HEALTH FOR ALL CHILDREN 4: GUIDANCE ON IMPLEMENTATION IN SCOTLAND 2005
Guidance to support implementation in Scotland of Royal College of Paediatrics & Child Health recommendations on child health screening and surveillance activity.
annex 1: the universal core programme for child health screening and surveillance
Universal Core Programme of Contacts
Neonate - first 24 hours |
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Early discharge Where a mother and baby are discharged within 24 hours, arrangements should be made to ensure that the full neonatal examination is completed. Neonatal hearing screen HDL(2001)51, which issued in June 2001, advised the service about the introduction of universal newborn hearing screening. NHS Boards are expected to implement the screening programme in 2005. Vitamin K Each NHS Board area should have a single protocol for the administration of Vitamin K, with which every member of staff involved with maternity and newborn is familiar. Screening Advise that no screening test is perfect. Details of signs and potential emerging problems in PHCHR and who to contact if concerned. |
Within first 10 days of life |
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Cystic fibrosis screening HDL(2001)73, which issued in October 2001, advised about the introduction of a newborn screening programme for cystic fibrosis using the existing blood spot test. The programme was introduced across Scotland in February 2003. PKU and congenital hypothyroidism HDL (2001)34, which issued in April 2001, provided guidance on the organisation of newborn screening for phenylketonuria and congenital hypothyroidism. Haemoglobinopathies Assessment work in relation to screening for haemoglobinopathies is currently underway. No decision has yet been taken in relation to a screening programme in Scotland. Screening advice Advise that no screening test is perfect. Details of signs and potential emerging problems in PHCHR and who to contact if concerned. Frequency of visits Visits to the family home are usual on several occasions within the first 10 days of life. Some new parents may need to be seen more frequently than others. In particular, additional support should be provided for babies who have special needs or who needed treatment in the neonatal intensive care unit. Weight Whoever is responsible for weight measurement must be able to deal with questions about the interpretation of the weight chart. |
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6-8 weeks - must be completed by 8 weeks |
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Immunisation Whoever is responsible for immunisation must be able to deal with questions about vaccines. Weight Whoever is responsible for weight measurement must be able to deal with questions about the interpretation of the weight chart. Head circumference If no concern at this stage, no further routine measurement required. |
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3 months |
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Immunisation Whoever is responsible for immunisation must be able to deal with questions about vaccines. Weight Whoever is responsible for weight measurement must be able to deal with questions about the interpretation of the weight chart. |
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4 months |
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Immunisation Whoever is responsible for immunisation must be able to deal with questions about vaccines. Weight Whoever is responsible for weight measurement must be able to deal with questions about the interpretation of the weight chart. |
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13 months |
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Immunisation Whoever is responsible for immunisation must be able to deal with questions about vaccines. Weight Whoever is responsible for weight measurement must be able to deal with questions about the interpretation of the weight chart. Gait Whenever a child is seen for the first time after s/he begins to walk, s/he should be observed walking to check that the gait is normal. |
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3-5 years |
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Immunisation Whoever is responsible for immunisation must be able to deal with questions about vaccines. Weight Whoever is responsible for weight measurement must be able to deal with questions about the interpretation of the weight chart. Vision screening Where pre-school orthoptist vision screening cannot be implemented immediately, children should instead be screened on school entry. |
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Entry to primary school |
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Height The 1990 nine-centile charts have been agreed as the standard measurement of height by the Royal College of Paediatrics and Child Health. Physical examination There is no evidence to justify a full physical examination or health review based on questionnaires or interviews on school entry. Vision testing Vision testing on school entry should only be undertaken where a universal pre-school orthoptic vision screening programme is not in place. Dental checks The National Dental Inspection Programme identifies children at greatest risk of oral disease and is used to inform the school health plan. |
Primary 7 |
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Dental checks The National Dental Inspection Programme identifies children at greatest risk of oral disease and is used to inform the school health plan. Health promotion Development of an effective core programme of health promotion in schools is premised on the roll out of Health Promoting Schools. Body Mass Index To be recorded for public health monitoring purposes every 3 years from 2007/08. This will be triggered by the Child Health Surveillance School System. |
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Secondary school |
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Dental checks The National Dental Inspection Programme identifies children at greatest risk of oral disease and is used to inform the school health plan. Health promotion Development of an effective core programme of health promotion in schools is premised on the roll out of Health Promoting Schools. |
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