A Rough Guide for Parents
Becoming a parent brings a mix of excitement, questions, and, quite often, a level of uncertainty. However, if you’re starting a family, you’re not on your own. One professional you’ll hear from early on is a health visitor. However, many parents aren’t sure exactly what they do or how they can help. The good news is that, essentially, health visitors are there to support you and your child. It’s also important to understand that they are not there to judge you. Instead, health visitors play an important role in helping families feel informed, confident, and well-supported during their child’s early years.
In this guide, we’ll explain exactly what a health visitor does, when families will see them, and how they can support parents and children from birth and throughout the early years.
What Is a Health Visitor?
A health visitor is a qualified nurse or midwife who has completed additional specialist training in child health, development, and family wellbeing. Each family will have a named health visitor allocated to them.
In the UK, health visitors work as part of the NHS and support families from pregnancy through to when their child is around five years old. Their role focuses not just on a child’s physical health, but also on their development, emotional wellbeing, and, just as importantly, the overall health and wellbeing of the family.
What is the Role of the Health Visitor?
Health visitors support families in a wide range of practical and emotional ways. Their role is varied, but at its heart, it’s about the health and wellbeing of the whole family. For the mums and dads they visit at home, they are firstly there to help them adjust to becoming new parents. They will offer guidance, answer questions, and provide support and reassurance, which are so crucial during the early stages of parenthood when everything can feel so new. For babies and young children, they are there to facilitate the best possible start in life.
Health visitors are also well-connected, working closely with other groups, children’s centres, and professionals. As such, they’re well-placed to identify when additional support might be helpful and guide you towards other services and resources that can help families and their little ones.
When Will a Health Visitor Visit?
New parents usually have contact with a health visitor at several key points during their child’s early years. These may include:
- An antenatal visit (before your baby is born)
- A new birth visit (around 10–14 days after birth)
- A 6–8 week review
- A 9–12 month review*
- A 2 to 2½ year review*
* The health visitor, or a member of their support team, will also give families an ‘Ages & Stages Questionnaire’ (‘ASQ-3’) before the two reviews indicated. Usefully, these give families the opportunity to undertake some of the home-based activities referenced in the questionnaire, thereby allowing them to provide appropriate feedback later at the in-person reviews. That said, if there are any areas of the questionnaire that parents are unable to complete confidently, the health visitor can help. For children attending nursery, playgroup, or childcare at the time of the 2 to 2½ year review, it’s also possible that a childminder or childcare keyworker will help with input in addition to the health visitor.
Families are also able to contact their health visiting team at any time, including between scheduled visits, if they have any questions or concerns.
Learn more about what the various health and development reviews entail here.
What Happens During a Health Visitor Appointment?
Health visitor appointments are typically relaxed and informal. They are often carried out in the comfort of the family home, or sometimes at a local clinic, depending on the area and the stage the family/child are at.
During a visit, your health visitor will ask how you and your baby or child are doing. They’ll talk to you and offer advice about your child’s feeding (breastfeeding, bottle feeding, weening, etc.), sleep (including safe sleep positions and common sleep challenges), vaccinations, and daily routines. They’ll observe your child in the home setting and are likely to carry out basic measurements, for example, to record your child’s weight, growth, height, and head circumference. They’ll also check your child’s development, such as movement, communication, and social interaction. They can offer guidance on behaviour as your child grows. They may offer advice on home safety and accident prevention too. For you as parents, they’ll also be there to support your mental health and emotional wellbeing. Importantly, they will, of course, also answer any questions you may have. The aim is to provide tailored support, open conversations and reassurance where families need it.
Will Health Visitors Judge You?
It’s a common worry, but no, health visitors are not there to judge your parenting, and there is no “test” for you to pass during a visit. Their role is not to assess you but instead to support families and help their children thrive. Should you ever be unsure or worried about something, being open with your health visitor will help them support you more effectively. They also understand that every family is different, so there is no single “right” way to do things.
So, while health visitors do have a responsibility to ensure children are safe and well cared for, for the vast majority of families, visits are simply about offering guidance, reassurance, and invaluable, practical help. For many parents, this can make a real difference.
The Red Book
We mentioned earlier that the health visitor is likely to record metrics like your child’s weight and height. Such information is recorded in a little red book. Officially called a Personal Child Health Record (‘PCHR’), this is more commonly referred to as ‘The Red Book’. It’s a useful place to record metrics and milestones in your child’s development. Health visitors and other professionals, like GPs, can write in it — as well as parents. It’s the perfect place to record a child’s milestones, medical history, details of any vaccinations and tests your child has had, and so on. Take it with you whenever you visit a GP, baby clinic, or other healthcare/medical setting with your child.
When Should You Contact a Health Visitor?
You don’t need to wait for your next scheduled visit if something is on your mind. For example, you might want to contact your health visitor if:
- You have concerns about feeding
- Your baby or child is struggling with sleep
- You’re unsure about your child’s development
- You’ve noticed changes in behaviour
- You’re feeling overwhelmed, anxious, or low
Reaching out early can often provide reassurance or help you address small concerns before they become bigger worries.
Supporting Your Child’s Development Together
Alongside the support of your health visitor, a nurturing nursery environment can play an important role in your child’s development — nurturing new skills and helping them grow in confidence, communication, and independence. If you’d like to learn more about how Little Cedars Day Nursery supports children and families, feel free to get in touch or peruse more of this website. Whether you have a quick question or a more complex concern, we are here to support both you and your child every step of the way.
A Childcare Place at Little Cedars Nursery, Streatham
Little Cedars Nursery, in Streatham, offers a fabulous start for babies and children under five. We provide an all-year-round weekday childcare service in a warm, welcoming environment. At Little Cedars Nursery, every child is valued and nurtured, so they become the very best version of themselves in readiness to begin school. The high-quality childcare setting has a good Ofsted rating and supports free childcare hours for eligible children aged from just 9 months. We’re located in Streatham, near Streatham Common, Streatham Hill, Streatham Park, Tooting, Furzedown, Balham, Norbury, and Colliers Wood.
To get started on a nursery application for your child, or to find out more, please choose an option below:
With all the food and feasting associated with Christmas, it got us thinking about food hygiene and safety for children. Aside from keeping alert to possible allergens, parents need to be careful to ensure families remain safe from illnesses caused by food hygiene mishaps. After all, such illnesses can be particularly dangerous to little ones, who are fragile, but can be largely avoidable when good hygiene measures are taken. With that in mind, today’s post outlines various ways in which parents can stay on top of hygiene around the preparation of food for their children. And, of course, such measures will keep adults safer too.
Ensuring the food preparation environment is clean and hygienic will reduce the chance of microbes, including germs and viruses, contaminating food. Wiping down with warm, soapy, water on clean dish cloths is ideal for many such tasks. Anti-bacterial sprays are useful but should not be allowed to contaminate food, plates and cutlery etc. directly or indirectly.
Only feed children, especially babies and under-fives, age-appropriate food/meals. This is very important because many foods contain too much salt, sugar and saturated fats for young children. Some other foods can contain dangerous levels of toxins or even heavy metals. 
Always thoroughly wash vegetables, fruit and salads and, when appropriate, peel vegetables before use.
It’s hugely beneficial if children learn about food safety and proper hygiene associated with its preparation. Such things are useful life lessons and will help to keep them more safe and free of illnesses and nasty bugs. Teach them by example whenever possible. A great start is to encourage them to thoroughly wash their hands and fingers with warm, soapy water before preparing or eating food. They should also be encouraged to sit down at the table and be in a calm state before eating. This will help to better ensure food does not become contaminated or knocked onto a dirty floor. It will also reduce the chance of the child choking on food.
The Government’s Early Years Foundation Stage (‘EYFS’) framework prescribes how adults should approach the education and development of children under five. As such, it forms the backbone of the curriculum at childcare settings like Little Cedars Nursery in Streatham. The EYFS guidelines were expanded this year (2021) and one aspect of early childhood development discussed therein merits closer exploration: the affect of adult interaction on an infant’s brain development. Here we take a look.
Their research suggests that constructive experiences will build on and enhance the structure of the brain, whereas “adverse experiences early in life can impair brain architecture, with negative effects lasting into adulthood.”
The Harvard Center on the Developing Child suggests that parents1 can help babies and toddlers develop their brain architecture in the best way through regular and strategic interaction between adult and infant. They call the process ‘serve and return’. Think of it as a tennis metaphor— we’ll explain. First, the child may indicate an interest in an object or activity. That’s the serve of the tennis ball, if you like. The adult should look out for such indications of interest, recognise them as a kind of invitation from the child and then get involved with that object or activity with the child. Responding in this way is like the ‘return’ of the ball in the tennis metaphor. It’s a great approach because the child is indicating what they are interested in and therefore, when a parent responds through activity involving themselves with the source of interest, the child will naturally get more from the interaction. After all, it was they who first indicated an interest and an adult can now help them to get the most from it.
Repetition is also important. This helps to reinforce circuits in the brain. Reminding a child several times about something will naturally help them to understand and remember the point under scrutiny.
The research, as well as a good dose of common sense, shows the incredible importance of parents interacting well with children from the moment they are born. Their interaction and guidance will help the developing child to understand themselves, the world around them, and their place within it. Millions of brain connections are built with every interaction, building healthy foundations upon which the baby will grow into a well-rounded individual with the requisite cognitive, physical, social and emotional skills to handle life. It all comes down to love, responsive and responsible care, with parents matching the infant’s signals and needs with positive, insightful responses. The reassurance and tools such interactions give the infant will allow them to confidently, safely and comfortably explore and learn about the world and, going forwards, their place within it.
If you are looking for a really good 
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Recent studies show that use of connected screens and devices by children, including under-fives, is growing fast. The pandemic appears to have increased kids’ screen use too, as children have spent more time indoors and less time playing ‘in person’ with friends.
Over 75% of children under five have access to a connected device, with up to 60% of preschoolers actually owning their own.
“Parents have always played a huge role in curating what [under-fives] consume and how their time is spent, but toddlers are now confidently navigating digital platforms for themselves, and using touchscreen devices with purpose and determination.” (Childwise)
that the ‘RF wireless radiation’ emitted by Wi-Fi connected screens and devices may carry potential health risks particularly, they argue, for pregnant women, their unborn foetuses and the young. The very young, of course, have brains that are still at a critical development stage. For this reason, the experts concerned advocate that access to devices like mobile phones should be limited, removed from children’s bedrooms at night or, at the very least, placed in Flight Mode when possible. Using devices wired instead of using Wi-Fi apparently reduces risks. Use of them in hands-free mode is another useful approach, so that the devices are not so close to youngsters’ heads. We’re not experts ourselves, but these measures seem like sensible precautions.
While time spent by children on connected screens and devices is rising, it’s not all bad news. The pandemic has also seen an increase in the time that parents have been spending with children, including on shared screen viewing as well as on other pastimes like baking, crafts and family activities. At the end of the day, it’s all about a healthy balance and, of course, adult supervision to ensure children’s wellbeing at all times.
It’s important to get children used to visiting the dentist and for this to be a positive experience. Dentists can highlight any potential problems early on and regular visits will also ensure that children realise the importance of teeth cleaning and oral hygiene as they grow. Starting early is also more like to avoid the possibility of them being nervous about visiting the dentist (if you are nervous yourself, try not to let this show as it could project the fear onto your child). NHS dental treatment is free for UK children. 
Sugar and tooth decay go hand-in-hand, especially if too much sugar is in the diet and/or if toothbrushing isn’t regular and thorough. The amount of potential decay is also made worse the longer sugar stays on the teeth. Cutting down on sugar intake will help limit the problem, as will a good tooth brushing regime. Here’s what parents and carers of babies and young children can do:
Getting the approach right means healthier teeth and gums, fresher breath, better looking teeth, more self-confidence and potentially better health overall as the child grows up. Setting good teeth cleaning and tooth hygiene habits early on means children are more likely to continue the good work as they grow into adulthood. This includes regular, fear-free visits to the dentist for check-ups.
With families living busy lives these days, it’s not always easy to provide the very best nutritious meals for children. This is compounded by an abundance of ready meals and convenience food available in shops and advertised everywhere. However, healthy, balanced diets are incredibly important for children in their early years. Adopting a healthy diet early on can mean that some diseases associated with later life can be avoided. Healthy food also has other beneficial effects on growing children including sustained energy levels, improved cognitive activity, the evening out of a child’s moods, help with mental wellbeing and maintaining a healthy weight.
Make sure you give the 
Childhood obesity is a growing problem in the UK, with nearly a third of children aged two to fifteen being overweight or obese. What’s more, data shows that children are becoming overweight at ever-earlier ages and are generally eating less fruit, vegetables, oily fish and fibre than is recommended. The lack of a varied diet will leave children lacking in some essential vitamins and minerals. This is all of major concern. Obesity alone can lead to health issues in later life such as diabetes, heart problems, high blood pressure and even cancer. It may also lead to bullying and self-consciousness which may adversely affect a child’s self-esteem and mental wellbeing.
