Refer children with suspected cerebral palsy to a child development service for an urgent multidisciplinary assessment if they have abnormal motor features such as unusual fidgety movements, abnormalities of tone, abnormal motor development, or feeding difficulties NICE NG62.
Refer all children with delayed motor milestones, such as not sitting by 8 months or not walking by 18 months, to a child development service for further assessment NICE CKS.
Refer children who have persistent toe walking to a child development service for further assessment NICE NG62.
If there are concerns that a child may have cerebral palsy but a definitive diagnosis cannot be made, discuss this with parents or carers and explain that an enhanced clinical and developmental follow-up programme will be necessary to reach a diagnosis NICE NG62.