This is safety signposting, not a diagnosis tool. Urgent symptoms need urgent medical help.
| Concern | Examples | Direction | Area |
|---|---|---|---|
| Breathing or colour change | Blue lips, severe breathlessness, pauses in breathing, struggling to breathe. | Seek urgent medical help / 999 if severe. | Health |
| Poor feeding/dehydration | Not feeding, very sleepy, fewer wet nappies, choking/coughing on feeds. | Contact midwife/health visitor//111 urgently depending severity. | Health |
| Sudden behaviour change | New aggression, withdrawal, refusal, sleep change, crying, self-injury or loss of interest. | Check pain, constipation, reflux, ears, teeth, vision, hearing, sleep, bullying and anxiety. | Health/Education |
| Loss of skills | Regression in speech, mobility, toileting, learning or independence. | Ask /paediatrician for urgent review. | Health |
| Neck/spine signs | Neck pain, weakness, change in walking, new clumsiness, bladder/bowel changes. | Seek prompt medical advice; urgent if severe or sudden. | Health |
| Sleep apnoea signs | Loud snoring, breathing pauses, restless sleep, sweating, morning headaches, daytime sleepiness. | Ask /paediatrician/ENT about sleep assessment. | Health |
| Hearing/vision change | Missing instructions, bumping into things, squinting, sitting close, sudden inattention. | Request audiology/eye check. | Health/Education |
| Constipation/reflux pain | Pain, bloating, vomiting, food refusal, distress after meals, soiling, sleep disturbance. | Ask /paediatrician for assessment. | Health |
| Bruising/pallor/infections | Unusual bruises, tiny red/purple spots, paleness, recurrent infections, swollen tummy, extreme tiredness. | Seek medical review urgently. | Health |
| School refusal or distress | Crying before school, shutdown after school, avoidance, aggression at home after masking. | Ask school to review support, sensory, bullying, communication and workload. | Education |
| Safeguarding | Any concern of abuse, neglect, exploitation, online risk or unsafe care. | Follow safeguarding procedures and seek immediate help if at risk. | Safeguarding |