Introduction
The early years are a time of remarkable growth. From birth to age five, children develop rapidly across communication, motor skills, social interaction and emotional regulation. When concerns arise, whether around speech, coordination or social confidence – a paediatric assessment can help identify what’s happening and guide families toward the right support.
Why early assessment matters
Early intervention is key. During the first five years, the brain forms connections at a rapid rate. Identifying and addressing challenges early often leads to better long-term outcomes in learning, behaviour and wellbeing. Assessments can also prevent small delays from becoming larger obstacles and open access to early support such as speech and language therapy, occupational therapy, or specialist nursery provision.
Common types of paediatric assessments
Several professionals may be involved in assessing a young child’s development:
Developmental screening – Carried out by health visitors or GPs to review milestones such as movement, communication, and social engagement.
Speech and language assessment – Conducted by a Speech and Language Therapist (SALT) to explore understanding, expression and social communication.
Physical or motor assessment – Often led by a physiotherapist, occupational therapist, or paediatrician to review fine and gross motor skills, balance and coordination.
Social, emotional or behavioural assessment – Completed by a paediatrician, psychologist, or therapy team when there are concerns around anxiety, play, or emotional regulation.
Hearing and vision screening – To rule out sensory issues that can affect all areas of development.
Who to speak to first
Every assessment starts with a conversation. You’ll share details about your child’s history, milestones and daily routines. Professionals may observe your child at play, use standardised tools, and discuss what’s working well and where challenges occur.
You’ll receive a written summary with recommendations and next steps, which could include therapy, follow-up reviews, or strategies to try at home and in nursery settings.
What to expect during the process
Every assessment starts with a conversation. You’ll share details about your child’s history, milestones and daily routines. Professionals may observe your child at play, use standardised tools, and discuss what’s working well and where challenges occur.
You’ll receive a written summary with recommendations and next steps — which could include therapy, follow-up reviews, or strategies to try at home and in nursery settings.
How parents can prepare
Keep notes: Record milestones, strengths, and concerns to share during appointments.
Gather input from others: Ask nursery or preschool staff for their observations.
Ask questions: Understand who is assessing your child, what the process involves, and what support is available locally.
Know your rights: In England, early years settings have duties under the SEND Code of Practice to assess and provide support. You can ask about Education, Health and Care Plans (EHCPs) if additional help is needed.
Accessing local support
Routine health visitor checks, NHS therapy services, Early Years SENCOs, and local authority Early Help teams can all provide guidance. Many charities and parent networks also offer advice and peer support.
How Momenta can help
At Momenta Connect, we believe that early, well-structured intervention can change a child’s trajectory. Our team offers guidance for families, early years settings and schools — from setting up developmental screening to understanding reports and coordinating support across services. We can help you interpret assessments and plan practical next steps for your child’s development.
If you’re a parent worried about your child’s progress, or an early years practitioner seeking clarity on best practice, we’re here to help. Get in touch to explore how we can work together to give every child the best possible start.
