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Speech Language and Communication: helping your little one learn


Health Visitors can  support pre-school children with difficulties they are having with speech, language, and communication. Giving children this early help ensures that they have the full ability to participate in all aspects of daily life. We work in partnership with children, families, and other professionals to ensure they get the best outcome. There are many ways in which we can support you however if further support is required then a referral to Speech and Language Specialists can be made.

As part of the universal Health visiting service every child is offered two development reviews: the first at age 9-11months and the second at 27 months.  Before the review Parents/Carers are asked to complete questionnaires which are focused on key areas of development in a child. One of these areas focuses on speech, language, and communication, and this is an opportunity for the health visitor to understand if there are any delays but also for parents to discuss any concerns they have. Advice and support can be given on ways in which you can help your child in the home, out and about, or at another setting such as nursery or childminders. Therefore attending your development reviews with your child is really important.

If we pick up any parental concern or find that the child may need additional support we will start with a ‘Speech, Language and Communication’ Bundle delivered by the Community Nursery Nurse or we may signpost to other services such as the websites below, or your local Children’s Centre. Sometimes we may refer your child for a hearing test, or to Speech and Language therapy, or other Specialist services, but this would always be a decision made in partnership with Parents/Carers.

Useful websites:

Hungry Little Minds – Simple fun, activities for kids aged 0 – 5 (

Activities for babies, toddlers and children – BBC Tiny Happy People

talk-together-2020.pdf (

Dolly Parton Imagination Library – SmallSteps (

Libraries – Wiltshire Council

Bookstart | BookTrust

Spurgeons Children’s Centres in Wiltshire (

Rise Children’s Centres – The Rise Trust – Wiltshire

See our ‘Talking with your Baby presentation slides’ here

Our Speech and Language therapists also have useful advice pages here

Questions and Answers

What if I am worried about my child's speech?

In the first instance you could look at the links above, some of which give details of what language development to expect and when.

You can also contact your local children’s centre as they often have groups running which give parents useful information to support their child’s learning through play.

If you are concerned you can contact us on our single point of access number: 0300247 0090 and talk to a Health visitor or Community Nursery Nurse or just drop in to your local ‘Healthy Child drop in’.