NHS Healthy Child Programme

In-depth assessment and management of growth where concerns exist, using WHO guidelines.

• Provide assessment of baby’s weight. Greater than 10% below birth weight requires full assessment and at least a telephone discussion to paediatrician.
• Identification of growth concerns, physiological deterioration, dehydration, inadequate feeding and babies causing clinical concern.
• Monitoring and support to parents of children with pre- existing medical conditions.
• Provide additional support with breast/formula - refer to local breastfeeding services where appropriate.
• Seek advice/shared care from dietician, paediatrician and GP

For concerns regarding inadequate feeding a CAF should be undertaken and referral made to e.g. Childrens Community Nursing Team, Children’s Social Care Services, Children’s Centre for parental support

In-depth assessment and management of growth where concerns exist, using WHO guidelines.

• Identification of growth concerns, physiological deterioration, dehydration, inadequate feeding and babies causing clinical concern.
• Monitoring and support to parents of children with pre- existing medical conditions.
• Provide additional support with breast/formula - refer to local breastfeeding services where appropriate.
• Observe feeding and management of faltering growth according to faltering growth guidance. Refer to either GP or Paediatrician with sustained drop through 2 or more weight centiles; should include length measurements.
• Seek advice/shared care from dietician, paediatrician and GP
• Referral to recognised commissioned specialist nutritional programme e.g. HENRY

For concerns regarding inadequate feeding a CAF should be undertaken and referral made to e.g. Children’s Community Nursing Team, Children’s Social Care Services, and Children’s Centre for parental support.

• Referral to Allergy clinic.

In-depth assessment and management of growth where concerns exist using WHO guidelines.

• Identification of growth concerns, physiological deterioration, dehydration, inadequate feeding and babies causing clinical concern.
• Monitoring and support to parents of children with pre- existing medical conditions.
• Observe feeding and management of faltering growth according to faltering growth guidance. Refer to either GP or Paediatrician with sustained drop through 2 or more weight centiles; should include length measurements.
• Seek advice/shared care from dietician, paediatrician and GP
• Referral to recognised commissioned specialist nutritional programme e.g. HENRY
• For concerns regarding inadequate feeding a CAF should be undertaken and referral made to e.g. Children’s Community Nursing Team, Children’s Social Care Services, and Children’s Centre for parental support.
• Referral to Allergy clinic.

In-depth assessment and management of growth where concerns exist using WHO guidelines.

• Identification of growth concerns, physiological deterioration, dehydration, inadequate feeding and babies causing clinical concern.
• Monitoring and support to parents of children with pre- existing medical conditions.
• Observe feeding and management of faltering growth according to faltering growth guidance. Refer to either GP or Paediatrician with sustained drop through 2 or more weight centiles; should include length measurements.
• Seek advice/shared care from dietician, paediatrician and GP
• Referral to recognised commissioned specialist nutritional programme e.g. HENRY Carnegie or mini-MEND.

Consider referral to Allergy clinic.

For concerns regarding inadequate feeding a CAF should be undertaken and referral made to e.g. Children’s Community Nursing Team, Children’s Social Care Services, and Children’s Centre for parental support.