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Early Childhood Development

The following pathway should not be read as stand-alone and MUST be read in conjunction with Section 3: Pathways.

  • Early Childhood Development forms the basis of HCP promoting optimum development.
  • Progression to this pathway will be required when a developmental problem has been identified.

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Birth - 6 weeks

Birth or soon after

Provision of appropriate care pathway for the unwell baby at birth or soon after birth.

Health Visiting

Transfer baby to postnatal ward or Transitional Care Ward.

Provide care in partnership with Paediatricians in accordance with relevant care pathway e.g for cold baby, low blood sugar, low birthweight etc.

Birth or soon after

Provision of appropriate specialist care pathway & co-ordination of care.

Health Visiting

Transfer baby to neonatal unit NICU where condition very poor at birth or worsening over time.

Very ill baby severe condition.

Congenital / cardiac condition, respiratory distress, very premature, hypoxic ischaemic encephalopathy.

Discharge home prior to 28 days P/N midwife to visit, post 28 days referral to relevant community professionals.

Health Visiting

Proactive referral for additional support as required if baby very sick or mother has previous or existing mental health issues.

Birth or soon after

Provision of appropriate specialist care pathway & co- ordination of care.

Health Visiting

Health Visiting

Discharge home notification to GP, HV and other relevant professionals.

Health Visiting

Receives notification of discharge and provides ongoing care for baby as required.

3 - 6 weeks

Additional Visit following New Birth Visit and any Follow-up visiting schedule.

Health Visiting

Utilise information from family health needs assessment to agree in partnership with parents the management, support and onward referral for any concerns in relation to childhood development.

  • Monitor development closely in situations where there are premature or small babies or where the birth has been traumatic on the neonate or suspected medical condition.
  • Assess parental expectations and signs of attachment
  • Promotion of age appropriate development, play and stimulation.
  • Promotion of accident prevention.
  • Liaison, information sharing and communication with GP and/or other appropriate professionals and specialist services.

0 - 6 weeks

Core Purpose 1

Outreach home visiting family support.

Childrens Centres & EYFS

Needs led service and encompasses issues such:

  • Promoting positive bonding - use of tools such as Brazelton NBO
  • Targeted one:one infant massage – home based
  • Support to access appropriate groups/specialist groups
  • Liaison with other agencies and communicate effectively and share information.

Referrals where additional needs are presented for parenting support.

6 weeks - 6 months

6 - 8 weeks

Additional visit to provide additional support, advice and information and signpost/refer to other appropriate services as required.

Health Visiting

Utilise information from family health needs assessment to agree in partnership with parents the management, support and onward referral for any concerns in relation to childhood development.

  • Monitor development closely in situations where there are premature or small babies or where the birth has been traumatic on the neonate or suspected medical condition.
  • Assess parental expectations and signs of attachment
  • Promotion of age appropriate development, play and stimulation.
  • Promotion of accident prevention.
  • Liaison, information sharing and communication with GP and/or other appropriate professionals and specialist services.
  • Schedule additional visits as appropriate.

8 weeks - 6 months

Additional visits to provide additional support, advice and information and signpost / refer to other appropriate services as required.

Health Visiting

As above in 3 – 6 weeks plus:

  • Promote socialisation and development
  • Signpost and encourage attendance at appropriate groups and Children’s Centre’s and facilitate access.

6 weeks - 6 months

Core Purpose 1

Outreach home visiting family support.

Childrens Centres & EYFS

Needs led service and encompasses issues such:

  • Promoting positive bonding and parenting skills
  • Targeted one:one infant massage – home based
  • Support to parents and families regarding age appropriate behaviour
  • Increase parent knowledge of early childhood development and improve parenting practice

Provide early detection of developmental delays and health issues Support to access appropriate groups/specialist groups.

Liaison with other agencies and communicate effectively and share information.

6 weeks - 6 months

Core Purpose 1

Facilitate information sharing & support joint working.

Childrens Centres & EYFS

Signpost to a range of support service relevant to the individual families needs.

6 months - 1 year

6 months - 1 year

Additional Visits to provide additional support, advice and information and signpost/refer to other appropriate services as required.

Health Visiting

Promote appropriate child development for behaviour and development e.g. sleep and behaviour advice.

If indicated refer to:

  • Sleep Clinic
  • Children’s Centre for support regarding age appropriate behaviour.
  • Use of Schedule of Growing Skills to assess development in detail where there are concerns.
  • Promote awareness of risks to child through accidental injury with changing developmental milestones.
  • Provide information on correct use of basic safety equipment and facilitate access to local schemes for the provision of safety equipment.
  • Signpost and encourage attendance at appropriate groups and Children’s Centres and facilitate access.
  • Liaison, information sharing and communication with GP and/ or other appropriate professionals and specialist services. Schedule additional visits as appropriate.

6 months - 1 year

Core Purpose 1

Outreach home visiting family support.

Childrens Centres & EYFS

Needs led service encompasses issues such:

  • Promoting positive bonding
  • Support to parents and families regarding age appropriate behaviour
  • Increase parent knowledge of early childhood development and improve parenting practice

Provide early detection of develop-mental delays and health issues Support to access appropriate groups/specialist groups.

Liaison with other agencies and communicate effectively and share information.

6 months - 1 year

Core Purpose 1

Facilitate information sharing & support joint working.

Health Visiting

Signpost to a range of support service relevant to the individual families needs.

6 weeks to 1 year

Core Purpose 1

Targeted support which promote early childhood development to reflect local demographic data and need e.g. teenage parents/travellers/BME programme.

Health Visiting

  • Targeted groups sessions to reflect local demographic need.
  • Needs led service encompasses issues such:
  • Promoting positive bonding and parenting skills
  • Support to parents and families regarding age appropriate behaviour
  • Increase parent knowledge of early childhood development and improve parenting practice

Provide early detection of developmental delays and health issues Support to access appropriate groups/specialist groups.

Liaison with other agencies and communicate effectively and share information.

1 year - 3 years

1 - 3 years

Additional Visits to provide additional support, advice and information and signpost / refer to other appropriate services as required.

Health Visiting

Promote appropriate child development for behaviour and development e.g. sleep, continence and behaviour advice.

  • If indicated refer to:


    • Sleep Clinic
    • Children’s Centre for support regarding age appropriate behaviour.
  • Use of Schedule of Growing Skills to assess development in detail where there are concerns.
  • Promote awareness of risks to child through accidental injury with changing developmental milestones.
  • Provide information on correct use of basic safety equipment and facilitate access to local schemes for the provision of safety equipment.
  • Signpost and encourage attendance at appropriate groups and Children’s Centres and facilitate access.
  • Liaison, information sharing and communication with GP and/or other appropriate professionals and specialist services.

Schedule additional visits as appropriate.

1 - 3 years

Core Purpose 1

Outreach home visiting family support.

Childrens Centres & EYFS

Needs led service encompasses issues such:

  • Promoting positive bonding
  • Support to parents and families regarding age appropriate behaviour
  • Increase parent knowledge of early childhood development and improve parenting practice

Provide early detection of developmental delays and health issues Support to access appropriate groups/specialist groups.

Liaison with other agencies and communicate effectively and share information.

1 - 3 years

Core Purpose 1

Targeted support which promote early childhood development to reflect local demographic data and need e.g. teenage parents/travellers/BME programme.

Access for hard to reach families.

Childrens Centres & EYFS

Targeted groups sessions to reflect local demographic need.

Needs led service encompasses issues such:

  • Promoting positive bonding and parenting skills
  • Support to parents and families regarding age appropriate behaviour
  • Increase parent knowledge of early childhood development and improve parenting practice

Provide early detection of developmental delays and health issues Support to access appropriate groups/specialist groups.

Liaison with other agencies and communicate effectively and share information.

1 - 3 years

Core Purpose 1

Facilitate information sharing & support joint working.

Childrens Centres & EYFS

Signpost to a range of support services relevant to the individual families needs.

2 - 5 years

2 - 5 years

Core Purpose 1

Transition Support Planning.

Childrens Centres & EYFS

Partnership with EYS, children’s centre outreach workers, school nurse, HV, parents and carers, school staff.

Improve the transfer of information from early years settings to school.

Partnership links CC to EY setting and CC to schools.

Data sharing /child learning journals.

Joint accountability for EYFSP results.

Home visits.

Birth - 5 years

Core Purpose 1

Supporting child-minder agencies/networks.

Childrens Centres & EYFS

To support the introduction of child-minder agencies/hubs to help child-minders set up and run their early years’ provision.

3 - 5 years

Additional Visits to provide additional support, advice and information and signpost / refer to other appropriate services as required.

Health Visiting

  • Promote appropriate child development for behaviour and development e.g. sleep, continence and behaviour advice.
  • If indicated refer to:
    • Sleep Clinic
    • Children’s Centre for support regarding age appropriate behaviour.
  • Use of Schedule of Growing Skills to assess development in detail where there are concerns.
  • Promote awareness of risks to child through accidental injury with changing developmental milestones.
  • Provide information on correct use of basic safety equipment and facilitate access to local schemes for the provision of safety equipment.
  • Partnership collaboration
  • Signpost and encourage attendance at appropriate groups and Children’s Centre’s and facilitate access.
  • Liaison, information sharing and communication with GP and/ or other appropriate professionals and specialist services. Schedule additional visits as appropriate.

1- 5 years

Targeted Support

Packages focused on issues that are affecting the child’s normal development.

They most commonly focused on the management of sleep patterns, continence and child behavioural issues.

Health Visiting

Use of Solihull approach to support parents with childhood development concerns.

If this approach is unsuccessful at dealing with the behavioural issues consider referral to GP, Paediatrician to exclude any biological cause i.e. ADHD, Autism and other relevant agencies.

1 - 5 years

Core Purpose 1

Targeted Support.

Facilitate Joint working and support integrated care planning.

Childrens Centres & EYFS

Working with the HV team provide packages focused on issues that are affecting the child’s normal development, i.e. sleep, continence and child behavioural issues.

1 - 5 years

Targeted Support.

Facilitate Joint working and support integrated care planning.

Primary Care & GP

Working with other key partners provide support for families with issues that are affecting the child’s normal development, e.g. sleep, continence and child behavioural issues.

Refer to Paediatrician to exclude any biological cause i.e. ADHD, Autism and other relevent agencies.

Birth - 5 years

Core Purpose 1

Targeted early intervention and consultation to reduce the need for more complex service intervention.

Childrens Centres & EYFS

Early support for individual vulnerable /targeted families by Social Worker attached to the Children’s Centre.