals usually doctors, midwives, health visitors, other membersof the health visiting team, practice nurses and school nurses. A record of these will be made in the personal childhealth record.

Every parent can expect the following as a minimum:

� Soon after birth: full physical examination � 2-21/2 years: health review

� 5-8 days: heelprick blood spot test � 3 years 4 months: immunisations

� 10-14 days: new baby review � 4-5 years: eye sight check

� In first month: hearing test � School entry (reception class): Height, weight and hearing check

� 6-8 weeks: full physical examination � 10-11 years: (Year 6): height and weight

� 8, 12, 16 weeks: immunisations � 13-14 years: HPV immunisations (girls)

� By 12 months: health review � 13-18 years: booster immunisations

� 12-13 months: immunisations

For more information please visit Birth to Five at NHS Choices www.nhs.uk/birthtofive

Some of the early appointments will be made by your health visitor in your home. You may need to go to your localdoctor’s surgery or health centre for others and some may not need a face-to-face contact. Health reviews forschool aged children are usually done in school.

If you are worried about any aspect of your child’s health or development, don’t wait for the next review to discussit. You can find out information on many minor health issues in Birth to Five but if you are still worried contact yourhealth visitor or family doctor.

How we handle informationWe wish to make sure that your child has the opportunity to have his/her immunisations and health checks whenthey are due. We also want to be able to plan and provide any other services your child needs. Therefore, weenter some of your child’s details from this record on to our computer system.

We treat this information as strictly confidential and only release it to:

� Yourself as parent(s)

� Your child’s health care professionals, who work directly with your family.

This information may be used anonymously so that we can plan services for all children.

We will not normally release any information that could be linked to your child to any other person ororganisation without seeking your permission first. However, it is sometimes necessary to use this sort ofinformation for audit purposes and public health reasons such as monitoring the effectiveness and safety ofvaccines.

We may also give the Department of Health contact details of children due immunisations so that they can sendinformation leaflets about immunisation. These contact details are kept by the Department of Health only untilthe leaflets are sent out.

We are subject to the terms of the Data Protection Act, 1998 in respect of personal data held by us. You havethe right under the Act to ask to see details of the information held regarding your child.

Child

, family &

birth

details / lo

cal & in

form

ation so

urces

Child, familyand birth details/ local andinformationsources

Child’s details� Please place a sticker (if available) otherwisewrite in space provided.

Child

’s details

1

Mother’s name: ................................................................................................ Date of birth:........../........../..........

Father’s name:.................................................................................................. Date of birth:........../........../..........

Change of address (including post code)

1):...................................................................................................................................... Tel:..............................

2):...................................................................................................................................... Tel:..............................

3):...................................................................................................................................... Tel:..............................

Named Midwife/Team

Name:................................................................................................................................ Tel:..............................

Family Doctor

1) Name:....................... Address: ...................................................................................... Tel:..............................

2) Name:....................... Address: ...................................................................................... Tel:..............................

3) Name:....................... Address: ...................................................................................... Tel:..............................

Health Visitor/Team

1) Name:....................... Address: ...................................................................................... Tel:..............................

2) Name:....................... Address: ...................................................................................... Tel:..............................

3) Name:....................... Address: ...................................................................................... Tel:..............................

Dentist

Name: ........................... Address: ...................................................................................... Tel:..............................

Surname:

First names:

NHS number: Unit no:

Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

2

Child health clinics

1) Name: ........................................................................... Time: ......................... Tel: ..........................................

2) Name: ........................................................................... Time: ......................... Tel: ..........................................

3) Name: ........................................................................... Time: ......................... Tel: ..........................................

4) Name: ........................................................................... Time: ......................... Tel: ..........................................

5) Name: ........................................................................... Time: ......................... Tel: ..........................................

Children’s centre

.............................................................................................................................................................................

Baby/toddler & parents’ groups

Name: ............................................................................... Time: ......................... Tel: ..........................................

Name: ............................................................................... Time: ......................... Tel: ..........................................

Playgroups

............................................................................................................................ Tel: ..........................................

............................................................................................................................ Tel: ..........................................

Nursery schools/classes

............................................................................................................................ Tel: ..........................................

............................................................................................................................ Tel: ..........................................

Other useful contacts

............................................................................................................................ Tel: ..........................................

............................................................................................................................ Tel: ..........................................

............................................................................................................................ Tel: ..........................................

............................................................................................................................ Tel: ..........................................

Local information

Birth

details an

d new

born exam

inatio

n3

Place of birth:..................................................

Date of birth:.........../.........../...................

Length of pregnancy in weeks: .......................

Type of delivery: ..............................................

Mother’s NHS Number: ...................................

Problems in pregnancy, birth or neonatal period:

.......................................................................

.......................................................................

Admitted to Neonatal Intensive Care Unit?

No c Yes, for ..................days

Birth details & newborn examination� Please place a sticker (if available) otherwise write in space provided.

S = Satisfactory P = Problem O = Continue observation T = Treatment being received R = Referral N = Not examinedTop copy: remain in PCHR 2nd Copy: Health Visitor 3rd Copy: Child Health Department contd...

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

Birth Weight: ..............kg Length: ..............cm Head circumference: .............cm Date: ........../........../...........

Newborn Examination

Item Guide to Content Coded Outcome (ring one) Comment/Action Taken

Examination of hips Barlow and Ortolani S P O T R Ntests on both

Testes Ring ‘N’ for girls S P O T R N

Examination of eyes Includes inspection S P O T R Nand red reflex

Examination of heart Colour, pulses, S P O T R Nheart sounds, murmurs

Rest of Physical Including fontanelle, S P O T R NExamination palate, spine,

abdomen, urine system,passage of meconium

Date Performed:...................... Performed by:.................................... Signature: ..................................................

Birth

details an

d new

born exam

inatio

n4

Heel prick tests Date blood taken: ........../........../........... (results on page 25)

BCG indicated: YES c NO c BCG given: YES c NO c If YES please enter details on separate BCG page

Hep B indicated: YES c NO c Hep B given: YES c NO c If YES please enter details on separate Hep B page

Vitamin K given: Date:.................................. Route: ................................. Further doses needed? YES c NO c

If YES: Dose No. Date due Date given

2 ......./......./........ ......./......./........

3 ......./......./........ ......./......./........

4 ......./......./........ ......./......./........

Follow-up required: No c Yes c GP c Community Paediatrician c Hospital c Other: ........................

Location/Clinic: .......................................................................................................... Date: .................................

Reason: .................................................................................................................................................................

Birth details & newborn examination continued� Please place a sticker (if available) otherwise write in space provided.

First milk feed:

Breast c Formula c

Breastfeeding at discharge:

Totally c Partially c Not at all c

Top copy: remain in PCHR 2nd Copy: Health Visitor 3rd Copy: Child Health Department

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

1: ......................................................................................................................... Date: .......................................

2: ......................................................................................................................... Date: .......................................

3: ......................................................................................................................... Date: .......................................

4: ......................................................................................................................... Date: .......................................

Specialist Clinics

Name: .................................................................................................................. Unit Number: ..........................

Name: .................................................................................................................. Unit Number: ..........................

Name: .................................................................................................................. Unit Number: ..........................

Special needs: (social, physical, educational, emotional)

1: ......................................................................................................................... Date: .......................................

2: ......................................................................................................................... Date: .......................................

3: ......................................................................................................................... Date: .......................................

4: ......................................................................................................................... Date: .......................................

Serious allergies and reactions to drugs or vaccines

1: ......................................................................................................................... Date: .......................................

2: ......................................................................................................................... Date: .......................................

3: ......................................................................................................................... Date: .......................................

4: ......................................................................................................................... Date: .......................................

Important health problemsIm

portan

t health

problem

s5

Parents: Mother’s name:........................................................................ Date of birth:........../........../ ..........

Mother’s educational level: .............................................................................................................

Father’s name:.......................................................................... Date of birth:........../........../ ..........

Are there any other children in the family?

Siblings name(s): .................................... .................................. .................................. ..............................

Sex: .................................... .................................. .................................. ..............................

Date of Birth: .................................... .................................. .................................. ..............................

Is there any family history of: Yes No Comments

Childhood deafness c c ..................................................................................

Fits in childhood c c ..................................................................................

Eye problems in childhood c c ..................................................................................

Hip problems in childhood c c ..................................................................................

Reading and spelling difficulties c c ..................................................................................

Asthma / eczema / hayfever / allergies c c ..................................................................................

Tuberculosis (TB) c c ..................................................................................

Heart Conditions c c ..................................................................................

Are there any other particular illnesses or conditions in the mother’s or father’s family that you feel are important?

.............................................................................................................................................................................

Is an interpreting service needed? No c Yes c If yes, which language? .................................................

Family history

6

When you have a new baby, your whole world changes. You may have lots of questions about being a parent, butnot know where to get the reliable answers you need.

The NHS Information Service for Parents is a free digital service which provides parents-to-be and new parents withinformation and advice you can trust. This covers a wide range of issues: staying healthy in pregnancy, preparing forbirth and looking after your baby. There is advice on breastfeeding, weaning and immunisations and much more.Over one hundred videos show experts giving practical advice and parents discussing their own experiences.

Both mums and dads can sign up to receive regular emails, videos and SMS messages with advice related to the stageof pregnancy and the age of the child.

Sign up to the NHS Information Service for Parents today at www.nhs.uk/parents

For more health information and advice for you and your family, ask your health visiting team or General Practitioner.

Inform

ation service fo

r paren

ts

W

s on breastfeeding, weaning and immunisations and much more. Over one hundred videos show experts g practical advice and parents discussing their own experiences.

B

S

Information Service for Parentsadvice you can trust

Information sourcesBirth to five

Birth to Five is an easy-to-use and practical guide for parents. It gives the latest advice and information on all aspectsof child health, immunisation, healthy eating, childhood illnesses, child safety and reducing the risk of cot death.

Fully illustrated with photographs, cartoons and helpful diagrams it explains:

� the first few weeks and how your child will develop;

� learning and playing, habits and behaviour;

� feeding the family;

� where to get help and advice; and

� your rights and benefits.

The book may be available from your health visitor or visit Birth to Five at NHS Choiceswww.nhs.uk/birthtofive

NHS direct

NHS Direct is a 24-hour nurse-led helpline providing confidential healthcare advice and information on:

� What to do if you're feeling ill;

� Health concerns for you and your family;

� Local health services;

� Self-help and support organisations.

Calls to NHS Direct are charged at local rates.

NHS Direct Online provides a gateway to high quality and authoritative health information on the Internet. It isunique in being the only UK website supported by a 24-hour nurse-led helpline.

www.nhsdirect.nhs.uk

Inform

ation so

urces

7

Direct08454647

CALL 24 HOURS ON

BreastfeedingNational Breastfeeding Helpline (http://www.nationalbreastfeedinghelpline.org.uk/)

Call 0300 100 0212 for breastfeeding information and help for you and your baby. You can also call the Helpline tospeak to your nearest trained volunteer mother who will be happy to listen to you in confidence.

Lines open 9.30am – 9.30pm every day of the week, do call again later if you don’t get an answer straight away.

Best Beginnings

You may have received a free copy of the ‘From bump to breastfeeding’ DVD.

Now’s a good time to watch it again.

If you have not received a copy yet, ask your midwife or health visitor, or go to www.bestbeginnings.org.uk whereyou can watch the DVD online or buy a copy.

What are the topics covered?

In the main film, we meet nine different women and follow them on their journey...

� preparing for birth � birth, skin-to-skin and early feeds

� graphic of a baby attaching on the breast � the early days and weeks

� feeding out and about � overcoming challenges

� introducing other foods

There are also five extra films, covering:

� the first few weeks

� overcoming challenges

� expressing and returning to work

� breastfeeding your sick or pre-term baby

� breastfeeding twins or more

For further information about breastfeeding see Birth to Five.

8

Reduce the risk of sudden infant death (cot death) � The safest place for your baby to sleep is on their back in a cot or

a crib in the room with you for the first six months

� Place your baby in the 'feet to foot' position (with their feet at theend of the cot, crib or pram)

� Keep your baby’s head uncovered. Their blanket should be tuckedin no higher than their shoulders

� Don’t smoke in pregnancy — dads too! And don’t let anyonesmoke in the same room as your baby

� Never sleep with your baby on a sofa or armchair

� Do not let your baby get too hot

� Do not share a bed with your baby if:

• you have been drinking alcohol

• you have taken medication or drugs that make you sleep more heavily

• you are very tired

• you or your partner is a smoker

• your baby was born premature (before 37 weeks)

• your baby was low birth weight(less than 2.5 kgs or 5½ lbs)

If you think your baby is unwell seek advice promptly.

For more information about reducing the risk of sudden infant death – you can contact the Foundation for the Study of Infant Deaths by ringing their helpline on 0808 802 6868 or visit their website www.fsid.org.uk

or visit NHS Choices http://www.nhs.uk/conditions/pregnancy-and-baby/pages/getting-baby-to-sleep.aspx

Red

uce th

e risk of su

dden

infan

t death

(cot d

eath)

8a

Put me to sleep on my back inthe Feet to Foot

position

I want blankets or a

baby sleep bag, not a duvet or quilt

I’m safestsleeping in

my cot

The foundation years are how the Government and early years professionals describe the time in your child’s lifebetween birth and age 5. The Early Years Foundation Stage (EYFS) framework sets the standards for learning,development and care for children during this period which nurseries, pre-schools, reception classes and childmindersmust follow.

The professionals caring for your child will discuss your child’s development with you at any time and at the ages of 2and 5, they will give you written information.

As a mum, dad or carer, how can I help with my child’s learning?

Parents/carers sometimes underestimate what they can do to support their child’s development.

Everything you do with your child at home is important in supporting their learning and development. Talking andreading stories to babies and young children helps them to learn and understand new words and ideas. They respondin different ways long before they can talk themselves. Singing songs or nursery rhymes, or cooking with your childare a few examples of activities that can have a long lasting effect on your child’s learning as they progress towardsand through school.

Where can I go for further information?

If you would like some ideas for things you can do at home to help your child learn, you can find out at your localchildren’s centre. Many children’s centres offer ‘messy play’ and other fun activities which you and your child can joinin, and many of the activities they provide are free.

You can find the EYFS Framework at:https://www.education.gov.uk/publications/standard/AllPublications/Page1/DFE-00023-2012

Visit http://www.foundationyears.org.uk/parents/ for more information to help you support your child’s developmentin their first few years of life.

8b

What are thefoundation years?

Children’s Centres, early education and childcarePlaygroups, pre-school education and childcare are available in all districts. Look at the links below or ask your HealthVisitor for details of services in your area.

Sure Start Children’s Centres offer advice and support for families with childrenunder five years old. The aim is to make sure your child gets the best possible startin life. Children’s Centres vary from area to area in terms of what they offer but all

aim to support learning for your child. Ask your health visitor or local authority for further information or alternativelyvisit the website below.

Are you thinking of early education or childcare for your child as he or she grows?

All children are entitled to 15 hours a week of free early education for 38 weeks of the year from 1st September, 1st January or 1st April following their third birthday until they start school. This is also available to the mostdisadvantaged two year olds (contact your local FIS for more information) and from September 2013 it will beextended to all disadvantaged two year olds. Free part time early education places are available in school nurseryclasses, nursery schools, day nurseries, playgroups or pre-schools or with childminders if they are part of achildminder network.

Most families can access funding to pay for a substantial amount of their childcare costs through the tax creditsystem, subject to individual circumstances. Some employers can also give you tax-free vouchers to help pay forchildcare. To find out more about child benefits phone 0845 302 1444 and for information on tax credits phone0845 300 3900.

You can find out more about local childminders, day nurseries and playgroups from your health visitor or local FamilyInformation Service (FIS).

For information about these and other issues visit: http://www.direct.gov.uk/en/Parents/Childcare/index.htm

Child

ren’s C

entres, early ed

ucatio

n an

d ch

ildcare

9

10

Family LivesFamily Lives is a charity with over three decades of experience helpingparents deal with the changes that are a constant part of family life.We know that many people play active roles in the raising of childrenwithin any family and we are here for all of them. Mums, dads,grandparents, stepparents and non-resident parents, we have a freeservice to support you with whatever issue you are facing.

Services

� Family Lives website: www.familylives.org.uk

� Free Confidential 24 Telephone support on any issue

� Parentline - 0808 800 2222

� Email Support: [email protected]

� Live Chat: http://fmly.me/fliveonline

� Online Forum: http://familylives.org.uk/forums

� Parenting Courses and Workshops

Contact a FamilyOne in 20 children are born with a disability. Discovering that achild is ill or has a special need or disability can be difficult andparents may feel isolated. Contact a Family is a UK charity thatgives support, information and advice to families, regardless of thechild’s disability or medical condition.

Freephone helpline – the helpline can give information and advice on a wide range of issues to families includingbenefits, education, short breaks and equipment and has access to 170 languages via interpreters.

Linking families – Contact a Family can refer parents to a suitable support group for their child’s condition, offerone-to-one linking if no support group exists or direct families to their linking website MakingContact.org

Publications and other information – Contact a Family produces a wide range of publications includingnewsletters and guides for parents. They have a range of videos and podcasts on their website.

Medical information – The Contact a Family Directory contains 440 medical conditions – each entry provides anoverview of the condition with details of support groups and is reviewed by an expert.

One-to-one support – Contact a Family offers both practical and emotional support on a one-to-one basis, throughtheir family support service, volunteer parent representatives and local offices, which provide local newsletters,information, workshops and support for families. See the website for details.

Get in touch Contact a Family209-211 City Road, London, EC1V 1JNFreephone helpline 0808 808 3555 (Monday to Friday 9.30am–5.30pm). Tel: 0207 608 8700Email: [email protected] http://makingcontact.org

Contact a Fam

ily11

BookstartBookstart, the national programme brought to you by Booktrust, offers the gift of freebooks to all children at two key ages before they start school, to inspire a love ofreading and writing that will give children a flying start in life.

Sharing books, talking about the pictures and spending time having fun together, willhelp you to build a strong and loving relationship with your child. It is good to startsharing stories, books and rhymes from as early an age as possible. Babies don't needto understand all the words; they will just love to listen to your voice and will soon joinin as they learn to babble and talk.

Ask your heath visitor how you can collect yourpacks or ask at your local library.

For more information about Bookstart visitwww.bookstart.org.uk

Special packs are available for children that aredeaf or visually impaired.

Bookstart baby pack for babies up toone year oldDate received ..........................................

Signed ....................................................

Bookstart treasure pack for three tofour year oldsDate received ..........................................

Signed.....................................................

12

Immunisatio

n

Immunisation

Your child will be offered the following immunisationsAge Due Immunisation

8 weeks DTaP/IPV/Hib and PCV and Rota (diphtheria, tetanus, acellular pertussis [whooping cough], inactivated polio vaccine, Haemophilus influenzae b [Hib] vaccine and pneumococcal conjugate vaccine and rotavirus vaccine)

12 weeks DTaP/IPV/Hib and MenC and Rota (diphtheria, tetanus, acellular pertussis [whooping cough], inactivated polio vaccine, Haemophilus influenzae b [Hib] vaccine and meningococcal Cvaccine and rotavirus vaccine)

16 weeks DTaP/IPV/Hib and PCV (diphtheria, tetanus, acellular pertussis [whooping cough], inactivated polio vaccine, Haemophilus influenzae b [Hib] vaccine and pneumococcal conjugate vaccine)

Between 12 and Hib/MenC (Haemophilus influenzae b [Hib] and meningococcal C vaccine)13 months of age (i.e. within a MMR and PCV (measles, mumps, rubella vaccine and pneumococcal conjugate vaccine)month of the first birthday)

3 years 4 months DTaP/IPV or dTaP/IPV (diphtheria or low dose diphtheria, tetanus, acellular pertussis,inactivated polio vaccine) PRE-SCHOOL BOOSTERMMR (measles, mumps, rubella vaccine)

12-13 years HPV (human papillomavirus vaccine) (three doses over six months)(girls)

13-14 years (school yr 9) dT/IPV (low dose diphtheria, tetanus, inactivated polio vaccine) TEENAGE BOOSTERor

14-15 years (school yr 10) MenC (meningococcal C vaccine)

Some babies will need Hepatitis B and /or BCG vaccines. If in doubt discuss this with your midwife/health visitor.

The immunisations your child is offered may change with time. Your health visitor or practice nurse will talk to youand give you written information about immunisations. This and other information is available on NHS Choiceshttp://www.nhs.uk/Planners/vaccinations/Pages/aboutvaccinationhub.aspx

Do you know if you are immune to rubella (German measles)? If you are not immune you can be immunised, with MMR vaccine, to protect you and future babies.

Your ch

ild will b

e offered

the fo

llowing im

munisatio

ns

13amended 13.5.13

What you can expect after vaccinations

After a vaccination, your baby may cry for a little while, but that usually settles soon with a cuddle or a feed. Most babies don’t have any other reaction.

Reactions at the site of the injection

Some babies have some swelling or redness where the injection was given and it may be sore to touch. This usuallyonly lasts two to three days and doesn’t need any treatment.

Fever

Some babies may also develop a fever (a temperature higher than 37.5°C). For most vaccinations, this occurs withintwo to three days of the injection. If the vaccine is MMR, the fever comes on 6-10 days after the injection. If your babyfeels hot you can take their temperature using a thermometer.

If your baby has a fever

Make sure that they do not have too much clothing on or bedding over them

Give them plenty of cool fluids

Do not put them in a bath, sponge them down or put a fan on them

Most of the time, a fever does not need treatment. However, if your baby seems miserable, they can have a dose ofinfant paracetamol or ibuprofen. The dose is on the bottle and it is very important not to give too much. It is notrecommended to give medicine before or after a vaccination to prevent a temperature. Aspirin should never be givento children under 16 years old, unless prescribed by a specialist.

After MMR

The MMR vaccine contains weakened (‘attenuated’) measles, mumps and rubella viruses. Occasionally children maydevelop mild measles, mumps or rubella.

After six to ten days, they may have a fever, be off colour and develop a measles rash.

Two to three weeks after the injection, they may have a fever and swollen glands like mumps.

Much less commonly they may have a rash and fever 12-14 days after the vaccine.

None of these reactions are infectious. Any other reaction is very uncommon.

If you are worried about a reaction, especially if your baby has a temperature 39-40°C or above, or has a fit, contactyour GP or NHS Direct on 0845 4647.

More information about vaccines can be found in the booklet “A guide to immunisations up to 13 months of age”which you can get from your health visitor or practice nurse or you can visit www.nhs.uk.

Mother’s hepatitis B status

Hepatitis B surface antigen: Pos c Neg c Hepatitis B e antibody: Pos c Neg c

Acute hepatitis B in pregnancy: Yes c No c Hepatitis B e antigen: Pos c Neg cHigh Viral Load (>106 IU/ml): Yes c No c

Baby’s birth weight <1.5 kg Yes c No c

Mother’s surname:

......................................................................

Mother’s first name:

......................................................................

Mother’s NHS number:

......................................................................

Top copy: remain in PCHR. All subsequent copies return to Immunisation Section as each immunisation is completed

Immuniser

Hepatitis B infant immunisation programmeQ Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

Hepatitis B

infan

t immunisatio

n program

me

13a7 part NCR - INCLUDED ONLY IF SPECIFIED ON ORDER

Dose Age Date Batch No. Site VenueSignature Name in CAPITALS

Hepatitis B immunoglobulin (if needed)

Babies should receive a five-dose course of hepatitis B vaccine according to the following schedule:

1st Dose Within 24 hoursof birth

2nd Dose 4 weeks

3rd Dose 8 weeksBooster 12 monthsBooster at same time as

pre-school boosterBaby’s serology (at same time as 12 month booster)HBsAg Date……………….............… Result…....…....................... HBsAb (if done) Date…….............… Result…........................…..

Indications for hepatitis B immunoglobulin and/or vaccine

Top copy: remain in PCHR 2nd Copy: GP 3rd Copy: Immunisation Section

Please press firmly

Administration of prior skin test (if indicated):Test Date Batch No. Site Signature Name in CAPITALS Venue

Mantoux

Result – Date Signature Name in CAPITALS Venue

Measurement (mm)

Administration of BCG:Date Batch No. Site Signature Name in CAPITALS Venue

Reason for BCG (please tick): (see Department of Health guidelines for specific details)

c Universal neonatal programme

c Parent/grandparent born in a country with a high TB rate*, please specify country: ______________________________________

c TB in a relative or close contact

c Travel to a country with a high TB rate*

c Born or lived in a country with a high TB rate*

c Other, please specify: __________________________________________________________________________________________

* High TB rate = 40/100,000 or higher. For information on TB incidence by country see www.hpa.org.uk

Immuniser

Immuniser

BCG vaccin

ation

13b

BCG vaccinationQ Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

For Babies Only

Mother’s surname:

......................................................................

Mother’s first name:

......................................................................

Mother’s NHS number:

......................................................................

3 part NCR - INCLUDED ONLY IF SPECIFIED ON ORDER

amended 27.2.13

Breastfeedingat 1st Imm:


at 2nd Imm:


at 3rd Imm:


Top copy: remain in PCHRAll subsequent copies return to Immunisation Section as each immunisation is completed

Antigen Date Batch No. Site VenueSignature Name in CAPITALS

8 weeks

DTaP/IPV/Hib

PCV

Rota By mouth

12 weeks

DTaP/IPV/Hib

Men C

Rota By mouth

16 weeks

DTaP/IPV/Hib

PCV

Immuniser

Primary co

urse o

f immunisatio

ns

14Please press firmlyPrimary course of immunisations

Q Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

4 part NCR

Breastfeeding at all at 1st birthday:

Yes c No c


Antigen Date Batch No. Site VenueSignature Name in CAPITALSBetween 12 and 13 months

Hib/Men C

MMR (1st dose)

PCV

Immuniser

MMR im

munisatio

n15

Please press firmlyMMR immunisation – first dose & second year boostersQ Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

3 part NCR

Top copy: remain in PCHR 2nd copy: to Immunisation Section


MMR (2nd dose)

DTaP/IPV

or

dTaP/IPV

Other

Immuniser

MMR im

munisatio

n16

Please press firmlyMMR immunisation – second dose & pre-school boosterQ Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

3 part NCR - 1st & 2nd copies

This additional copy should only be used if the MMR (2nd dose) is administered separately, and return to Immunisation Section.


MMR (2nd dose)

DTaP/IPV

or

dTaP/IPV

Other

Immuniser

MMR im

munisatio

n16

Please press firmlyMMR immunisation – second dose & pre-school boosterQ Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

3 part NCR -3rd copy


Antigen Date Batch No. Site VenueSignature Name in CAPITALSImmuniser

Additio

nal im

munisatio

ns

16aPlease press firmlyAdditional immunisations

Q Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

4 part NCR - INCLUDED ONLY IF SPECIFIED ON ORDER

Screening an

d ro

utin

e reviews

Screening androutine reviews

Screening and routine reviewsYour doctor, health visitor, midwife or school nurse will offer simple routine checks for your child.

Some of these are called screening tests and include:

� hearing tests within first few weeks after birth

� blood tests for certain conditions which could cause health problems (for example phenylketonuria, hypothyroidism andsickle cell disease).

Checks of your baby’s:

� hips� heart� eyes/vision� testes, if a boy

Other checks or reviews may include:

� growth

� hearing

� general development

Screening tests and other health checks and reviews are done to pick up problems before they have been noticed. They cannever be fully accurate in all cases. This means that sometimes there is a false alarm, when you will be told that your babymay have a condition. However, further tests may show that in fact she or he does not have the condition.

It also means that sometimes a problem may not be picked up even if it is present. So even if your baby has had a check fora condition and was found to be OK, if you think there may be a problem you should still point it out to your health visitoror GP. Do not assume that because the check was ‘normal’, there cannot be a problem.

For more information on screening and routine reviews see Birth to Five and www.screening.nhs.uk

Screening an

d ro

utin

e reviews

17

Can your baby see?There is no easy way to test a young baby's eyes accurately, but you can help check there is no serious problem by watchinghow your baby uses his/her eyes. Talk to your health visitor or GP as soon as possible if you are ever worried aboutyour child's eyes or vision.

At all ages

If you notice any of the following: an opaque or white reflection in the pupil (dark area in centre of the eye), a change incolour of the iris (the coloured part of the eye), or the ‘red eye’ reflection missing or altered in a photograph, take your childto see a doctor as soon as possible.

First two monthsYour child’s eyes will be examined as part of the routine baby review during this period Yes No

Does your baby open his/her eyes and look at you? c c

Does your baby look at you when you move your head from side to side? c c

Have you noticed anything unusual about or in your child's eyes? c c

Does anyone in the family have serious eye disease that started in childhood? c c

Babies and toddlers

Does your baby ever seem to have a squint (a ‘turn’ or a ‘lazy’ eye)? c c

Does your baby have any difficulty in seeing small objects (tiny bits of food, crumbs, bits of fluff) or recognising familiar people? c c

Does anyone in the family have a squint (a ‘turn’ or a ‘lazy’ eye), or wear glasses (starting in childhood)? c c

Age two to school entry

Your child should be offered a vision test as part of their routine school entry physical examination (between 4 and 5 years).If you are concerned before that test is done, for example that your child may need glasses, talk to your doctor or healthvisitor.

Does your child have any squint (a ‘turn or a ‘lazy’ eye) or any difficulty in seeing (e.g. watching T.V., recognising you across a room, bumping into things, being unusually clumsy)? c c

18

Can your baby hear?These two lists give pointers about what to look and listen out for as your babygrows to check if he/she can hear. Babies do differ in what they can do at any givenage. The ages presented here are approximate only.

Checklist for Reaction to Sounds

Shortly after birth – a baby:Is startled by a sudden loud noise such as a hand clap or a door slamming. Blinks or opens eyes widely to such sounds orstops sucking or starts to cry.

1 month – a baby:Starts to notice sudden prolonged sounds like the noise of a vacuum cleaner and may turn towards the noise. Pauses andlistens to the noises when they begin.

4 months – a baby:Quietens or smiles to the sound of familiar voice even when unable to see speaker and turns eyes or head towards voice.Shows excitement at sounds e.g. voices, footsteps etc.

7 months – a baby:Turns immediately to familiar voice across the room or to very quiet noises made on each side (if not too occupied with otherthings).

9 months – a baby:Listens attentively to familiar everyday sounds and searches for very quiet sounds made out of sight.

12 months – a baby:Shows some response to own name. May also respond to expressions like ‘no’ and ‘bye bye’ even when any accompanyinggesture cannot be seen.

If at any stage in the baby or child’s development you think he/she may have difficulties hearing, contact your health visitoror family doctor.

Adapted from: The ‘Can Your Baby Hear You’ form, B. McCormick, 1982, Children’s Hearing Assessment Centre, Nottingham, UK.

Screening ProgrammesNewborn Hearing

Can yo

ur b

aby h

ear?19

Checklist for Making Sounds

4 months – a baby:Makes soft sounds when awake. Gurgles and coos.

6 months – a baby:Makes laughter-like sounds. Starts to make sing-song vowel sounds,e.g. a-a, muh, goo, der, aroo, adah.

9 months – a baby:Makes sounds to communicate in friendliness or annoyance. Babbles (e.g. ‘da da da’, ‘ma ma ma’, ‘ba ba ba’). Shows pleasurein babbling loudly and tunefully. Starts to imitate other sounds like coughing or smacking lips.

12 months – a baby:Babbles loudly, often in a conversational-type rhythm. May start to use one or two recognisable words.

15 months – a baby:Makes lots of speech-like sounds. Uses 2-6 recognisable words meaningfully (e.g. ‘teddy’ when seeing or wanting the teddybear).

18 months – a baby:Makes speech-like sounds with conversational-type rhythm when playing. Uses 6-20 recognisable words. Tries to join innursery rhymes and songs.

24 months – a child:Uses 50 or more recognisable words appropriately. Puts 2 or more words together to make simple sentences e.g. more milk.Joins in nursery rhymes and songs. Talks to self during play (may be incomprehensible to others).

30 months – a child:Uses 200 or more recognisable words. Uses pronouns (e.g. I, me, you). Uses sentences but many will lack adult structure. Talksintelligibly to self during play. Asks questions. Says a few nursery rhymes.

36 months – a child:Has a large vocabulary intelligible to everyone.

Adapted from: M. D. Sheridan (Revised by M. Frost and A. Sharma), 1997, Routledge, London, New York.

20


Top copy: stay in PCHR 2nd copy: to Health Visitor or Hospital Record 3rd copy: Child Health Department

Place:....................................................................(District/Hospital where screened)

Hosp c Clinic c Home c

NICU Protocol: Yes c No c

Community screening programme data: Screener ID:........................................... Equipment No:....................................

Consent: Screen: Yes c No c Data: Yes c No c

Clear response:

Test No. (Community):

Not Tested: Reason:

LeftEar:

Clear response:

Test No. (Community):

Not Tested: Reason:

RightEar:

Further Management:Discharge to routine child health surveillance c For further screen: OAE / AABR c Refer to audiology c

Later follow-up at 8 months (corrected) c State reason: Declined Screen c Risk factor c give details below:

Risk factor details (if family history, state exact relative):............................................................................................................

Name: ......................................................... Signature: ............................................ Screener/Screening Co-ordinator/HV**delete as applicable

1st OAEDate: ........../........./ ...........

Yes c No c

.........................................

.........................................

Yes c No c

.........................................

.........................................

2nd OAEDate: ........../........./ ...........

Yes c No c

.........................................

.........................................

Yes c No c

.........................................

.........................................

AABRDate: ........../........./ ...........

Yes c No c

.........................................

.........................................

Yes c No c

.........................................

.........................................

New

born hearin

g screen

ing program

me

21

Newborn hearing screening programme� Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

3 PART NCR - ALL WHITE


Developmental dislocation of the hip(Sometimes called “Developmental Dysplasia of the Hip”- DDH)

In some babies, the top of one or both of the thigh bones may be out of the hip joint, or have a tendency to move out ofthe joint. It is important to pick this up as soon as possible so that it can be treated. Soon after birth and at about 6-8 weeksyour baby’s hips will be checked for this problem. Unfortunately, even experts cannot always pick it up, and sometimes itdevelops later on. There are some things that indicate there could be a problem. If you notice any of the following, you shouldcontact your health visitor or General Practitioner.

� A difference in the deep skin creases of the thighs between the two legs

� When you change your baby’s nappy, one leg cannot be moved out sideways as far as the other.

� Your baby drags a leg when crawling

� One leg seems to be longer than the other

� You can hear or feel a click in one or both hips.

� Your child walks with a limp.

Develo

pmental d

islocatio

n of th

e hip

22

New baby review � A member of the health visiting team will visit you and your family at home, usually when your new baby is between

10-14 days old.

� This first visit gives you the chance to discuss any issues about the health and well-being of yourself, your new baby andthe rest of the family. This is a chance to ask for any advice or information and to discuss any worries you may have.

� The health visiting team is led by a health visitor who is a trained nurse with specialist qualifications in child and family health.

Here are some of the things you may want to discuss:

� contacting the health visitor team in the future

� child health clinics

� feeding

� sleeping and crying

� advice on reducing the risk of cot death

� immunisation

� family health (yourself, your partner, your baby’s brothers or sisters)

� registering your baby’s birth

� child benefit

� home and car safety

You may find it helpful to write down here anything you would like to discuss at the new baby review:

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

23

Breast feeding: Totally c Partially c Not at all c Ethnicity of baby: .......................................................

Any concerns about the baby’s feeding?.............................................................................................................................

...........................................................................................................................................................................................

Mother current smoker c Other smoker in household c No smoker in household c

Any concerns about the baby’s health or behaviour? ..........................................................................................................

...........................................................................................................................................................................................

How is mother / family?......................................................................................................................................................

...........................................................................................................................................................................................

Clinic/surgery to be attended for 6-8 week review:.............................................................................................................

Clinic/surgery to be attended for immunisations: ................................................................................................................

Follow-up required: No c Yes c GP c Community Paediatrician c Hospital c Other:....................................

Location/Clinic: ................................................................................................................. Date/Interval: ............................

Reason: .................................................................................................... Signature: .........................................................

Top copy: stay in PCHR 2nd copy: HV 3rd copy: Community information system

New

baby review

24

New baby review� Please place a sticker (if available) otherwise write in space provided.

Date of contact:....................................................

Nature of contact/location: ...................................

.............................................................................

.............................................................................

By whom: .............................................................

Weight (if indicated): ............................................

Age: .....................................................................

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

You may find it helpful to write down here anything you would like to discuss at the 6-8 week review:

...........................................................................................................................................................................................

...........................................................................................................................................................................................

Yes No Not sure

Do you feel well yourself? c c c

Is all going well feeding your baby? c c c

Are you pleased with your baby’s weight gain? c c c

Does your baby watch your face and follow with his/her eyes? c c c

Does your baby turn towards the light? c c c

Does your baby smile at you? c c c

Do you think your baby can hear you? c c c

Is your baby startled by loud noises? c c c

Is your baby easy to look after? c c c

Do you have any worries about your baby? c c c

6-8 week reviewThis review is usually done by yourhealth visitor or a doctor. At thisreview your baby will have a fullphysical examination. This is achance to talk about your baby,their health and general behaviourand discuss any worries, evenminor things. Here are somethings you may want to talkabout when you go for thereview. Remember that if you areworried about your child’s healthgrowth or development you cancontact your health visitor ordoctor at any time.

25

Results of newborn bloodspot screeningCondition Results received? Follow up required? If follow up, outcome of follow up

yes / no / not done no / yes & reasonPKU

Hypothyroidism

Sickle Cell

Cystic Fibrosis

MCADD

Other




Item Guide to Content Coded Outcome (ring one) Comment/Action Taken

Hips Check for DDH S P O T R N

Testes/Genitalia ‘O’ if testes not fully descended S P O T R N

Heart Murmur, Cyanosis, Femorals S P O T R N

Eyes Cataract, Eye movements S P O T R N

Other physical features General examination, S P O T R NFontanelle, Palate, Spine

Hearing Stills, Startles, Risk factors S P O T R N

Locomotion Tone, Head control S P O T R N

Manipulation S P O T R N

Speech/Language Social smile S P O T R N

Behaviour Parental concerns, Sleep, Feeding S P O T R N

6-8 week review

26

6-8 week review� Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

3 PART NCR - ALL WHITE

Date of contact: ...................... Age: ....................

Seen by: ...............................................................

Place seen:............................................................

Length (if indicated):........cm .....................centile

Weight: ............................kg .....................centile

Head circ.: .......................cm .....................centile

Breast feeding: Totally c Partially c Not at all c

Third dose Vit K? No c Not Needed c Given c

Any previous medical problems? Yes c No c

If YES specify: .......................................................

S = Satisfactory P = Problem O = Continue observation T = Treatment being received R = Referral N = Not examinedTop copy: remain in PCHR 2nd Copy: Health Visitor 3rd Copy: Child Health Department

1 year reviewYour baby is now one year old and is learning many new skills, such as:

� turning to his/her name and making lots of new sounds

� enjoying pat-a-cake games and toys that make noises like rattles

� almost walking alone but you need to be close by

� picking up small things and exploring them so you need to keep him/her safe

� being demanding and pointing to things out of reach

� holding a spoon but needing more practice to feed him/herself

� using a feeder cup

S/he has his/her first tooth and has got used to tooth brushing with a fluoride toothpaste.S/he has been to the dentist. S/he needs to have his/her next immunisations.

Birth to Five gives information about what children are usually doing at this age.

Other things you may want to talk about at the review are:

� your child's growth or weight

� vision or hearing

� sleep and routines

� behaviour

� encouraging your child’s development

� childcare if you want to go back to work or training

� your own health

You may find it helpful to write down here anything you would like to discuss at the 1 year review:

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

27

Printed on reverse of 1st copy of ‘6-8 week review’


Date of last breastfeed: .........../.........../...................

Mother current smoker c Other smoker in household c No smoker in household c

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................




1 year review28

1 year review� Please place a sticker (if available) otherwise write in space provided.

Date of contact:....................................................


.............................................................................

.............................................................................

By whom: .............................................................


Age: .....................................................................

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

2-21/2 year reviewYour child is 2-21/2 years old and is learning many new skills, such as:

� wanting to explore everything and be more independent

� wanting to run and climb and always being on the go

� enjoying messy play but not sharing!

� starting to join up words and trying to repeat words you say. Favourite words are “NO” and “MINE!”

� enjoying books and joining in with songs and rhymes

� liking being close to you and having cuddles and hugs

� playing with other children

� using a spoon at mealtimes and using a feeder cup

� starting to show an interest in potty training

� turning from laughter to anger very quickly, which can be hard work

S/he has got used to tooth brushing with a fluoride toothpaste.S/he has been to the dentist.

Birth to Five gives information about what children are usually doing at this age.

Other things you may want to talk about at the review are:

� speech and language

� learning

� diet

� behaviour

� safety

� your own health

You may find it helpful to write down here anything you would like to discuss at the 2-21/2 year review:

...........................................................................................................................................................................................

...........................................................................................................................................................................................

29


...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................




2-21/

2year review

30

2-21/2 year review� Please place a sticker (if available) otherwise write in space provided.

Date of contact:....................................................


.............................................................................

.............................................................................

By whom: .............................................................


Age: .....................................................................

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:


...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................




Health review� Please place a sticker (if available) otherwise write in space provided.

Date of contact:....................................................


.............................................................................

.............................................................................

By whom: .............................................................


Age: .....................................................................

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

Health

review31


...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................




Health review� Please place a sticker (if available) otherwise write in space provided.

Date of contact:....................................................


.............................................................................

.............................................................................

By whom: .............................................................


Age: .....................................................................

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

Health

review32

School Health Service� The School Health Service offers advice and support throughout your child’s school years.

� The school nurse or doctor can help if you have concerns about your child’s health or development that may affect theireducation. They also support school staff in meeting children’s special needs in school.

� Tests of eyesight and hearing are usually offered during the first year at school as well as a general health assessmentincluding height and weight. If you have any concerns, discuss these with the school nurse.

� As your child gets older he or she will be able to talk to the school nurse about their health or about any worries theymay have.

� It is important that your child’s immunisations are up to date before starting school. If you are unsure please check withyour health visitor or general practitioner.

Please note anything you would like to discuss with the school nurse: ...............................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

School H

ealth Service

33


School entry review in reception class� Please place a sticker (if available) otherwise write in space provided.

Surname:

First names:


Address: ............................................................................ Sex: M / F

................................Post code: ................................D.O.B:........../ ......../........

G.P: Code:

H.V: Code:

3 part NCR Sch

ool en

try review in recep

tion class

34

Date of contact:....................................................


.............................................................................

Weight:.......................kg ..........................centile

Height: .......................cm ..........................centile

Hearing screen: Pass c Fail c

Vision screen: Pass c Fail c

By whom: .............................................................

Age: .....................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

...........................................................................................................................................................................................

Immunisations complete? Yes c No c What vaccines are needed? ..........................................................................




Your ch

ild’s firsts an

d g

row

th ch

arts

Your child’s firstsand growth charts

Your child’s developmental firstsBabies want to explore the world around them. Your baby grows and learns faster in the first year than at any other time. Thereare many things that all babies and young children do, but not always at the same age or in the same order. Use these pages tonote down when your child does things for the first time.

Finding out about moving...

Lifts head clear of ground,

aged: ..............

Rolls over,

aged: ..............

Sits with support,

aged: ..............

Sits alone,

aged: ..............

Crawls,

aged: ..............

and/or

Bottom shuffles,

aged: ..............

Walks holding on,

aged: ..............

Walks alone,

aged: ..............

First outdoor walk,

aged: ..............

Findin

g o

ut ab

out m

ovin

g35

Stands holding on,

aged: ..............

Stands alone,

aged: ..............

See Birth to Five for more information on children’s development.

36

Finding out about hands...

Stares at hands,

aged: ..............

Drops things on purpose,

aged: ..............

Reaches out for thingssuch as your hair,

aged: ..............

Finger feeds,

aged: ..............

Holds pencil and makes marks,

aged: ..............

Opens cupboards,

aged: ..............

Feeds with a spoon,

aged: ..............

Picks up smallthings using fingerand thumb,

aged: ..............

Grabs and holds thingsusing whole hand,

aged: ..............


Finding out about words...

Smiles,

aged: ..............

Laughs,

aged: ..............

Babbles,

aged: ..............

Copies noises,

aged: ..............

Says “mama” – to anyone,

aged: ..............

Says recognisable word,

aged: ..............

Helps turn pagesin a book,

aged: ..............

Joins tworecognisable words,

aged: ..............

Speaks insentences,

aged: ..............

Findin

g o

ut ab

out w

ord

s37


Cries when youleave the room,

aged: ..............

38

Favourite games... Aged: Aged:

............................................................................. ................. ............................................................................. ..............

............................................................................. ................. ............................................................................. ..............

Comments:................................................................................................................................................................................

.................................................................................................................................................................................................

Finding out about people...

Moves eyes towatch you,

aged: ..............

Smiles for special people,

aged: ..............

Usually sleepsthrough the night,

aged: ..............

Stares at your face,

aged: ..............


Holds up arms tobe lifted,

aged: ..............

Other firsts...

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Oth

er firsts39

40

Dental health

You can take your child to see an NHS dentist for preventive advice as soon as he/she is born.

NHS dental treatment for children is free.

Put your child’s age in months on the chart below as each tooth appears...

For more information on caring for your child’s teeth see Birth to Five.Can also be viewed by searching for Birth to Five at www.dh.gov.uk

Age first tooth came through:

..................................

top teeth

bottom teeth

All entries should be dated and signed

NotesThese pages are for you and others who are in contact with your child to record any information about your child’s health and/ordevelopment. Keep a note here of anything you would like to discuss with your HV / GP or other health professional.

Date Comments & any advice or treatment Name & designation___________________________________________________________________________________________________________

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Notes




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Notes




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Notes




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Notes




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Weight conversion chart

gm

lbs

oz

500

12

550

13

600

15

650

17

700

19

750

110

800

112

850

114

900

20

950

21

1kg

1.00

23

1.05

25

1.10

27

1.15

28

1.20

210

1.25

212

1.30

214

1.35

30

1.40

31

1.45

33

1.50

35

1.55

37

1.60

38

1.65

310

1.70

312

1.75

314

1.80

315

1.85

41

1.90

43

1.95

45

2kg

2.00

46

2.05

48

2.10

410

2.15

412

2.20

413

2.25

415

2.30

51

2.35

53

2.40

54

2.45

56

2.50

58

2.55

510

2.60

512

2.65

513

2.70

515

2.75

61

2.80

63

2.85

64

2.90

66

2.95

68

3kg

3.00

610

kglb

soz

3.05

611

3.10

613

3.15

615

3.20

71

3.25

72

3.30

74

3.35

76

3.40

78

3.45

79

3.50

711

3.55

713

3.60

715

3.65

80

3.70

82

3.75

84

3.80

86

3.85

88

3.90

89

3.95

811

4kg

4.00

813

4.05

815

4.10

90

4.15

92

4.20

94

4.25

96

4.30

97

4.35

99

4.40

911

4.45

913

4.50

914

4.55

100

4.60

102

4.65

104

4.70

105

4.75

107

4.80

109

4.85

1011

4.90

1012

4.95

1014

5kg

5.00

110

5.05

112

5.10

114

5.15

115

5.20

117

5.25

119

5.30

1111

5.35

1112

5.40

1114

5.45

120

5.50

122

5.55

123

5.60

125

kglb

soz

5.65

127

5.70

129

5.75

1210

5.80

1212

5.85

1214

5.90

130

5.95

131

6kg

6.00

133

6.05

135

6.10

137

6.15

138

6.20

1310

6.25

1312

6.30

1314

6.35

140

6.40

141

6.45

143

6.50

145

6.55

147

6.60

148

6.65

1410

6.70

1412

6.75

1414

6.80

1415

6.85

151

6.90

153

6.95

155

7kg

7.00

156

7.05

158

7.10

1510

7.15

1512

7.20

1513

7.25

1515

7.30

161

7.35

163

7.40

164

7.45

166

7.50

168

7.55

1610

7.60

1612

7.65

1613

7.70

1615

7.75

171

7.80

173

7.85

174

7.90

176

7.95

178

8kg

8.00

1710

8.05

1711

8.10

1713

8.15

1715

kglb

soz

8.20

181

8.25

182

8.30

184

8.35

186

8.40

188

8.45

189

8.50

1811

8.55

1813

8.60

1815

8.65

190

8.70

192

8.75

194

8.80

196

8.85

198

8.90

199

8.95

1911

9kg

9.00

1913

9.05

1915

9.10

200

9.15

202

9.20

204

9.25

206

9.30

207

9.35

209

9.40

2011

9.45

2013

9.50

2014

9.55

210

9.60

212

9.65

214

9.70

215

9.75

217

9.80

219

9.85

2111

9.90

2112

9.95

2114

10kg

10.00

220

10.05

222

10.10

224

10.15

225

10.20

227

10.25

229

10.30

2211

10.35

2212

10.40

2214

10.45

230

10.50

232

10.55

233

10.60

235

10.65

237

10.70

239

10.75

2310

kglb

soz

10.80

2312

10.85

2314

10.90

240

10.95

241

11kg

11.00

243

11.05

245

11.10

247

11.15

248

11.20

2410

11.25

2412

11.30

2414

11.35

250

11.40

251

11.45

253

11.50

255

11.55

257

11.60

258

11.65

2510

11.70

2512

11.75

2514

11.80

2515

11.85

261

11.90

263

11.95

265

12kg

12.00

266

12.05

268

12.10

2610

12.15

2612

12.20

2613

12.25

2615

12.30

271

12.35

273

12.40

274

12.45

276

12.50

278

12.55

2710

12.60

2712

12.65

2713

12.70

2715

12.75

281

12.80

283

12.85

284

12.90

286

12.95

288

13kg

13.00

2810

Weig

ht co

nversio

n ch

art41

42

Height conversion chartcm

ftin

1ft

30.5

10.0

31.0

10.2

31.5

10.4

32.0

10.6

32.5

10.8

33.0

11.0

33.5

11.2

34.0

11.4

34.5

11.6

35.0

11.8

35.5

12.0

36.0

12.2

36.5

12.4

37.0

12.6

37.5

12.8

38.0

13.0

38.5

13.2

39.0

13.4

39.5

13.6

40.0

13.7

40.5

13.9

41.0

14.1

41.5

14.3

42.0

14.5

42.5

14.7

43.0

14.9

43.5

15.1

44.0

15.3

44.5

15.5

45.0

15.7

45.5

15.9

46.0

16.1

46.5

16.3

47.0

16.5

47.5

16.7

48.0

16.9

48.5

17.1

49.0

17.3

49.5

17.5

50.0

17.7

50.5

17.9

51.0

18.1

51.5

18.3

52.0

18.5

52.5

18.7

53.0

18.9

53.5

19.1

54.0

19.3

54.5

19.5

55.0

19.7

55.5

19.9

56.0

110

.056

.51

10.2

57.0

110

.457

.51

10.6

58.0

110

.858

.51

11.0

59.0

111

.259

.51

11.4

60.0

111

.660

.51

11.8

2ft

61.0

20.0

61.5

20.2

62.0

20.4

62.5

20.6

63.0

20.8

63.5

21.0

64.0

21.2

cmft

in64

.52

1.4

65.0

21.6

65.5

21.8

66.0

22.0

66.5

22.2

67.0

22.4

67.5

22.6

68.0

22.8

68.5

23.0

69.0

23.2

69.5

23.4

70.0

23.6

70.5

23.8

71.0

24.0

71.5

24.1

72.0

24.3

72.5

24.5

73.0

24.7

73.5

24.9

74.0

25.1

74.5

25.3

75.0

25.5

75.5

25.7

76.0

25.9

76.5

26.1

77.0

26.3

77.5

26.5

78.0

26.7

78.5

26.9

79.0

27.1

79.5

27.3

80.0

27.5

80.5

27.7

81.0

27.9

81.5

28.1

82.0

28.3

82.5

28.5

83.0

28.7

83.5

28.9

84.0

29.1

84.5

29.3

85.0

29.5

85.5

29.7

86.0

29.9

86.5

210

.187

.02

10.3

87.5

210

.488

.02

10.6

88.5

210

.889

.02

11.0

89.5

211

.290

.02

11.4

90.5

211

.691

.02

11.8

3ft

91.5

30.0

92.0

30.2

92.5

30.4

93.0

30.6

93.5

30.8

94.0

31.0

94.5

31.2

95.0

31.4

95.5

31.6

96.0

31.8

96.5

32.0

97.0

32.2

97.5

32.4

98.0

32.6

98.5

32.8

cmft

in99

.03

3.0

99.5

33.2

100.0

33.4

100.5

33.6

101.0

33.8

101.5

34.0

102.0

34.2

102.5

34.4

103.0

34.6

103.5

34.7

104.0

34.9

104.5

35.1

105.0

35.3

105.5

35.5

106.0

35.7

106.5

35.9

107.0

36.1

107.5

36.3

108.0

36.5

108.5

36.7

109.0

36.9

109.5

37.1

110.0

37.3

110.5

37.5

111.0

37.7

111.5

37.9

112.0

38.1

112.5

38.3

113.0

38.5

113.5

38.7

114.0

38.9

114.5

39.1

115.0

39.3

115.5

39.5

116.0

39.7

116.5

39.9

117.0

310

.111

7.5

310

.311

8.0

310

.511

8.5

310

.711

9.0

310

.911

9.5

311

.012

0.0

311

.212

0.5

311

.412

1.0

311

.612

1.5

311

.84f

t12

2.0

40.0

122.5

40.2

123.0

40.4

123.5

40.6

124.0

40.8

124.5

41.0

125.0

41.2

125.5

41.4

126.0

41.6

126.5

41.8

127.0

42.0

127.5

42.2

128.0

42.4

128.5

42.6

129.0

42.8

129.5

43.0

130.0

43.2

130.5

43.4

131.0

43.6

131.5

43.8

132.0

44.0

132.5

44.2

133.0

44.4

cmft

in13

3.5

44.6

134.0

44.8

134.5

45.0

135.0

45.1

135.5

45.3

136.0

45.5

136.5

45.7

137.0

45.9

137.5

46.1

138.0

46.3

138.5

46.5

139.0

46.7

139.5

46.9

140.0

47.1

140.5

47.3

141.0

47.5

141.5

47.7

142.0

47.9

142.5

48.1

143.0

48.3

143.5

48.5

144.0

48.5

144.5

48.9

145.0

49.1

145.5

49.3

146.0

49.5

146.5

49.7

147.0

49.9

147.5

410

.114

8.0

410

.314

8.5

410

.514

9.0

410

.714

9.5

410

.915

0.0

411

.115

0.5

411

.315

1.0

411

.415

1.5

411

.615

2.0

411

.85f

t15

2.5

50.0

153.0

50.2

153.5

50.4

154.0

50.6

154.5

50.8

155.0

51.0

155.5

51.2

156.0

51.4

156.5

51.6

157.0

51.8

157.5

52.0

158.0

52.2

158.5

52.4

159.0

52.6

159.5

52.8

160.0

53.0

160.5

53.2

161.0

53.4

161.5

53.6

162.0

53.8

162.5

54.0

163.0

54.2

163.5

54.4

164.0

54.6

164.5

54.8

165.0

55.0

165.5

55.2

166.0

55.4

166.5

55.6

167.0

55.7

167.5

55.9

cmft

in16

8.0

56.1

168.5

56.3

169.0

56.5

169.5

56.7

170.0

56.9

170.5

57.1

171.0

57.3

171.5

57.5

172.0

57.7

172.5

57.9

173.0

58.1

173.5

58.3

174.0

58.5

174.5

58.7

175.0

58.9

175.5

59.1

176.0

59.3

176.5

59.5

177.0

59.7

177.5

59.9

178.0

510

.117

8.5

510

.317

9.0

510

.517

9.5

510

.718

0.0

510

.918

0.5

511

.118

1.0

511

.318

1.5

511

.518

2.0

511

.718

2.5

511

.96f

t18

3.0

60.0

183.5

60.2

184.0

60.4

184.5

60.6

185.0

60.8

185.5

61.0

186.0

61.2

186.5

61.4

187.0

61.6

187.5

61.8

188.0

62.0

188.5

62.2

189.0

62.4

189.5

62.6

190.0

62.8

190.5

63.0

191.0

63.2

191.5

63.4

192.0

63.6

192.5

63.8

193.0

64.0

193.5

64.2

194.0

64.4

194.5

64.6

195.0

64.8

195.5

65.0

196.0

65.2

196.5

65.4

197.0

65.6

197.5

65.8

198.0

66.0

198.5

66.1

199.0

66.3

199.5

66.5

200.0

66.7

Writing shield

Age Reason for contact Date/time due PlaceWithin 72 hours Full physical examination

5-8 days Blood sample for screening tests(heel prick)

10-14 days (usually) New baby review

In 1st month Hearing screening

6-8 weeks Full physical examination

8 weeks 1st set of immunisations

12 weeks 2nd set of immunisations

16 weeks 3rd set of immunisations

8-12 months Health review

12-13 months 1st dose MMR vaccine and booster immunisations

2-21/2 years Health review

3 years 4 months 2nd dose MMR vaccine (can be given earlier)and pre-school booster immunisations

4-5 years Vision check

School entry Height, weight and hearing check(reception class)

10-11 years Height and weight check

12-13 years HPV vaccine(girls only)

13-18 years Teenage booster immunisations

This is a list of the minimum contacts that are provided for your child during their pre-school and school aged years.This may vary according to your child’s needs and to local policy.

my personal child health record - health for all · pdf filethis is your child's personal...

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