Child Health
Child Health Systems Programme - 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-S) facilitates the call/recall of both primary and secondary school pupils for examination and immunisation. It records referrals and referral updates as well as supporting efficient and effective administrative practice.
The Child Health Systems Programme - School (CHSP-S) began development in late 1993. The system initially was piloted in Borders NHS Board followed by a second pilot in West Lothian NHS Trust.
The implementation dates of the 11 participating NHS Boards are:
| NHS Board | CHSP-S implementation date |
| Ayrshire & Arran | August 2007 |
| Borders | 1995 |
| Dumfries & Galloway | 2004 |
| Fife | 2000 |
| Forth Valley | 2005 |
| Grampian (partial) | 2005 |
| Greater Glasgow & Clyde Argyll & Clyde* Greater Glasgow |
2001 not implemented |
| Highland Argyll & Clyde* Highland |
2001 not implemented |
| Lanarkshire | 1999 |
| Lothian NHS Board (West Lothian NHS Trust) | 2004 (1997) |
| Orkney | not implemented |
| Shetland | not implemented |
| Tayside | 2002 |
| Western Isles | 2003 |
Prior to the CHSP-School System, school data was recorded on the SMR10 return. Data were collected via this return from 1960 to the mid 1990s. Examples of information collected include the number of school entrants/leavers, heights/weights and diagnoses problems.
Who uses 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.
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 a Primary 7 review.
Universal Primary 1 Review
Examples of information collected at the 
Primary 1 screening include height and weight measurements and recording of diagnoses/concerns (Read Coded). At this screening the health professional reviews the child's health plan indicator (HPI). Following the primary 1 screening some children have a further assessment. The Primary 1 assessment 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 can be used to record any other reviews in the school setting. 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.
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 produce childhood obesity statistics which have been published on the ISD Scotland website.
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 and in some Boards the system is only used in part of the Board area. 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 within this section for details.
Information is also available from child health surveillance reviews prior to Hall4 implementation.
child health
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