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2 year review (at 27 months)

When your child turns two, you will be offered two development reviews: one by early years' education (if he/she attends a nursery or pre-school) and one by health.

Early Years Review

If your child is within an early years education setting this review will take place at your child's ofsted-registered childcare (nursery school or child minder) and is called the two year progress check. The results of the education progress check should be kept in your child's personal child heath record 'red book' and will be reviewed by the health professional during your child’s 27 month health development review.

Health and Development Review

This is carried out by a Children and Family Health Surrey health professional (normally a community nursery nurse) when your child is around 27 months old. This review may take place within a group with other 27 month olds and their parents.

You will also receive two Ages and Stages Questionnaires in the post and will need to complete both the Ages and Stages Developmental (ASQ-3) and Social and Emotional (ASQ:SE-2) questionnaires no sooner than two weeks before your appointment to ensure it is a true reflection of child’s progress.  (The ASQ: SE-2 is titled 30 months but developed for children from 27 months).

The information you supply will help reveal your child’s strengths, and determine if there are any community resources or services available that may be useful to support your child.

If you would like support to complete your child’s ASQ Questionnaires please contact our health visiting team advice line.

Each review is important and has a different focus on your child's progress and development, and between them will identify your child’s progress, strengths and needs so you, your health professional and education provider can support your child's health and wellbeing, learning and development.

Child 27 monthsPlease take a moment to view the two year page in your child’s Personal Child Health Record ’red book’ which highlights the many new skills they may be developing at this age.

The 27 month review is an opportunity to discuss your child’s progress including information on:

 

Your child will be due their 2 year flu vaccination which you will need to arrange with your GP surgery.

It recommended that everyone over one year of age should take a 10 micrograms of vitamin D supplement daily including pregnant mothers. And as a precaution, breastfed babies from birth up to one year of age should also be given a supplement of 8.5 to 10 micrograms of vitamin D every day.

Babies who are formula fed do not require vitamin D supplement if they having 500ml per day of infant formula or more.

Vitamin D supplementation is important because we and our children are unable to get enough vitamin D from sunlight in this country, or from diet alone.

Speak to your health visitor or nursery nurse for more information about why vitamin D is important.

Healthy Start vitamins are available to buy or exchange for healthy start vouchers at every Family Centre in Surrey. You can exchange your healthy start vouchers for vitamins at some of our clinics. Ask your health visitor for more information. 

If you have any queries concerning your child’s progress, please contact us on our advice line or come along to one of our child health drop-ins where we would be happy to discuss any aspect of health and well-being for you and your family.

For further information

  • To follow up a referral

For example, for developmental paediatrics or therapy services such as speech and language therapy. Contact the One Stop referral centre (tel: 0300 222 5755, Option 2) and they will be able to advise.

  • For advice or questions about your child's health

​Contact your local Health Visiting team or call the Advice Line

  • 2 year development checks

​Contact your local Health Visiting team or call the Advice Line 

  • Referrals for ASD, ADHD or another neurological/developmental condition

Your GP will need to make a referral. Visit the Developmental Paediatrician service page for more information about these services in Surrey.

  • Access to mental health services

Your GP needs to refer your child via MINDSIGHT Surrey CAMHS

  • Hearing concerns

Contact the Audiology service 

  • Concerns or complaints about a Children and Family  Health Surrey service

Go to https://childrenshealthsurrey.nhs.uk/feedback to read about our approach and who to contact. You can also email the Patient Experience Team directly using csh.patientexperience@nhs.net 

If your query is not covered by the routes above, please use the form below to contact us.  Your query will be passed to the relevant team who will aim to respond within 7 working days.