0-19 Services

Health visitors are registered nurses or midwives with a specialist qualification in public health. They work with families who have children between the ages of 0 and five. Lewisham health visiting services are run by Lewisham and Greenwich NHS Trust, whereas Greenwich and Bexley health visiting services are run by Oxleas NHS Foundation Trust

About us

Being a parent or carer is one of the most rewarding things you may ever do, but also the most challenging. Your health visiting team may be best placed to support you during these times. If you are low, anxious, sleep deprived, struggling with the ‘terrible twos’ or need advice and support for any other reason, please contact your local health visitor for support.

As health visitors we work alongside nursery nurses and support workers to provide a seamless service to our families. Some of our health visitors have undergone further training to become specialist practice teachers. This means they help to educate student health visitors. You will be informed if a student health visitor is joining the visit.

Safeguarding children is an integral part of a health visitor’s role and we work closely with our colleagues from children’s social care, GP practices and voluntary services in order to support families.

If English is not your first language, or if your hearing or vision is compromised, your health visitor has access to a pre-arranged interpreting service.

Six key stages

There are six key stages in your child’s development when you will be contacted by your health visitor:

  1. Before your baby is born (when you are around 30 weeks’ pregnant)

  2. New birth visit – between days seven and 14

  3. Six to eight week contact

  4. 4-6 months - virtual health promotion and weaning  

  5. Seven to 11 month developmental review

  6. Two to two and a half years developmental review

Each health visiting team runs a child health clinic, which you can attend with your under five for advice, support and weighing. You do not need to make an appointment to attend the child health clinics, which are held in a variety of venues including GP practices and children’s centres.

 

Speech and language development

Children develop communication skills from birth, and the way you talk and play with your baby can make a real difference to how they develop and learn. Children begin to understand words before they can say them. They then learn how to say these words and put them together to make sentences. It’s important to remember that children develop speech, language and communication skills at different rates.

If you are concerned about your child’s speech and language skills, contact your health visitor.

Below are links to factsheets from the Talking Point website, which contain lots of useful information about children’s speech and language development at different ages.

Tips for Talking: 3-4 Years

Toilet training

Most parents start thinking about potty training when their child is between two and two and a half, but there’s no perfect time. ERIC (The Enuresis Resource and Information Centre) has devised a leaflet to help you recognise when your child is ready for toilet training and how to make a success of it.

ERIC’s guide to potty training

Lewisham health clinics

Lewisham health clinics

Days and times

Clinic location

Address

Tuesdays, 9.30am–11.45am

Sydenham Green Health Centre

26 Holmshaw Close, London, SE26 4TH

Tuesdays, 9.30am–11.30am

Lee Health Centre

2 Handen Road, Lee, SE12 8NP

Tuesdays, 1pm–3pm

Honor Oak Health Centre

20 Turnham Road, Brockley, SE4 2LA

Thursdays, 9.30am–11.15am

Bellingham Children’s Centre

109a Randlesdown Road, SE6 3HB

Thursdays, 9.30am–11.30am

Downham Health and Leisure Centre

7–9 Moorside Road, Bromley BR1 5EP

Fridays, 10am–12.30pm

Clyde Nursery School

Alverton St, London SE8 5NH

Please note from 6 March 2024, the clinic that is currently at the Downham Health and Leisure Centre will be changing to every Wednesday, 9.30am–11.30am, at Downderry Children’s Centre (Shroffold Rd, Bromley, BR1 5PD).

Children's Centres

You can access a range of information and support at your local children’s centre. For timetables and locations, see the links below:

Children’s centres in Lewisham

Children’s centres in Greenwich

Contact the service

To contact Lewisham's health visitor team, call 020 3049 1873. To contact the Greenwich health visitor team, visit the Oxleas NHS Foundation Trust website.