ABSTRACT
The Healthy Child Programme, the national universal public health programme for all children and families in the UK, requires health visitors to carry out a health review for children between two and 2.5 years. Similarly, the revised Early Years Foundation Stage statutory framework now places a new requirement on early years practitioners to review a child's learning and development through a progress check at two years. While work is being undertaken nationally for the two-year health review to be delivered jointly by health, early years and early intervention services, this paper discusses the development of an innovative, integrated local model that not only ensures better reach of two-year-old children in Harrow but also ensures best use of professional resources and expertise, and a more joined-up service for children and families.