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As part of the Healthy Child Programme (HCP) in the UK, children have a health and development review at the age of 2-2.5 years []. This is carried out by the health visitor. It may be done in the child's home, the baby clinic, the children's centre or the child's nursery. Rules Curling Skins Game Banff. This may now be an integrated review, combining what was previously an Early Years Foundation Stage (EYFS) 2-year progress review (carried out by childcare providers), with the 2.5-year HCP review []. In England, the responsibility for these early reviews was transferred from NHS England to local authorities in 2015 [].

This article covers the HCP two-year development check in England. Advanced Id Creator Crack Keygen Download. The review is identical in principle in the rest of the UK but the specifics and terminology are available as follows: • Northern Ireland: health and development review at 2-2.5 years, a home visit by health visitors as part of the Healthy Child, Healthy Future programme of 2010 []. • Scotland: 27- to 30-month child health review guidance 2012, as part of the Scottish Child Health Programme published in 2005 [, ]. • Wales: 27-month check as part of the Healthy Child Wales Programme (0-7 years) published in 2016 []. Aims The two-year review aims to optimise child development and emotional well-being and reduce inequalities in outcome - specifically []: • Improvement in emotional and social well-being.

• Improvement in learning and speech and language development. • Early detection of, and action to address: • Developmental delay. • Ill health. • Growth impairment. • High immunisation rates and reduction in rates of preventable disease. Tyga 187 Clique Mp3 Download here.

• Prevention of obesity. • Promotion of health-enhancing behaviours such as active play and well-balanced diet. • Early detection of psychosocial issues and action to address them: • Poor parenting. • Disruptive family relationships and domestic violence. • Mental health issues. • Substance misuse. • Provide information and advice about: • Dental care.

• Accident prevention. • Sleep management. • Toilet training. • Behavioural management. The process [] It is crucial to engage the parent(s) or carers and to discuss their views and concerns. Parents who voice concerns about their child's development are usually right [].

Parents or carers must feel the process is useful, that their concerns have been listened to and addressed and that advice they have received is relevant and helpful. Invitations to the two-week check can be sent by letter, email, text or birthday card. Communication should be culturally appropriate; both parents should be encouraged to be involved where relevant and possible. Appointment times and venues must be flexible to enable a high response rate. Agreement of a shared agenda at the start, prioritising discussion of parental concerns and open-ended questions may all be helpful at the start of the appointment. It may be helpful to offer a validated parental questionnaire to elicit concerns in advance of the appointment, to be discussed at the check. Appropriate questionnaires to use are the Parental Evaluation of Development Status (PEDS) or the Ages and Stages Questionnaire (ASQ) [, ].

From April 2015, NHS England mandated use of a standard questionnaire and specified ASQ-3 should be used; in addition, from October 2016 the ASQ:SE-2 (ASQ for social and emotional development) should be used []. Resources for a British form of the questionnaire have been funded and made available for health visitors to use.

This health and development check is designed to be flexible and non-prescriptive so it can be adapted to the needs and priorities of the locality and individual. Assessment of development [, ] Under the EYFS monitoring, progress is assessed in the following areas at age 2 years by a childcare provider, and a written summary provided for the parent(s) and/or carers []: • Communication and language. • Physical development. • Personal, social and emotional development. • Understanding the world. • Creativity (expressive art and design). This overlaps with the review which forms part of the HCP delivered by the health visiting team.