🩺 Developmental Milestone Red Flag Screener

Southampton General Hospital · Paediatrics

⚠️ Clinical tool only. Use with full history, examination and parental concern. Always use corrected age for prematurity. Referral decisions should follow local trust pathways.
👶 Child Age
–
Enter date of birth
Use corrected age (preterm)
Loss of words, motor skills, social engagement
Corrected Age
Use corrected age for premature infants until at least 12–18 months (<32 weeks → longer).
OT Threshold
Refer if fine motor / functional skills ≥3 months behind expected (DBTH NHS).
Multi-Domain Delay
Flags in ≥2 domains → Community Paeds urgently. Consider GDD, CP, chromosomal, metabolic.
Regression = Urgent
Any regression at any age → urgent paeds. Consider neurodegenerative, epileptic, metabolic, safeguarding.
👶

Enter the child's date of birth to generate the milestone checklist. Age is calculated automatically.

Checking a later milestone will automatically mark all earlier milestones in that domain as achieved.

📋

Referral recommendations will appear here once you complete the milestone screen.

Built for Southampton General Hospital. Not a substitute for clinical judgement. v2.0 - 2026.

References

  1. RCPCH. Developmental Medicine & Child Neurology – Developmental Assessment. RCPCH; 2024.
  2. Gardner F, Johnson A, eds. Oxford Handbook of Paediatrics. 3rd ed. Oxford University Press; 2021.
  3. NHS. Healthy Child Programme: 0–5. Developmental milestones. Gov.uk.
  4. DBTH NHS Foundation Trust. Occupational Therapy referral criteria – fine motor/functional skills ≥3 months behind expected.