Eating and Drinking: No Referral Needed X Referral Needed X Has no medical condition, is under 12 Is non-oral and requires oral stimulation eats solids but may gag on advice. months, finger foods or foods with lumps Has no medical condition, Is fed non-orally through a nasogastric or Is developmentally under 12 months gastrostomy tube and is ready to have and does not always chew their food. tastes or start oral feeding. No difficulty eating but will only eat a Shows signs of swallowing difficulties small range of foods / prefers certain E.g. coughing, choking, chest infections tastes e.g. likes sweet foods or will not or weight loss. try some food groups e.g. fruit, Has a medical condition which can affect vegetables or meat. eating and drinking and there has been a change to their eating and drinking skills. E.g. cerebral palsy, down syndrome, epilepsy, neuromuscular condition, gastro-oesophageal reflux disease. Is taking more milk than is Has an acquired medical condition and recommended for their age / stage of is having difficulty eating and drinking development and as a result is not E.g. head injury, stroke. having solids or eating lumpy food. Discuss with the child’s Health Visitor / Dietitian Speech, Language and Communication: No Referral Needed X Referral Needed X 18 months - education P2-P3 18 months Some pretend play e.g. feeding self, No pretend play. brushing own hair. Responds to simple commands and No understanding of very familiar, often questions as part of everyday routines. used words. Little response to spoken language. Communicates mainly with gesture No babble or words rather than words. Uses babble, nonsense words or words Sounds nasal. which only close family understand. Has a history of food coming down their nose. Has a cleft lip or palate. No Referral Needed X Referral Needed X 2 years - education level P4 2
Eating and Drinking: No Referral Needed X Referral Needed X Has no medical condition, is under 12 months, eats solids but may gag on finger foods or foods with lumps Is non-oral and requires oral stimulation advice. Has no medical condition, Is developmentally under 12 months and does not always chew their food. Is fed non-orally through a nasogastric or gastrostomy tube and is ready to have tastes or start oral feeding. No difficulty eating but will only eat a small range of foods / prefers certain tastes e.g. likes sweet foods or will not try some food groups e.g. fruit, vegetables or meat. Shows signs of swallowing difficulties E.g. coughing, choking, chest infections or weight loss. Has a medical condition which can affect eating and drinking and there has been a change to their eating and drinking skills. E.g. cerebral palsy, down syndrome, epilepsy, neuromuscular condition, gastro-oesophageal reflux disease. Is taking more milk than is recommended for their age / stage of development and as a result is not having solids or eating lumpy food. Discuss with the child’s Health Visitor / Dietitian Has an acquired medical condition and is having difficulty eating and drinking E.g. head injury, stroke. Speech, Language and Communication: No Referral Needed X Referral Needed X 18 months - education P2-P3 18 months Some pretend play e.g. feeding self, brushing own hair. No pretend play. Responds to simple commands and questions as part of everyday routines. No understanding of very familiar, often used words. Little response to spoken language. Communicates mainly with gesture rather than words. No babble or words Uses babble, nonsense words or words which only close family understand. Sounds nasal. Has a history of food coming down their nose. Has a cleft lip or palate. No Referral Needed X Referral Needed X 2 years - education level P4 2