Baby-Adult Time Line

A rough timeline of the important dates in growing up


Health


The Children's NSF6 includes a Child Health Promotion Programme to replace the current Child Health Surveillance Programme:


Immunisations are up-to-date

Children have access to primary and dental care

Appropriate interventions are available for any physical, developmental or emotional problems that had previously been missed or not addressed

General development should be assessed. Listening, talking and observation are often as important as any assessment tool used

Gross motor development:
By 4, stands on one leg, jumps up and down
By 5, skips, broad jumps
Fine motor development:
By 4, draws a circle and a cross
By 5, dress themselves, copies a square and a triangle

Social development: separates from mother easily, uses knife and fork

Language development: talks clearly, uses adult speech sounds, has mastered basic grammar.

Bladder and bowel control

Behavioural difficulties: including advice for mild-moderate behavioural disorders, including tantrums, feeding difficulties and sleep difficulties

Provide children, parents and school staff with information about specific health issues, e.g. safety, dental hygiene, diet

Growth measurement including weight and standing height. These should be carefully plotted on appropriate charts.

Other physical assessment may include heart sounds and descent of testicles.

Hearing screening: sweep test

In addition, a national orthoptist-led programme for pre-school vision screening is to be introduced

At school entry an assessment by the teacher, called the Foundation Stage Profile, will include personal, social and emotional development; communication, language and literacy; physical development, and creative development.



Developemental Tests



The six to eight week checks include:

• Eyesight tests


• Hearing tests


• Smiling


• A range of physical measurements and checks including weight, joints and the fontanelles

The tests at six to nine months include:

• A hearing test


• A check on physical development


• An assessment of your baby’s social skills


• A check on his hand-eye co-ordination


• An assessment of his ability to understand

The 18 to 24 month test includes:

• Hearing and speech tests


• Tests of dexterity possibly including the use of building blocks


• An assessment of social development

Foundation Stage Profile

The early years of education are recognised as vital, and children from three to five years of
age in England are now educated according to a foundation stage curriculum. This has been
consolidated by a new national assessment for five-year-olds, the Foundation Stage Profile,
replacing previous baseline assessment schemes that were local and varied.
The Profile is an observational assessment which includes children’s personal, social
emotional, physical and creative development as well as their language, literacy, early
mathematics and knowledge of the world.


Table of scoring

Vaccinations

At two months old:

• Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection


• Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At three months old:

• Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection


• Meningitis C (meningococcal group C) (MenC) - one injection

At four months old:

• Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection


• Meningitis C (meningococcal group C) (MenC) - one injection
  Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At around 12 months old:

• Haemophilus influenzae type b (Hib) and meningitis C (Hib/MenC) - booster dose in one injection

At around 13 months old:

• Measles, mumps and rubella (German measles) (MMR) - one injection


• Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

Three years four months to five years old (pre-school):

• Diphtheria, tetanus, pertussis (whooping cough) and polio (dTaP/IPV or DTaP/IPV) - one injection


• Measles, mumps and rubella (German measles) (MMR) - one injection

12-13 years old (girls only):

• Human papilloma virus (HPV) - three injections over a six month period

13-18 years old:

• Diphtheria, tetanus and polio (Td/IPV) - one injection


• HPV (catch up campaign starting in the autumn of 2008 for girls who are between 13-18 years of age)