Four years old

Keep your child's growth charts and health records from the NHS with you wherever you are.

eRedbook stores information about immunisations, health reviews and screening tests securely in the cloud so they are always at hand. 

Access your child's NHS health records quickly and easily through eRedbook once your child's record is connected to the NHS.

If you are worried about your child’s development, please speak to your Health Visitor or GP.

Find out more about the eRedbook

In the September after your child turns four, it is time for them to start school. Congratulations!

Once your child has started school, they will receive a school entry health assessment.

The school entry health assessment is sent to parent/carers when a child receives their reception school place offer.

This assessment is completed by the Children’s Health 0-19 Service.

This is so that any additional needs that may impact on your child’s health and enjoyment can be identified and supported to help them get the most out of school.

Your child is probably looking forward to going to school, but there is an important question: how will they get there?

To help you with this, schools write travel plans.

You might be able to access financial support to help with any costs of travelling to school. Find out more on our school travel costs page.

Each school has its own uniform. You will need to contact the school your child will be attending directly to find out where to purchase this.

You can use the Newham School Factfinder to find the schools in your local area.

Once your child turns four they are legally entitled to an Individual Health Care Plan, if they have a health need. This is particularly relevant if your child has a long-term health condition as the plan will help make sure their school understands these health requirements and is able to support your child effectively.

Newham’s School Health service ensures these are created for those young people who need them. Find out more about the Individual Health Care Plans (IHCP).

Health visitors work with children and their families from the antenatal period until children are five. We work in partnership with other agencies such as midwives, GPs, schools, social workers, voluntary services and children centres.  

Together we aim to improve the health and wellbeing of all children aged 0-5 and to prevent ill health through health promotion at individual and community level. 

Find out more about the Health Visiting Service

The specialist health visiting service provides a targeted service that supports vulnerable children aged 0-5 and their families. The service comprises of three specialist health visiting teams. Please click on the links below to find out more about the teams:

Specialist Health visitors for Perinatal Infant Mental Health (PIMH)

Specialist Health Visitors for children with SEND

Specialist Health visitors for HIV