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Two years of age is a significant milestone within a child’s life as it is a good indicator of how well the child is developing, their predicted school readiness and their longer term outcomes.  The integrated two-year review offers the parent and health visitors an opportunity to discuss the child’s strengths, developmental progress and facilitate appropriate intervention and support for children and their families where progress is less than expected.




Through this review health visitors undertake a holistic assessment of family need, assessing possible determinants of health that can impact upon the child’s progress; thus reducing inequalities in children’s outcomes. Health visitors need to equip themselves with the knowledge and skills to undertake this review and offer evidence-based intervention and support to improve outcomes for children and their families.

Effective assessments

Watch a video of Clare Sandling, Starting Well Policy Lead from the Department of Health, talking about the need for the integrated two-year review and the importance for health visitors to upskill themselves to deliver this assessment effectively.

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