There are many services you can contact to talk about concerns you may have about your child, including GPs, health, visitors, schools, nurses, speech and language therapy and educational psychology.

If your child does not attend a nursery or a school 

If your child is still at home, speak to your health visitor or GP (doctor), or visit your local children's centre for advice.

The following organisations can also can also give you advice about special educational needs:

KIDS Richmond and Kingston SEND Information, Advice and Support Service (SENDIASS) 

The Independent Support Partnership (ISP)


If your child is attending nursery or preschool

If your child is nursery age and you are concerned you should speak to the 'SENCo' (SEN Co-ordinator) in your child's school or nursery.

Our intention is that most if not all children with SEND in the early years will be effectively supported without the need for statutory Education Health and Care (EHC) Plans.  If, however, it becomes apparent that a child will need the support of a statutory EHC Plan at pre-school / nursery or to help them to move to school, an EHC Needs Assessment can be requested. Parents and carers have the right to make such a request at any time, but are advised to discuss any concerns with setting staff or a professional such as a GP or health visitor first.


If you have any concerns about your child’s health or development, your first point of contact should be your GP (doctor) or health visitor.

Health Visitors

Health Visitors mostly work with families with children under the age of five. They assess your child's development and work with a range of professionals to provide support and if necessary, make referrals.

Find out more about what health visitors do and some top tips for parents to help you support your child here.

Institute of Health Visiting website (opens a new web site)

Read more about how children learn and develop during the first five years here:

Foundation Years (opens a new web site)

Health and Early Years working together to support your child

 From September 2015 it has become statutory for all two year old children to have an integrated review - this is called the 2yr old Integrated Review.

Find out more about the review

Diagnostic and Care Pathways

For some concerns there are flowcharts that set out who parents can contact about their child or young person and the pathways to diagnosis or care that follow.

Diagnostic pathways