Skip to main content
Down's Syndrome
💛
Parents & carers

Down's Syndrome Overview

Start here if you want a quick plain-English summary families can read.

6 min read

Start here if you want a quick plain-English summary families can read.

TopicPlain-English SummaryPractical DirectionSources
What Down's syndrome isDown's syndrome is a lifelong genetic condition where a person is born with an extra copy of chromosome 21, or extra chromosome 21 material.Use positive, person-first wording unless the family/person prefers identity-first. Do not blame parents; it is not caused by something done in pregnancy. Down's syndrome
UK spelling and terminologyIn the UK, many official sources use Down's syndrome, while many community organisations use Down syndrome. Both are widely understood.For Bright Steps pages, you can use both terms in search tags so families can find it. Down's syndrome
Individual profileEvery person with Down's syndrome is different. Most have some degree of learning disability, but abilities, health needs, communication, independence and support levels vary widely.Avoid assuming low expectations. Focus on strengths, support needs and the right adjustments. Down's syndrome;Mencap Down syndrome
Common strengthsMany learners have strong visual learning, social motivation, imitation skills, routine memory and benefit from written/visual information.Use visual timetables, clear modelling, repetition and concrete resources.Down Syndrome Education International;DSUK Starting School
Common support areasSpeech/language, working memory, hearing/vision, motor skills, health surveillance, learning, independence, toileting, sleep and social inclusion often need planned support.Keep a one-page profile and evidence file updated. how to help CYP;DSMIG medical surveillance
Low muscle toneHypotonia can affect feeding, posture, walking, handwriting, stamina and mouth/tongue control.Ask for physiotherapy, occupational therapy and feeding/ advice where needed. how to help CYP
Speech and languageMany children understand more than they can express. Communication may need speech therapy, signing, symbols, visuals, AAC and extra processing time.Do not rely only on spoken answers to judge understanding. how to help CYP;See and Learn
Health surveillanceRegular checks are important because hearing, vision, thyroid, heart, sleep and infection-related needs can affect behaviour, learning and development.If behaviour suddenly changes, check pain, hearing, vision, sleep and physical health first. other health conditions;DSMIG medical surveillance
EducationChildren with Down's syndrome can attend mainstream or special schools depending on need, family preference, local provision and what support is required.Visit settings and ask how they will meet speech, learning, medical and inclusion needs. how to help CYP;
AdultsAdults may need support with health checks, work, supported living, relationships, money, social care and transitions.Start transition planning early and involve the young person in accessible ways. support for adults;NICE NG213
The Down Syndrome Act 2022The Act led to statutory guidance work intended to help relevant authorities understand and meet existing duties for people with Down syndrome and similar needs.Use the guidance as leverage when asking health, education, social care and housing services to plan properly.GOV.UK Down Syndrome Act draft guidance
Parent messageA diagnosis is not the end of hope. It is a route to better understanding, better support and better planning.Families may need emotional support as well as information. support for families;Positive About Down Syndrome

More from Down's Syndrome

How we review this content