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Child Health Programme

Child Health Systems Programme School

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Child Health Systems Programme School (CHSP School)

The aim of the school health service is to promote the physical, mental and social well-being of children within a school setting. It also provides remedial action and support for pupils with health problems and services for pupils with special educational needs.

The Child Health Systems Programme School System (CHSP School) facilitates the call/recall of both primary and secondary school pupils for screening, review and immunisation. It records referrals and referral updates as well as supporting efficient and effective administrative practice.

School Reviews/Health Checks

Child health surveillance is reviewed at regular intervals by the Royal College of Paediatrics and Child Health (RCPCH). The most recent RCPCH review of child health screening and surveillance programmes was published as the fourth edition of Health for All Children (Hall 4).

Current Scottish Government policy on the delivery of the child health programme is set out in Health for all children 4: guidance on implementation in Scotland (published April 2005) and A new look at Hall 4. The early years: good health for every child (published January 2011). This is commonly referred to as the Hall 4 programme. Implementation of Hall4 was phased across Scotland from October 2005.

Under the Hall 4 programme, all children are offered a health check on entry to primary school. Thereafter there are no formal universal reviews, however health promotion and detection of problems are part of mainstream school life and children who require additional support will be seen as necessary by the school health team. Some NHS Boards also offer reviews at other stages.

Universal Primary 1 Review

Examples of information collected at the Primary 1 screening Download pdf file [232kb] include height and weight measurements and recording of diagnoses/concerns (Read Coded). Following the primary 1 screening some children have a further assessment. The Primary 1 assessment Download pdf file [316kb] includes a review of the child's development (e.g. gross motor, fine motor, speech and language, social skills and behaviour).

Non-Routine Reviews

The non-routine form Download pdf file [843k] can be used to record any other reviews in the school setting. For example, some NHS Boards offer a universal review in Primary 7 and some offer selective medicals for Primary 7 and Secondary 3. Unscheduled and recall reviews are also recorded on this form.

Information is also available on school health reviews prior to Hall4 Implementation.

Users of CHSP School

The two principal groups of users are school health professionals (such as community paediatricians, school nurses and nursing assistants) and staff responsible for school health administration within a NHS board.

The school health professional records information on paper examination forms. After the clinical contact has taken place the examination details are keyed in to the system by administrative staff. Identified problems are also Read coded at this stage. A paper copy is then filed in the school health record.

NHS Board CHSP School Implementation Dates

The school system began development in late 1993. The system initially was piloted in Borders NHS Board followed by a second pilot in West Lothian NHS Trust. All NHS Boards have now implemented the system though the majority of NHS Greater Glasgow & Clyde and NHS Orkney do not record results from health reviews on the system.

NHS Board CHSP School implementation date Hall4 Implementation Date on CHSP School1
Ayrshire & Arran August 2007 August 2007
Borders 1995 October 2005
Dumfries & Galloway 2004 April 2006
Fife 2000 August 2006
Forth Valley 2005 April 2006
Grampian August 2008 (pilot from 2005) June 2007
Greater Glasgow & Clyde:
Argyll & Clyde *
Greater Glasgow

August 2008

May 2007
August 2008
Argyll & Clyde *

August 2008

May 2007
August 2008
Lanarkshire 1999 August 2006
Lothian NHS Board (West Lothian NHS Trust) 2004 (1997) October 2005
Orkney August 2010 August 2010
Shetland August 2008 August 2008
Tayside 2002 January 2007
Western Isles 2003 May 2006

* Argyll and Clyde ceased to exist on 31st March 2006 and the administration area was split into two sub-areas that now fall under the administration of NHS Greater Glasgow and Clyde and NHS Highland respectively.

1. The date when Boards started recording Hall4 compliant data on CHSP School.

Analyses Available

A variety of routine outputs are available to users of CHSP School, which can be used for local purposes. Data recorded on the school system have been used in a range of different analyses and have been used to publish childhood Body Mass Index (BMI) statistics. Analyses are available at various levels, for example by NHS Board level (residence and examination), Council Area and Community Health Partnership.

Please note in some NHS Boards a phased implementation occurred after the school system was adopted. Therefore, caution should be taken when interpreting data around the implementation period. In addition many data items are not mandatory and recording practices vary between NHS Boards and individual health professionals. Therefore not all data items on the review forms can be used for analysis.

If you would like to request specific analyses please refer to the contacts page for details.

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