Your family and Health Visiting

**Appointment stages**
Pre-birth Ante-natal contact To provide ante-natal care to look after you and your baby. Multidisciplinary team including; midwives, obstetricians, GPs, maternity support and health visitors. GP surgery/local hospital	5-8 days Blood spot test (heel prick) To test for 9 conditions that include cystic fibrosis and sickle cell disease. Midwife/health visitor carried out at home. If you are new into the UK or new to the area please contact your health visitor to discuss the blood spot test.
10-14 days Health Visitor New Birth Visit To assess that mother and baby are well and to introduce the Healthy Child Programme. Carried out at home	0-3 months Newborn Hearing Test Early detection of any hearing problems - ideally to have the screening in the first 4 weeks. New Born Hearing Screening. Babies with a GP in Hackney or the City can go to Homerton Hospital and local health centres
4 weeks Health Visitor 1st family support visit Extra support for first time parents and those who may require additional health visiting support. Various locations including; home, clinic or Children’s Centre	6-8 weeks 1st development review To assess that your baby is developing well, review feeding and maternal wellbeing. GP and health visitor. GP Surgery, Baby Clinic, Children’s Centre
8 weeks 1st primary immunisation View the NHS Vaccines Timeline Performed by a practice nurse at your local GP surgery	3-4 months 2nd family support visit For those who may require additional health visiting support. Carried out by your health visitor at various locations including your home, clinic or Children’s Centre
12 weeks 2nd primary immunisation View the NHS Vaccines Timeline Performed by the practice nurse at your GP surgery	16 weeks 3rd primary immunisation View the NHS Vaccines Timeline Performed by the practice nurse at your GP surgery
10-12 months 2nd development review To review your child’s social, emotional and physical development. Carried out by your health visiting team at a Baby Clinic or Children’s Centre	12 months 4th set of immunisations View the NHS Vaccines Timeline Performed by the practice nurse at your GP surgery
2 years onwards Nasal flu vaccination View the NHS Vaccines Timeline Performed by the practice nurse at your GP surgery	27 months 3rd development review To review your child’s social, emotional and physical development. Carried out by your health visitor (and Early Years staff if your child is in an Early Years day care setting) at a Baby Clinic or Children’s Centre.
3-3.5 years 4th Development Review For those who may require additional support To review your child’s social, emotional, and physical development and school readiness. Carried out by your health visitor at home, at a Baby Clinic or Children’s Centre.	3 years, 4 months 5th set of immunisations View the NHS Vaccines Timeline Performed by a health visitor or practice nurse at your GP surgery or Baby Clinic
4-5 years Health review To support your child’s transition to school if your child has additional needs or if required. Carried our by your health visitor or school nurse at nursery or school.

When you will see us

in pregnancy - after 28 weeks you will be contacted by our team
10 to 14 days after the birth of your baby
6 to 8 weeks
8 to 12 months
27 months*
3 and a half year pre school review

*If your child is attending a local Early years setting when they are 27 months old you will be offered a joint review of your child’s development, including their health, learning and behaviour.. This will be with your health visitor and Early years provider and is known as an “integrated review”. If your child is not at an Early years setting the review will be with a member of your health visiting team.
We are here to help, listen, understand your needs and work in partnership with you to give your family the best start. For some families this will include additional visits.