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Child's health and development worries

If you're worried about your child, you should speak to someone about your concerns. Though all children develop at a different rate, speak to a professional if you feel that there may be a problem.

For more information, see our health and development leaflet (PDF).

Child development team

The child development team includes many services, such as:

Referrals can be made by GPs, therapists, Special Educational Needs Coordinator (SENCo) and health visitors. The assessment process can take up to ten months, depending on the type of assessment needed. For general paediatric assessments, appointments are likely to be within six months.

Referral criteria for children under six

Children must live in Enfield and have had an assessment by their health visitor. Their developmental problem must require assessment in at least two of the following:

  • communication
  • feeding
  • behavioural
  • motor
  • vision
  • learning
  • hearing
  • developmental delay

Or one of the following: 

  • isolated significant motor difficulty
  • a newborn born at less than 26 weeks 
  • a newborn with existing or a high likelihood of developing neurodevelopmental problems

Referral criteria for children over six

Children must live in Enfield, attend a special school, and have complex needs where input from two therapies is needed. They must also have significant motor problems with suspected neurological cause and be referred via a paediatric physiotherapist, GP or paediatrician.

We can conduct a neurological assessment of children with oromotor difficulties if requested by a Speech and Language Therapist (SLT). We can also follow up with children who have severe brain injuries.

Requests for individual therapies such as physiotherapy should be sent to those departments directly.

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