Richmond Practice - Developmental checks for children

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Developmental checks for children

Developmental checks provide an important opportunity to identify children who may require treatment and to reassure parents if their child’s development is normal. Research undertaken in the NHS suggests that up to 30% of children who are screened require a follow-up referral to their GP and at least 7% need hospital treatment.
 
A condition detected early, can often be corrected by recommending exercise or simple measures such as making dietary changes. Given the ability of our little ones to compensate for a developmental delay, non-invasive forms of treatment taken early, are often sufficient.
 
Hip screens undertaken in the first weeks of life, for example, help us diagnose developmental dysplasia - a condition that leads to long-term impairment of a child’s hips and back. Approximately 1:1000 is affected and a hip ultrasound reliably detects the problem. When found early, a child can be treated by wearing a harness, instead of having to undergo surgery later on.
 
In the NHS, babies are regularly checked by a Doctor at birth and they are assessed again at six weeks. After this, it is up to a parent to alert their GP, who may refer a child further on, if required.
 
In addition to the emergency service and vaccination schedules available from Richmond Practice, we also run a surveillance program, similar to that available to parents in Germany. The service is led by Consultant Paediatrician Dr Robert Arlt. 

Richmond Practice undertakes school medical assessments for the Deutsche Schule London (www.dslondon.org.uk) and Broomfield School (www.broomfieldschool.co.uk )

Our child health assessments are offered at regular intervals from birth to age 17. Each check includes a thorough physical examination with weight and height measurements. Our schedule is as follows:


Age  Context
3-10 days
 Reflexes, congenital abnormalities, Guthrie-test or extended metabolic disorder screen
4-6 weeks
 Motor development, feeding problems, newborn ultrasound screening of the hips and kidneys.
3-4 months
 Motor development, socialisation and vocalisation.
6-7 months
 Motor development, socialisation and vocalisation.
10-12 months 
 Motor development, socialisation and vocalisation.
2 years
 Speech, fine and gross motor skills and socialisation.
3 years
 Socialisation and speech.
4 years
 Pre-school examination, hearing and vision test, speech, behaviour, perception and motor skills.
5 years
 Primary school examination, hearing and vision test, speech, behaviour, perception and motor skills.
7-8 years
 Mental development, screening for ADHD and dyslexia and weight problems.
9-10 years
 Social behaviour, dealing with the media and school problems.
10-13 years
 Examination focussed on puberty. Screening for eating disorders and musculoskeletal problems.
16-17 years
 Pubertal development, musculosceletal problems, screening for eating disorders and diabetes.
 
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