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Global Developmental Delay
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Parents & carers

Early intervention and therapies for GDD

Why starting support early matters, what therapies are available on the NHS, and how to access them without waiting.

6 min read

Why early intervention matters

The brain is most adaptable in the first few years of life. Starting support early can:

  • Build skills before school starts
  • Reduce frustration and challenging behaviour
  • Help you understand your child's needs
  • Improve outcomes for the whole family

Therapies you can ask for

TherapyWhat it helps withHow to access
Speech and Language Therapy ()Communication, eating, social skills or health visitor referral. Ask for ; some areas have long waits, so also ask about private options or charities.
PhysiotherapyGross motor skills, balance, coordination or paediatrician referral.
Occupational Therapy ()Fine motor skills, sensory needs, daily living referral or via your health visitor.
PortageHome-based learning for under-5sUsually via your local authority. Ask your health visitor or team.
Hearing and vision checksRuling out sensory causes of delayAsk your for a referral to audiology or ophthalmology.

What if there is a long wait?

  • Ask your for an referral and also look at charity-funded services (e.g. Scope, Mencap, local children's centres).
  • Some areas have Early Support or Early Help teams that can start while you wait.
  • Portage may still be available even without a diagnosis.

Portage explained

Portage is a home-visiting educational service for children with additional needs under five. A portage worker:

  • Visits your home regularly
  • Helps you set small, achievable goals
  • Shows you games and activities to build skills
  • Links you to other services

Contact your local council's children's services to ask about portage in your area.

Do not wait for a diagnosis

Support should not depend on having a label. If your child has , they are entitled to help now.

Where to go next

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