Home > Management

Child health: developmental assessment

Step	Action	Notes
Child registers	Enter new current problem .64 Child health care. Enter note .9192 Child health surveillance registered when form signed. If not CHS registered add @!H Administration form due with CHS as free text.	The child's usual health visitor should be recorded as .6656 Shared care GP/HV with the name of the health visitor as free text under the current problem .64 Child health care.
Patient sees doctor or health visitor in developmental assessment clinic.	Dr or HV completes CHS slip and passes to Anne with appointment list.	Note DNA's on appointment list: any read codes, clinical notes and prescriptions should be recorded also.
Computer updated	.64D4 Child 6 week exam normal group .64E4 Child 8-9 month exam normal group .64F4 Child 18 month exam normal group .64G4 Child 2.5 year exam normal group .64H4 Child 3.5 year exam normal group (Borders patients) .64I4 Child 4.5 year exam normal group (Northumberland patients)	If an abnormality found at examination, a similar exam abnormal code should be used. CHS slips then passed to Health Authority. Answer any appropriate .@!L3 Childhood screening due reminder. Do not use not attended codes in this read code group.
If child does not attend appointment	Add reminder @!L3 Childhood screening due in Child health care problem	Do not use not attended codes in this read code group.

From Tweedmouth clinic
- 6-week check: arranged directly by Health visitor and monitored via health vistors' Birth Book. Defaulters are sent three (different) letters by post and are visited at home by the health vistor if still not attended.
- 8-month, 18-month and 2.5-year check: arranged directly by Health visitor. Defaulters are sent three (different) letters by post and are visited at home by the health vistor if still not attended.
- 4-year check: arranged by Tweedmouth Clinic, together with immunisation. Defaulters are sent three (different) letters by post and are visited at home by the health vistor if still not attended.
Patients who move into the area: the report schedule produces a monthly list of new children aged under 6 which is passed to the health visitors, who collect information on previous immunisation and developmental assessment and pass this information back to Anne.
The report schedule produces a quarterly audit of those children where data is missing for routine checks or immunisations.