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:
Children are all different. They learn and develop at different rates to each other and that applies to potty training success too. Circumstances in each family are different too, and this will also have an effect. In other words, there is no hard and fast rule about the age by which little ones should have mastered the use of the potty. Parents should therefore not worry if their child is slower to master toileting than their siblings or peers. That said, some very rough guidelines will always be useful to parents and these follow.
Allowing your toddler to help choose their potty can automatically make it less daunting and instead more of a ‘friendly’ thing to have in their life.
Children can also be encouraged by having their own toy potties. They, and parents, can ‘train’ teddies and dolls to use these during play. Doing so will help them be both relaxed and more educated about potty training — even proactive.
Don’t forget to make potty training fun! Many of these tips will help towards that, including the rewards idea (#4), praise (#5), characters on potties (#7), toileting-themed music (#8), and so on.
household cleanliness, and for their independence.
Have you ever noticed that some babies are born with blue or grey eyes that later change to brown, green or hazel? It’s a magical metamorphosis that sometimes occurs in growing infants and it can be quite intriguing. Parents may indeed wonder whether their newborn child’s eyes are going to change or remain the same as they were at birth. The answer comes down to a combination of time, location, genetics and something called Melanin and today’s article explores this captivating phenomenon.
When we talk about eye colour we are, of course, talking primarily about the colour of the irises of a human’s eyes. The iris is the circular muscle around the centre pupil and it is this muscle that governs how much light can pass into the eye by making the pupil larger or smaller. When there is lots of light around, the iris constricts the size of the pupil and, in contrast, makes it big when light levels are low.
Melanin is a protein that’s secreted by special skin cells called melanocyte cells, which form colouration pigmentation in our bodies, including in the eyes, hair and skin. When it comes to the eyes, a lot of melanin pigment means the eye colour is more likely to be dark, for example brown. In contrast, those without much melanin eye pigmentation will have lighter eyes, for example, grey or blue. It is also those lighter colours that are most affected by the Rayleigh Scattering and Tyndall effects that we discussed in the last section.
Melanin is a protective protein and, by having more melanin pigmentation, an eye has greater protection against harmful ultraviolet (UV) sun rays. That’s one of the reasons that populations from hot, sunnier countries are more likely to have brown or darker eyes — because those are better protected from the sun’s UV rays. Indeed, brown eyes are the most common eye colour in infancy, despite some common misconceptions. It is true, however, that blue or grey eyes are common in infancy in Northern Europe, where the sunlight is less strong.
Genetics also play a part in the colour of the eyes and can be helpful when attempting to predict a newborn’s eye colouring. However, correctly predicting the colour of a baby’s eyes based solely on that of parents is not guaranteed. That’s because any inherited colouration may skip one or more generations. And, with a mix of different chromosomes and genes being passed down from parents, grandparents and beyond, skipping generations can sometimes result in completely unexpected eye colouring in infants. Genes will also control how much melanin will initially be present in a newborn’s eyes as well as affecting further production as the child ages and the eyes adjust to conditions.
Heterochromia is a condition that affects less than 1% of the world’s population. Those affected may have two different coloured eyes or perhaps two colours present in one eye. The causes of heterochromia include physical injury, disease, genetics or sometimes the use of specific medications.
Bilingual children have been shown to have better cognitive flexibility, focus and creativity. Studies have shown that this often leads to better decision-making, prioritisation and planning skills too. With such skills in place, bilingual children may also have a better ability to multitask and switch between separate tasks.
Young bilingual children may sometimes mix their languages or use one language inappropriately in certain contexts. This is a normal part of the language acquisition process but can be a little confusing, at times, for both the child and their caregivers.
Parents play a crucial role in supporting their bilingual children’s language development. To help your child become proficient in two different languages, it’s important to consistently speak both at home. Doing so can help children develop a particularly strong foundation in both languages.
In today’s post, we explore the benefits of using positive language around under-fives. All too often, it’s tempting to say ‘No!’, ‘Stop that!’ or even ‘Don’t Eat That!’ and similar around little ones. This is particularly true when you want them to cease the offending activity urgently or are simply exhausted if it’s been a challenging day. There are good reasons for such negative commands, of course, not least that of their safety in many cases. However, such commands can sound stern and cause stress for the little ones. What’s more, if a child hears too much negative language and cannot understand why they’re not allowed to do a particular thing, problems can begin to arise and, indeed, the issue can become insidious. It may even result in worsening behaviour. Let’s explore, therefore, the issues around negative language and the simple solution that’s available in the form of positive language.
Sometimes, though, constantly hearing ‘no’ can spark tantrums, particularly if a child doesn’t understand the reason they are not allowed to do something. They can feel particularly frustrated when they receive a succession of negative commands and, in the end, may feel they simply can’t do anything right. This can lead not only to stress for them, but also to possible low self-esteem. Furthermore, if they hear ‘no’ and other negative language too often, they can begin to ‘tune out’ to it. They could then go on to develop challenging behaviour due to this, their confusion and frustration. Stress levels can then rise for the parent too, the infant can pick up on this and it can become a real vicious circle. It doesn’t have to be that way, though …
Stop shouting!
Please use a much softer voice.
June 2022 has seen the release of a new set of recommendations that outline ways to reduce the likelihood of sleep-related deaths amongst babies and infants up to the age of 1. This includes, but is not limited to, deaths related to Sudden Infant Death Syndrome (SIDS). Sadly, SIDS and other sleep-related issues are responsible for nearly 200 infant deaths in the UK each year and up to a staggering 3,500 every year in the United States. Perhaps even more surprisingly, that last number has not reduced at all in the last 30 or so years. This new set of recommendations from experts in the U.S. aims to change that and is something that all parents need to take a look at if they have a baby or infant. Let’s take a look at the new guidance …
PLEASE NOTE: we have summarised key points from the new guidance in good faith but advise parents/carers of babies and infants to do their own research. 
In our last post, we asked 
For those on dairy-based formula milk, it’s pretty much plain sailing too. Because vegetarians — as opposed to vegans — are OK eating dairy-based food, formula milk is generally fine for them. The most popular types are based on cows’ milk, although several other animal milks are also available. So long as dairy-based formula milk is high quality, given in the right quantities, consumed at the right intervals and is age appropriate for the child, it contains all the nutrients and vitamins needed. That’s without the need to give additional supplements too.
Fruit and vegetables are really a given because they pack so much goodness, including many vitamins, minerals like potassium and also fibre. Fresh vegetables and fruit are ideal but, failing that, frozen, tinned and even dried varieties are also OK.
Tofu, also known as bean curd, which is made from soy.
any pulses, seeds or grains should be sprouted, cooked or soaked before consumption (as appropriate);
Babies benefit enormously from breast milk; from simple, practical considerations to major health benefits, many of which continue to benefit them into adulthood. Let’s take a look:
Breastfeeding also has a range of significant health (and other) benefits for mothers. These include:
The childcare professionals at Little Cedars Nursery are keen to fall in with the wishes of parents when it comes to baby and infant milk. To that end, parents are free to supply 