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.
In today’s post, we look at the importance and benefits of periods of ‘quiet time’ for toddlers and children under five. Toddlers are busy little people, often rushing around, going from one toy or activity to the next. They’re at a stage where they realise the world is an exciting place and often want to experience it all at once. However, when they are so ‘on-the-go’, playing and learning from everything and everyone around them, their brains and body have a lot to take in and process. It can be extremely tiring! So, this is where some much-needed quiet time often comes in, bringing with it a whole range of benefits. Studies also back this up.
With so much going on around them, children’s young senses of sight, hearing, touch and smell are experiencing a full-on assault. Their minds are also being challenged with learning new skills. This can all be very tiring for our youngsters, so a period of quiet time will give them a break, to allow them to breathe and unwind.
After prolonged activity or concentration on the part of the child, a well-earned nap may well be on the agenda. As well as giving the toddler a chance to re-charge their batteries, 
Quiet time provides an opportunity for children to develop their own, natural creativity. During quiet time, they have the opportunity to make up a game or activity, without intervention from others. This time is totally unstructured too, so children can be as free as they like to explore and adapt the game or activity. They can create their own little environment and immerse themselves in their own new world. Their imaginations are set free and opportunities to be creative will come naturally.
As we can see above, during quiet time, children can engage in activities that they have chosen for themselves. This can greatly help them to become more independent and self-reliant. That’s a great skill for them to develop as they approach the time to transition to school. There, they will need to rely much more on such skills.
When you first introduce quiet time to your child, start slowly and begin with short periods each day. This can be increased as your little one gets used to it.
Once babies can crawl, they’re well on their way to becoming toddlers. Then, in no time at all, they can suddenly become fully mobile, able to climb and even be out of your sight in just seconds. With this new mobility comes exploration, the potential for danger and even possible injury. With that in mind, we bring you 20 ways to begin childproofing your home to keep little ones safer and further from harm’s way.
Safety gates, strategically placed around the home, are a great way to keep your little one confined to a safer, controlled area. There are lots of different types available, whether new or second-hand, but make sure they’re made to UK safety standards. Some are suitable for doorways and others for stairs. Using safety gates to keep young children away from stairs, kitchens and other hazardous places really is a no-brainer and a great place to start with your childproofing exercise.
Clear floor-to-ceiling glass is also a hazard once children are mobile. Therefore such glass, whether part of a window, patio door, glass partition or conservatory should ideally not be clear all the way down. Otherwise, an unsuspecting child — or even adult — could find themselves running straight through what they thought was an opening. An easy way to ensure glass can be seen as a barrier is to use strategically placed stickers dotted around on the glass. These could be fun and attractive, for example little flower or butterfly stickers. Alternatively, you can even buy modern-looking ‘frosting’ strips that, when applied in one or more horizontal stripes or shapes at an appropriate height, will make clear glass more visible to you and your child. Guards are, of course, another possible temporary option.
Whether they’re in the kitchen, on the landing, under the stairs or elsewhere, cupboards can represent a number of possible hazards to children. Fingers can be hurt if shut in the doors or near the hinges and the cupboards themselves can contain any number of dangerous things. Therefore, it’s wise to obtain some childproof locks, latches or catches for cupboard doors that you don’t want your child to be able to open. These are often simple, easy to affix (and remove when children are older) and can be inexpensive if you shop around.
Similarly, ensure that entrance/exit doors throughout your home are secure where they need to be. Front doors, doors to gardens, balconies and patios all need to be particularly well secured from access by young children, whether through locks, latches or specialist childproofing mechanisms (there are lots available on the market). Similarly, windows need to be secure and that’s never more true than when there’s a nasty drop the other side.
Everything with a motor or moving parts is a potential hazard to small children. The obvious items to keep well beyond their reach are tools like drills and saws along with household appliances like vacuums, food mixers and coffee-makers. However, larger things like washing machines, tumble driers, dishwashers and any appliance with a door that they could climb into are also potentially very dangerous for little ones. It may even take a combination of precautions to keep children safe from such hazards.
Another reason to keep little ones out of cupboards and certain areas of the home is to keep them safe from hazardous products. Some things will be poisonous and others may be corrosive. Dishwasher and laundry pods need to be stored well out of children’s reach as do medicines, cleaning products and DIY items like paint, solvents and glues. Any of these could prove fatal if they get into little hands. Remember, too, that children learn to climb, so even cupboards high up need to be secured.
Smoke alarms suitably located around the home are one of the most basic precautions any parent or carer can make. Countless lives are saved each year due to smoke alarms. Sadly, though, many are also lost due to them not being present or due to batteries having expired. So, ensure that smoke alarms are ideally in every room as well as being in hallways, stairwells and so on. Also test them regularly to ensure batteries are in good, working order.
For similar reasons, it’s also wise to keep electrical wire cords tidy and out of reach of little ones. If they were to pull a kettle lead or trip over an electric iron lead, for example, the potential outcomes do not bear thinking about. Cords on telephones and electrical appliances are also choking hazards, of course. So, keep them out of harm’s way i.e. well out of grabbing and tripping distance.
Dangling pull-cords on window blinds have, regrettably, been the cause of several deaths around the world. If they’re dangling down, small children could get these wrapped around their necks and potentially strangle themselves. Any toggle on the end of the cords can also be a choking hazard. So, if you have any of these in your home, ensure they are tied safely out of reach, ideally using the safety fitments that often come with new blinds, or are available inexpensively. The same kind of approach may also be needed in rooms where the electrical light, shower or extractor switch comes in a pull-cord form.
Heat sources are a terrible hazard for children and adults alike. However, little ones will seldom realise the hazards, so parents and guardians need to ensure that all heat sources are kept well out of children’s reach. Examples include hair straighteners, irons, kettles, sandwich makers, pots and pans that have been on the cooker, and so on. With regard to cookers, hobs, grills, and ovens, it’s the children that need to be kept away from them, of course. Even a switched-off oven can still have a door that’s retained enough heat to burn little hands. A combination of several of the precautions outlined in this page may therefore help to make complete safety feasible in the kitchen and anywhere there are appliances that heat up.
Radiators, heaters and, of course, fires, stoves and any other heat source in fireplaces are terribly dangerous things for children. Therefore radiator covers, fire guards, permanent vigilance and a good dose of common sense should enable parents and carers to keep children well away from such heat sources.
Scissors, knives, razors, needles, hand tools like saws and screwdrivers must be locked well away and never left lying around. Even pens and pencils are sharp and dangerous around eyes, when you think about it. So, it’s imperative that parents/guardians are vigilant and supervise at all times when it comes to anything sharp or pointed.
Vigilance will still be needed, however, as bumpers can only go so far.
Table cloths and table runners may look attractive but are another hazard around children, albeit a less obvious one. They look innocuous enough, but should a child grab one end and walk or fall way, they could end up with all sorts of things crashing upon them. When you think about what goes on tables (e.g. glassware, candles, china etc.), this could potentially be disastrous. So, the best advice is to completely avoid their use around young children and certainly never to allow any edges to hang down at ‘grabbing’ height.
Supervised access to the garden or other outdoor space or environment is good for even the youngest of children. However, they must never be allowed to just wander into the garden or street unaccompanied (of course). There are countless dangers outside, including poisonous plants, stranger danger, cars and many other hazards. Even in your own garden there are usually hazards, from steps, inclines and level drops to dangerous garden tools plus another type of hazard we’ll see in our last tip below. Therefore exit points in the property need to be secure (see tip #4 above) and supervised at all times around the very young.
Gardens often have ponds or, if you’re lucky enough, hot tubs and even swimming pools. These are all hazards to young children. Even a puddle is a potential drowning hazard to the very young. It’s the same indoors, with baths and even basins of water being potential drowning hazards. So, once again, parents and any supervising adults need to be doing just that, i.e. supervising anywhere there is water. For different reasons, that’s even more the case around hot water, of course, and anywhere a child could potentially splash or pour water near electrics.
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.
