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.
|
|